What is “Good Posture?”

Have you ever noticed how many people have terrible posture?  One of the most common faulty postures is called “forward head carriage” or “anterior based occiput.”  Other terms are  “hump back” or slouching. There are several reasons for this common postural fault.  One is the weight of the head is, on average, approximately 10-13 pounds and if it’s positioned too far forwards, the muscles in the upper back and neck tighten up much more than normal, fatigue and become painful. Also, the muscles that attach to the skull have different degrees of strength. They also attach and pull at different angles, contributing to the common forward head carriage posture.  The muscles of the chest are much stronger than those in the mid and upper back and tend to pull our shoulders forward. The following pictures offer a good view of both a faulty posture as well as a “good” posture. Notice the forward shift in the line in the pictures of poor posture and backwards shift in the good posture pictures.

As you can see, the weight of the head is back over the shoulders and the shoulder posture is appropriately positioned back in the image titled “Good Head Posture.”

It is important to understand correcting Forward Head Carriage can take time – in fact, it takes a minimum of 3 month before this becomes an automatic new “habit.”  Of course, it could take longer if you sit in slouchy chairs, soft chairs or wear arch supports.  The great benefit you receive with your care at our office is that forward head posture gets corrected without exercises or any strain on your part.  Your body stands more upright without you having to think about it.

If you, a family member or a friend require care, we sincerely appreciate the trust and confidence shown by choosing our service.  We are proud that chiropractic care has consistently scored the highest level of satisfaction when compared to other forms of health care provision and we look forward in serving you and your family presently and in the future.

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR NECK PAIN! FOR A FREE NO-OBLIGATION CONSULTATION CALL 262-251-8306 OR LOG ON TO: WWW.PAINFREE-GREATPOSTURE.COM

Is Chiropractic Safe for Elderly Patients?

One of the more common concerns that elderly patients have about chiropractic care is…Is it safe?

As we know…it’s not like we get bigger and stronger as we age…although, regular exercise and a healthy lifestyle (and chiropractic care) will help preserve us and slow down the effects of aging.

In any case…most elderly patients are concerned that chiropractic adjustments could harm them, because of the force involved, or the twisting and “cracking”. Heck…I would be concerned too.

But here’s the deal. It’s not only elderly patients that may require special care…it’s every patient. What about children? Does a chiropractor do the same adjustments on them as an adult? What about a patient with whiplash? What about someone that is very sensitive to the touch and has a low pain threshold?

Chiropractic is a philosophy, science, and an art.

The philosophy is based on the premise that nature is perfect and cannot be improved upon. The science is the understanding of the relationship between the nervous system, the spine, and health. When the spine is in alignment the nervous system functions properly and can control and coordinate all body functions as intended. This is when the body is in a state of balance, harmony, or homeostasis. Or as chiropractors like to say…a state of ease.

When the spine is out of alignment it interferes with this process and creates imbalances which can lead to sickness and dis-ease. The art of chiropractic is locating, identifying, and correcting subluxations so that the body can heal itself and restore health and function.

This can be done in hundreds of different ways. As long as the objective and outcome is the correction of subluxations than it is considered chiropractic (in my opinion).

Chiropractic techniques vary and can be used with very small amounts of force. They also can be done without any uncomfortable twisting.  Knowing what chiropractic technique, and what level of force, and what complimentary therapies to use with each patient…especially the elderly patient, is the art of chiropractic.

At our office, we incorporate chiropractic techniques that can be custom tailored to your body. They can be very gentle techniques…or more aggressive techniques when indicated.  Complimentary therapies like cold laser can also be used to effectively reduce pain without any sensation at all.

So I guess the moral of the story is that chiropractic is safe and effective and makes sense for the elderly patient. But chances are…it won’t be the same treatment we do for the 20 year old grandson. There is a chiropractic technique, and level of treatment and intensity for everyone…and applying it is an art…the art of chiropractic.

