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Are You Afraid to Move Because of Back Pain? Here’s Why You Shouldn’t Be If you’re an older woman living with chronic low back pain, you’re not alone. Studies show that up to 75% of older adults experience low back pain , and for many, this pain isn’t just physical—it can affect your confidence, independence, and overall quality of life. One major factor that keeps people from moving and recovering is kinesiophobia , or the fear of movement due to the belief that activity will worsen pain or cause injury. In a recent study of 119 older women with chronic low back pain, researchers found that more than 80% experienced high levels of kinesiophobia , which directly affected their physical strength and ability to stay active. How Pain and Fear Are Linked The study found a strong connection between pain intensity and fear of movement . Simply put: the more pain participants felt, the more they avoided moving. This avoidance can start a vicious cycle: less movement leads to weaker muscles, which can increase pain and reinforce fear. Interestingly, the research showed that lower limb strength —the muscles in your legs, hips, and glutes—was closely linked to reducing fear. Women with stronger legs reported lower levels of kinesiophobia . On the other hand, balance (tested through timed walking exercises) didn’t show a strong link to fear, likely because even those with mild fear could still maintain basic mobility. Breaking the Pain-Fear Cycle This research highlights an important insight: pain isn’t the only thing holding you back—fear is too . Fortunately, both can be addressed with the right approach. Here’s what works: Targeted strength training: Simple exercises that focus on your lower limbs can improve your physical performance and confidence. Progressive movement therapy: Gradually challenging your body with safe, guided movement helps retrain your brain to feel secure in motion. Pain education and management: Understanding pain and how it works can reduce catastrophic thinking and fear. By addressing both the physical and psychological aspects of back pain, you can regain your strength, reduce fear, and improve your day-to-day independence. Why This Matters Without intervention, fear of movement can continue to limit your daily activities, social interactions, and overall health . On the flip side, research shows that combining physical strengthening with fear-reduction strategies can significantly improve function and reduce fall risk in older adults with chronic low back pain. At Health Wise Chiropractic , we specialise in helping you overcome the barriers that chronic pain creates. Using a combination of chiropractic care, guided exercise programs, and patient education, we help you: Reduce pain and stiffness Build lower limb strength Increase mobility and confidence Break the fear-avoidance cycle Don’t let pain or fear hold you back. Take the first step toward stronger legs, a healthier back, and a more active, independent life. Low Back Pain Chiropractor Q: How does chiropractic care help with lower back pain? Chiropractors address spinal misalignments, muscle tension, and posture issues that often cause or worsen back pain. Q: Is chiropractic safe for chronic back pain? Yes, chiropractic care is a safe and natural approach for managing both acute and chronic back pain without relying solely on medication. Q: How many sessions will I need for back pain? It depends on the severity. Some patients feel relief in just a few visits, while others need ongoing care. Q: Can chiropractic prevent future back pain? Yes, with posture correction, strengthening exercises, and regular spinal care, chiropractic can help reduce the risk of recurrence. To learn how we can help relieve your pain, restore proper movement, and address the root cause so your issue doesn’t keep coming back, get in touch with our experienced team today. If you’re searching for a trusted chiropractor in Sunbury  or a reliable chiropractor in Melton / Strathtulloh , Health Wise Chiropractic is here to help. Our tailored care plans are designed to support long-term results—not just short-term relief. 📞 Call us on 03 9467 7889  or book online today   to secure your appointment with one of our experienced chiropractors in Sunbury or Melton. We also offer our patients access to our convenient mobile app (available on iPhone and iPad), where you can follow your personalised rehab exercises and explore our library of 800+ health and wellness articles—helping you stay on track between visits and get the most out of your care. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Saki F, Ramezani F, Taheri R. Association between pain, physical performance, and kinesiophobia in older women with low back pain: A cross-sectional study. PLoS One. 2026 Feb 27;21(2):e0337553. doi: 10.1371/journal.pone.0337553. PMID: 41758814; PMCID: PMC12948069.

🧠 When Life Stress Lives in the Body: Trauma, Pain & the Nervous System Pain doesn’t always start with an injury. For many people, pain is shaped by life experiences , especially during childhood and adolescence. New research is helping us understand something we see often in clinical practice:👉 early life trauma can change how the body experiences pain later on. A recent long-term study from Norway sheds powerful light on this connection — especially for young adults who grew up in Residential Youth Care (RYC) . 👶 Growing Up with Adversity: Why This Group Matters Children and teens who spend time in residential youth care often have a history of severe and repeated childhood maltreatment , including: Emotional abuse or neglect Physical abuse Sexual abuse Bullying or peer violence Exposure to domestic violence These experiences don’t just affect mental health — they shape the nervous system , stress response , and pain processing  for years to come. This study followed young people 10 years after adolescence , during the critical transition into adulthood (ages 21–29 ). 📊 The Numbers That Stand Out Compared to the general population, young adults with a history of RYC showed dramatically higher rates of pain and trauma-related symptoms : 🔥 Chronic Pain 51.6%  reported pain lasting longer than 3 months Compare that to 11.6%  in the general young adult population That’s almost 5 times higher . 🤕 Headaches 67.3%  reported headaches in the past year 23.7%  experienced migraines For context, headache prevalence in the general European population is about 53% . 🧠 Trauma Symptoms 42.4%  met criteria for Post-Traumatic Stress Disorder (PTSD) 43.4%  reported clinically significant dissociation Participants experienced an average of 6 different types of traumatic events  across their lifetime This paints a clear picture: pain rarely exists alone  — it often travels with stress, trauma, and nervous system overload. 🔄 How Trauma Turns Into Pain So how does something that happened years ago show up as pain today? Research shows that early life stress can: Sensitise the nervous system Alter how the brain interprets pain signals Increase muscle tension and guarding Disrupt sleep, recovery, and emotional regulation In this study, higher levels of childhood maltreatment were linked to: Greater pain intensity More areas of the body in pain Ongoing muscle and joint pain 📈 These relationships showed small to moderate but consistent correlations  (r = 0.26–0.44 ), which is meaningful in long-term health research. 🧩 PTSD & Dissociation: The Missing Link One of the most important findings? 👉 PTSD and dissociation explain a large part of why trauma leads to pain. 🧠 Mediation Results (Big Insight) PTSD symptoms explained 42–50%  of the link between trauma and pain intensity Dissociation explained up to 60%  of this relationship For widespread body pain, dissociation explained nearly 50–61%  of the effect In simple terms: Trauma doesn’t just cause pain directly — it changes how the brain and nervous system process  pain. ⏳ Timing Matters Too The study also found that when  maltreatment happened made a difference. Trauma during middle childhood (8–11 years)  was more strongly linked to muscle and joint pain Trauma during adolescence (12–15 years)  was linked to more frequent headache days Almost all age periods showed links to pain — except around age 4 This supports the idea that certain stages of development are especially sensitive  for long-term physical health. 🦴 What This Means for Chiropractic Care At Health Wise Chiropractic, we view pain through a whole-person lens . This research reinforces what trauma-informed care looks like in practice: Pain is not “all in your head” The nervous system plays a central role Muscles, joints, spine, brain, and emotions are deeply connected When someone has lived through prolonged stress or trauma, their body may: Stay in a heightened “alert” state Be more sensitive to pain signals Take longer to recover from physical stress 🌱 The Good News: Healing Is Possible The study also highlights hopeful pathways forward . Treatments that address both mind and body  — such as: Trauma-informed chiropractic care Nervous system regulation Psychological therapies (like CBT or trauma-focused therapy) Gentle movement and graded exposure …can help calm the system and reduce pain over time. Pain doesn’t mean your body is broken.Often, it means your nervous system has been protecting you for a very long time. 💙 Final Takeaway Over 50%  of young adults with a history of residential care live with chronic pain Trauma, PTSD, and dissociation strongly influence pain intensity and spread Pain is best understood — and treated — through a biopsychosocial lens Trauma-informed, integrative care offers the best path forward At Health Wise Chiropractic, we don’t just treat symptoms —we listen to the story your body is telling. If pain has been part of your journey for a long time, you’re not weak — you’re resilient. And with the right support, your body can learn to feel safe again. 🌿 For more information about how we can help YOU with your pain and improve your underlying dysfunction so the problem doesn’t come back . Please call Health Wise Chiropractic 03 9467 7889  or book online  to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Schalinski I, Lehmann S, Greger HK, Jozefiak T. Childhood maltreatment, trauma, and pain: trauma-related symptoms as mediators in a high-risk group. Pain Rep. 2026 Jan 16;11(1):e1401. doi: 10.1097/PR9.0000000000001401. PMID: 41562117; PMCID: PMC12815552.

