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The Missing Link Of The CrossFit Athlete: Treatment
Advanced Back and Neck Care • May 4, 2017

By Lindsey Mathews of breakingmuscle.com

As a chiropractor in Los Angeles, California, specializing in biomechanics of the body, balancing the musculoskeletal system, and integrating functional neurology training, the number of patients I’ve seen from the CrossFit world has more than tripled.

At first, I thought “What the heck is this CrossFit thing? And why are all these Crossfitters hurt?” As my relationship with CrossFit developed, I began to understand what was happening.

Like many athletes, CrossFitters have developed outstanding training programs for themselves. They are willing to train weaknesses and devote time to skill work. They are exceptional workhorses, taking on large training volumes. In addition, the most incredible aspect of a typical CrossFitters’ routine is their relentless attention to nutrition. In a world that does not encourage eating clean, I must tip my cap to these diligent folks. In my opinion, however, these remarkable routines are missing an integral part. The part I’m talking about, of course, is treatment or care of a CrossFitter’s body.

In general, the CrossFit population seems to be willing to eat like a saint, train like an animal, and make lots of sacrifices in the name of performance. When it comes to treatment and maintenance, however, it seems to take the extremes of a catastrophic injury to get these folks to see a chiropractor, physical therapist, etc.

CrossFit is the sport of fitness. It is built and programmed around variance, functional movements, and intensity. CrossFit trains the body to function optimally as a unit and efficiency is king. This means the nervous system must be performing flawlessly so the muscles respond properly. Your body is a complex integrated system of beauty that instinctively repairs or adapts itself. When one area of your body becomes injured or shuts down, everything in your body compensates for that injury. Not to mention, these breakdowns make the body less efficient.

Our brain is the master control unit for our whole bodies. The brain sends out signals to the rest of our body via the central and peripheral nervous system. Our vertebrae protect our spinal cord and the nerves exiting the spinal cord. With everyday life, training, trauma, and other activities, our vertebrae can become subluxated and/or restricted. This in turn puts stress on the immediate surrounding nerves and indirectly affects the innervation of muscles and organs down a particular nerve pattern. This added pressure could cost your body efficiency and reaction time. Fractions of a second are huge in an athlete’s world and could mean the difference between a gold or silver medal, a sub three minute Fran, or a blocked shot in the NBA finals.

My point is this: great athletes take care of their bodies. If you want longevity in your sport and to perform at your optimal level, you have got to take care of your body. This means you need chiropractic care, soft tissue care, and sleep on top of training and nutrition. Jerry Rice, for example, credits chiropractic care for keeping him in the game with the 49ers from 1985-2000. Derrick Rose of the Chicago Bulls recently credited chiropractic to getting him back on the court due to a back injury. Tiger Woods, Aaron Rogers, Lance Armstrong, and Michael Jordan all utilize chiropractic care before and after a performance.

Athletes are the greatest compensators. For example, when an athlete’s pecs muscle becomes too tight, this will rotate the whole shoulder complex internally and shut down the activation of the scapula along the rib cage. In turn, the rotator cuff muscles, which are designed for specificity, will increase their work output along with the traps and other associated neck muscles. An athlete will keep performing until something breaks down or he/she feels pain.

Yes, exercise is taking care of your body, but you also need to address the muscles, nerves, and joints that are used during movements. You need to take care of the machine that keeps you moving. When your body is not balanced and/or muscles are not firing correctly, this predisposes you to not only a poor performance but injury as well.

Think about your car. You get the oil changed and tires rotated regularly. Why would you not take similar care of your body also? Chiropractic care ensures that your body is balanced, vertebrae are aligned, and muscles are firing correctly, so that you can function optimally on and off the field.

For my athletes that are injury free, I recommend chiropractic once a week, a massage every two weeks, staying on top of their hydration, and sleep often for recovery. Massage helps to normalize the intramuscular gradient by decreasing inflammation and swelling. Muscle work can also help to maintain range of motion. Hydration is key both before and after a workout. Sleep is the optimal environment for growth hormones to do their jobs.

Complete the circle: train hard, eat clean, and get treatment on your body. Keep yourself in the game as long as possible … get adequate amounts of sleep, and by all means, get yourself to a chiropractor.