For more information on us, log on to: www.painfree-greatposture.com

Treatment Alternatives for Fibromyalgia

Fibromyalgia (FM) is a condition that usually affects different organ systems in the body, causing a number of symptoms. Some of these include:

1)      The muscles (the musculoskeletal system): tender, achy, stiff, tight muscles, trigger or tender points all over the body;
2)      The nerves (the nervous system): headaches, light headedness, sleep disruption, depression, anxiety, numbness/tingling (overlaps with the cardiovascular system);
3)      The stomach and intestines (the gastrointestinal system): diarrhea, constipation, irritable bowel, leaky gut, heart burn, lack of appetite, abdominal cramping;
4)      Breathing (the respiratory system): hyperventilation, rapid / shallow breathing patterns;
5)      The heart (the cardiovascular system): racing heart rate – palpitations, feeling cold all the time, numbness/tingling (overlaps with the nervous system);

Because of the multiple systems involved, there are many challenges to managing Fibromyalgia.  Studies suggest a balance between several approaches works best.  Some of these approaches include biomedical treatments, organ-specific treatments, and cognitive interpersonal treatments.  Within these categories, the following can be broken down further:

1)      General – those treatments directed at the whole body such as anti-inflammatory measures.  These include (but are not limited to) medications (corticosteroids, NSAID’s – such as Advil, Aleve) and nutrients (ginger, turmeric, boswellia, Vitamin D, and others).  Other anti-inflammatory measures include diet, such as the Paleo Diet or “caveman diet.”  This diet eliminates grains or flour-based products from the diet.  That means no more breads, pastas, crackers, cookies – anything made with flour.  This approach emphasizes consuming fruits, vegetables, grass-fed lean meats and fish.  The main ingredients in grains that are of concern in the Paleo Diet are gluten and lectins
2)      Central – those treatments directed at the chemical factors in the brain that control mood, depression, anxiety and so on.  These include (but are not limited to) medications (tricyclic antidepressants, muscle relaxers like Cyclobenzaprine, SSRI, SNRI and Trmadol) and certain nutrients (neurotransmitter support such as 5-HTP – tryptophan, DHEA and others).
3)      Psychotherapy and active behavioral therapy – treatments that are supportive of nervous system such as cognitive behavior therapy, aerobic exercise, patient education, multidisciplinary therapy, hypnotherapy, biofeedback, and strength training.
4)      Passive physical intervention – chiropractic therapy, massage therapy and other forms of manual therapy, and acupuncture.

The goal of this article is to look at fibromyalgia from a holistic perspective so that those struggling with FM and similar conditions can better appreciate the concept of multidisciplinary treatment, of which chiropractic care plays a significant role.  Coordination of care and finding the “right” health care providers cannot be over-emphasized.

We recognize the importance of including chiropractic in your treatment planning and realize you have a choice of providers. Chiropractic care can be a life changer for fibromyalgia sufferers, choosing one with experience treating FM is very important.  If you, a friend or family member requires care for FM, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR FIBROMYALGIA! Log on to www.stopyourfibronow.com

Exercises For Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) is a common condition resulting in hand and sometimes neck and arm complaints.  This can include numbness or tingling in the fingers, leading to dexterity problems such as difficulty buttoning clothing or picking up small objects.  There are also issues with strength loss / weakness noticed such as when turning door knobs, opening jars, and even problems with turning the key to start a car. One big problem with CTS is people often wait too long before having it treated thinking it will “…go away” or disappear just like it started.  CTS rarely gets better without some form of treatment and seeing a chiropractor makes perfect sense prior to considering surgical intervention.

So, the question remains, “what can I do for CTS?”  There are several things a CTS sufferer can do to help manage this condition.  Some risk factors such as gender and age cannot be changed but other factors can be changed including taking “mini-breaks” throughout the work day and/or work station modifications, managing weight as obesity (defined as a BMI >30 and a waist size >35” for women and >40” for men), wearing a wrist splint, as well as performing exercises to stretch the wrist area.

A study out of the University of Oklahoma reported 2 out of 3 patients with mild to moderate CTS avoided surgery by performing specific exercises.  The concept of a 5-minute warm-up stretch each day before starting the workday is similar to a runner stretching before a run to prevent injury.

Step A:  Extend and stretch both wrists and fingers acutely as if they are in a standing push-up position. Hold for a count of 5.
Step B:  Straighten both wrists and relax fingers.
Step C:  Make a tight fist with both hands.
Step D:  Then, bend both wrists down while keeping the fist. Hold for a count of 5.
Step E:  Straighten both wrists and relax fingers, for a count of 5.
Step F:  Then, let your arms hang loosely at the side and shake them for a few seconds.

