Diaphragm dysfunction and its influence on pain

The diaphragm is possibly one of the most important and vital muscles in our system. Recognizing when and how it may be affecting the body is essential to ensure proper functioning of the individual, improve their quality of life and end long-term pain or injuries.

Diaphragm treatment by physiotherapist

What is the diaphragm?

The diaphragm is a dome-shaped muscle that separates the thoracic cavity (lungs and heart) from the abdominal cavity (liver, stomach, intestines, etc.).

Important structures such as the aorta (the main artery in the body), the esophagus, the vena cava and the phrenic nerve (among others) pass through it.

The fundamental role of the diaphragm is breathing:

  • During inhalation it contracts and descends, enlarging the thoracic cavity and creating a vacuum that allows the lungs to expand and air to enter between them.
  • During exhalation relax, reducing the space in the chest cavity and helping to expel air from the lungs.

But The impact of the diaphragm goes beyond breathing:

  • Provides support and mobility to the abdominal viscera: During up and down movements it contributes to visceral motility (the ability of organs to move and function correctly).
  • Maintains posture: It works together with other muscles such as the transverse abdominis, the pelvic floor or the paravertebral muscles, providing stability to the spine and pelvis. It is essential for movement, the musculoskeletal system, injury prevention and improved sports performance.
  • Facilitates circulatory and lymphatic function: It promotes venous return from the extremities to the heart and prevents fluid accumulation, improves lymphatic drainage and, therefore, the elimination of waste substances from the body.
  • Regulates the autonomic nervous system: During deep breathing, its activation stimulates the vagus nerve, which is crucial in regulating the parasympathetic nervous system (responsible for the “relaxation” response). All of this can translate into an improvement in general well-being, through a reduction in stress, heart rate or proper digestion.
  • It participates in phonation and the cough reflex.
  • Participates in defecation, urination and childbirth: Increases intra-abdominal pressure, which is key in these processes.
  • Connects the upper and lower body: Its important fascial and ligamentous connections influence the body mechanics of the limbs with the trunk and vice versa. Therefore, we can say that The diaphragm can have a huge impact on your back or neck pain, even perpetuating chronic chest, shoulder or hip pain.

Can the diaphragm affect your emotional health? Does stress affect the functioning of your diaphragm?

Of course the answer is yes. When a person experiences chronic stress or anxiety, they tend to breathe more superficially, using their chest muscles instead of their diaphragm. This can cause chronic damage to the diaphragm, reducing its mobility and worsening its function. When it becomes rigid and less flexible, the sympathetic nervous system remains active, putting the body on alert. In this way, when the parasympathetic nervous system does not start working through deep and calm breathing, cortisol levels (stress hormone) skyrocket, perpetuating this state of restlessness and discomfort over time and generating changes at the level of mental health.

In such a situation, it is important to consult a health professional and not self-medicate, because it is possible to reverse the symptoms through manual therapy and exercises prescribed for this musculature.

Could your diaphragm be impairing your athletic performance?

The diaphragm, as we have previously mentioned, is a muscle that connects, through its fascial ties, the limbs to the central core. It is inserted through tendon extensions in the lumbar vertebrae and adheres to the ribs and sternum. Therefore, a poor function of the diaphragm can reduce the expansion capacity of the rib cage, limiting the mobility of the limbs or starting from a non-functional posture. This translates into a poor distribution of loads, transmission and application of forces. When applied to sports practice, it means that the subject is not able to move freely, thus losing control and the ability to generate his sporting gesture in an optimal way.

But it doesn't end there, because poor diaphragm function can lead to a lack of efficiency in the respiratory pattern and, therefore, in the exchange of O2 and CO2, thus reducing athletic performance.

If you are a runner The following article may interest youThe diaphragm will allow you to take fewer breaths per minute and feel more energetic, all because you are improving the supply of necessary oxygen to your body.

physiotherapist checking muscles

Is physical therapy a good tool to release the diaphragm and relieve your pain?

Definitely yes. Physiotherapy is a great choice when it comes to improving acute and chronic pain originating from the musculoskeletal system, nervous, fascial and visceral tissue.

At Evolution Physiotherapy Clinic, we use specific manual techniques, breathing exercises and mobilizations in the treatment of the diaphragm, which help improve the respiratory pattern and relieve back, neck and shoulder pain, and even pain radiating to the chest, headaches, digestive or postural problems.

Did you know that the diaphragm can be your best ally to recover from post-vacation stress?

The diaphragm is a key component for physical and mental balance. When you return from vacation, it's time to resume your daily obligations and combat the stress and anxiety that the new school year can generate.

During the summer holidays:

  • Many of our patients stop doing physical activity, move less or have inadequate rest, causing pain in their joints and muscles.
  • Food in terms of quantities, schedules and raw materials is out of control, generating changes in our digestive system that can cause pain, heartburn or poor digestion.
  • We “recharge our batteries,” but as we return to our daily routine, our energy and mental clarity diminish when facing new challenges. This can cause tension headaches or dizziness.

If you want to recover from these and other health problems that may arise when you return to school, there are physiotherapy techniques and breathing exercises to improve diaphragm function and thus combat the signs and symptoms that come with returning to routine activities.

Physiotherapist checking diaphragm position

Physiotherapy Clinic in Alcalá de Henares for the treatment of the diaphragm, improving pain and the patient's quality of life.

Now that you know the importance of the diaphragm muscle in your health, focus on activating it correctly and improving its functionality.

If you suffer from chronic pain that does not improve with any treatment, it may be advisable to check whether this muscle may be related to your injury.

At Evolution Clinic we are specialists in diaphragm surgery and we offer quality treatments for a successful recovery of our patients.

Book an appointment with us and we will try to understand the origin of your pain and the physiotherapy treatment that best suits you.

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