Pregnancy is an exciting journey, but let’s be honest it comes with its fair share of discomforts, and back pain is one of the most common complaints. If you’re experiencing it early in pregnancy, you might be wondering: Is this normal? Should I be concerned? The short answer is yes, back pain can start early, and no, you’re not alone.

Pregnancy brings hormonal shifts, changes in posture, and added strain on your spine, all of which can contribute to back pain. The intensity and timing vary from person to person, but it’s important to know that help is available. Chiropractic care is a safe and effective way to manage pregnancy-related back pain, helping to keep your spine aligned and your body balanced as it adapts to these changes.

Now, let’s talk about the real concerns many expecting moms have:

• Is it normal to have back pain early in pregnancy? Absolutely. Your body is already making adjustments from the very beginning, thanks to hormones like relaxin, which loosen ligaments and joints in preparation for birth.
• How do pregnancy hormones contribute to back pain? The same hormones that allow your body to expand and accommodate your baby can also make your joints less stable, leading to strain on your back and pelvis.
• When should I see a chiropractor for back pain? If your pain is persistent, affecting your daily activities, or getting worse, it’s a good idea to seek professional help. We at Lamb Chiropractic deliver safe and gentle adjustments that can provide relief and keep your body in the best possible condition as your pregnancy progresses.

This blog will explore everything you need to know about back pain during pregnancy, from why it happens to how you can find relief. Stick with me, and let’s make your pregnancy journey as comfortable as possible!

When Does Back Pain Start During Pregnancy?

Pregnancy can be an exciting journey, but it also comes with some physical changes, one of the most common being back pain. While some moms-to-be start feeling discomfort early, others don’t experience it until much later. Since every pregnancy is different, it’s important to understand how back pain progresses and what can be done to manage it.

Early Pregnancy (First Trimester: Weeks 1-13)

Can Back Pain Start in the First Trimester? Yes, back pain can begin as early as the first few weeks of pregnancy, although it is less common. Some women report experiencing lower back discomfort even before realizing they are pregnant, with symptoms resembling mild period cramps. This early discomfort is primarily attributed to hormonal changes, particularly the release of relaxin, a hormone that loosens the ligaments and joints in preparation for childbirth. While beneficial for labor, relaxin can lead to instability in the spine and pelvis, causing discomfort even in the earliest weeks.

However, not everyone experiences first-trimester back pain. Some women go through these initial months with minimal discomfort, instead dealing with other symptoms like nausea and fatigue. The experience is highly individualized, with factors such as pre-existing back conditions, posture, and physical activity levels playing a role in determining whether early pregnancy back pain will occur.

Mid-Pregnancy (Second Trimester: Weeks 14-27)

Why Does Back Pain Become More Noticeable? As the pregnancy progresses, weight gain and the expansion of the uterus begin to affect the musculoskeletal system. Around the mid-second trimester (weeks 18-24), many women start to notice a gradual increase in back pain. The primary reasons include:

• Postural Adjustments: The growing abdomen shifts the body’s center of gravity forward, requiring the spine to arch more (a condition known as lordosis). This places extra strain on the lower back muscles, which can lead to discomfort.
• Increased Weight: The additional weight of the baby, placenta, and amniotic fluid places extra stress on the spine, contributing to muscle fatigue and strain.
• Activity-Related Discomfort: Some women notice pain flare-ups after prolonged standing, lifting objects, or even sitting for extended periods.

Some women experience only mild discomfort, while others have more persistent pain. This is often the time when many expectant mothers start looking for ways to relieve back strain.

Late Pregnancy (Third Trimester: Weeks 28-40)

Does Back Pain Get Worse in the Third Trimester? For many women, the third trimester is when back pain becomes most noticeable. The baby’s growth accelerates, and the body undergoes further hormonal and physical changes that contribute to discomfort. Some of the key factors leading to increased back pain include:

• Greater Weight and Pressure: By the final weeks, the baby is at its heaviest, placing significant strain on the spine and lower back muscles.
• Pelvic Changes: As the body prepares for labor, ligaments in the pelvis continue to loosen, leading to pelvic girdle pain, which can radiate to the lower back.
• Nerve Compression: The baby’s position may put pressure on nerves, including the sciatic nerve, causing sharp, shooting pain that radiates down the legs (sciatica).

Many women report that back pain intensifies around weeks 32-36. Some find relief with good posture, gentle stretching, and support belts, while others seek help from prenatal massage or a chiropractor.

When back pain may start during pregnancy helps expectant mothers prepare for potential discomfort and take proactive measures for relief. However, it is important to recognize that every pregnancy is unique. Some women may experience early and persistent back pain, while others may only feel discomfort in the final weeks. By staying informed, listening to the body, and seeking support when needed, pregnancy-related back pain can be managed effectively for a healthier, more comfortable experience.

What Causes Back Pain During Pregnancy?

Back pain is super common during pregnancy almost 80% of pregnant women feel it at some point. But why does it happen? Pregnancy brings big changes to the body, like shifting hormones, extra weight, and a growing belly. These changes can put a lot of pressure on the back. Let’s break it down in a way that’s easy to understand.