This exercise should be repeated 10 times and can be repeated several times a day.

Chiropractic is a perfect choice when considering a health care provider for the treatment of CTS as these exercises can easily be taught to you at our office.  In addition, many other non-surgical treatment options for CTS are available.

We realize you have a choice in who you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend or family member require care for CTS, we would be honored to render our services.

YOU MAY BE A CANDIDATE FOR NON_SURGICAL TREATMENT FOR CARPAL TUNNEL SYNDROME!  Log on to www.relieffromcarpaltunnel.com

Can Car Accidents Cause Fibromyalgia?

Fibromyalgia is one of those diagnoses that is pretty loose.  The name itself doesn’t mean much.  Fibromyalgia translated into English means muscle pain.  So if you have aches and pains all over, your doctor may tell you, “you have fibromyalgia.”

There is a diagnostic criteria that has been developed that says if you have 11 of 18 common tender points, you have fibromyalgia.  The problem is, you can have 11 of those points become tender for a variety of different reasons.  So fibromyalgia may not be the most accurate diagnosis.

This brings me to my point about car accidents and fibromyalgia.  Neck injuries sustained during car accidents can cause pain in the muscles all through the body.  It effects mainly the neck, but you can get pain in the back, arms, head and legs.  The pain can travel from day to day and it can vary in intensity.  If the injuries from the car wreck are not treated properly, they can lead to a lifetime of pain.(1)

Typically these neck injuries are called whiplash.  But that diagnosis is only made during the first few months after the injury.  This is because many doctors have been trained to think that whiplash will heal itself within a few months after the injury.  This idea is totally false according to the vast majority of scientific medical evidence.

So, you may show up at a doctors office years after your injury, telling him/her that you have pain that started after the crash.  Over the years it may have gotten progressively worse.  The doctor will diagnose you as having fibromyalgia, because there is no diagnosis code for chronic whiplash.  Even if there was, he/she wouldn’t look at it that way, because of their training.

In my experience, in successfully treating fibromyalgia, a minimum of 2 out of 3 cases have been whiplashed.  It could be from a car wreck, a fall or even a sports injury.

To find out more about how I treat fibromyalgia log on to: www.stopyourfibronow.com
For more information regarding car accident injury treatment, go to: www.thechiropracticimpactreport.com.

(1) “The Fluctuation in Recovery Following Whiplash Injury”, Injury, Volume 36, Issue 6, June 2005, pages 758-761

Whiplash & Chiropractic Treatment

The term ‘whiplash’ represents a collection of symptoms that occur as a result of a soft tissue injury of the neck.  This includes over stretching and/or tearing of muscles, tendons, ligaments, disk tissue and/or nerve injuries due to the extreme movements that occur during a whiplash event (usually arising from a car accident).  We have discussed the mechanism of injury and the symptom complex that can arise in past articles.

So the question is – how many patients who sustain a whiplash injury actually improve and recover compared to those that don’t? In one study, it was stated that 43% of patients will suffer long-term symptoms after a whiplash type of injury. More specifically, if a patient is still symptomatic after 3 months following the injury, “…then there is almost a 90% chance that they will remain so.”  They go on to state that no conventional treatment has proven to be effective in helping these chronic cases.  The purpose of their study was to determine the effectiveness of chiropractic treatment in a group of chronic whiplash patients.  To do this, they studied 28 patients (20 women and 8 men, between ages 19-66, mean 39) over a 2-year time frame, injured in motor vehicle collisions. Their symptom severity was graded on an A to D scale (A=minimal symptoms vs. D=disabling symptoms, with B= nuisance and C=Intrusive or partially disabling). Those in Groups C & D either had to significantly modify their work or, they lost their jobs and relied on continual use of medications.  The chiropractic treatment included spinal manipulation (adjustments), controlled resistance of muscles to improve stability and coordination, and the use of ice.  Treatment from an emergency facility and/or their general practitioner and physical therapy had been previously utilized for on average 15.5 months, before entering this chiropractic-based study.  Initially, 27 of the 28 were classified into symptom groups C or D and symptoms included neck pain (82%), neck stiffness (36%), and other complaints of headache, shoulder, arm and back pain. Following treatment 26 of the 28 (93%) improved, 16 by one symptom group and 10 by two symptom groups and this degree of improvement was assessed and agreed upon by both an orthopedic surgeon as well as by a chiropractor.  Seventeen (61%) improved to a point of satisfaction where care was discontinued after the 1st assessment with 4 of the 17 considering return for treatment due to a return of symptoms.  Litigation was still pending in 20 of the 28 cases at the time the study concluded.

