Ergonomics 101-Setting Up Your Workstation

Having a well planned, ergonomically designed workstation increases productivity, minimizes repetitive stress injuries, increases employee morale, and increases the bottom line. Since everybody has different tasks and different body types, no one workstation setup is ideal for everyone. There are, however, some basic guidelines that should be abided by when designing a workstation.

Space - There needs to be adequate space for you to comfortably accomplish all tasks required of you. If you're constantly running into others or cannot properly function due to lack of adequate space physical and emotional stress increases while productivity decreases.

Equipment - Having the proper equipment which has been designed for the task at hand is essential. Equipment should be compatible with other equipment and be ergonomically designed to conform to your specific duties. Chairs should move freely in the work area and fit under desks and tables, lighting should fully light all work areas while not reflecting off of monitor screens, and computers and monitors should fit desks properly so screens can be read in comfortable positions and computer discs can be inserted without getting on all fours under the desk.

General Layout - Plan ahead. If you know what tasks you will be performing and what equipment you need, draw a floor plan and include equipment, furniture and accessory placement. Be sure keep those items used most frequently within reach are nearby to minimize strain and twisting. Commonly used equipment and other materials should be within reach from your primary workstation position.

Accessories - Add stackable document holders, have your Rolodex nearby, purchase telephone headsets and any other items which can help to organize your workstation and keep all important and frequently used materials within your reach.

Dr. Stephanie Maj has a thriving family practice in the heart of Chicago. Her clinic is located at 1442 W. Belmont Ave., 1E, Chicago, IL 60657. 773.528.8485.  www.communitychiropractic.net

Ergonomics 101-Proper Telephone Techniques

Probably one of the biggest problems facing my patients with office positions....the dreaded phone-propping (note the picture)!  My hope is to give some pointers on how to manage this tricky task. Remember, headsets are the BEST!! Good luck and enjoy! Dr. Stephanie

Spending prolonged periods of time on the telephone can lead to chronic neck, shoulder and upper back pain disorders. Using the proper techniques and equipment is key in preventing these problems from developing.

Phone Location - The telephone should be located close to the main working area such that it is easily reached without having to twist, bend or overly stretch.

Shoulder Rests - For individuals who like to have their hands free when on the telephone we highly recommend not using a shoulder rest extension on your receiver. This still requires you to cock your head in order to keep the receiver next to the ear. This position places stress on the supporting structures of the neck and can throw the neck out of alignment. Rather, purchase a headset device. They have become plentiful and fairly inexpensive. Note the WRONG phone position in the above photo!

Speaker Phone - Using a speaker phone allows for maximum flexibility to work while talking. However, for some this may not be appropriate such as during times that clarity, volume and professionalism are required. If this is the case, look into purchasing a headset.

Headsets - Headsets are the most versatile telephone utility. They enable you to work uninhibited while on the telephone and keep your body in an ergonomically safe position.

Writing Materials - Be sure to keep a pen and pad of paper near your telephone so messages can be immediately taken without changing position or straining to grab the appropriate materials.

Dr. Stephanie Maj has a thriving family practice in the heart of Chicago. Her clinic is located at 1442 W. Belmont Ave., 1E, Chicago, IL 60657. 773.528.8485.  www.communitychiropractic.net

Ergonomics 101-Adjusting Your Monitor

Maintaining the correct monitor height will prevent many problems with your eyes, neck and upper back. A monitor improperly positioned can irritate neck musculature, alter the normal spinal curves, induce eyestrain and even initiate migraine headaches.

Monitor Distance - The monitor should be located directly in front of the area where you're positioned to view the monitor. The preferred distance from your eyes to the actual screen varies with the size of the monitor and the current resolution settings. A 17 inch monitor should be located no less than 20 inches away. For smaller monitors you may need to be a little closer and for larger monitors a little farther away.

Monitor Settings - In conjunction with setting up the ideal distance between you and your monitor you may additionally need to alter the monitors resolution, contrast and brightness settings. This will allow characters and images to display clearly preventing squinting and eyestrain. The settings will vary depending on the distance you are from the monitor, the background you have on your active screen, the amount and type of lighting at your workstation, and the quality of your vision.

