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Natural Pain Management – a conversation with Chiropractor Dr Alex Hilario
12 Plays3 days ago
Drug based treatments for musculoskeletal pain only deal with the symptoms, dealing with the cause requires a more natural approach.
Dr Alex Hilario is a chiropractor and acupuncturist at Chiropractic Rehabilitation Source in Yonkers NY USA.
Successful chiropractic medicine is very hands on and relies on the practitioner building a deeper understanding of the patient’s body than the patient has.
In this episode of Fit For My Age, Dr Alex and host Michael Millward discuss the cause of musculoskeletal pain the different treatment options, the symptoms and long term consequences of not undertaking treatment as soon as the symptoms appear.
Their conversation covers
- Drug based treatments their impact and side effects.
- Slow development of symptoms
- Age, gender and lifestyle related causes
- Good and bad posture
- Mirco traumas
- The avoid, manage, resolve approach
- Proactive prevention
Listening to this episode will inspire you with ideas for taking a more proactive approach to managing your musculoskeletal health.
Find out more about Dr Alex Hilario and Michael Millward at Abeceder.co.uk.
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Transcript
Introduction to Zencastr
00:00:05
Speaker
Made on Zencastr. Because Zencastr is the all-in-one podcasting platform that makes every stage of the podcast production process so easy.
00:00:16
Speaker
If you would like to try podcasting using Zencastr, use the link in the description.
Introducing 'Fit For My Age' Podcast
00:00:21
Speaker
Hello and welcome to Fit For My Age. The health and wellbeing podcast from Abysida.
00:00:29
Speaker
I am Michael Millward, Managing Director of Abysida. Very importantly on Fit For My Age, we do not tell you what to think, but we do hope to make you think.
Meet Dr. Alex Hilario
00:00:41
Speaker
to Today, i am finding out about natural pain management from Dr. Alex Hilario, a chiropractor at Chiropractic Rehabilitation Source in Yonkers, New York.
00:00:54
Speaker
Dr. Alex has over 20 years experience in providing general chiropractic services and is an expert in natural pain management.
Ultimate Travel Club Promotion
00:01:03
Speaker
I have never visited Yonkers, but if I ever do get to go, I will make my travel arrangements with the Ultimate Travel Club, because as a member of the Ultimate Travel Club, I get to travel at trade prices on flights, hotels, trains, holidays, and so many other travel-related purchases.
00:01:24
Speaker
You can also travel at trade prices because I have put a link with a membership discount code built in in the description.
Engage with the Podcast
00:01:32
Speaker
Now that I have paid some bills, it is time to make an episode of Fit For My Age that will be well worth listening to, liking, downloading and subscribing to.
00:01:43
Speaker
One that will also be worth telling your friends, family and work colleagues about.
Dr. Alex's Journey into Chiropractic
00:01:50
Speaker
Hello, Alex. Hi, it's a pleasure to be here with you. um I'm really pleased that you are here.
00:01:56
Speaker
Please, could we start by you telling us a little bit about your experience and the sorts of things that you do, please? Yes, so I'm a chiropractor. I've been practicing for over 21 years.
00:02:09
Speaker
Currently serving the Yonkers, New York area. as ah As an undergrad student, I was a pre-med student. I was looking at different types of healthcare practices to get into. And I was really interested in becoming a pediatrician. But I shadowed different types of doctors, psychologists, podiatrists, dentists, and and a chiropractor. And I was actually pretty impressed by what he was doing and how there was like no side effects to the treatment. And it was very effective.
00:02:37
Speaker
And I decided to to jump into that and it has served me well. And I've been able to help you know hundreds of thousands of people over the years. It's pretty effective and life changing.
00:02:50
Speaker
Yes. I've um visited chiropractors and physiotherapists here in the UK, arrived sort of slightly bent over, probably more than I'm prepared to admit, and left walking at
Chiropractic Care vs. Painkillers
00:03:02
Speaker
all.
00:03:02
Speaker
It is, like you say, life-changing, but it's the lack of side effects as well in terms of the treatment, but it's a very hands-on type treatment in many ways, isn't it? That's right. Yeah. A lot of it is manual work.