Hormones: Your Body is Loosening Up

During pregnancy, the body releases a hormone called relaxin to help loosen joints and ligaments for childbirth. While that’s great for delivery, it also makes the spine and pelvis less stable, which can lead to back pain.

Another hormone, progesterone, helps support the pregnancy but also relaxes muscles throughout the body, which can make the back feel weak or sore.

What Helps? Doing gentle exercises to strengthen your back and core can help. Many women find our chiropractic care helpful for keeping their spine in proper alignment and reducing pain.

Changing Posture: Your Center of Gravity Moves

As the belly grows, the body naturally leans forward, shifting balance. To keep from falling, many women lean backward, which puts extra strain on the lower back and hips.

What Helps? Standing tall, avoiding slouching, and practicing good posture can prevent extra strain. I as a chiropractor its my job to maintain the correct posture and keep the spine aligned.

Extra Weight: More to Carry, More Work for the Back

Pregnancy comes with weight gain after all, you’re carrying a baby, fluid, and the placenta! This puts extra pressure on the back, making it work harder to support you.

What Helps? Using a pregnancy support belt can help take some weight off your back. Prenatal yoga and stretching can also strengthen muscles to better handle the extra load.

Weaker Ab Muscles: The Core Isn’t as Strong

As the belly expands, the abdominal muscles stretch and sometimes separate a condition called diastasis recti. This makes the core weaker, so the back has to pick up the slack, leading to pain.

What Helps? Safe core exercises can help strengthen the muscles. Chiropractic adjustments can also help keep the spine and pelvis stable as the body changes.

Stress: It’s Not Just in Your Head

Pregnancy can be stressful, and stress makes muscles tense up, especially in the neck, shoulders, and back. This tension can lead to more discomfort.

What Helps? Prenatal massage, deep breathing, and light movement can help relieve tension. Many pregnant women find that chiropractic adjustments help them relax and ease muscle tightness.

Sciatica: That Sharp, Shooting Pain

Some women feel a sharp pain that runs from the lower back down the legs. This is called sciatica and happens when the growing baby presses on the sciatic nerve.

What Helps? Stretching, chiropractic care, and sleeping with a pillow between the knees can help relieve the pain.

When to See a Doctor or Chiropractor?

While back pain is common in pregnancy, some cases need professional care:

✔ If pain comes with numbness, weakness, or tingling in the legs
✔ If the pain is sudden and severe
✔ If the pain makes it hard to walk or do normal activities

Chiropractic care can be a safe, drug-free way to relieve pregnancy-related back pain by keeping the spine aligned and reducing pressure on nerves.

Keeping Your Back Happy During Pregnancy

Back pain in pregnancy is normal, but there are ways to manage and prevent it. Understanding why it happens can help you find simple, natural solutions to stay comfortable.

✅ Practice good posture and support your core
✅ Try prenatal yoga, stretching, and light exercise
✅ Consider chiropractic care to keep your spine aligned
✅ Use support tools like belly bands and pregnancy pillows
✅ Manage stress to keep muscles relaxed

By taking care of your back, pregnancy can be a more comfortable and enjoyable experience!

How Chiropractic Care Helps With Pregnancy-Related Back Pain?

Pregnancy is an amazing experience, but it can also take a toll on your body especially your back! As your belly grows, your posture changes, your weight increases, and your joints loosen up, all of which can cause pain and discomfort. The good news?  Chiropractic care can help. Let’s break down how it works and why so many moms-to-be find relief through chiropractic adjustments.

Helping Your Spine and Pelvis Stay Balanced

During pregnancy, your body shifts to make room for your baby, which can cause misalignment in the spine and pelvis. This can lead to back pain, hip discomfort, and even difficulty walking. Chiropractors help by gently adjusting the spine and pelvis to:

• Reduce pressure on nerves and muscles – Misalignment can pinch nerves, leading to pain. Adjustments help release that pressure.
• Improve pelvic balance – A well-aligned pelvis can make it easier for the baby to settle into the right position for birth.
• Support good posture – Better posture means less strain on your back and joints as your belly grows.
  ➡ Why this matters? When your spine and pelvis are in the right position, you’re not only reducing pain you’re also preparing for an easier pregnancy and delivery.

Relieving Sciatica, Pelvic Pain, and Muscle Tightness

If you’ve ever felt sharp pain shooting down your lower back and legs. This happens when your baby puts pressure on the sciatic nerve, causing discomfort and even numbness. Chiropractic care can help by taking pressure off the nerve and improving mobility.

Other common pains that chiropractic care can ease:

• Pelvic Girdle Pain (PGP): If your pelvis feels unstable or sore, adjustments can help stabilize it.
• Round Ligament Pain: That sharp stretching feeling in your lower belly? Adjustments can help release tension in those ligaments, making movement easier.
• Muscle Tightness: Pregnancy hormones loosen up some joints, which can make muscles work overtime. Chiropractic care can relax tight muscles and bring back balance.
  ➡ Why this matters? Pain doesn’t just make you uncomfortable it can limit your movement, making everyday tasks harder. Chiropractic care keeps you moving and feeling better.