Postpartum Low Back Pain: Why Balance and Core Control Matter More Than You Think Pregnancy places extraordinary demands on the body. As a baby grows, a woman’s posture, muscle function, and biomechanics change significantly. While many of these changes are completely normal, they can leave lasting effects after childbirth — especially when it comes to low back pain, balance, and core stability . Why Low Back Pain Can Linger After Pregnancy During pregnancy, several factors place stress on the lower back and pelvis: Increased body weight and a forward shift in centre of gravity Hormonal changes (especially relaxin) that loosen ligaments Stretching and weakening of deep core muscles Changes in pelvic alignment and spinal loading Although the body begins to recover after birth, this process can be slow — and for many women, incomplete. Research shows that up to 75% of women who experience back pain during pregnancy still have pain months or even years after delivery . This ongoing discomfort is known as postpartum low back pain (PLBP) , and it can interfere with daily activities, exercise, work, sleep, and caring for a newborn. Pain, Balance, and the Nervous System Balance isn’t just about strong muscles — it relies on constant communication between the nervous system, muscles, joints, and sensory receptors (proprioception). These receptors tell your brain where your body is in space. This research found that women with higher levels of postpartum low back pain showed: Reduced awareness of lumbopelvic position (poor proprioception) Increased postural sway when standing still Reduced ability to control balance in the forward-backward (anterior–posterior) direction In simple terms: more pain = poorer balance control , even when just standing. The Role of the Core Muscles Deep core muscles — especially the transversus abdominis (TrA) — play a crucial role in stabilising the spine and pelvis. During pregnancy, these muscles are stretched and may lose their ability to activate properly. When core control is reduced: The lower back absorbs more strain Muscles like the erector spinae overwork to compensate Proprioceptive feedback becomes less accurate The nervous system prioritises pain signals over balance control This creates a cycle where pain affects movement, and altered movement reinforces pain. What the Research Found In postpartum women (1–2 months after vaginal delivery), higher pain levels were strongly associated with: Greater errors in sensing pelvic position Poorer static balance control Increased sway in the forward-backward direction Interestingly, balance during more dynamic tasks was less affected, suggesting the body may compensate during movement — but struggles most when holding still. Why This Matters for Recovery Persistent postpartum low back pain isn’t “just something to put up with.” Changes in balance and proprioception can: Increase fatigue Affect confidence with movement Increase injury risk Slow overall recovery Contribute to recurring or chronic pain Addressing these issues early can make a significant difference to long-term outcomes. How Chiropractic Care Can Help Postpartum Recovery At Health Wise Chiropractic , we take a whole-body, nervous-system-focused approach to postpartum care. Support may include: Gentle chiropractic adjustments to improve spinal and pelvic movement Restoring coordination between the nervous system and muscles Improving core activation and postural control Addressing movement patterns that overload the lower back Individualised guidance for safe return to exercise and daily activities Rather than focusing only on pain, we look at how your body moves, balances, and stabilises itself — because lasting recovery depends on all three. The Takeaway Postpartum low back pain is closely linked to changes in balance and core control — not just muscle weakness alone. Pain can disrupt how your brain senses and controls your body, especially through the pelvis and lower spine. If you’re still experiencing back pain after childbirth, it’s not something you need to accept as “normal.” With the right assessment and care, your body can regain stability, confidence, and strength. 📍 Book an appointment at Health Wise Chiropractic and let us support your recovery — from the inside out. Low Back Pain Chiropractor Q: How does chiropractic care help with lower back pain? Chiropractors address spinal misalignments, muscle tension, and posture issues that often cause or worsen back pain. Q: Is chiropractic safe for chronic back pain? Yes, chiropractic care is a safe and natural approach for managing both acute and chronic back pain without relying solely on medication. Q: How many sessions will I need for back pain? It depends on the severity. Some patients feel relief in just a few visits, while others need ongoing care. Q: Can chiropractic prevent future back pain? Yes, with posture correction, strengthening exercises, and regular spinal care, chiropractic can help reduce the risk of recurrence. For more information about how we can help YOU with your headaches and improve your underlying dysfunction so the problem doesn’t come back . Please call Health Wise Chiropractic 03 9467 7889  or book online  to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Bigdeli N, Yalfani A. The correlation between low back pain intensity and sensorimotor function in postpartum women: an analytic cross-sectional study. BMC Musculoskelet Disord. 2025 Dec 11. doi: 10.1186/s12891-025-09369-2. Epub ahead of print. PMID: 41372781.

Unlock Pain-Free Movement: The Exciting Science Behind Instrument-Assisted Soft Tissue Mobilisation (IASTM) at Health Wise Chiropractic! If you’ve ever woken up with a stiff neck, battled nagging lower back pain, or felt like your shoulder just won’t cooperate, you’re not alone. Musculoskeletal disorders (MSDs) – think aches, pains, and restricted movement – are now the #1 cause of disability worldwide , affecting over 1.71 billion people  and costing a staggering 149 million disability-adjusted life years  annually. That’s more than heart disease! But here’s the good news: a brand-new 2026 systematic review and meta-analysis (the gold standard of research) just dropped some seriously encouraging findings about a technique we love using at Health Wise Chiropractic  – Instrument-Assisted Soft Tissue Mobilisation (IASTM) . Let’s break it down in plain English, with the key stats that matter to you. What Exactly Is IASTM? 🛠️ Imagine a super-smart massage that uses specially designed stainless-steel tools (like Graston® or Gua Sha instruments) to gently break up scar tissue, boost blood flow, and release tight fascia – all without aggressive digging. It’s precise, controlled, and feels like a deep tissue tune-up for your muscles and joints. We use IASTM at Health Wise Chiropractic because it gets results fast and complements chiropractic adjustments beautifully. The Big Study: 20 High-Quality Trials, 1,420 Patients 📊 Here’s what they found: 🔥 Pain Relief: Huge Win IASTM reduced pain with a large effect size  (SMD = -0.84, p < 0.00001). That’s a statistically significant drop in pain scores across the board! 🏃‍♀️ Range of Motion: Big Improvements Joint mobility improved substantially (SMD = 0.80, p < 0.0001). Especially impressive results for spinal  and lower limb  conditions. 💪 Function: Solid (and Even Better When Combined) Overall functional improvement was moderate but significant (SMD = -0.48, p = 0.03). The best, most consistent results  came when IASTM was combined with conventional rehab  (like exercise or chiropractic care) – pain relief was more stable and heterogeneity dropped dramatically (I² = 22% vs. 85% for IASTM alone). 🌟 Standout Areas Lower limb issues  (e.g., knee OA, plantar fasciitis): Excellent pain relief (SMD = -0.95). Spinal conditions  (neck and low back pain): Strongest gains in both pain relief (SMD = -0.89) and function (SMD = -1.02), plus super-consistent ROM gains. Why This Matters for You This isn’t just another therapy fad – it’s backed by rigorous science showing IASTM is effective, safe, and especially powerful when paired with other conservative care  (hello, chiropractic adjustments and rehab exercises!). Whether you’re a weekend warrior, desk-bound professional, or just want to move without wincing, IASTM can help you get back to doing what you love – faster. For more information about how we can help YOU with your sports performance and/or injury. Please call Health Wise Chiropractic 03 9467 7889  or book online  to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Liu Y, Yu Y, Liu P, Yan J, Cheng Z. Instrument-assisted soft tissue mobilization for musculoskeletal disorders: a systematic review and meta-analysis of its effects on pain, function, and range of motion. Eur J Med Res. 2026 Jan 19. doi: 10.1186/s40001-025-03752-4. Epub ahead of print. PMID: 41555388.