Lighting and Glare - Improperly positioned lighting can also wreak havoc on your ability to comfortably view your monitors display. Solutions include moving your monitor, moving the lighting, closing blinds or curtains, adjusting your monitors brightness setting, installing an anti-glare screen on your monitor, changing your background color to a lighter color, or even taping paper or cardboard along the edges of the monitor to act as a "visor".

Monitor Height - The proper monitor height is vital in preventing gradual neck and upper back strain. The most effective way to determine correct monitor height is to sit correctly in your chair or where ever you view your monitor. Next, close your eyes and position your body and head in a neutral and comfortable position - your spine should be straight and head centered over your shoulders. Then, open your eyes and note at which point your eyes are initially focused on. This area should correlate to the center of your monitors screen or the part of the screen you view most frequently.

Dr. Stephanie Maj has a thriving family practice in the heart of Chicago. Her clinic is located at 1442 W. Belmont Ave., 1E, Chicago, IL 60657. 773.528.8485.  www.communitychiropractic.net

Ergonomics 101-Choosing the Right Chair

Prolonged sitting is a frequent cause of back and neck pain. And while extended periods of sitting are best avoided, for many, it's a fact of life.

When sitting, it's important to keep the back straight, knees bent, and head centered over the shoulders. Slouching forward may be comfortable and allow the spinal muscles to relax but gradually overstretches spinal ligaments, leading to back and neck pain among other problems. We always encourage patients to maintain a "neutral spine" position at all time is ideal.

Seat Backrest - The proper chair has a backrest which slightly inclines backwards. This has the effect of relaxing the spinal musculature and decreasing spinal discal pressure.

Armrests - Armrests provide support for the arms which helps to reduce the work load and stress on the trapezius and shoulder muscles. The armrest height should allow the forearms to comfortably rest while being low enough to go underneath tables or desks in the work area.

Lumbar Support - Having a lumbar support either built into the chair or inserting a portable lumbar support helps to maintain your natural lower back curve. These small supports are quite handy, effective and relatively inexpensive.

Seat Bottom Angle - The seat angle relative to the floor is more of a personal preference than an exact science, as long as a neutral spine can be maintained in comfort. In general, the more the seat bottom tilts forward the more extension of your lower back will occur to keep you in a neutral position.

Seat Height - The height of the seat should be so that it allows you to sit all the way back in the seat while your feet are still able to reach the floor. If they can't and you're stuck with the chair, use a footrest to remedy the problem.

In addition to the suggestions provided above, it's important to:

• Be aware of your posture throughout the day and be sure to maintain a neutral spine -no slouching
• Take mini breaks on a regular basis when in a prolonged position and remember to stretch
• Have the right equipment and tools for working in a prolonged position, use ergonomically designed furniture and keep a lumbar support in your car for "chair crises"

Dr. Stephanie Maj has a thriving family practice in the heart of Chicago. Her clinic is located at 1442 W. Belmont Ave., 1E, Chicago, IL 60657. 773.528.8485.  www.communitychiropractic.net

If I Could Only Adjust ONE Nerve Level.......

Subluxation of the Week:  1C

The first spinal vertebra under the skull is called the Atlas or the first cervical.  The Atlas is a single, 2 oz. doughnut-shaped vertebra at the top of the spine. Trillions of nerve fibers from the brainstem travel through the small opening in atlas and flow down into the spinal column. Because of the smallness of the opening and because of the atlas’ close proximity to the brain stem, if the atlas has moved out of position even a fraction of a degree, very serious things can result.

The atlas (C1), according to our Neuro-Anatomy chart, is involved with providing the primary nerve supply from the control centers in the brain to the head, face, brain, pituitary gland, eyes and ears.   It is commonly found to be an area that is subluxated (misaligned producing abnormal nerve system transmission of information) leading to such common health complaints as headache, migraine, earache, colds/flu and sore throat.

Atlas (C1) subluxation can be caused by physical, chemical, emotional and/or environmental stress or a combination of these stressors beyond the body’s ability to cope.  Common stressors affecting this part of the spine and nervous system include: caffeine withdrawal, alcohol abuse, unmanaged stress, anger, confusion, despair, exhaustion and ergonomic stress like repetitive motion or long periods of inactivity.

Perhaps of greater importance than these local affects of subluxation of 1C, are the global affects of subluxation of this area because this is the one area where the entire spinal cord and brain stem may be affected by spinal misalignment.  This can cause effects throughout the body ranging from remote problems like low back pain to impairment of the immune system of the person.  In fact, research conducted with HIV positive patients found that those adjusted in this exact area enjoyed a 48% improvement in immune system function over time while the non-adjusted group experienced an 8% decrease in immune system function over the same period of time.


