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Anxiety - Wide-Ranging Health Effects

Humans appear to be hard-wired for modest levels of anxiety as a fear-arousal warning mechanism. Anxiety may be characterized as uneasiness, fear, worry, and apprehension. Anxiety is a common psychological state in which the basic message is "get away from this situation". The state is usually accompanied by numerous physiologic components including surges of the hormone adrenaline, increased heart rate and elevated blood pressure, and increased blood flow to the major muscle groups as the body prepares for "fight or flight".

These are all normal responses to environmental threats. The overall process is orchestrated by the amygdala and hippocampus, two regions of the brain's limbic system which process memory, emotional response, and spatial navigation. But for many people, if anxiety states become frequent and prolonged by various developmental circumstances in childhood and their teenage years, they may begin to respond to perceived rather than real threats. The anxiety state may persist and even become the default condition for the individual.

Those with chronic anxiety may experience chronic back pain,1,2 chronic muscular tension, fibromyalgia,3 headaches, chest pain, shortness of breath, and heart palpitations. Chronic anxiety may cause a person to anticipate the worst, to have ongoing feelings of dread, to be constantly irritable and tense, and to experience panic attacks. Eventually the person may become worn out from the constant drain on their inner resources and a likely outcome is depression. The person simply cannot take any more stress.

Chronic anxiety has a specific impact on the musculoskeletal system. Persistently elevated levels of adrenaline create ongoing tension in the postural muscles of the lower back and the weight-bearing, antigravity gluteal muscles, pelvic musculature, and hamstrings. The long-term results may include chronic lower back pain, inflammation of the sciatic nerve, and lumbar disc disease. Of course, any of these health problems create more anxiety for the person, establishing a vicious circle of anxiety, pain, more anxiety, and more pain.

Solutions for chronic anxiety usually require multidisciplinary holsitic approaches. Nutrition, for example, is a key factor in restoring a person's homeostatic mechanisms. Significantly reducing one's intake of simple carbohydrates - soda, muffins, cookies, cake, fast food, and even juice - will often have a substantial impact. Making sure to have five servings of fresh fruits and vegetables every day will also provide great benefit.

Chiropractic care can frequently provide considerable assistance to those with chronic anxiety. By normalizing activity within the musculoskeletal system and reducing muscular stress and tension, chiropractic care helps eliminate an unnecessary source of biochemical and physiologic stress.

1Newcomer KL, et al: Anxiety levels, fear-avoidance beliefs, and disability levels at baseline and at 1 year among subjects with acute and chronic low back pain. Phys Med Rehabil 2(6):514-520, 2010
2Hurley DA, et al: Physiotherapy for sleep disturbance in chronic low back pain: a feasibility randomised controlled trial. BMC Musculoskeletal Disord 11:70, 2010 [11 pages]
3Silverman S, et al: Toward characterization and definition of fibromyalgia severity. BMC Musculoskeletal Disord 11:66, 2010 [9 pages]

Multicare Health Clinic

3930 STADIUM DR
SIOUX CITY, IA 51106
Phone Number: (712) 276-4325

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8:30 am-6:30 pm

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  • "After an accident at work I didn't think I'd ever get relief from my aching shoulder. But, the doctors at Multicare gave me adjustments and physical therapy and now I feel normal again."
    Cliff C.
  • "Not only is my pain level down to zero, but what I'm really thrilled with, is that I have normal feeling in my hands."
    Jill L.
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  • "I'm so glad my sister referred me to Multicare! My elbow hasn't felt this good in a long time. Thanks to the great physical therapy team there."
    Ellen E.
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  • "There couldn't be a better physical therapy team in Siouxland! Not only did my knee feel so much better after six weeks, but I feel like I made new friends."
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  • "I'm a runner. When I wasn't able to run due to leg problems, I was devastated. But a consultation at Multicare Health Clinic identified the problem and after some adjustments, stimulation treatments and therapy, I'm running again!"
    Lisa L.
  • "I wasn't able to use my hand the way I should. After working with Dr. Sneller and the physical therapy team, I can use my hand again."
    Henry H.
  • "After my knee surgery I was asked where I wanted to do my physical therapy, I chose Multicare Health Clinic and I'm so glad I did! Dr. Steve and the therapy assistants (Sara and Megan) are fabulous! They know what they're doing and they all really seemed to care about my recovery. I'm feeling fantastic! I'll definitely go back again whenever I need therapy or adjustments."
    Sheri J.
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  • "After my consultatin with the doctors at Multicare Health Clinic, I understand how to address my balance issues."
    Anna A.
  • "My shoulder and neck feel so much better. I now have the knowledge, motivation, desire and tools to keep up the exercises."
    Barb B.
  • "Being able to present my back pain to three different professions in one place and knowing that they are working together to make me better is very comforting."
    Charlie P.
  • "I wasn't able to use my hand the way I should. After working with Dr. Sneller and the physical therapy team, I can use my hand again."
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  • "I'm now a believer now! I didn't think chiropractic could help my foot problems. But after meeting with Dr. Pistello and Dr. Dave for a few weeks, I'm feeling so much better!"
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