Fascia Knife Therapy Plus Exercise: A Game-Changer for Neck & Shoulder Pain in Young Athletes Neck and shoulder pain isn’t just an adult problem—it’s becoming increasingly common in adolescents , especially those who play sports like table tennis. Rapid growth, repetitive movements, and intense training can put serious strain on the neck and shoulder muscles, affecting performance and overall quality of life. At Health Wise Chiropractic , we’re always looking for safe, effective ways to help young athletes stay healthy and perform at their best. Recent research has highlighted a promising combination therapy : fascia knife release (a type of myofascial scraping) combined with functional exercise. What is Fascia Knife Therapy? Fascia knife therapy involves using specialised tools to gently scrape and release tight or adhered fascial tissue (the connective tissue around muscles). This helps to: Reduce muscle tension and spasms Improve blood flow to affected areas Increase mobility and flexibility Promote tissue repair When paired with targeted neck and shoulder exercises , this approach can strengthen muscles, improve endurance, and reduce pain. The Study: What Researchers Found A 2024 study in China looked at 40 adolescent table tennis players  with neck and shoulder pain. They were divided into two groups: Control Group:  Used topical anti-inflammatory gel only. Experimental Group:  Received fascia knife therapy plus supervised functional exercises  for 12 weeks. What This Means for Young Athletes The results suggest that fascia knife therapy combined with functional exercise : Relieves pain faster than topical treatment alone Strengthens neck and shoulder muscles Improves overall function and stability This is particularly important for athletes like table tennis players, whose performance depends on quick, precise upper-body movements. How Chiropractic Care Can Help At Health Wise Chiropractic , we integrate manual therapies, soft tissue release, and targeted exercises  to help young athletes recover and prevent injury. Fascia knife therapy can be an effective part of a multimodal approach , addressing both pain and muscle weakness. If your child or teen struggles with neck or shoulder pain , early intervention is key. Not only does it improve comfort, but it also supports healthy growth, athletic performance, and long-term spinal health. Takeaway:  Combining fascial release techniques  with functional exercises  is a safe, evidence-based strategy for young athletes experiencing neck and shoulder pain. It tackles pain, improves muscle endurance, and helps prevent future injuries—keeping kids active, healthy, and at the top of their game. Neck Pain Chiropractor Q: What causes neck pain that chiropractors treat? Common causes include poor posture, desk work, whiplash, and muscle tension. Q: How does chiropractic care relieve neck pain? Through gentle spinal adjustments, soft tissue therapy, and posture correction. Q: Is it safe to adjust the neck? Yes, when performed by a qualified chiropractor, neck adjustments are safe and effective. Q: Can chiropractic help with tech neck? Absolutely — chiropractic care can ease strain from long hours at computers or devices. For more information about how we can help YOU with your neck pain and improve your underlying dysfunction so the problem doesn’t come back . Please call Health Wise Chiropractic 03 9467 7889  or book online  to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Yunqing L, Shinian Z, Jie L, Xianfeng W. Effects of 12 weeks of fascia knife release therapy in combination with exercise for treating neck and shoulder pain in adolescent table tennis players. Front Public Health. 2025 Oct 15;13:1679219. doi: 10.3389/fpubh.2025.1679219. PMID: 41170490; PMCID: PMC12568588.

Don’t Ham It Up: What You Need to Know About Hamstring Injuries Ah, the hamstrings—those sneaky muscles that live in the back of your thighs. They help you sprint, jump, kick, and even just get up from the couch without groaning. But if they get injured, they can really slow you down. Let’s dive into what makes hamstrings tick, why they’re prone to injury, and how chiropractic care can help you get back on your feet. Meet Your Hamstrings Your hamstrings are actually a group of three muscles: Biceps femoris  (helps bend the knee and rotate the leg outward) Semimembranosus  (assists with bending the knee and rotating inward) Semitendinosus  (also bends the knee and rotates inward) Fun fact: the biceps femoris is most often injured because it’s got a dual “command system” (dual innervation), making it a bit of a diva. Hamstring Injuries: The Stats Hamstring injuries are common in sports and daily life, especially if you: Have had a previous hamstring injury Are getting up there in years Play sports that demand sudden sprints, jumps, or kicks Belong to certain ethnic groups (research shows there’s some variation!) Here’s the breakdown of injury severity: Grade 1:  Mild strain, only hurts during activity Grade 2:  Partial tear, moderate pain, and functional limitation Grade 3:  Complete tear or avulsion, sometimes with surprisingly little pain According to studies, recurrence risk skyrockets if you’ve injured your hamstring before, so early and proper care is key. Surgery vs. Non-Surgical Care So what happens if you tear a hamstring? It depends on the severity. Nonoperative Care For mild to moderate injuries (Grade 1 & 2), treatment usually involves: Rest and ice ❄️ Short-term anti-inflammatories Structured rehabilitation with strengthening and stretching One study found patients who went this route saw a concentric strength deficit of 40% at 4 months , improving to 25% at 2 years—but some weakness can persist, especially for high-intensity sports. Surgical Care Grade 3 injuries often need surgery, especially if the tendon has retracted more than 2 cm. Here’s what the research says about recovery after surgery: Strength recovery:  Most patients regain >90% of hamstring strength  within a year. Return to sport:  Around 95–98% of athletes return to preinjury levels , often within 12–16 weeks if treated early. Patient satisfaction:  Extremely high—median satisfaction scores often hit 100%  in studies. Functional outcomes:  Improvements in flexibility, range of motion, and daily activity performance are consistently reported. For comparison, one study looking at both treatment types found: Operative group:  Single-leg hop distance ~119 cm, LEFS score 74.7 Nonoperative group:  Single-leg hop distance ~56 cm, LEFS score 68.5 Translation: surgery can significantly boost function, strength, and the chance of returning to your favourite activities. The Takeaway Your hamstrings might be small, but they’re mighty. Whether you’re a weekend warrior, professional athlete, or just trying to get through your yoga class, taking care of these muscles matters. Key tips: Warm up properly before exercise Strengthen your hamstrings and glutes Address injuries early to prevent long-term issues At Health Wise Chiropractic , we can assess, treat, and guide your hamstring recovery—helping you get back to life (and sport!) pain-free. Don’t ham it up—come see us before that “pop” turns into a bigger problem. For more information about how we can help YOU with your muscle pain and improve your underlying dysfunction so the problem doesn’t come back . Please call Health Wise Chiropractic 03 9467 7889  or book online  to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Alhomayani KM, AlSayed RH, Sandaqji DO, Alharbi AA, AlSayed OH, Alshammary AA, Alshehri SD, Bukhary HA. Outcomes After Operative and Nonoperative Management of Hamstring Injuries: A Systematic Review. Orthop J Sports Med. 2026 Jan 15;14(1):23259671251393635. doi: 10.1177/23259671251393635. PMID: 41552623; PMCID: PMC12808587.