Dr. Stephanie Maj has a thriving family practice in the heart of Chicago. Her clinic is located at 1442 W. Belmont Ave., 1E, Chicago, IL 60657. 773.528.8485.  www.communitychiropractic.net

Meet My Starfish!

In my last blog, I used the pictures and video of my time in Haiti and the Dominican Republic to express the richness and desperation of the experience. Today I would like to introduce you to a village I am going to be talking a lot about in the future and that is Phaeton, Haiti.  We were introduced to Phaeton by our guide and friend Elmond Jean.

In future posts, I will start to describe in detail; just suffice it to say that this is a town in need. Upon our arrival, we were greeted by the 50 children that need our help. These children have nothing or close to nothing. They have no resources to attend school (all schools are private in Haiti which means the government does not fund them) so no money, no school. The problem goes much deeper. We found out these children eat 2-3 meals per week, IF THEY ARE LUCKY. When I say lucky it means if Elmond is able to tell their story to people he guides and they donate money for food.

The kicker is that of these 50 kids, 15 of them are flat out orphans: no mom, no dad, living on the streets. There is nowhere for them to go and with all the resources going to the earthquake zone, this small town is in desperation.  To make a long story short, we (Dr. Janice Hughes, Dr. Martha Nessler and myself) have committed to build an orphanage/school/health center to serve this area.

We are making it up as we go along. That being said, the pictures below are of the initial structure. Not too shabby considering we have not even been home a month. We have just begun!

Someone said to me in my office, "There must be 100's of villages like this in Haiti and thousands around the world."  I know his thinking was that how can we make a dent and that feeling of powerlessness that comes with that.  Well, I met those children and they are not going to starve on my watch! I feel like this is a great time to post about the starfish.

Once upon a time, there was a wise man who used to go to the ocean to do his writing. He had a habit of walking on the beach before he began his work.

One day as he was walking along the shore, he looked down the beach and saw a human figure moving like a dancer. He smiled to himself at the thought of someone who would dance to the day, and so, he walked faster to catch up.

As he got closer, he noticed that the figure was that of a young man, and that what he was doing was not dancing at all. The young man was reaching down to the shore, picking up small objects, and throwing them into the ocean.  He came closer still and called out "Good morning! May I ask what it is that you are doing?"

The young man paused, looked up, and replied, "Throwing starfish into the ocean."  "I must ask, then, why are you throwing starfish into the ocean?" asked the somewhat startled wise man.  To this, the young man replied, "The sun is up and the tide is going out. If I don't throw them in, they'll die."

Upon hearing this, the wise man commented, "But, young man, do you not realize that there are miles and miles of beach and there are starfish all along every mile? You can't possibly make a difference!"  At this, the young man bent down, picked up yet another starfish, and threw it into the ocean. As it met the water, he said, "I made a difference to that one!"

This is the intro to a story about the power of the Chiropractor!   I love Chiropractic and that has allowed me to find a passion that I never knew existed. Let the excitement begin....

Dr. Stephanie Maj has a thriving family practice in the heart of Chicago. Her clinic is located at 1442 W. Belmont Ave., 1E, Chicago, IL 60657. 773.528.8485.  www.communitychiropractic.net

Feed Our Souls-Give the Children a Chance for Change in Haiti

I just returned from my third visit to the island of Hispaniola and my first visit to Haiti. My previous trips I focused my service work in the Dominican Republic, in the area surrounding Puerta Plata. This trip took us first into Haiti to visit what will be the home of our orphanage in the town of Phaeton.

I wanted to write an account of our time in Haiti and then changed my mind.  Review the video below. Look at the pictures. Both beauty and devastation all wrapped up together. These children in Phaeton are starving. Well, not on my watch. We (Drs. Janice Hughes, Martha Nessler and myself) have committed to feeding, educating and building an orphanage in this town. Don't worry, you can help. I'll keep you informed on how! Dr. Steph

Dr. Stephanie Maj has a thriving family practice in the heart of Chicago. Her clinic is located at 1442 W. Belmont Ave., 1E, Chicago, IL 60657. 773.528.8485.  www.communitychiropractic.net