A Safe, Drug-Free Option for Pain Relief

Many pregnant women avoid pain medication because of potential risks to their baby. Chiropractic care offers a natural, drug-free way to ease pain. It’s:

• Non-invasive – No surgery or injections just gentle adjustments.
• Completely drug-free – No need to worry about medications affecting your pregnancy.
• Safe and gentle – Chiropractors trained in prenatal care use special techniques designed just for expectant moms.
  ➡ Why this matters? You deserve pain relief that’s safe for both you and your baby, and chiropractic care gives you that option.

The Webster Technique: Supporting Baby’s Positioning

A well-aligned pelvis isn’t just great for your comfort it’s great for your baby too! The Webster Technique is a special chiropractic method that helps balance the pelvis and reduce tension in the muscles around it. Some moms-to-be find that it helps with:

• Encouraging the baby to settle in the right position – More space in the pelvis means more room for baby to move.
• Reducing discomfort from tight ligaments – Less tension in the uterus can make pregnancy more comfortable.
• Possibly helping a breech baby turn head-down – While not guaranteed, some women have reported that this technique helped their baby move into the right position for birth.
  ➡ Why this matters? A well-balanced pelvis supports a smoother pregnancy and birth experience.

Can Chiropractic Care Make Labor Easier?

Some studies suggest that chiropractic care during pregnancy may lead to shorter, smoother labors. Why? Because when your pelvis and spine are aligned:

• You may experience less pain during labor – A well-balanced pelvis allows the body to work efficiently during contractions.
• There’s a lower chance of needing medical interventions – Some research suggests chiropractic care might reduce the likelihood of C-sections or forceps use.
• You can move more freely during labor – If your back and pelvis feel good, you’ll have an easier time changing positions during childbirth.
  ➡ Why this matters? Labor and delivery are tough anything that helps make them easier is worth considering!

Is Chiropractic Care Safe for Pregnancy?

Many moms-to-be wonder, “Is chiropractic care safe while pregnant?” The answer is yes when performed by a trained prenatal chiropractor. Here’s why:

• Special techniques – Chiropractors use gentle adjustments designed for pregnancy.
• No pressure on the belly – Special tables and cushions allow for comfortable positioning.
• Personalized care – A chiropractor will adjust treatment based on your needs and how far along you are.
  ➡ Why this matters? You need care designed just for pregnant women, and that’s exactly what prenatal chiropractors provide.

When Should You See a Chiropractor?

If you have any of these issues, a visit to the chiropractor could help:

• Constant back, hip, or pelvic pain
• Sharp nerve pain running down your legs (sciatica)
• Trouble with posture or walking
• Stiff, tight muscles in the back and shoulders
• You want to prepare your body for a smoother birth
  ➡ Why this matters? Pregnancy can be uncomfortable, but you don’t have to suffer through it chiropractic care can make a big difference.

A Natural Way to Feel Better During Pregnancy

Pregnancy comes with its fair share of aches and pains, but back pain doesn’t have to be part of the experience. Chiropractic care is a safe, natural, and effective way to keep your spine aligned, your pelvis balanced, and your body feeling great.

✅ Relieves back, pelvic, and nerve pain
✅ Helps with posture and mobility
✅ May support an easier labor and delivery
✅ Provides a safe, drug-free option for pain relief

If pregnancy discomfort is holding you back, chiropractic care could be exactly what you need to feel stronger, move better, and enjoy your pregnancy more!

What are the Chiropractic Techniques are used for Pregnancy-Related Back Pain?

Pregnancy can be hard on the body. Many women deal with back pain, sore muscles, and discomfort as their baby grows. Chiropractic care is a safe, natural way to relieve pain and keep the body balanced during pregnancy. Chiropractors use special techniques designed just for expectant moms. Here are some of the key methods they use to help women feel better.

Diversified Technique: A Hands-On Spinal Adjustment

This is one of the most common chiropractic methods. It helps realign the spine and relieve pressure on nerves and joints.

1. How It Works? The chiropractor applies a quick, gentle push to misaligned parts of the spine to help them move properly again.
2. Pregnancy Benefits: It helps with lower back pain, pelvic discomfort, and sciatica (pain that shoots down the leg).
3. Why It’s Safe? The chiropractor adjusts the pressure and position to make sure it’s comfortable and safe for pregnancy.

Activator Method: A Gentle, Tool-Assisted Technique

For those who want a softer adjustment, the Activator Method uses a small handheld device to make gentle corrections.

1. How It Works? The device delivers a quick, light pulse to the spine or joints, helping them move the right way again.
2. Pregnancy Benefits: It’s great for reducing joint stiffness, muscle tightness, and nerve irritation.
3. Why It’s Safe? There’s no twisting, cracking, or pressure on the belly perfect for sensitive pregnancies.

Gonstead Technique: Precise and Targeted Adjustments

The Gonstead Technique focuses on exact problem areas in the spine and pelvis. The chiropractor carefully checks posture and movement to find the best way to adjust the body.

1. How It Works? The chiropractor makes small, focused adjustments to specific joints, helping to restore balance.
2. Pregnancy Benefits: It helps with posture, back pain, and keeping the pelvis aligned for an easier pregnancy.
3. Why It’s Safe? Pregnant women are adjusted in a side-lying position, so there’s no pressure on the stomach.