January 31, 2025
Originally posted on January 30,2023, this article has been updated on August 24, 2024 to reflect the latest research and statistics. Our editorial team has ensured you’re viewing the most current data on this topic. Need help or have a question? Email us.
September 23, 2024
Ozempic use often leads to the loss of more muscle than fat Bones can become less dense with rapid weight loss Exercising and eating more protein can help combat bone loss
August 7, 2024
Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMPXylitol and Erythritol are commonly used by those wanting to lose weight or who are diabetic. Many people use artificial, low-calorie sweeteners to reduce their sugar intake. It's found in chewing gum, toothpaste, sugar-free candy, baked goods, and more. According to a June 2024 study, high levels of xylitol and erythritol, sugar alcohols and low-calorie sweeteners used in many foods and products, has been associated with an increased risk of a major cardiovascular event, like a heart attack or stroke and death. The researchers in this study analyzed how xylitol impacts heart health in over 3,000 patients in the U.S. and Europe. The team of researchers, led by Dr. Stanley Hazen at the Cleveland Clinic and published in European Heart Journal on June 6, 2024 showed that having the highest blood levels of xylitol is linked with a 57% increased risk of a major cardiovascular event compared with lower levels. The Reason Why Xylitol and Erythritol May Pose a Cardiovascular Risk? Blood components called platelets help blood to clot. The researchers found that both erythritol and xylitol made platelets more sensitive to blood clotting signals. . Additionally, taking a single 30-gram dose of xylitol increases blood levels 1000-fold within 30 minutes – this increase can stimulate blood clotting, which is concerning for people with existing heart disease. These results suggest that consuming erythritol and xylitol can increase blood clot formation. This, in turn, could increase the risk of heart attack or stroke. What Products Commonly Include Erythritol and Xylitol? Chewing gum Candy Ice Cream Breath mints Some Dietary supplements Mouthwash Toothpaste Sugar-Free Desserts Liquid compounded medications Commercially produced: Baked goods, beverages, candies, chewing gums, chocolates, tabletop sweetener packets, ice cream, puddings, jams and jellies, fruit preparations, biscuits, and sauces Dr. Grisanti's Comments For now, I recommend being cautious using products with xylitol and erythritol in it, – particularly those with cardiovascular risk factors. Although some people will say the research may be flawed, I have to wonder if the people against this new study have an agenda that places the public at risk. All in all, I say why take the risk. I prefer to err on the side of caution and simply stop consuming food items that have erythritol and xylitol in it. Using xylitol and erythritol in the small amounts typically found in chewing gum, toothpastes, and mouth rinses seems to be safe. But using it in very high doses and long-term isn't a good idea. It does not mean throw out your toothpaste if it has xylitol in it, but we should be aware that consumption of a product containing high levels could increase the risk of blood clot-related events. If you're looking for a sweet treat, the only sweeteners I stand behind are organic, 100 percent stevia or monk fruit extracts. Remember simply read the labels of the items you eat or drink if you want to know if xylitol and erythritol has been added. --------- ATTENTION DOCTORS, ALL HEALTHCARE PRACTITIONERS, PATIENTS and POTENTIAL NEW PATIENTS If you found this article of value may I ask if you can tell your friends and colleagues about Clinical Rounds. This is a great introduction to the field of functional medicine as well as having the opportunity to stay current on the latest medical news on a variety of important health issues. Here is the webpage to subscribe: http://www.clinicalrounds.com References: https://www.nih.gov/news-events/nih-research-matters/xylitol-may-affect-cardiovascular-health https://www.nbcnews.com/health/heart-health/xylitol-linked-increased-heart-risk-reconsider-sugar-substitutes-rcna155688 https://www.nhlbi.nih.gov/news/2024/common-sweetener-linked-potential-cardiovascular-risks https://academic.oup.com/eurheartj/article/45/27/2439/7683453 https://www.washingtonpost.com/wellness/2024/06/06/xylitol-sugar-artificial-sweetener-heart/ https://www.nih.gov/news-events/nih-research-matters/erythritol-cardiovascular-events https://www.nature.com/articles/s41591-023-02223-9 https://academic.oup.com/eurheartj/article/45/27/2439/7683453 https://academic.oup.com/eurheartj/article/45/27/2439/7683453 ** Always consult with a physician or healthcare practitioner with significant integrative or functional medicine training before starting any of the above recommendations. You can find a qualified and certified functional medicine practitioner by going to: www.FunctionalMedicineDoctors.com The information on this website is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. It is intended as a sharing of knowledge and information from the research and experience of Dr. Grisanti and his functional medicine community. Dr. Grisanti encourages you to make your own health care decisions based upon your research and in partnership with a qualified health care professional. Visit www.FunctionalMedicineUniversity.com for more information on our training in functional medicine. Look for practitioners who have successfully completed the Functional Medicine University's Certification Program (CFMP) www.functionalmedicinedoctors.com . This content may be copied in full, with copyright, contact, creation and information intact, without specific permission, when used only in a not-for-profit format. If any other use is desired, permission in writing from Dr. Grisanti is required
May 1, 2024
https://www.functionalmedicineuniversity.com/public/2017.cfm ** Feel free to use this article on your website. and have it linked back to www.FunctionalMedicineUniversity.com ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds . This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
April 17, 2024
https://www.functionalmedicineuniversity.com/public/2012.cfm ** Feel free to use this article on your website. Compliments from Functional Medicine University . ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm View Rick Bramos Fitness YouTube Channel https://www.youtube.com/channel/UC_x4I27Z0DfYkfcroXxAhcA/videos Here is Rick's New Video of the Week: https://youtu.be/Pk9FeTKlufU Rick is now offering phone consultations for those wanting to lose weight or simply to improve their fitness. Rick can be reached at 2days2fitness@gmail.com for more details. ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds . This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
April 3, 2024
https://www.functionalmedicineuniversity.com/public/2006.cfm ** Feel free to use this article on your website. All I ask is to add at the bottom of the article: Compliments from Functional Medicine University and have it linked back to www.FunctionalMedicineUniversity.com ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm ===================== View Rick Bramos Fitness YouTube Channel https://www.youtube.com/channel/UC_x4I27Z0DfYkfcroXxAhcA/videos Here is Rick's New Video of the Week: https://youtu.be/Pk9FeTKlufU Rick is now offering phone consultations for those wanting to lose weight or simply to improve their fitness. Rick can be reached at 2days2fitness@gmail.com for more details. ===================== ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds . This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
By Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMP March 13, 2024
https://www.functionalmedicineuniversity.com/public/2000.cfm ** Feel free to use this article on your website. Compliments from Functional Medicine University . ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm ===================== View Rick Bramos Fitness YouTube Channel https://www.youtube.com/channel/UC_x4I27Z0DfYkfcroXxAhcA/videos Here is Rick's New Video of the Week: https://www.youtube.com/watch?v=W__EwtXJkyY Rick is now offering phone consultations for those wanting to lose weight or simply to improve their fitness. Rick can be reached at 2days2fitness@gmail.com for more details. ===================== ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds. This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
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