Migraines in Men: What Social Factors and Lifestyle May Be Telling Us When most people think of migraines, they often associate them with women — and for good reason. Migraines are about twice as common in women as in men. But that doesn’t mean migraines in men are rare, unimportant, or well understood. In fact, migraines in men are under-researched , and growing evidence shows that social, lifestyle, and metabolic factors may play a meaningful role in how migraines show up, how severe they become, and how often they occur. At Health Wise Chiropractic , we take a whole-person, evidence-informed approach. Let’s explore what recent large-scale research tells us about migraines in men , and why factors like weight, income, work stress, and lifestyle matter. How Common Are Migraines in Men? Large population studies show that: Around 9–17% of men experience migraine or severe headaches Rates vary significantly between countries and cultures Men may experience migraines differently than women — in frequency, severity, and triggers A major international study compared data from: A nationwide Chinese population survey The U.S. National Health and Nutrition Examination Survey (NHANES) Together, these datasets included over 6,700 men , making this one of the most comprehensive looks at migraines in men to date. Key Findings: What Increases Migraine Risk in Men? 1. Body Weight Matters Across both countries , one factor stood out clearly: 👉 Obesity was consistently associated with higher migraine risk Obese men were significantly more likely to report migraines or severe headaches In U.S. data, being underweight was also linked with higher migraine risk Differences in diet, metabolism, inflammation, and nervous system stress may explain this connection Why this matters:Excess body weight is linked to chronic inflammation, altered pain processing, and reduced nervous system resilience — all factors involved in migraine physiology. 2. Income and Socioeconomic Stress Play a Role Men with lower household income were more likely to experience migraines in both China and the U.S. Possible explanations include: Higher stress exposure Less access to healthcare Reduced ability to prioritise recovery, sleep, nutrition, and exercise Greater work–life pressure It’s not clear whether migraines contribute to lower income — or whether financial stress increases migraine risk — but the link is consistent. 3. Work and Occupation May Affect Men Differently In the Chinese population, employment status and occupation were linked to migraine risk in men. This suggests: Workload, physical demands, job insecurity, and stress may influence migraine patterns Men may experience a stronger link between work stress and headache burden than women This aligns with research showing that men with migraines often experience higher work–family conflict , which may amplify nervous system strain. 4. Age, Culture, and Lifestyle Matter Migraine prevalence was generally lower in Chinese men than in American men U.S. men had significantly higher rates of overweight and obesity Cultural differences in diet, physical activity, healthcare access, and stress exposure likely contribute These findings remind us that migraines are not just biological — they’re influenced by environment, culture, and lifestyle . What About Marriage, Education, and Relationships? Interestingly: Marital status was not consistently linked to migraines in men Education level showed mixed results between countries These factors may still matter indirectly through stress, mental health, and lifestyle habits More research is needed to fully understand these relationships. What This Means for Migraine Care Migraines are not caused by one single factor. For men especially, they appear to be influenced by a combination of nervous system health, metabolic factors, stress, and lifestyle pressures . That’s why effective migraine care should look beyond medication alone. At Health Wise Chiropractic , we focus on: Nervous system regulation Spinal and postural health Stress load and recovery capacity Movement, breathing, and lifestyle habits Individual risk factors — not one-size-fits-all advice Practical Takeaways for Men with Migraines ✔ Maintain a healthy body weight✔ Manage stress — especially work-related stress✔ Prioritise sleep and recovery✔ Move regularly and avoid prolonged postural strain✔ Address spinal and nervous system function✔ Seek care that looks at the whole picture , not just symptoms A Whole-Person Approach Makes the Difference This research reinforces an important message: Migraines in men are real, common, and influenced by lifestyle and social factors — not just biology. Understanding these influences allows for more personalised, effective care. If migraines or severe headaches are affecting your work, health, or quality of life, our team at Health Wise Chiropractic is here to help you explore evidence-based, drug-free strategies that support your nervous system and overall wellbeing. 📍 Book an appointment or speak with our team to learn more. Headache Chiropractor Q: Can a chiropractor help with headaches? Yes, chiropractic care can help relieve tension headaches and cervicogenic headaches by improving spinal alignment and reducing muscle tension. Q: How does chiropractic treat headaches? We use gentle spinal adjustments, posture correction, and muscle therapy to relieve the stress and pressure that often trigger headaches. Q: Is chiropractic care safe for frequent headaches? Yes, chiropractic is a safe and drug-free option for many types of headaches when provided by qualified practitioners. Q: How soon will I feel headache relief? Some patients notice improvement after their first few visits, while others may need a tailored care plan depending on the cause of their headaches. For more information about how we can help YOU with your headaches and improve your underlying dysfunction so the problem doesn’t come back. Please call Health Wise Chiropractic 03 9467 7889  or book online  to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Yu Z, Zhang J, He M, Liu R, Yu S. The association between social factors and migraine or severe headache in men: a secondary analysis of national population-based studies with machine learning models. J Headache Pain. 2025 Nov 12;26(1):254. doi: 10.1186/s10194-025-02206-w. PMID: 41225317; PMCID: PMC12613444.

Chronic Pain Explained: When the Nervous System Becomes Overprotective Chronic musculoskeletal pain — including low back pain, neck pain, and myofascial pain — is one of the leading causes of disability worldwide. Pain is considered chronic  when it lasts longer than three months, and for many people, it can persist for years or even decades. Chronic pain doesn’t just affect physical comfort. It impacts sleep, mood, work productivity, and overall quality of life. It also places a significant burden on healthcare systems globally. As populations age, the number of people living with chronic pain continues to rise — highlighting the need for effective, long-term, and cost-efficient care strategies. Why Chronic Pain Is More Than a Tissue Problem For a long time, pain was thought to be directly linked to tissue injury — muscles, joints, or discs. While this is true for acute injuries, research now shows that chronic pain often persists even when tissues have healed . One of the key drivers behind this is a process known as central sensitisation . Central sensitisation occurs when the nervous system becomes overly sensitive and reactive. The brain and spinal cord begin to amplify pain signals, meaning: Pain feels stronger than expected Pain can occur with light touch or movement Pain spreads beyond the original area Pain lasts longer than normal healing timelines In short, the nervous system becomes overprotective . Does this sound like something you might be experiencing? We are here to help! How the Nervous System Changes With Chronic Pain When pain signals repeatedly bombard the nervous system, changes occur at multiple levels: Spinal cord : Pain-processing neurons become more excitable Brain : Areas responsible for movement, sensation, emotion, and fear become more sensitive Pain inhibition systems : The body’s natural ability to dampen pain becomes less effective This helps explain why people with chronic pain often experience: Heightened pain from simple movements Muscle tightness or guarding Poor posture or altered movement patterns Fatigue, brain fog, sleep issues, anxiety or low mood Importantly, these changes are real neurological adaptations  — not imagined or “all in the head.” What Is Nociplastic Pain? Some chronic pain conditions fall under a category called nociplastic pain . This refers to pain caused by altered pain processing rather than clear tissue damage. Common features include: Widespread or non-specific pain Sensitivity to pressure, touch, temperature, or movement Poor sleep, fatigue, mood changes Pain that doesn’t behave mechanically Conditions such as fibromyalgia, chronic low back pain, chronic myofascial pain, and persistent headaches often show nociplastic features. How Us Chiros Identify Nervous System–Driven Pain Because central sensitisation isn’t visible on scans, assessment relies on: Detailed history and symptom patterns Pain questionnaires that assess sensitivity and pain impact Physical examination findings, such as widespread tenderness Identifying pain that is disproportionate, unpredictable, or persistent Understanding the mechanism  of pain allows care to be tailored appropriately — rather than chasing structural “faults” that may not be the true driver. Where Chiropractic Care Fits In Chiropractic care, including spinal manipulative therapy (SMT) , is widely recommended for neck pain and low back pain in clinical guidelines. While spinal adjustments improve joint motion and biomechanics, research increasingly suggests they also influence the nervous system . Studies show that spinal manipulation can: Reduce overactivity in pain-processing pathways Improve pressure pain thresholds Modulate muscle tension and motor control Influence brain regions involved in pain and movement Rather than “fixing” damaged tissue, chiropractic care may help reset abnormal pain signalling , especially when pain has become persistent. Why Treatment Must Be Individualised Not all chronic pain responds the same way. Research shows that: Treatment effects vary between individuals Results may depend on which spinal segments are treated Long-term outcomes require more than hands-on care alone This is why modern chiropractic care should include: Education about pain and the nervous system Movement retraining and rehabilitation exercises Lifestyle strategies for sleep, stress, and recovery Clear communication about expectations and evidence The Take-Home Message Chronic pain is not simply a sign of damage — it is often a sign of a sensitised nervous system . The good news is that the nervous system is adaptable. With the right combination of education, movement, manual therapy, and reassurance, it can learn to calm down again. At Health Wise Chiropractic , we focus on understanding why  your pain persists — not just where it hurts — so we can help you move with confidence and regain long-term control over your health. For more information about how we can help YOU with your pain and improve your underlying dysfunction so the problem doesn’t come back . Please call Health Wise Chiropractic 03 9467 7889  or book online  to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Vazic O, Antony NT, Murray J, Murphy B, Srbely J. The pathophysiologic mechanisms of spinal manipulative therapy in the management of chronic musculoskeletal pain. J Can Chiropr Assoc. 2025 Nov;69(3):330-342. Epub 2025 Nov 30. PMID: 41425291; PMCID: PMC12716896.