This study is very important as over 90% of chronic whiplash cases improved from chiropractic management well beyond the point of improvement obtained through standard emergency, family practice and physical therapy.  Other studies have pointed out that early intervention or treatment with chiropractic manipulation and management approaches generally results in a more favorable response compared to waiting for longer time periods. To be able to obtain this level of success after an average of 15.5 months is truly remarkable!

Chiropractic methods often utilized for patients with a “whiplash” injury include spinal manipulation (or adjustments), mobilization techniques (this includes stretching, figure 8 movements, manual traction), muscle release work (this includes trigger point therapy, myofascial release/friction massage, and others), and promoting self-help approaches (this includes exercise, home traction methods, computer station modifications and other job modifications as indicated, and others).

We realize you have a choice in where you choose for your healthcare services.  If you, a friend or family member requires care for whiplash, chiropractic care is a logical first choice and we would be honored to offer our services.

For more information on these types of injuries, log on to www.chiropracticimpactreport.com

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE
FOR A FREE NO-OBLIGATION CONSULTATION CALL 262-251-8306

Fibromyalgia – Does This Sounds Familiar?

“I am exhausted and hurt all over.  I can’t get to sleep at night and when I do, I wake up at the drop of a dime.  I went to my doctor and they ran some blood tests and took some x-rays and said that nothing was wrong.  I just don’t know what is wrong or what to do about it.”

This is a classic history obtained from a patient suffering from fibromyalgia or FM.  Because the onset of fibromyalgia is slow and gradual, it is common for patients to postpone visiting their health care provider until the symptoms are quite significant. The diagnosis may also be delayed as many healthcare providers do not feel fibromyalgia is a legitimate medical condition and minimize the symptoms frequently categorizing them as “depressed,” which postpones an appropriate diagnosis and treatment.

The classic definition as defined by the American College of Rheumatology includes at least a three-month duration of symptoms with the presence of 11 out of 18 potential tender points although diffuse, widespread pain not necessarily restricted to these exact locations may also represent an appropriate diagnostic finding in fibromyalgia.

Fibromyalgia is more common in females and affects approximately 2% of the population in the United States. The risk of developing fibromyalgia increases with age, usually developing during early and middle adulthood but can also develop in children and older adults. Other risk factors include a positive family history where one may be more likely to develop FM if a relative suffers with the same condition.

A major risk factor of developing fibromyalgia includes is disturbed sleep pattern and this remains controversial as to whether sleeping disorders are a direct cause or simply the result of fibromyalgia. However, in either case, people with FM cannot obtain deep “restorative” sleep and feel fatigued and tired upon waking in the morning. Sleep disorders including sleep apnea and restless leg syndrome are often present in patients with fibromyalgia.

Certain conditions such as rheumatoid arthritis, irritable bowel syndrome, hypothyroid, and other endocrine/hormonal conditions may preceded the onset of fibromyalgia in which case the condition is considered “secondary fibromyalgia.” Hence, a diagnostic evaluation usually includes a blood test for hypothyroid, autoimmune diseases such as rheumatoid arthritis, and a complete blood count to rule out infections and/or anemia. In most cases, these tests prove negative and the diagnosis is made by excluding other possible primary conditions.

Other causes can include physical and/or emotional trauma where a high-level of stress can trigger this condition. Although experts still debate why patients with fibromyalgia hurt so intensely, the current explanation centers around a theory called central sensitization. This is essentially a lower pain threshold where patients with FM feel pain much sooner than those without it because of increased sensitivity in the brain and/or spinal cord to incoming pain signals.