Thompson Drop-Table Technique: A Low-Force Approach

This method uses a special table that moves slightly when the chiropractor applies pressure, making the adjustment feel lighter.

1. How It Works? The table drops slightly as the chiropractor makes an adjustment, which helps guide the spine into place with less force.
2. Pregnancy Benefits: Reduces lower back pain, pelvic strain, and discomfort from posture changes.
3. Why It’s Safe? The gentle drop motion means there’s no need for twisting or heavy pressure.

Flexion-Distraction Technique: A Gentle Stretch for Sciatica Relief

If you have sciatica or disc-related pain, this method can help. It uses a special table to gently stretch the spine and take pressure off the nerves.

1. How It Works? The chiropractor moves the lower part of the table, stretching the spine in a slow, controlled way.
2. Pregnancy Benefits: Helps relieve sciatic pain, back stiffness, and pressure on spinal discs.
3. Why It’s Safe? It’s very gentle and avoids putting pressure on the belly.

Sacro-Occipital Technique (SOT): Balancing the Pelvis and Spine

 

 

This technique helps stabilize the pelvis and spine by gently shifting the body into a more balanced position.

1. How It Works? Chiropractors use small blocks under the pelvis to guide the spine into better alignment.
2. Pregnancy Benefits: Helps with pelvic pain, lower back tension, and sacroiliac joint discomfort.
3. Why It’s Safe? It’s a gentle, hands-free method that works with the body’s natural movements.

Soft Tissue Therapy: Easing Muscle Tightness

Sometimes, pain isn’t just about bones it’s also about tight muscles and ligaments. Chiropractors use soft tissue therapy (like massage and stretching) to release tension.

1. How It Works? The chiropractor applies gentle pressure to sore muscles and ligaments to help them relax.
2. Pregnancy Benefits: It reduces hip pain, round ligament discomfort, and upper back tension.
3. Why It’s Safe? Only light pressure is used, avoiding sensitive areas.

Extremity Adjustments: Aligning Hips, Knees, and Feet

Pregnancy affects more than just the spine hips, knees, and feet carry extra weight and strain. Chiropractors can adjust these joints to help with pain and balance.

1. How It Works? Gentle movements help restore proper alignment in the hips, knees, and feet.
2. Pregnancy Benefits: Helps reduce hip pain, prevent knee strain, and improve walking comfort.
3. Why It’s Safe? No forceful adjustments just light, controlled movements to keep everything balanced.

Not all chiropractors specialize in pregnancy care. It’s important to find one with experience treating expectant moms. Look for:

✔ Chiropractors certified in prenatal care (e.g., Webster Technique training)
✔ Clinics with pregnancy-friendly tables and equipment
✔ A chiropractor who listens to your needs and adjusts techniques to fit you

Chiropractic care isn’t just about pain relief it helps pregnant women stay balanced, comfortable, and prepared for childbirth. These techniques help keep the body aligned and improve overall movement, posture, and comfort.

Reach out to us if you have any questions or comments. We would love to hear from you!

Preparing for Your First Chiropractic Visit: 5 Essential Tips

Phone 212-883-8700
Email [email protected]
IG @lambchiro

 

 

Cracking, Adjusting and Arthritis

The question of whether it is safe to crack yourself is something I get asked almost every day as a chiropractor. Some amount of cracking in the body is completely normal and is just a tight muscle or tendon rubbing over the bone. On the other hand, there are some things that are not normal or even safe. Let’s look a little deeper into the joints and try to see what’s right and what’s not.
Although the question of whether cracking your knuckles leads to arthritis or not has been somewhat dispelled, this is what you need to know about arthritis. The word arthritis means inflammation of a joint. Inflammation occurs from a variety of means and could stem from some arduous activity done one day, chronic activities done over a lifetime or even chemically induced due to a poor diet or exposure to other environmental triggers.

If your joints are inflamed from an intense workout or helping a friend move furniture or some other unusual activity, some ice on the affected joint for 15 minutes every hour for a few hours should do the trick. Chemical or environmental triggers can sometimes be difficult to pinpoint, which is the reasoning behind avoiding inflammatory foods like gluten, soy, dairy and sugar whenever possible.

Now let’s look at the chronic arthritis brought on by repetitive actions and poor posture. When most people think about arthritis, they picture an elderly person with gnarled fingers, in seemingly constant pain as they knit a blanket to stay warm. Someone who has a physical job where they do the same thing day after day to parts of their bodies will most likely cause premature degeneration of those joints being used. Sitting at a desk and looking slightly downward at the screen or constant usage of a mobile phone or book reading (Who does that?) will cause arthritic degeneration of the neck. And if you’re wondering why you’ve never heard of arthritis in the neck before, it’s because most MD’s consider it to be a normal part of the aging process. When you place abnormal forces on a joint for long periods of time, those joints start to deform. This is known as Wolff’s Law. You lose bone in some places and begin to form extra bone in places where it shouldn’t be which can lead to joint fusion and therefore, substantial loss of mobility in those joints.