Can Antioxidants Help Athletes Recover Faster? What the Science Says If you’ve ever finished a tough workout or a competitive game and felt sore, stiff, or fatigued, you know the toll intense exercise can take on your muscles. But could something as simple as antioxidant supplements help speed up recovery and reduce muscle damage? Let’s break down what recent research tells us. What Are Antioxidants and Why Do Athletes Care? Antioxidants are compounds found in foods like fruits, vegetables, and certain supplements. They help neutralise harmful molecules called free radicals, which increase in your body during high-intensity exercise. Too many free radicals can contribute to oxidative stress, muscle fatigue, and soreness. For athletes, managing oxidative stress isn’t just about feeling better—it can also support performance, recovery, and even injury prevention. What the Research Shows A comprehensive analysis of 26 high-quality studies involving over 500 athletes looked at the effects of different antioxidants—like vitamins C and E, polyphenols from plants, and other supplements—on post-exercise recovery. Here’s what they found: 1. Lactic Acid (LA) – Your Muscle’s Soreness Signal Lactic acid builds up during intense exercise and contributes to muscle fatigue. The studies found that antioxidant supplements can help reduce post-exercise lactic acid levels . This may mean quicker recovery and less fatigue, especially for professional male athletes. 2. Creatine Kinase (CK) – A Marker of Muscle Damage High CK levels indicate your muscles have undergone stress or minor damage during exercise. Antioxidants were shown to significantly lower CK levels after exercise , suggesting that they may protect muscles from damage and help your body recover faster. 3. Other Oxidative Stress Markers For markers like total antioxidant status (TAS), superoxide dismutase (SOD), glutathione peroxidase (GPx), and lipid peroxidation products (TBARS, MDA), antioxidant supplements didn’t show consistent improvements. This doesn’t mean antioxidants aren’t useful—it may indicate that your body’s natural defense system is already well-regulated, and supplements mainly help with recovery rather than changing overall antioxidant levels. How Should Athletes Use Antioxidants? Short-term supplementation works:  Even a few days of taking antioxidants before or after intense exercise may reduce lactic acid and CK levels. Long-term use doesn’t necessarily add extra benefit. Type doesn’t matter as much:  Vitamins, plant extracts, and other antioxidant forms all showed similar effects on muscle recovery. So your choice can depend on preference, cost, or availability. Not a cure-all:  Antioxidants support recovery but don’t replace proper training, rest, or nutrition. They’re just one tool in your recovery toolbox. Practical Takeaways for Active Individuals Including antioxidant-rich foods (berries, leafy greens, nuts, citrus fruits) in your diet is an easy and safe way to support recovery. For those considering supplements, short-term antioxidant use may help reduce muscle soreness and fatigue, particularly after high-intensity workouts or competitions. Personalised approaches matter. Factors like exercise type, intensity, and individual fitness levels influence how effective antioxidants are. Bottom Line Antioxidants show promise in helping athletes recover faster by lowering lactic acid and reducing muscle damage after exercise. While they don’t dramatically change all markers of oxidative stress, they can be a useful part of a recovery strategy—especially when paired with rest, hydration, and good nutrition. As always, before starting any supplement routine, it’s best to consult with a qualified health professional or nutritionist to make sure it fits your personal goals and needs. For more information about how we can help YOU with your sports performance and/or injury. Please call Health Wise Chiropractic 03 9467 7889  or book online  to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Chen J, Ding J, Han C, Liu Q, Wang L, Ma W, Liang Z, Li Y. Effects of different antioxidants on exercise-induced oxidative stress and muscle damage in athletes: a systematic review and meta-analysis. BMC Sports Sci Med Rehabil. 2025 Nov 11;17(1):328. doi: 10.1186/s13102-025-01381-2. PMID: 41219818; PMCID: PMC12606855.

☕🏔️ Playing Sport at Altitude? Caffeine Might Be Your Secret Weapon Ever watched a game played at altitude and thought,“Why does everyone look gassed so early?” You’re not imagining it. With global sport taking teams to higher elevations — think Mexico City (2,300 m)  hosting matches in the 2026 FIFA World Cup  — athletes are increasingly being asked to perform explosive, repeated efforts in thin air . And science shows that altitude hits performance hard . 😮‍💨 What Altitude Does to Athletes (The Cold, Hard Stats) When sea-level athletes compete at altitude (1,200–2,500 m): 📉 Total distance covered drops by 7–21% 📉 Sprint frequency significantly decreases 📉 Repeated sprint power and work output decline That’s a big deal — because while sprinting only makes up: 5–10% of total distance 1–3% of match time …it’s the action most likely to lead to goals  ⚽🔥 So the big question becomes: 👉 How do we maintain speed, power, and work rate when oxygen is limited? ☕ Enter Caffeine: More Than Just a Morning Pick-Me-Up Caffeine is one of the most researched performance aids in sport  — and for good reason. Studies consistently show caffeine can improve: Endurance Sprint performance Power output Perceived effort …even under hypoxic (low oxygen)  conditions. But until recently, most research didn’t properly reflect real match demands  — like: 80 minutes of play Repeated sprints Minimal recovery Second-half fatigue So researchers asked a smarter question 👇 🧪 The Study: Can Caffeine Help Team-Sport Athletes at Altitude? 👥 Who was tested? 15 collegiate athletes Soccer, basketball, and volleyball players Low habitual caffeine users 🏔️ Conditions: Simulated altitude of ~2,000 m Equivalent to playing in places like Mexico City ☕ The dose: 6 mg of caffeine per kg of body weight (~2 strong coffees for a 70 kg athlete) 🏃 The test: An 80-minute intermittent-sprint test Designed to mimic real match play: Short all-out sprints Active recovery Repeated sprint clusters Two halves + halftime 🚀 The Results: Caffeine = More Work, More Power, Less Fatigue 🔥 Total Work Output Athletes who took caffeine produced: 📈 6.2% more total work in the first half 📈 5.3% more total work in the second half That’s huge over an 80-minute match. And importantly… ➡️ The performance drop from first to second half was the same  with or without caffeine (~9%)➡️ Caffeine didn’t stop fatigue — it made athletes perform better despite it ⚡ Power Output Stayed Higher for Longer With caffeine: Peak power output  was higher across most sprints Mean power output  stayed elevated deeper into the test In simple terms: Athletes could hit harder sprints more often , even late in the game. 😅 “It Felt Easier” — And That Matters One of caffeine’s biggest advantages wasn’t just physical — it was perceptual . Compared to placebo, caffeine: ✅ Reduced overall perceived exertion ✅ Reduced breathing difficulty ❌ Did not  increase leg heaviness 📉 These differences became most noticeable in the second half  — when games are often won or lost. 👉 Translation: Athletes were working harder, but it felt easier . 🧬 What Was Happening Inside the Body? ❤️ Heart & Breathing Caffeine caused: Higher heart rate Increased breathing volume Greater ventilation efficiency This helps: Improve oxygen delivery Support repeated sprint recovery Maintain power under hypoxia 🧪 Blood Lactate (Yes, It Went Up) Caffeine led to higher blood lactate levels  after both halves. That sounds scary — but it actually suggests: Greater anaerobic energy contribution Higher sprint intensity More total work completed 👉 In performance settings, higher lactate often means higher output , not worse performance. 🧠 Why Does Caffeine Work at Altitude? Caffeine helps performance through multiple pathways: 🧠 Central nervous system stimulation 💪 Improved motor unit recruitment⚡ Enhanced muscle contractility🔋 Faster energy turnover😌 Lower perception of effort Together, this allows athletes to: Sprint harder, more often, and later into the game — even with less oxygen available ⚠️ Not Everyone Responds the Same One interesting finding? 📊 Performance responses varied widely between athletes . Why? Genetics (especially the CYP1A2 caffeine metabolism gene ) Sex differences Habitual caffeine intake Some athletes improved a lot — others only a little. 👉 This is why individualised strategies  matter. 🧑‍⚕️ The Health Wise Chiropractic Takeaway At Health Wise Chiropractic , we know performance isn’t just about: Training harder Playing more games It’s about: Nervous system efficiency Recovery Smart fueling Managing fatigue and load This research shows that moderate caffeine intake  can be a powerful tool for athletes competing at altitude — when used correctly . 🏆 Practical Tips for Athletes Playing at Altitude ☕ Caffeine dose:  ~6 mg/kg⏱️ Timing:  ~60 minutes before competition🏔️ Best for:  Football, rugby, hockey, basketball🚫 Avoid if:  You’re caffeine-sensitive or poorly recovered ⚠️ Always trial caffeine in training , not on game day for the first time. For more information about how we can help YOU with your sports performance and/or injury. Please call Health Wise Chiropractic 03 9467 7889  or book online  to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Li W, Cao Z, Chang J, Xue R, Liu J, Guo L, Cao Y, Girard O. Caffeine ingestion before exercise improves prolonged intermittent-sprint performance of team-sport athletes in normobaric hypoxia. Front Nutr. 2026 Jan 14;12:1717009. doi: 10.3389/fnut.2025.1717009. PMID: 41613922; PMCID: PMC12847040.