00:03:16
Speaker
We all have the same body, but we all operate in slightly differently and getting people into a better way of operating involves getting to understand their body probably more than they understand their own body. That's right.
00:03:29
Speaker
When we talk about natural pain management, what are we talking about there? A lot of what we do is, you know, treating pain, but also correcting the cause of it.
00:03:40
Speaker
You know, a lot of times people will be dealing with, you know, neck pain or back pain and you'll go and and take some over the counter stuff or reach out to your medical doctor and and get a prescription for some painkiller. But unfortunately, these these treatments, they have side effects. If you're taking them for a long period of time, It can cause a lot of gastrointestinal problems. I think there was a study that found that there's over 100,000 hospitalizations each year from over-the-counter and prescription NSAIDs and over 16,000 deaths every year.
00:04:13
Speaker
So it's not without consequence to to treat these with you know, over-the-counter stuff and prescription for for a long period of time. It's something that you you can integrate and you should integrate if you're in a lot of pain for a short period of time. But you want to treat the cause of the problem. And that's something that we do with chiropractic care.
00:04:33
Speaker
We figure out why the pain um started and we and we address that, not just treating the symptoms. I think sometimes it's very easy to forget that the over-the-counter medicines, the painkillers, are there to reduce the pain so that you can carry on with your day. That's not treating the cause. It's just dealing with the symptoms. And I suppose there's also a risk.
00:04:57
Speaker
that if you are masking the pain with painkillers, that you might actually do more damage as well, because you can no longer feel the full impact of the problem. That's correct, yeah.
00:05:11
Speaker
You talk about we've got to identify the cause of the pain. Is it possible that what someone experiences and describes as their pain may not be the actual cause of the pain?
Understanding Pain Origins
00:05:25
Speaker
That's right. So they feel pain in one part of their body, but the actual source of the pain is it's somewhere else. Yeah, one one example that comes to mind is sciatica. And I'm sure a lot of your listeners have heard of that. But in essence, it's a pinched going down the leg. So you may feel this this leg pain um and not a lot of back pain, sometimes no back pain, sometimes back pain with it also. In essence, it's a pinched nerve that's taking place usually in the spine and causing the pain all the way down the leg, even into the foot.
00:05:56
Speaker
So, um, you know, the cause there is a pinched nerve and, you know, massaging your leg all day long or, or, or taking pain killers is not going to correct that. So we feel the pain in our legs with sciatica, but actually the source of that is somewhere in the spine.
00:06:12
Speaker
That's right. And so massaging our legs was a waste of time. People hear words and they're given words by doctors to explain why it is that they are in pain. But we go through life saying, well, we have this illness, this pain, without actually ever really properly understanding that. Do you find that people at the level of knowledge people have about their nervous system, their joints, how their body works is increasing, or is it still something that people need to work on?
00:06:46
Speaker
It's definitely increasing, but there is a lot of misinformation. um you know, a lot of people will also just kind of blame age to their back pain or their neck pain or their sciatica. You know, i'm just older and this is part of it. My dad had it or, you know, my uncle had it. And they just kind of try to manage it with anxiety. you know, over the counter painkillers or just kind of dealing with it. But a lot of it is, you know, nerves being compressed. And there's actually a study where a pathologist looked at over 200 cadavers and he found that there was um organ damage whenever there was a pinched nerve.
00:07:23
Speaker
So if there's a pinched nerve, it's gonna lead to other issues. So it's something you wanna address. You don't wanna just ignore shooting pain into your leg or your arms or tingling or numbness.
00:07:35
Speaker
And you definitely wanna make sure that we're getting pressure off the spine because the nervous system controls everything, every organ, every system. Yes.
Effects of Nerve Compression
00:07:46
Speaker
So if we have a muscular pain, a skeletal pain, so it's either pain in our muscles or pain in our buts bones and joints, that may itself be a symptom of something else because the nervous system conducts the pain from the source to somewhere where it is easier to display that pain.