Let’s get back to the difference between cracking and adjusting. Cracking is the simple manipulation of a joint by any means and could happen intentionally or unintentionally. We could turn our heads to the side and hear a crack. So, what cracked? Your response to this question should be, “I don’t know!” because you don’t. I can feel something is not properly aligned in my back, but it’s difficult for me to determine exactly what the issue is because as soon as I reach behind me to feel my back, the simple act of twisting has already distorted the alignment. In order to objectively figure out where and what the misalignment actually is, your body must first be in a neutral position. This is why a chiropractor will evaluate a person while they are lying on their stomach or back or sitting straight. Once the chiropractor is able to determine the exact position of the bone/joint in question, then they can figure out how best they can make the correction properly and safely. This correction is called an adjustment. Anyone can crack something- intentionally or unintentionally. These “cracks” can be safe or harmful, but there is no way to tell quickly. Chiropractors deliver precise corrections to reduce subluxations or misalignments throughout the body. This is done in a safe and calculated manner to only the bones/joints that require it. The rest are left alone and not moved just for the heck of it. Find it, fix it, leave it alone.

Phone 212-883-8700
Email [email protected]
IG @lambchiro

 

 

Mattresses, Pillows and Sleeping Positions – Explained

Sleep plays a crucial role in overall health especially if you are choosing a mattress for lower back pain or neck pain. Adequate rest allows the body to repair itself, making it essential to choose the right mattress and pillow. Many people experience discomfort upon waking up and assume their mattress is to blame. However, stress from daily activities, prolonged sitting, and improper posture can contribute to aches and pains. Selecting the right bedding can help mitigate these issues and improve sleep quality.

The Importance of Sleep and Proper Support

Choosing the Right Mattress

The market offers numerous mattress options, including firm, soft, plush, pillow-top, and foam varieties. Finding the right one can be overwhelming. A firm mattress with a pillow top is often recommended for balanced support and comfort. Testing mattresses in-store is ideal, but online research can also provide valuable insights.

For those looking for a mattress like Purple, a mattress like Tempur-Pedic, or a mattress like Sleep Number, it’s important to compare features. Let me explain.

Foam mattresses provide excellent support, while adjustable beds, such as Sleep Number, allow for personalized firmness settings. Saatva offers an eco-friendly alternative made with organic materials and a good return policy (which is essential to ensure satisfaction). By the way, Bloomingdale’s offers one of the best policies available.

Here are some helpful resources for finding the right mattress.

The Saatva link generously provides a 15% discount

The Avocado link also provides a discount.

• Saatva Mattresses
• Avocado Mattresses
• Tri-Core Cervical Pillow
• Mattress Buying Guide
• Purple Mattresses
• Casper Mattresses
• TempurPedic Mattresses

Choosing a Mattress for Back Pain or Side Sleepers

When choosing a mattress for back pain, look for firm support with a contouring top layer. Memory foam and hybrid mattresses often provide relief because they evenly distribute weight. Additionally, adjustable mattresses like Sleep Number can also help fine-tune firmness for comfort.

If you’re choosing a mattress for side sleepers, focus on pressure relief. Softer mattresses, especially those with a responsive foam layer, help keep the spine aligned while cushioning the shoulders and hips. Look for models with zoned support to maintain proper posture.

Sleeping Positions and Pillow Selection

Best Sleeping Positions for Spinal Health

People often struggle to change their sleeping positions, but maintaining a neutral spine is key. Here are some guidelines:

• Back sleepers: Use a small pillow or neck roll to support the curve of the neck and place a pillow under the knees to reduce lower back strain.
• Side sleepers: Choose a pillow that keeps the head and neck aligned with the spine. A small pillow between the knees provides additional support.
• Stomach sleepers: This position is not ideal. Sleeping on the stomach can cause spinal misalignment, leading to chronic pain. Transitioning to side or back sleeping is highly recommended.

Left side or Right side?

Sleeping on the left side can help reduce acid reflux and improve circulation, particularly for pregnant women. Either side is acceptable as long as the spine remains properly supported.

My recommendation for mattresses has traditionally been a firm mattress with a pillow top.  You can start the selection process online or in a store where you can actually test them out live (my preferred method).

For many years, I slept on a foam mattress and loved it.  Last year, after years of recommending them to others, I decided to try a sleep number bed , a mattress which can be adjusted from firm to soft.  This bed is known as the “relationship saver”, as you can have each side a different firmness.

Can a mattress be a relationship saver?

My only suggestion on this mattress is spring for a middle tier model as the lower end ones do not provide enough foam between the top of the bed and the air compartments.  Unfortunately, I found their sleep monitoring program to be glitchy and their customer service quite poor.

Some of the mattress companies have cool questionnaires to help you determine your ideal match. As many people are concerned about what their bedding is made of, there are companies like Saatva (my personal favorite)  that are providing eco-friendly and organic materials, made in the USA.  Lastly here, I will mention that getting something with a good return policy is useful.  One of the best I’ve seen is from Bloomingdales.

Finding the Right Pillow

Pillows play a crucial role in sleep quality.  The pillow question may be the most common one I get in the office.  I mentioned some suggestions along with sleeping positions, but as far as specific pillows go, there is a vast number of choices out there. For many years, I carried Tempurpedic pillows in the office.  They are somewhat expensive and there are many cheaper alternatives.

