Beech Chiropractic & Ayurvedic Health Centers             Natural Solutions For Health Division of Lotus Health Services, LLC




            Bethesda & Frederick Offices             301-951-9000

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Bad Posture & Chronic Pain 


When a patient comes to us in pain, the first question we ask is how did it start and how long has it been present?  This is because pain is always caused by trauma.  While trauma is usually associated with severe stimulation over a very short period of time, actually this is only one kind of trauma that we call Macro Trauma.

The other type of trauma is called Micro Trauma which unlike its counterpart, is characterized by a slight stimulation of the tissues over a long period of time.


 Macro Trauma

 Micro Trauma







Macro Traumatic events generate Acute pain while Micro Traumatic events generate chronic pain.  Anyone can easily understand the cause of Acute pain, i.e. Car Accidents, Slip and Falls, and Injuries etc.  However, the cause of Micro Traumatic Chronic Pain is more often more difficult to ascertain.

During my last 27 years of practice, I have discovered that many of my Chronic Back and Neck Pain patients are suffering from Micro Traumas caused by bad posture in which the several consistent factors are often present.

Common Postural Factors That Contribute

To Chronic Pain

  1. Flat or Pronated Feet resulting in medial knee and hip rotation, Ilio Tibial band (outside of the upper leg) tightening and pain, painful trigger points in the buttocks and Sacro-Iliac pain.  
  2. Weakness of the core abdominal muscles.  
  3. Hyper tonicity of the hip flexor/ external rotator muscle called the Psoas Muscle.  
  4. Sway back of the lumbar spine - the number 2 cause of low back pain!  
  5. Unequal leg lengths resulting in uneven pelvis and sacrum.  This often creates an abnormal curving of the Lumbar and Thoracic spine which resembles Scoliosis.  
  6. High shoulder as a result of the uneven pelvis.  
  7. Forward Head Tilt: a condition when the head is held in a forward position of the shoulders.  This creates incredible constant stress on the cervical spine, posterior cervical musculature and contributes to the formation of sway back.  Neck pain, arthritis, stiffness and headaches are all consequences of Forward Head Tilt.  

In my experience of seeing thousands of patients with Chronic Pain, I would estimate 95% have Micro Traumatic Postural Distortions.

This is extremely important because treatment for Chronic and Acute pain is very different. If the postural factors creating Chronic Pain aren't identified and addressed, then treatment will always fall short of achieving long term results.

During your initial evaluation, I will determine if any of the above factors are present and consistent with your symptoms. If this correlation exits, we can then design an individualized treatment plan to specifically address the underlying Micro Trauma that is creating your pain.

One very important tool I use is a digital analysis of your posture. From a front and side picture of your body, the software allows me to analyze the structure of your body and pinpoint specific areas of Micro Trauma. The software generates a digital image of you body so that we can actually see the patterns of stress.


posture report


4 Steps To Posture Correction

  1. Correct the foot alignment to create a proper center of gravity thereby providing the basis of good posture. This is accomplished using a specialized foot orthotic designed by Chiropractors specifically for this purpose.    
  2. Retrain the spinal joints and nerves to establish a new postural pattern.  This is accomplished through Spinal Manipulation.  
  3. Retrain the muscles to hold the spine in proper alignment.  This is accomplished through special exercises at home.  
  4. Correct the Forward Head Tilt.  This is accomplished by gently stretching the head and neck in a backwards direction.  

Although individual circumstances can vary, this corrective program generally requires about 20 sessions over a period of 3 to 4 months. 

Treatments last about 15 to 20 minutes and home exercises take about 5 to 10 minutes per day.  We use the same digital postural analysis to re-evaluate every 10 visits. 

In this manner, we can easily see the results of the treatment program.