00:08:10
Speaker
Yeah. Yeah. And sometimes you could have pinched nerve and not experience pain, depending on, you know, the function of that nerve. Where does it go? What does it do? um so it could be, you know, nerves that go to your digestive system, for example, and that's being compressed there. and You may be dealing with digestive issues and and you may think it's, you know, a food allergy or something to that effect. And it's actually a pinched nerve that is um affecting the way your digestive system is is working or not working.
00:08:38
Speaker
if we sort of like bang our hand against the door, um the nervous system tells us that we've banged our hand, we are in pain. and That's one of the purposes of the nervous system.
00:08:52
Speaker
Correct me if I'm wrong. yeah But another purpose of the nervous system is to tell the brain how all of the different parts of the body are working and also to get those parts of the body to do what the brain wants. So we want to walk And so the ah message goes from the brain to the legs, the feet to move. And that goes through the nervous system.
00:09:13
Speaker
I'm being very, so very simplistic here. But what you're saying is that if the, if there is a problem in the nerves, then the brain will get the wrong information about what is happening in the body.
00:09:32
Speaker
Yeah. So also, you know, that your nervous system, your brain and your spinal cord are sending information to your your're your're different organs. So when there's less information getting to these organs, it's going to lead to damage to the organ over time.
00:09:47
Speaker
um So some of the things that can be, you know, causing illness is, you know, just posture. yeah There was ah a study that found that when we lose that normal curvature in the neck, that stretches the spinal cord and that leads to disease. There was also another study that found that when our head goes forward by an inch, it increases the weight of the head on the spine by an additional 10 pounds.
00:10:13
Speaker
So your posture is stretching your spinal cord and affecting the nervous system. And when the nervous system is affected, that's going to affect different organs and different parts of your body and your health.
Impact of Posture on Spine Health
00:10:26
Speaker
I'm having one of those wow moments. that I didn't know that. So, yeah, a lot of times people think of chiropractors and think, you know, just neck pain, back pain, you know, have them twist you around and get that popping and that sensation. But it's much more than that. It's restoring motion. and It's getting pressure off of your nervous system and it's allowing your body to function the way it's supposed to.
00:10:48
Speaker
And the core to like main line of this nervous system is the spine. That's right. And if we are walking incorrectly or running incorrectly or sitting incorrectly, we are likely to cause damage to our spine.
00:11:03
Speaker
and And if we damage our spine, then we damage our nervous system as well. That's correct. Although I'm having wow moments because of what you're telling me, I'm suspecting that with these types of injuries, they don't happen in a moment. There's an awful lot of things sort of building up.
00:11:23
Speaker
That's correct, yeah. right So we get into a habit of sitting in a in a way which might feel comfortable but is actually not comfortable. It's just we're going to we're storing up and building up pressure on the spine over a period of time, which is ultimately going to damage the spine, the nervous system, cause the pinched nerves, and that will actually could be the prompt, the catalyst for damage, illness in other parts of the body. That's correct. A lot of times you'll hear that somebody was just, you know, putting on their shoe or they sneezed and they developed severe back pain. So that that's accumulation of micro trauma over the years and eventually gets to the point where it kind of breaks the camel's back per se, because it's accumulated micro trauma over the years, you know, a lot of bad posture, or a lot of sitting the wrong way, little injuries where you fell or you were in a car accident, something even more major like that. But um it adds up and eventually it could get to the point where it's really affecting um your nervous system and your health overall. I think I need to understand a lot more about my spine and my neck and how, well, I know everything in the body sort of hangs off the spine in some sort of way, but I need to understand more. i think we all need to understand more about our spine, don't we?
00:12:44
Speaker
Yeah. Things like how we stand, how we walk, how we sit are all impacting our spine. Yeah. So at the moment I am sitting quite upright and my feet are flat on the floor. I'm just checking that's much better than crossing my legs, isn't it?