I do like the support of foam pillows, but there are others that do the job as well.  The most popular pillow recommended by chiropractors for years is the Tricore pillow, available on Amazon for about $40.

Buckwheat, microbeads, beans, rice, water, air, down, etc.  Whatever feel you prefer is fine as long as it’s the right size.  Some pillow companies like Tempurpedic make pillows of different sizes.  The pillows I’ve recently been recommending for the majority of my patients are adjustable pillows, meaning ones that we can add or remove material from in order to accommodate different body sizes.  These include the orthobone, mypillow and bamboo pillows readily found on Amazon.

Foam or No Foam?

Many people ask about the best pillow to use, and the answer varies based on sleep position and personal preference. Foam pillows, such as those from Tempur-Pedic, offer excellent support. Adjustable pillows, like the Orthobone, MyPillow, and bamboo pillows, allow users to customize firmness and height.

For side sleepers, a thicker pillow helps maintain spinal alignment. Those suffering from neck pain may benefit from a contoured cervical pillow like the Tri-Core. If you’re searching for a pillow similar to Tempur-Pedic, memory foam options provide great support while conforming to your shape.

Improving Sleep Quality

Improving sleep quality starts with choosing the right mattress and pillow. Whether you’re looking for a mattress like Purple, a mattress like Tempur-Pedic, or a mattress like Sleep Number, consider firmness, materials, and return policies.

For those experiencing pain, choosing a mattress for lower back pain or side sleeping can significantly improve comfort. Small adjustments to sleeping posture and pillow selection also contribute to better rest. Prioritize your sleep setup for a healthier, more restorative night’s rest.

Do you still have questions about mattresses and pillow for the best sleep of your life? Send us a message and we will try to get back to you ASAP!

Please contact the office for any further questions.
Phone 212-883-8700
Email [email protected]

Back Pain and Women

Everybody experiences back pain of one form or another at some point in their lives. There are some simple things we can do to help minimize those pains and hopefully prevent them from occurring in the first place. Some women, due to their inherent physical makeup and societal roles, may be especially susceptible to back pain and may have particular difficulty in addressing it. I am here today to address some of those female-specific issues.

The biggest cause of mostly preventable back pain, in my opinion, is posture. Sitting, standing and also sleeping properly are vital to living a healthy, mostly pain-free life. Sitting in a slouched position puts a lot of excess pressure on the joints, muscles and discs in the back and is a direct cause of pain. Sitting up straight is often easier said than done, but having your chair at the right height is definitely the first step. Standing up straight and looking straight or slightly upwards (not down at your phone) is another key. Sleeping in a neutral position without twisting or kinking up the body is also important.

These postural guidelines are important for everyone, but now let’s get into some of the female-specific points. One thing many women do more than men is carry a purse/bag on one shoulder. In order to keep the bag on the shoulder, one must raise the shoulder a bit and that causes an imbalance. Scoliosis is a sideways curvature of the spine and is seen early on in both males and females, but becomes more pronounced in females more after adolescence. In my opinion, one of the biggest factors contributing to the cause of scoliosis is uneven arches developed from walking on hard, flat surfaces with poor support in our shoes. As women tend to wear shoes with less/no support, this is another area that I think could be easily addressed.

The task of childbearing rests on females and their anatomy differs dramatically from males in this sense. Carrying a child puts excess pressure on the spine as well as the rest of the body and it makes it much more difficult to stand upright and sleep in a neutral position. Breasts add to the situation, putting more weight in the front and therefore, even more pressure on the upper and middle back musculature. There are a variety of support belts and posture correctors to help with this and women with larger breasts also have a hard time finding properly fitting bras to support them. Some of my patients have had a lot of success in getting custom made bras and have reported this helping tremendously in their chronic back issues.

Regardless the reason and the duration, chiropractic can help people by restoring the natural order of things in the body and allowing people to better deal with the stresses caused by postural distortion. It is not a quick fix and this is something that everyone has a tough time digesting. The longer your body is in a misaligned state, the longer it will take to change that, and in some cases, the damage done is nearly irreparable. Chiropractic adjustments will help put your body in a place to allow for healing to occur. Weekly checkups for life is, in my opinion, key to a healthy life.

 

 

Why do I need to pay if I have insurance?

The Health Insurance industry in the United States is seriously flawed. Premiums are sky-high and deductibles are ridiculous. Still, if you are paying for insurance, you expect to be able to go to any doctor you choose and have your services covered. Most people expect to have a copay of $10-20 and that is all. Another thing many do not understand is the difference between In- Network and Out-of-Network doctors.

Insurance companies and contracted rates

Let’s take a look at the benefits of health insurance for chiropractic care. Insurance companies want you to see In-Network doctors because they usually have contracted rates with the companies. This means the doctor legally can not set their own prices (remember that next time you get hit with a bill after seeing a doctor).  Most chiropractors in NYC are Out-of-Network, which means they can set their own prices and if an insurance company only pays a portion of that, then legally, the patient owes the remainder. This too can get confusing for the patient.