Is There a Link Between Diet and Jaw Pain? (TMD Explained) When your jaw hurts, it can feel like the pain takes over everything — chewing, talking, even yawning! Many people don’t realise that jaw pain often comes from temporomandibular disorders (TMD) , which affect the jaw joints (TMJ), surrounding muscles, and tissues. In fact, TMD is one of the leading causes of chronic facial pain (not caused by dental problems). But here’s the surprising twist: your diet  may be playing a role in your jaw pain! Why Does TMD Happen? The exact cause of TMD is still a bit of a mystery, but we know it’s usually multifactorial  — meaning lots of things come together to trigger it. Stress, posture, genetics, and even nervous system responses can all play a part. People with jaw pain often avoid harder foods  to prevent aggravating symptoms. That makes sense — who wants to chew a steak when your jaw is already sore? But over time, this can lead to nutrient gaps  and a diet that doesn’t fully support healing. The Diet–Pain Connection New research (2025) shows that people with painful TMD tend to eat less healthy foods  and more inflammatory foods  compared to those without jaw pain. 👉 Diets high in ultra-processed foods, sugars, and trans fats  increase inflammation in the body — and inflammation is a major driver of pain.👉 On the flip side, anti-inflammatory diets  (like the Mediterranean diet) may reduce pain and support better long-term outcomes. How Does Diet Cause Inflammation? Certain foods can cause “leaky gut” (increased intestinal permeability), letting inflammatory molecules like cytokines  (TNF-α, IL-1β, IL-6) spread throughout the body — even reaching the nervous system. This can amplify pain signals  and make jaw pain worse. Foods That Help Calm Inflammation (and Your Jaw!) Here’s the good news — food can also be part of the solution! Adding more of these into your meals may help reduce inflammation and support healing: 🥦 Veggies & Fruits Berries (blueberries, strawberries, cherries, blackberries) Citrus fruits (oranges, grapefruit) Leafy greens (spinach, kale, collards) Cruciferous veggies (broccoli, cauliflower, cabbage) Tomatoes (rich in lycopene) 🐟 Healthy Fats Fatty fish (salmon, mackerel, sardines) Olive oil Nuts & seeds (walnuts, almonds, chia, flax) 🌿 Herbs & Spices Turmeric & ginger Garlic, rosemary, cinnamon What This Means for You If you’re dealing with jaw pain, it’s not just about massage, adjustments, or relaxation techniques (though those help too!). What’s on your plate might be fueling the fire — or helping put it out. A chiropractor can help with the musculoskeletal side of TMD  (jaw alignment, posture, muscle tension), while you support your body from the inside with better nutrition . 💡 Small changes like swapping chips for blueberries or using olive oil instead of vegetable oil can make a big difference over time. ✨ Takeaway:  Your jaw pain isn’t just in your head (or your jaw!) — it’s connected to your whole body. The right diet, combined with chiropractic care, may help reduce inflammation, ease pain, and get you smiling (and chewing) comfortably again. Jaw Pain (TMJ) Chiropractor Q: Can chiropractic care help with jaw pain or TMJ? Yes, chiropractic can relieve jaw pain by addressing misalignments in the neck, jaw, and surrounding muscles, reducing tension and improving movement. Q: What causes TMJ pain? TMJ pain can be caused by teeth grinding, poor posture, stress, or misalignment of the jaw or cervical spine. Q: Is chiropractic treatment for jaw pain safe? Yes, gentle techniques are used to relieve tension and improve joint function safely. Q: How many sessions will I need for jaw pain? The number of sessions depends on severity. Many patients feel improvement within a few visits, with a tailored care plan for long-term results. Q: Can chiropractic help prevent jaw pain from recurring? Yes, posture correction, exercises, and spinal alignment can reduce recurrence of TMJ pain. For more information about how we can help YOU with your pain and improve your underlying dysfunction so the problem doesn’t come back . Please call Health Wise Chiropractic 03 9467 7889  or book online  to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help References Marques CC, Cebola PMTC, Burusco IO, González MG, de Pedro M, Christidis N, Ernberg M, De la Torre Canales G. Is there a link between diet and painful temporomandibular disorders? A cross-sectional study. BMC Oral Health. 2025 Sep 17;25(1):1410. doi: 10.1186/s12903-025-06835-0. PMID: 40963116; PMCID: PMC12442269. 1.Greene CS. Managing the care of patients with temporomandibular disorders: a new guideline for care. J Am Dent Assoc. 2010;141(9):1086–8. 10.14219/jada.archive.2010.0337. [ DOI ] [ PubMed ] 2.Gauer RL, Semidey MJ. Diagnosis and treatment of temporomandibular disorders. Am Fam Physician. 2015;15(6):378–86. [ PubMed ] [ Google Scholar ] 3.Zielinski G, Pajak-Zielinska B, Ginszt M. A Meta-Analysis of the global prevalence of temporomandibular disorders. J Clin Med 2024;28(5). 10.3390/jcm13051365. [ DOI ] [ PMC free article ] [ PubMed ] 4.Slade GD, Fillingim RB, Sanders AE, et al. Summary of findings from the OPPERA prospective cohort study of incidence of first-onset temporomandibular disorder: implications and future directions. J Pain Dec. 2013;14(12 Suppl):T116–24. 10.1016/j.jpain.2013.09.010. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 5.Dworkin SF. Perspectives on the interaction of biological, psychological and social factors in TMD. J Am Dent Assoc. 1994;125(7):856–63. 10.14219/jada.archive.1994.0212. [ DOI ] [ PubMed ] [ Google Scholar ] 6.Durham J, Steele JG, Wassell RW, Exley C. Living with uncertainty: temporomandibular disorders. J Dent Res. 2010;89(8):827–30. 10.1177/0022034510368648. [ DOI ] [ PubMed ] [ Google Scholar ] 7.Durham J, Steele J, Moufti MA, Wassell R, Robinson P, Exley C. Temporomandibular disorder patients’ journey through care. Community Dent Oral Epidemiol Dec. 2011;39(6):532–41. 10.1111/j.1600-0528.2011.00608.x. [ DOI ] [ PubMed ] [ Google Scholar ] 8.Murray H, Locker D, Mock D, Tenenbaum HC. Pain and the quality of life in patients referred to a craniofacial pain unit. J Orofac Pain Winter. 1996;10(4):316–23. [ PubMed ] [ Google Scholar ] 9.Nasri-Heir C, Epstein JB, Touger-Decker R, Benoliel R. What should we tell patients with painful temporomandibular disorders about what to eat? J Am Dent Assoc. 2016;147(8):667–71. 10.1016/j.adaj.2016.04.016. [ DOI ] [ PubMed ] [ Google Scholar ] 10.Mallek H, Neff P, Nakamoto T. Interactions of nutrition and temporomandibular joint dysfunction. Ear Nose Throat J. 1984;63(10):499–504. [ PubMed ] [ Google Scholar ] 11.Schimmel M, Katsoulis J, Genton L, Muller F. Masticatory function and nutrition in old age. Swiss Dent J. 2015;125(4):449–54. 10.61872/sdj-2015-04-04. [ DOI ] [ PubMed ] [ Google Scholar ] 12.Bell RF, Borzan J, Kalso E, Simonnet G. Food, pain, and drugs: does it matter what pain patients eat? Pain. 2012;153(10):1993–6. 10.1016/j.pain.2012.05.018. [ DOI ] [ PubMed ] [ Google Scholar ] 13.Estruch R, Ros E, Martinez-Gonzalez MA. Mediterranean diet for primary prevention of cardiovascular disease. N Engl J Med Aug. 2013;15(7):676–7. 10.1056/NEJMc1306659. [ DOI ] [ PubMed ] [ Google Scholar ] 14.Straube S, Moore RA, Derry S, Hallier E, McQuay HJ. Vitamin d and chronic pain in immigrant and ethnic minority patients-investigation of the relationship and comparison with native Western populations. Int J Endocrinol. 2010;2010:753075. 10.1155/2010/753075. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 15.Irving J, Wood GD, Hackett AF. Does temporomandibular disorder pain dysfunction syndrome affect dietary intake? Dent Update. 1999;26(9):405–7. 10.12968/denu.1999.26.9.405. [ DOI ] [ PubMed ] [ Google Scholar ] 16.Raphael KG, Marbach JJ, Touger-Decker R. Dietary fiber intake in patients with myofascial face pain. J Orofac Pain Winter. 