00:13:00
Speaker
That's right. You want to be have your feet flat on the floor. You want your, your hips to be about 90 degrees lower. You want support in the small of your back so that you're maintaining some of that curvature in the small of your back. You want to have your your chest open. You want to be able to look at the monitor um straight ahead. So, you you know, if you're spending a lot of time on a laptop, it's not ideal. You want a desktop where you're looking straight ahead at the monitor and the keyboard is low. So you're not shrugging your shoulders and you're not rounding your shoulders. You're not leaning forward. Yeah, because if you are looking down at the screen of a laptop computer, you are increasing the weight of your head every inch by 10 pounds, which is actually then causing a strain. And that's the the angle. And there's probably all sorts of physics that are involved in this. But if your head is upright between your shoulders, then it weighs less than if it's leaning forward. That's right. Just try and get out now. And I, yeah, I can see what, when I look down, I can feel that my head feels heavier than when it, when I sit upright.
00:14:10
Speaker
That's correct. and And over time that can lead to disc herniations, arthritis and pinched
Technology's Role in Spine Issues
00:14:15
Speaker
nerves. um So it can be pretty significant. You know, it adds up over the years. So we have all our kids on on devices now, and they're constantly looking down. and i'm constantly trying to correct my daughter, who's 13. But um yeah, that's become an issue, and it's going to continue to become an issue just because of how connected we are these days. And when we're using a mobile phone, we are looking down at it, at that screen.
00:14:45
Speaker
Whereas when we use a desktop computer, we're more likely to be looking at it in a horizontal lines, almost as if where the center of your eye and the center of the screen should be in ah in a flat line.
00:14:57
Speaker
That's right. Every time you see somebody walking towards you, looking down at their screen and you're thinking like, do they know that I'm here? It's like you can jump out of their way and know that in the years to come, they're going to suffer neck pain, back pain and all sorts of other issues because they've allowed themselves to adopt that that type of ah approach or that type of way of using the mobile phone.
00:15:20
Speaker
yeah so it's Yeah. It's like, what sort of advice are you giving your daughter to, to ah use your mobile phone in a, in a different way? How, how would you like her to use it? Well, I taught her to bring it, bring the device up to her eyes so that she's looking straight ahead.
00:15:35
Speaker
Um, and then to minimize the time that she spends there, you know, we shouldn't be scrolling endlessly all day long. You know, you should use your phone and reply to a text and, and you know, put it away yeah and live life, you know, enjoy the people that are in front of you. Yeah. It's a phone, not a television, but there is a very real issue associated with the technology, whether it's people sitting at desks,
00:16:02
Speaker
all day long because you no longer need to get up from your desk to go to a filing cabinet to get a piece of paper to be able to work on. you use your mouse to open the file on the computer.
00:16:14
Speaker
And that means that the the type of movements that we are involved with at work are reduced as well. So that's going to cause more problems as well, I suppose.
00:16:25
Speaker
Yeah. You start feeling as if like everything that you do is going to cause a problem. Yeah. I mean, there's ah a lot going on with devices and and laptops and, um screens these days that that are, you know, affecting our our posture and affecting our spine and our health overall.
00:16:43
Speaker
um You know, falls can affect that. Even stress can affect that. So we want to be mindful of that. We want to try to create balance, you know, where we're exercising daily. We're practicing good good posture. We're moving, you know, if you're if you're able to get up every hour and, you know, take a a short break and just move your body, that's going to help a lot.
00:17:02
Speaker
the solution is like this natural pain management and natural pain avoidance then it's it's not going to cost anyone a lot of money and it's just not going to take an awful lot of time but it's just building that into your daily routine That's right.
00:17:19
Speaker
One of the things I think that is a worry for people is that the amount of money that these type of things can cost. Being healthy, it's a business and people are making lots of money out of providing services for people. Obviously, there's a lot of knowledge and a lot of investment in building that knowledge and a lot of skills, etc. But it's still, you health is a business and increasingly so in many ways.
00:17:47
Speaker
Yeah. But we also want to look at the cost of of not doing anything.
Importance of Early Health Intervention
00:17:52
Speaker
You know, what what would happen if we didn't correct the pain? How is that going affect our lives? You know, how is that going affect our ability to, to you know, part participate in the hobbies that we like or or show up for our families or, you know, even practice sports or exercise at all? You know, there's a cost to to not doing anything, to not correcting, you know, the the pain and the cause of the pain.