The concept of deductibles

Still, the most confusing thing for most people seems to be the concept of deductibles. If you are seeing a chiropractor that bills your insurance $300/visit and the insurance company only pays $150 of that charge, then theoretically you owe the doctor the remainder of that, which is $150/visit. Most offices whose billing is like this will usually write off the patients balance for hardship or other reasons. Here’s where it gets confusing (I don’t enjoy this math).

Health insurances have higher deductibles

If you have a $1,000 deductible and your insurance is paying $150/visit, then it will take 7 visits before the doctor receives any money at all from the insurance company. Deductibles in the $100’s of dollars were the norm 10 years ago and earlier, but now, thanks to Obamacare, most individual deductibles seem to be around $5,000. In that scenario, it would take 33 visits with the insurance company paying $150/visit before the doctor gets anything. Most insurance companies will also not allow patients to see a doctor 33 visits or more and so that becomes even more of a problem.

More chiropractors turn into cash only practices

So, you can probably see why more and more doctors are turning to cash only practices. Instead of charging $300 or even $150 for a visit, they are offering more manageable fees so that people can save on their out-of-pocket expenses. It’s still difficult for most people to see that by offering a visit at $75 cash is saving the person from having to pay the $150 or more per visit. Utilizing insurance also incurs the fees associated with the extra time to fill out paperwork, process claims and in many offices, the usage of an outside billing company to process such claims.

The greatest bargain in the world

Most chiropractors are trying to offer their services at the lowest possible rates to make it easy for the patient. Most patients don’t really understand the value of chiropractic past their aches and pains. When you realize that the real point of chiropractic is to enable your brain and body to work together and allow your body to function and heal despite what life throws at you, then that $100 will seem like the greatest bargain in the world.

And please don’t forget to schedule your appointment today! Contact us if you have any questions.

Benefits of Chiropractic Care During Pregnancy

Pregnancy is one of the most life changing experiences for a woman, but it also comes with a slew of physical and emotional challenges. From morning sickness and fatigue to back pain, pelvic dysfunction, and postural changes, expectant mothers often struggle with a variety of issues throughout their pregnancy journey. Fortunately, chiropractic care offers a natural and effective way to provide relief and support during this special time.

As a chiropractor experienced in prenatal and pediatric techniques based in Midtown Manhattan, I’ve seen the amazing benefits that chiropractic adjustments can offer pregnant women. I will now try to explain why chiropractic care is not only safe but highly beneficial for expecting mothers, and how it can help create an environment for a healthier pregnancy and smoother delivery.

1. Alleviating Pain

The most common reason people seek chiropractic care is for pain relief. With pregnancy, the body must adapt to the growing baby, the center of gravity shifts, and hormonal changes can cause loose ligaments and joints. When ligaments aren’t doing their job of holding things together, muscles have to go into spasm to take up the slack.

Chiropractic adjustments help realign the spine and pelvis, reducing strain on the muscles and ligaments. This can alleviate many pregnancy-related pains, such as:

• Lower back pain: As the pregnancy progresses, postural changes and additional weight can strain the lower back. The lumbar discs can start to bulge, which can cause irritation of spinal nerves which can cause pain in the back and down the legs. Chiropractic care can help by realigning the spine and reducing nerve irritation.
• Pelvic pain: Pelvic misalignments can cause significant discomfort during pregnancy. Chiropractors use gentle techniques to restore balance and reduce pressure.
• Sciatica: The growing uterus can cause the piriformis muscle to spasm and put pressure on the sciatic nerve, causing pain down the back of the legs. Chiropractic adjustments and stretching can help.

2. Fetal Positioning and Intrauterine Constraint

Being properly aligned helps create an environment so that the fetus can assume an optimal position for birth. In the case of a breech presentation, the Webster Technique, a gentle and specific protocol is performed to level the pelvis and reduce intrauterine tension. This can help the baby move into a more favorable position for delivery, which is especially important for women hoping for a natural birth.

3. Posture and Spinal Alignment

As pregnancy progresses, there is weight gain and changes in posture and alignment of the spine. Poor posture can contribute to a variety of issues such as neck pain, back pain, and headaches.  Chiropractic adjustments aim to correct these misalignments, improving overall posture and spinal alignment. This not only helps reduce pain but also supports the body’s ability to adapt to the physical demands of pregnancy. Better posture can also contribute to improved energy levels, reduced fatigue, and facilitate proper nerve and blood flow.

4. Common Complaints

Pregnancy usually is accompanied by other uncomfortable symptoms including nausea, headache, heartburn, and fatigue. While these symptoms are a normal part of pregnancy, chiropractic care can help alleviate them.

• Morning sickness: Chiropractic adjustments can help improve posture and reduce the tension that contributes to nausea. Many find relief from morning sickness after just a few chiropractic visits.
• Headaches: Hormonal changes, increased blood volume, and changes in posture can all trigger headaches during pregnancy. Chiropractic can help to relieve muscular tension in the neck and upper back, allowing for better blood flow and oxygen delivery to the head, leading to fewer and less intense headaches.
• Heartburn: As organs get pushed around during pregnancy, pressure on the digestive tract can lead to heartburn or acid reflux. Improving alignment and posture can help.