2002;16(1):39–47. [ PubMed ] [ Google Scholar ] 17.Edwards DC, Bowes CC, Penlington C, Durham J. Temporomandibular disorders and dietary changes: A cross-sectional survey. J Oral Rehabil Aug. 2021;48(8):873–9. 10.1111/joor.13210. [ DOI ] [ PubMed ] [ Google Scholar ] 18.Araujo Oliveira Buosi J, Abreu Nogueira SM, Sousa MP, et al. Gluten-Free diet reduces pain in women with myofascial pain in masticatory muscles: A preliminary randomized controlled trial. J Oral Facial Pain Headache Summer. 2021;35(3):199–207. 10.11607/ofph.2823. [ DOI ] [ PubMed ] [ Google Scholar ] 19.Kui A, Buduru S, Labunet A, Balhuc S, Negucioiu M. Vitamin D and temporomandibular disorders: what do we know so far?? Nutrients 2021;14(4). 10.3390/nu13041286. [ DOI ] [ PMC free article ] [ PubMed ] 20.von Elm E, Altman DG, Egger M, et al. Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ. 2007;20(7624):806–8. 10.1136/bmj.39335.541782.AD. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 21.Kim Y, Chen J, Wirth MD, Shivappa N, Hebert JR. Lower dietary inflammatory index scores are associated with lower glycemic index scores among college students. Nutrients 2018;7(2). 10.3390/nu10020182. [ DOI ] [ PMC free article ] [ PubMed ] 22.Gonzalez YM, Schiffman E, Gordon SM, et al. Development of a brief and effective temporomandibular disorder pain screening questionnaire: reliability and validity. J Am Dent Assoc. 2011;142(10):1183–91. 10.14219/jada.archive.2011.0088. [ DOI ] [ PMC free article ] [ PubMed ] 23.Schiffman E, Ohrbach R, Truelove E, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the international RDC/TMD consortium network** and orofacial pain special interest groupdagger. J Oral Facial Pain Headache Winter. 2014;28(1):6–27. 10.11607/jop.1151. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 24.Von Korff M, DeBar LL, Krebs EE, Kerns RD, Deyo RA, Keefe FJ. Graded chronic pain scale revised: mild, bothersome, and high-impact chronic pain. Pain. 2020;161(3):651–61. 10.1097/j.pain.0000000000001758. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 25.Von Korff M, Ormel J, Keefe FJ, Dworkin SF. Grading the severity of chronic pain. Pain Aug. 1992;50(2):133–49. [ DOI ] [ PubMed ] [ Google Scholar ] 26.Rolke R, Baron R, Maier C, et al. Quantitative sensory testing in the German research network on neuropathic pain (DFNS): standardized protocol and reference values. Pain. 2006;123(3):231–43. 10.1016/j.pain.2006.01.041. [ DOI ] [ PubMed ] [ Google Scholar ] 27.Gomes MB, Guimaraes JP, Guimaraes FC, Neves AC. Palpation and pressure pain threshold: reliability and validity in patients with temporomandibular disorders. Cranio. 2008;26(3):202–10. 10.1179/crn.2008.027. [ DOI ] [ PubMed ] [ Google Scholar ] 28.Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–13. 10.1046/j.1525-1497.2001.016009606.x. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 29.Kroenke K, Spitzer RL, Williams JB. The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med. 2002;64(2):258–66. 10.1097/00006842-200203000-00008. [ DOI ] [ PubMed ] [ Google Scholar ] 30.Ohrbach R, Markiewicz MR, McCall WD Jr. Waking-state oral parafunctional behaviors: specificity and validity as assessed by electromyography. Eur J Oral Sci Oct. 2008;116(5):438–44. 10.1111/j.1600-0722.2008.00560.x. [ DOI ] [ PubMed ] [ Google Scholar ] 31.Krebs-Smith SM, Pannucci TE, Subar AF, et al. Update of the healthy eating index: HEI-2015. J Acad Nutr Diet. 2018;118(9):1591–602. 10.1016/j.jand.2018.05.021. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 32.Shivappa N, Steck SE, Hurley TG, Hussey JR, Hebert JR. Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutr Aug. 2014;17(8):1689–96. 10.1017/S1368980013002115. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 33.Martinez-Gonzalez MA, Garcia-Arellano A, Toledo E, et al. A 14-item mediterranean diet assessment tool and obesity indexes among high-risk subjects: the PREDIMED trial. PLoS One. 2012;7(8): e43134. 10.1371/journal.pone.0043134. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 34.Wheelock AM, Wheelock CE. Trials and tribulations of ‘omics data analysis: assessing quality of SIMCA-based multivariate models using examples from pulmonary medicine. Mol Biosyst. 2013;9(11):2589–96. 10.1039/c3mb70194h. [ DOI ] [ PubMed ] [ Google Scholar ] 35.Eriksson L, Byrne T, Johansson E, Trygg J, Vikström C. Multi-and megavariate data analysis basic principles and applications. Volume 1. Umetrics Academy; 2013. 36.Lee H, Wiggers J, Kamper SJ, et al. Mechanism evaluation of a lifestyle intervention for patients with musculoskeletal pain who are overweight or obese: protocol for a causal mediation analysis. BMJ Open. 2017;3(6): e014652. 10.1136/bmjopen-2016-014652. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 37.Messier SP, Loeser RF, Miller GD, et al. Exercise and dietary weight loss in overweight and obese older adults with knee osteoarthritis: the arthritis, diet, and activity promotion trial. Arthritis Rheum. 2004;50(5):1501–10. 10.1002/art.20256. [ DOI ] [ PubMed ] [ Google Scholar ] 38.Razeghi Jahromi S, Ghorbani Z, Martelletti P, Lampl C, Togha M. School of advanced studies of the European headache F. Association of diet and headache. J Headache Pain Nov. 2019;14(1):106. 10.1186/s10194-019-1057-1. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 39.Moskatel LS, Zhang N. Migraine and diet: updates in Understanding. Curr Neurol Neurosci Rep Jun. 2022;22(6):327–34. 10.1007/s11910-022-01195-6. [ DOI ] [ PubMed ] [ Google Scholar ] 40.Schonenberger KA, Schupfer AC, Gloy VL, et al. Effect of Anti-Inflammatory diets on pain in rheumatoid arthritis: A systematic review and Meta-Analysis. Nutrients 2021;24(12). 10.3390/nu13124221. [ DOI ] [ PMC free article ] [ PubMed ] 41.Casini I, Ladisa V, Clemente L, et al. A personalized mediterranean diet improves pain and quality of life in patients with fibromyalgia. Pain Ther Jun. 2024;13(3):609–20. 10.1007/s40122-024-00598-2. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 42.Nijs J, Van Houdenhove B, Oostendorp RA. Recognition of central sensitization in patients with musculoskeletal pain: application of pain neurophysiology in manual therapy practice. Man Ther Apr. 2010;15(2):135–41. 10.1016/j.math.2009.12.001. [ DOI ] [ PubMed ] [ Google Scholar ] 43.Khodarahmi M, Tabrizi FPF, Askari G. The effect of low-carbohydrate diets, based on changes in intake of dietary saturated fats on circulating TNF-α and interleukin- 6 levels in adults: a systematic review and meta-analysis of randomized controlled trials. BMC Nutr. 2025;(1): 76. 10.1186/s40795-025-01062-w. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 44.Ma X, Nan F, Liang H, et al. Excessive intake of sugar: an accomplice of inflammation. Front Immunol. 2022;13:988481. 10.3389/fimmu.2022.988481. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 45.Tierney JA, Uong CD, Lenert ME, Williams M, Burton MD. High-fat diet causes mechanical allodynia in the absence of injury or diabetic pathology. Scientific Reports. 2022/09/01 2022;12(1):14840. 10.1038/s41598-022-18281-x [ DOI ] [ PMC free article ] [ PubMed ] 46.Speciani AF, Piuri G. Measuring biomarkers for an innovative personal food profile. J Am Coll Nutr. 2015;34(Suppl 1):34–8. 10.1080/07315724.2015.1080109. [ DOI ] [ PubMed ] [ Google Scholar ] 47.Elma O, Yilmaz ST, Deliens T, et al. Chronic musculoskeletal pain and nutrition: where are we and where are we heading?? PM R. 2020;12(12):1268–78. 10.1002/pmrj.12346. [ DOI ] [ PubMed ] [ Google Scholar ] 48.Paez-Hurtado AM, Calderon-Ospina CA, Nava-Mesa MO. Mechanisms of action of vitamin B1 (thiamine), B6 (pyridoxine), and B12 (cobalamin) in pain: a narrative review. Nutr Neurosci. 2023;26(3):235–53. 