00:18:16
Speaker
Yes, and I suppose the thing to do is to not ignore the early signs. Put in place everything that you can to avoid having or ah avoid the risk of developing some sort of spinal nervous system, muscular ah skeletal type injury.
00:18:38
Speaker
And if they do start to develop any symptoms, get any signs that there might be something, then you've got to act quickly. in order to get the remedy as quickly as possible.
00:18:50
Speaker
That's right. Yeah. The sooner you can address it, the the easier it it is going to be to fix. You know, if you've had ah an injury when you were in high school and you're, you know, 40, 50 years old and you're still dealing with the same back pain, then it's going to be a little bit more complicated. It's going to take a little bit more to correct. You definitely can see the benefits of getting it treated, especially with something like chiropractic but that doesn't have any side effects. And it could be it could be life changing for you in terms of living without any pain and and again, being able to do the things that you want to do and even exercise more, which in turn is going to help your health in many ways.
00:19:30
Speaker
Yes. Yeah, I can see that. There's an awful lot of wise words in terms of, you know, keep yourself healthy as best you can. there is anything that happens, then you've got to manage it proactively rather than reactively and waiting until you can't do anything about it. You've got to start going down some pretty serious medical routes, I suppose. There's all this attitude, I suppose, that we all sort of, oh, you know, stiff up a lip, grin and bear it, you don't complain, just, you know, get on with it, carry on.
00:20:08
Speaker
And that that is actually part of the issue. and we We carry on rather than getting something done about it. Yeah, yeah. that Especially men, you know, we tend to keep it moving and not really listen to our bodies, especially when people are depending on us.
Maintaining Health for Family Wellbeing
00:20:25
Speaker
But, yes you know, because people are depending on you is why you want to have, you know, your best health thing and the best version of you. That's how you want to show up for your family, for your children, for your spouse.
00:20:37
Speaker
And you can do that by, you know, addressing the cause of these problems and exercising daily and and practicing good habits. Do you have people who come to see when there isn't anything wrong with them? They haven't got any symptoms. They just, um, almost like a recuperation type, um, assessment or treatment, something that just deals with the the stresses of every day before there are any symptoms coming up.
Benefits of Regular Chiropractic Care
00:21:05
Speaker
Yeah, yeah, we do. We we actually um have a lot of patients who do maintenance care, where it's like they get ah treated like once a month or once every few months just to make sure that the joints are moving properly in the spine. Because like if you want to stretch your shoulder, you can do that easily or your hips, you can do that easily. But it's hard to to kind of get that movement within the spine itself.
00:21:28
Speaker
um without somebody kind of evaluating where the restrictions are and making sure that your joints are moving properly and there isn't anything getting pinched there. um We do have ah a lot of athletes that come to our office. I personally myself did a lot of powerlifting not too long ago and A lot of power lifters would come to my practice as well to get treated and get that that movement in the spine to minimize injury too. Because if your joints are moving the way they're supposed to move, you're less likely to injure yourself, you know, lifting something heavy. Is the risk of having these types of injuries something that goes across the generations or some families have a propensity to get these types of injuries whilst others don't?
00:22:14
Speaker
Is it, there is some sort of like a genetic aspect to this? Not so much in the home. You have families that, you know, practice specific diet and, you know, you'll see that they're all a little bit overweight or you have families that are all a little thin because we kind of do what we were taught to do, you know, and how we sit is is one of those things and how we lift, you know, and the kind of work that we that we see our parents doing, our grandparents doing.
00:22:40
Speaker
you know They were all blue-collar workers, and they've hurt their back. And then I hurt my back because I'm now a blue-collar worker. It's not because it's genetic, but it's more because we're practicing the same things and we're doing the same thing.
00:22:55
Speaker
Right, so our parents ate this sort of food, they fed it to us as a child. We carry on eating those sorts of things. It can be important to review your whole lifestyle if you want to avoid repeating the pain that your parents and grandparents might have gone through as they got older.