5. Improving Labor and Delivery

A common report from women getting chiropractic care throughout their pregnancy is that they often have smoother and shorter labors and deliveries. Proper spinal alignment, pelvic positioning and reduced muscular tension can help make things go much more easily.  Chiropractic adjustments can:

• Increased pelvic flexibility: A properly aligned pelvis allows for better movement and flexibility during labor and delivery.
• Reduced labor pain: Well adjusted women report being more relaxed and prepared for delivery and experience less pain.
• Improved contractions: A well-aligned spine that the nerves can function properly leading to more effective contractions and faster deliveries
• Posture and positioning: Chiropractors can help discuss better strategies for delivery like using gravity to your advantage.

6. Safety and Considerations for Pregnant Women

Chiropractic care is generally considered safe during pregnancy when provided by a trained and experienced chiropractor who specializes in prenatal care. It is so safe, that it is often recommended by midwives, doulas and obstetricians.  Chiropractors use gentle, non-invasive techniques to ensure the safety and comfort of both mother and baby.  They often use tables and pillows specifically designed to work with expecting moms.

Before beginning chiropractic care, it’s important to consult with your obstetrician or midwife to ensure there are no contraindications. A skilled prenatal chiropractor will be trained to adjust techniques based on the unique needs of each trimester, ensuring that care is tailored to your specific stage of pregnancy.

7. Choosing a Chiropractor in NYC

If you’re pregnant and considering chiropractic care in the New York City area, it’s important to choose a chiropractor who has training with the International Chiropractic Pediatric Association. Look for a chiropractor with extensive experience working with expectant mothers and one who utilizes gentle, safe techniques like the Webster Technique. We offer a holistic approach to care, incorporating lifestyle counseling, stretching, and nutritional guidance to support a healthy pregnancy.  He also works with pelvic floor specialists and physical therapists who may be of additional help.

Chiropractic care offers a wide range of benefits for pregnant women, from alleviating pain and improving posture to supporting fetal positioning and promoting a smoother labor. With its natural, drug-free approach, chiropractic care can be an essential part of a healthy pregnancy journey.  If you’re in the NYC area and looking for expert prenatal chiropractic care, don’t hesitate to reach out to our office. We specialize in providing gentle and effective chiropractic adjustments tailored specifically to the needs of pregnant women. Schedule a visit today and take the next step toward a healthier, more comfortable pregnancy.

Dr. Adam Lamb
ICPA Trained
Webster Certified
Phone 212-883-8700
Email [email protected]
IG @lambchiro

 

 

Osteoarthritis(OA) is the loss of cartilage in your joints as a result of wear and tear/chronic
repetitive activities and can be found in any one particular joint. Rheumatoid arthritis(RA) is an
autoimmune disorder where your body attacks your joint cartilage and is usually found on both sides of
the body in a symmetrical pattern (both wrists, etc.). Although there is no proven treatment/cure for
arthritis in the medical community, OA pain is usually managed with NSAIDS and RA with steroids.
Keeping active and maintaining a healthy weight is helpful, but for many it’s a catch 22- you
need to lose weight to be able to exercise and you need to exercise in order to lose weight. There are
many different herbs and supplements that can help manage pain, inflammation and possibly provide
some more joint mobility. I’m going to focus on a couple of those today.

For inflammation, turmeric , ginger, fish oil, pineapple, papaya, resveratrol, boswelia and long
list of other, more obscure herbs can help. I recommend taking a good turmeric supplement such as
APEX energetics “Turmero” ( a liquid variety emulsified with some healthy fat to aid absorbtion), as well
as trying to include it in your food as much as possible along with ginger and the fruits I mentioned. Fish
oil should be a part of your daily regimen as well.

Glucosamine and Chondroitin have been shown to be helpful in increasing joint mobility in many
people. These substances are part of normal cartilage and although have not been definitely proven to
help in studies, have helped millions and have no side effects as they are very safe things to consume (as
long as there is no allergy to shellfish as this is the most common source). To see if Glucosamine and
Chondroitin are right for you, I would recommend a trial period. If you’re taking pills, you’re going to
need to take one pill, 3 times a day for 3 months to give it adequate time to make a difference. I use a
liquid formulation that works a lot faster. You take ½ an ounce 2 times a day for a month and you
should see a difference by then. If you see a benefit, you continue as directed. If not, it may not be the
key for you.

Most quality glucosamine and chondroitin supplements will also contain some addition joint
mobility aids. MSM and vitamin C are crucial for collagen repair. The liquid glucosamine that I use also
contains MSM. SAMe is another compound found naturally in the body that helps with joint mobility
and chronic pain. As an added bonus, SAMe also helps with depression and anxiety. I’ve always thought
that if you have chronic pain, you will probably be depressed as a result and this connection makes
sense to me.

I really wanted to find Glucosamine that I could give to all my patients with joint issues. The Glucosamine that I would recommend to my patients should be easily absorbed and safe. After countless hours of research on existing products and their ingredients, I found a great liquid formula that would work quickly to improve joint mobility. This inexpensive and effective solution is safe for humans and even pets too. Give it a try!

Dr Lamb’s Glucosamine