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Obesity and Chiropractic

Obesity and Chiropractic

Is obesity a concern with chiropractors? Can chiropractors help a patient manage obesity?

Usually, patients seek chiropractic methods for relief of pain arising from the nervous and musculoskeletal systems. But in the tradition of chiropractic, the WHOLE PERSON is cared for, not just a select region of pain.

Obesity and Chiropractic

General Health History

For example, when a low back pain patient first comes to the office, their history form includes detailed information about their overall health, not just their chief complaint.

A thorough case history form will ask about past accident history, past hospitalizations, current medication list, family and social histories, occupational history, habit history, and a review of all the body’s systems (cardiovascular, respiratory, endocrine, EENT, genitourinary, skin, digestive, blood/lymphatic, and more).

Doctors of chiropractic treat the WHOLE person, so when obesity is present in patients, they see treating it as part of the healing process.

Granted, the main focus is usually given to the primary or chief complaint, chiropractors will look at all the reasons as to why the low back hurts. This is true, especially since in most cases, there is more than one cause for low back pain (LBP), or it is multimodal; even as the last activity prior to the back  going out typically gets the blame.

Also, most of us who have had LBP have had it more than once. In fact, most studies report that if you’ve had LBP in the past, you can EXPECT to have it again. That is why the doctor examines and identifies ALL the possible reasons as to why the back was injured—and that includes the possible existence of obesity—and manages all aspects of the causes as they can.

Doctors of chiropractic will look at all possible causes for low back pain and address things like a short leg, flat/pronated feet, knee, hip, and pelvic issues as all of these can affect the frequency, intensity, and duration of LBP. These possible issues can also impede one’s efforts to exercise, and in fact, may worsen every time they try.

Family History of Obesity

In cases where the patient is clearly obese, the chiropractor will ask about family’s history of obesity as it is very relevant in these cases.

Your doctor of chiropractic may ask what you and your family typically eat. Is it fast food or does it consist of whole foods in a well-balanced diet? How about snacking habits? These can “undo” a lot of good if there are abuses in that department.

Also, thyroid deficiency can make weight loss next to impossible since it regulates our metabolic rate. When sluggish, we simply can’t break down fat efficiently, and we usually retain fluid, which is another cause for weight gain.

Obesity and Low Back Pain

Treatment Options

Your chiropractor will first reduce the “cause” of the LBP by decreasing inflammation (“RICE”: rest, ice, compress, elevate). S/He will manipulate within the patients’ tolerance to restore spinal and extremity joint function so exercises will not hurt. S/he can then guide patients in the process of integrating exercises into their lifestyle gradually so they can identify any exercise that may be too much for them at that particular time.

Of course, chiropractors will also provide nutritional consulting with diets that may include calorie counting / restriction diets, the “Paleo” or caveman diet, low carbohydrate diet, and many other dietary options.

Chiropractors will often integrate exercises into the treatment plan as regaining flexibility, strength, stamina, and coordination all help not only the LBP, but also allows for aerobic activity to be better tolerated and enjoyed. If you experience pain every time you get up to walk, you will react by modifying or stopping that activity.

Chiropractors will discuss with the patients what they have tried in the past that seemed to work, as well as those approaches that failed. This is important so they don’t waste time.

Chiropractors want to help patients find ways that can be continued for the long-term that they like, that make sense, and that work. Then , the patient can be in control of their weight, their low back pain, and their lives.

Related Articles:
Trying Out Calisthenics by Dr. Deric D’Agostino
The Healthy Diet for Humans by Dr. Deric D’Agostino
Exercises That Strengthen Back Muscles to Help with Back Pain by Dr. Long Van

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Dr. Allamm Morales, M.D.

Dr. Allamm Morales has over 15 years experience in personal injury and a wide range of neurological disorders. He has privilege, and provides patient care in local Baptist hospitals.

He was Chief Resident at the Neurology Residency Program of the University of South Florida, and worked at the Florida Hospital of New Smyrna, and St. Luke Hospital in Ponce, Puerto Rico. He also served many years with the Florida Neurology Institute, Inc.

Dr. Morales is a Diplomate of the American Board of Vascular Neurology, and a Diplomate of the American Board of Psychiatry and Neurology.

Dr. Morales studied in Nova Southeastern University, Davie, FL, had residency at the Caibarien General Hospital, Cuba, and obtained the MD degree at the Superior Institute of Medical Science in Cuba.

Fiaz Jaleel, M.D.
Physical Medicine & Rehab, Pain Management

“Life is short and precious. As a Physiatrist and Pain Physician my goal for my patients is to reduce their pain and suffering, enhance form, improve function and ultimately promote the best quality of life for that individual.”

Dr. Fiaz Jaleel graduated from the University of The West Indies in 1987. He completed a two year internship at Port of Spain General Hospital in Trinidad and Tobago. He completed his internship in Internal Medicine at St. Francis Hospital in Evanston, IL and went on to do a residency in Physical Medicine and Rehabilitation at Barnes Jewish Hospital in St. Louis , MO. In 2007, Dr. Jaleel joined the team at Absolute Injury and Pain Physicians as Medical Director. He is currently Board Certified in Physical Medicine and Rehabilitation as well as Pain Medicine via the American Board of Pain Medicine.

In Trinidad and Tobago, Dr. Jaleel held positions as an Intern, House officer, and District Medical Officer. He has also practiced in Illinois, Missouri, South Dakota and Central and North Florida.

While practicing in Trinidad , Dr. Jaleel also worked in Internal Medicine, General Surgery, Pediatrics, Neonatology, Obstetrics and Gynecology, Ear, Nose and Throat Surgery, Ophthalmology, Radiology, Neurosurgery, Plastic Surgery, Orthopedics, Emergency Medicine and Community Medicine.

Dr. Jaleel has encountered many diseases, disorders and clinical situations related to multiple aspects of trauma including penetrating and non-penetrating injuries, motor vehicular accidents and concomitant injuries including intra-abdominal injuries, closed head injuries, fractures and burns.

When not treating his patients, Dr. Jaleel enjoys travelling, reading and spending time with friends and family.

Dr. Jaleel has the following affiliations:
Diplomate, American Board of Physical Medicine and Rehabilitation
Diplomate, American Board of Pain Medicine
Fellow, American Academy of Physical Medicine and Rehabilitation
Member, American Academy of Pain Medicine
Member, Florida Society of Physical Medicine and Rehabilitation
Member, Florida Academy of Pain Medicine
Member, Florida Medical Association

Deric L. D’Agostino, D.C.
Chiropractic Physician

“The health of a body is in direct proportion to the health of its nervous system. The nervous system controls every cell, tissue and organ in your body, tap into that and “miracles” will most certainly happen!”

Dr. Deric D’Agostino attended the Logan College of Chiropractic and has been helping patients at Absolute Injury and Pain Physicians for the past nine years. Around here we call him “Dr. D.”

Dr. D’Agostino specializes in Koren Specific Technique and in the treatment of injuries resulting from motor vehicle accidents. He is a master of his craft and firmly believes that chiropractic treatment can not only help the body but also the mind. His sense of humor and the personal attention that he provides really puts patients at ease.

Dr. D’Agostino genuinely listens to the patient while working very hard to erase their pain-inducing symptoms. He is always seeking out continuing education and new methodology to add to his care repertoire.

When he is not helping patients find relief, Dr. D’Agostino enjoys training for sprint triathlons, gardening, as well as being an awesome father and husband. You will most likely find him at our Arlington location dawning a huge smile while drinking his homemade juice.