00:23:14
Speaker
Exactly. Sounds to make an awful lot of sense, really. It's like we all have problems that we have to deal with. We all have health issues and we have to decide, i suppose, how we want to manage our health before we have the health issue and make sure that we've we've almost worked out what our plan is going to be If we engage in a particular type of work, a particular hobby, knowing what the risks are, putting in place steps to mitigate or remove those risks, but how are we going to deal with them if those risks turn into an actual problem?
Pain as an Indicator of Dysfunction
00:23:53
Speaker
Yes. And when the pain comes up, it's usually because there's been dysfunction there for some time. So if you're dealing with the pain, that's not where when the dysfunction started. Usually dysfunction started way before the pain. So if you're if you're experiencing pain, something you want to address as soon as possible.
00:24:13
Speaker
Yeah, it's already happened. What's the sort of thing that the wise words of advice that you would like everyone to just sort of know that would mean that or would mean that they are less likely to get to meet you because they don't need treatment?
00:24:28
Speaker
Yeah, I think everybody should integrate, you know, these these benign types of treatments, your your acupuncture, your chiropractic, your massage, your physical therapy, just because they can be very beneficial. They can make a huge difference in your health and they don't have those side effects. And a lot of times people will see videos of chiropractors and hear the pops and think it's painful. It's not, it's not painful.
00:24:51
Speaker
So it's worth integrating. Also the acupuncture, very similarly, it may look painful, but it's usually not painful on um So it's worth integrating and it can be life changing for you.
00:25:02
Speaker
Yeah. But when you say integrating, you're meaning integrating it into your health management routine. That's right, yeah. Which is the preact the proactive part of health. Right, right.
00:25:13
Speaker
You know, and a lot of times we'll go see our medical doctors and it's very important to follow the medical doctor's instruction, but that doesn't have to be where you kind of stop.
Musculoskeletal Health and Regular Check-ups
00:25:22
Speaker
You know, you should integrate other things that could also benefit you and not cause side effects.
00:25:28
Speaker
Yes. It's like we go in the United Kingdom, we go and see our dental practitioner every six months for a checkup, just to sort of see how, know, how our teeth are.
00:25:41
Speaker
And what you seem to be saying is that we should treat our muscular skeletal system, our muscles and our bones, in the same sort of way, have some sort of check-up to make sure that everything is operating as it should and do that every month, every six months. so What would be the optimum check-up time and would it change as we get older?
00:26:05
Speaker
Yeah, ideally, we start recommending it once a month, depending on on your job. You know, if you have a very sedentary job, you want to get checked up at least once a month. If you have a a blue collar type of job, also, most people, you should definitely get checked out and and make sure that your joints are moving properly. Your nervous system is not being irritated. And your body is going to be able to not only prevent further injury, but function to the best of its abilities.
00:26:32
Speaker
Well, sounds like very good advice. And, you know, Dr. Alex, it's it's really very interesting. Like I say, I've had some wow moments. So thank you very much. i really do appreciate your time.
00:26:45
Speaker
Thank you for having me. It's been a pleasure. Thank you. I am Michael Millward, the Managing Director of Abysida, and in this episode of Fit for My Age, I have been having a conversation with Dr. Alex Hilario, a chiropractor at Chiropractic Rehabilitation Source in Yonkers, New York.
00:27:05
Speaker
You can find out more about both of us by using the links in the description.
York Test Promotion
00:27:10
Speaker
At Fit for My Age, our aim is proactive positive aging, and today's episode has been definitely about proactive positive aging. Knowing the risks early is an important part of maintaining good health. That is why we recommend the annual health tests from York Test.
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00:28:02
Speaker
I'm sure that you will have enjoyed listening to this episode of Fit For My Age as much as Alex and I have enjoyed making it. Please give it a like and download it so you can listen anytime, anywhere.
00:28:15
Speaker
To make sure you don't miss out on future episodes, please subscribe. but You probably want to tell your friends, family and work colleagues about Fit For My Age as well. Remember, the aim of all the podcasts produced by Abbasida is not to tell you what to think, but we do hope to make you think. Until the next episode of Fit for My Age, thank you for listening and goodbye.