10.1080/1028415X.2022.2034242. [ DOI ] [ PubMed ] [ Google Scholar ] 49.Hosseinzadeh H, Moallem SA, Moshiri M, Sarnavazi MS, Etemad L. Anti-nociceptive and anti-inflammatory effects of cyanocobalamin (vitamin B12) against acute and chronic pain and inflammation in mice. Arzneimittelforschung Jul. 2012;62(7):324–9. 10.1055/s-0032-1311635. [ DOI ] [ PubMed ] [ Google Scholar ] 50.Spoelstra-de Man AME, de Grooth HJ, Elbers PWG, Oudemans-van Straaten HM. Response to adjuvant vitamin C in cardiac arrest patients undergoing renal replacement therapy: an appeal for a higher high-dose. Crit Care Dec. 2018;19(1):350. 10.1186/s13054-018-2200-0. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 51.Ansary J, Forbes-Hernandez TY, Gil E, et al. Potential health benefit of Garlic based on human intervention studies: A brief overview. Antioxidants (Basel) 2020;15(7). 10.3390/antiox9070619. [ DOI ] [ PMC free article ] [ PubMed ] 52.Tick H. May. Nutrition and pain. Phys med rehabil clin N am. 2015;26(2):309–20. 10.1016/j.pmr.2014.12.006 [ DOI ] [ PubMed ] 53.Bonaccio M, Pounis G, Cerletti C, et al. Mediterranean diet, dietary polyphenols and low grade inflammation: results from the MOLI-SANI study. Br J Clin Pharmacol. 2017;83(1):107–13. 10.1111/bcp.12924. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 54.Ursini F, Naty S, Grembiale RD. Fibromyalgia and obesity: the hidden link. Rheumatol Int. 2011;31(11):1403–8. 10.1007/s00296-011-1885-z. [ DOI ] [ PubMed ] [ Google Scholar ] 55.Kadam U, Jordan K, Croft P. Clinical comorbidity in patients with osteoarthritis: a case-control study of general practice consulters in England and Wales. Ann Rheum Dis. 2004;63(4):408–14. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 56.Buosi JAO, Nogueira SA, Sousa MP, et al. Gluten-free diet reduces pain in women with myofascial pain in masticatory muscles: a preliminary randomized controlled trial. J Oral Facial Pain Headache. 2021;35(3):199–207. [ DOI ] [ PubMed ] [ Google Scholar ] 57.Shimada A, Castrillon EE, Baad-Hansen L, et al. Increased pain and muscle glutamate concentration after single ingestion of monosodium glutamate by myofascial temporomandibular disorders patients. Eur J Pain. 2016;20(9):1502–12. 10.1002/ejp.874. [ DOI ] [ PubMed ] [ Google Scholar ] 58.Fernstrom JD, Comment on, Shimada et al. Apr. : ‘Increased pain and muscle glutamate concentration after single ingestion of monosodium glutamate by myofascial temporomandibular disorders patients’. Eur J Pain. 2017;21(4):761–762. 10.1002/ejp.982 [ DOI ] [ PubMed ] 59.Dragan S, Serban MC, Damian G, Buleu F, Valcovici M, Christodorescu R. Dietary patterns and interventions to alleviate chronic pain. Nutrients 2020;19(9). 10.3390/nu12092510. [ DOI ] [ PMC free article ] [ PubMed ] 60.Fillingim RB, Ohrbach R, Greenspan JD, et al. Psychological factors associated with development of TMD: the OPPERA prospective cohort study. J Pain Dec. 2013;14(12 Suppl):T75–90. 10.1016/j.jpain.2013.06.009. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 61.Wan J, Lin J, Zha T et al. Temporomandibular disorders and mental health: shared etiologies and treatment approaches. J Headache Pain. 2025/03/12 2025;26(1):52. 10.1186/s10194-025-01985-6 [ DOI ] [ PMC free article ] [ PubMed ] 62.Argyropoulos SV, Hood SD, Adrover M, et al. Tryptophan depletion reverses the therapeutic effect of selective serotonin reuptake inhibitors in social anxiety disorder. Biol Psychiatry. 2004;1(7):503–9. 10.1016/j.biopsych.2004.07.006. [ DOI ] [ PubMed ] [ Google Scholar ] 63.Francis HM, Stevenson RJ, Tan LSY, et al. Kynurenic acid as a biochemical factor underlying the association between Western-style diet and depression: A cross-sectional study. Front Nutr. 2022;9:945538. 10.3389/fnut.2022.945538. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ] 64.Willems AEM, Sura-de Jong M, van Beek AP, van Dijk G. Self-initiated dietary changes reduce general somatic and mental symptoms in a relatively healthy Dutch population. Prev Med Rep Dec. 2022;30:102004. 10.1016/j.pmedr.2022.102004. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ]

Chronic Pain: Why It Persists and How Chiropractic Care Can Help Chronic Pain: Why It Persists and How Chiropractic Care Can Help If you’ve been dealing with ongoing back pain, neck pain, headaches, or muscle tightness, you’re not alone. Chronic pain affects millions of people and is one of the most common reasons patients seek chiropractic care. But one of the biggest frustrations with chronic pain is this: scans often look “normal,” yet the pain keeps coming back . So what’s really going on? Chronic Pain Is Not Just a Tissue Problem Acute pain usually has a clear cause — a strain, injury, or sudden overload. Chronic pain, however, is different. Pain is considered chronic when it lasts longer than three months, and in many cases, the original tissue injury has already healed. Research now shows that persistent pain often involves changes in the nervous system , not just muscles and joints. When pain sticks around, the brain and spinal cord can become overly sensitive. This means they continue to send pain signals even when there’s no ongoing damage. This process is sometimes referred to as central sensitisation . When the Nervous System Becomes Overprotective An overprotective nervous system can cause: Pain that feels stronger than expected Pain triggered by simple movements or posture Muscle tightness or guarding Pain that flares without a clear reason Ongoing stiffness or fatigue Importantly, this pain is real  — it’s not imagined or “all in your head.” It’s the result of how your nervous system is processing information. Why Pain Can Keep Returning Once the nervous system learns a pain pattern, it can become stuck in “alert mode.” Poor posture, stress, lack of movement, or fear of re-injury can reinforce this loop. This is why many people experience: Recurrent flare-ups Pain that moves or changes location Loss of confidence in movement Frustration with short-term fixes Breaking this cycle requires more than rest or temporary relief. How Chiropractic Care Supports Chronic Pain At Health Wise Chiropractic , we look beyond where it hurts and focus on how your body and nervous system are functioning together . Chiropractic care can help by: Restoring healthy joint movement Reducing muscle tension and guarding Improving posture and spinal mechanics Influencing how the nervous system processes pain Supporting better movement patterns Research suggests that spinal adjustments don’t just affect joints — they also interact with the nervous system, helping to calm overactive pain pathways. Recent research looked into 12 weeks of Chiropractic care and how it affected the body 12 weeks of Chiropractic care modulates biomarkers linked to neuroplasticity, inflammation, and stress. Increases in brain-derived neurotrophic factor and interleukin-6 suggest enhanced neuroplasticity and inflammatory responses, while decreases in tumour necrosis factor-alpha indicate a regulatory effect on systemic inflammation. Interleukin 6 issues a warning signal in the event of tissue damage, which can lead to inflammation . It can also be triggered by stress or negative emotions. Your Tumour Necrosis Factor Alpha cells are made by the immune system and help regulate inflammation Its crucial for defence against pathogens, including bacteria, fungi and parasites. For more information about how we can help YOU with your muscle pain and improve your underlying dysfunction so the problem doesn’t come back . Please call Health Wise Chiropractic 03 9467 7889  or book online  to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Amjad I, Niazi IK, Kumari N, Ghani U, Rashid U, Duarte FCK, Fortuna F, Iglesias S, Gonzalez D, Sumich A, Fabre B, Holt K, Haavik H. The effects of 12 weeks of chiropractic spinal adjustments on physiological biomarkers in adults: A pragmatic randomized controlled trial. PLoS One. 2025 Dec 11;20(12):e0338730. doi: