National Chiropractic Month

October is National Chiropractic Month. This is particularly relevant for restaurant workers who are at higher risk of injury due to the nature of rotating shifts with late or evening schedules, and the manual labor often associated with restaurant work.

Back and shoulder pain are some of the most prevalent and disabling conditions throughout the world. Some common issues contributing to pain include tendon-related injuries (tendonitis and bursitis) affecting the shoulder, muscle strains, and herniated or ruptured disks affecting the back.

Tips for Avoiding Back and Shoulder Pain:

  • Do not let servers and bussers overload trays or carry too much at one time.
  • Instruct servers to carry loads over their shoulder to ensure they are carrying the weight as close to the axis of their spine as possible, and alternate shoulder use throughout their shift.
  • Stay physically active and strengthen abdominal muscles to help support the back.
  • Maintain a healthy body weight. Weight adds compression to the spine, contributing to back pain.
  • Avoid smoking as it contributes to the constriction of blood flow, which is essential for injured tissue repair.
  • Bend and lift at your knees rather than using your back.

Exercises for Treating Back or Shoulder Pain:

  • Lying on your back, bend your knees with your feet flat on the floor. Pull your abdominal muscles up and in, flattening your back to the floor. Raise one knee toward the chest, holding the position for several seconds. Lower your leg to the starting position and repeat with the opposite knee.
  • Lying on your back, raise one knee toward your chest, then straighten and hold for several seconds. Slowly lower the leg to the starting position and repeat with the opposite leg.
  • In a standing position, lean over and relax your arm. Rotate the arm in a circular motion, beginning with small circles, then bigger ones. Repeat 5 to 10 times a day. Stop if you have pain.

Back and shoulder pain are the most common reasons individuals are prescribed opioid medications, which remain a top public health concern due to the overuse and abuse of these drugs. It is important to understand that spinal manipulation and other conservative approaches can treat musculoskeletal conditions safely and effectively.

If you have questions about pain relief, contact a chiropractic specialist or your primary care physician. Your health plan may include benefits to cover these services.



Chief Medical Officer

Brought to you by HMAA, where we’re passionate about your health. To find out more about HMAA’s health plans, visit or contact our Customer Service Center. For information about our menu of wellness services, please contact Naomi Azama at (808) 791-7607 or


Related Posts

November 2022 Vice Chairman’s Message

November 2022 Vice Chairman’s Message

For all restaurants, it has been a rocky nearly three years of sailing in the dark COVID ocean. Fortunately, we are close to getting out of it. This pandemic has brought us separation, grief, and financial despair. But Hawaii is strong, we see examples of courage,...

Honolulu Outdoor Dining Program

Honolulu Outdoor Dining Program

In a move to support our local restaurants as we continue down the long road to economic recovery, the City and County of Honolulu has put the City's previously temporary sidewalk dining program into law in Ord. 22-19 (Bill 27 (2022), CD2), which is the City's outdoor...

September 2022 Executive Director’s Message

September 2022 Executive Director’s Message

I would like to take this moment to share with you, our valued members, all the activities the Hawaii Restaurant Association has been working on for October 2022.  To assist our member’s businesses in staffing up for the holidays, HRA has organized a FREE Hiring Event...