Treatment of FM relies on a multidiscipline, multifactorial approach including stress reduction, obtaining enough sleep, exercising regularly, pacing yourself, and maintaining a healthy lifestyle, including diet and exercise. Other highly effective treatments, according to the Mayo Clinic website, include chiropractic treatment, massage therapy, and/or acupuncture. The concepts of chiropractic treatment includes restoring movement in restricted spinal joints resulting in improved nerve function and subsequently, improved overall function and reduced pain. Chiropractic care also includes cold laser, nutritional counseling and patient education. We recognize the importance of including chiropractic in your treatment of FM and realize you have a choice of providers. We would be honored to be part of your management team.

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR FIBROMYALGIA! FOR A FREE NO-OBLIGATION CONSULTATION CALL 262-251-8306

Carpal Tunnel Syndrome (CTS) – Can It Be Prevented?

Carpal Tunnel Syndrome or CTS is a very common problem affecting many workers and is one of the most costly conditions afflicting today’s workforce.  It is most often caused by repetitive activity using rapid movements of the arms and hands and can lead to work loss and disability when not properly managed.  CTS occurs when the median nerve that travels through the carpal tunnel (CT) located on the palm side of the wrist becomes pinched by the swelling of the 9 tendons that also travel through the CT and essentially, pinch the nerve up against the transverse carpal ligament.  This results in numbness, tingling and/or pain of the index, middle and forth fingers.

Other symptoms include sleep interruptions where shaking and flicking of the fingers is required to allow for a return to sleep.  This is frequently caused by sleeping with the wrist in a cocked position, increasing the pressure inside the already swollen carpal tunnel.  This is why a cock-up wrist splint usually helps as it disallows the wrist from bending to the extremes and the nerve is not pressured or pinched as much.  Other symptoms include weakness of the grip, making it a challenge to unscrew a jar, open a door, and even sometimes turn the key when starting a car.  Driving can also be affected as the hands often fall asleep while holding onto a steering wheel.

Pain can also affect the rest of the arm and sometimes the neck area.  The median nerve can also be pinched in more than one place and may include the neck, shoulder, elbow as well as the wrist making it necessary to have all the areas treated for a satisfying result.

People at greatest risk are women > men, workers who handle small tools, computer workers, fast repetitive line workers, and people older than 40 years of age.  People with other health conditions including rheumatoid arthritis, Lymes disease, rubella, pregnancy, birth control pill use, diabetes mellitus and menopause are at an increased risk of developing CTS.  Certain foods such as caffeine, tobacco, and/or alcohol may also contribute to CTS.

Though treatment is very important –the sooner the better- prevention is most important.  In fact, some simple approaches can make a big difference!  Some of these include modifying the position of a computer chair, keyboard, monitor, or mouse (work station modifications), alternate between different tasks to reduce the repetition of work, stretch your forearms and fingers before, during and after work, and treat any underlying conditions.  When symptoms first occur, these recommendations, as well as wearing a night wrist cock-up splint and seeing your chiropractor, will often reverse the condition without difficulty.  If you wait too long and nerve damage occurs, it becomes a more challenging process to manage CTS and at times, even surgery will not be very helpful.

Some of the non-surgical treatment approaches you might expect from your chiropractor include joint manipulation and/or mobilization applied to the neck, wrist, elbow and/or shoulder, the application of physical therapy modalities such as ultrasound, electrical stim, and/or low level laser therapy (“light” therapy), as well as the use of wrist splints.

The University of Maryland Medical Center cites two research articles on chiropractic treatment for CTS. They report good results are usually obtained and that these good results continued for at least 6 months after treatment ended.  The same reference also recommends nutrition and supplements in the management of CTS.  Some of these include: eliminate food allergens (often milk, cheese, eggs, ice cream, glutens/wheat-grains, soy, corn, and preservatives) and eating foods high in B-vitamins (dark leafy greens like spinach, kale, and sea vegetables), anti-oxidants (fruits – blueberries, cherries, tomatoes; vegetables – squash, bell peppers),  avoiding refined foods, using olive oil and adding omega 3 fatty acids to the diet (fish oil).  Other vitamins including a multivitamin, B complex, Vit. C, alpha-lipoic acid, MSM, resveratrol, Vit. D, Co-Q10, magnesium can also really help.

We realize that you have a choice in where you choose for your healthcare services.  If you, a friend or family member requires care for CTS, chiropractic care is a logical first choice and we would be honored to offer our services to you.

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR CARPAL TUNNEL SYNDROME!  FOR A FREE NO-OBLIGATION CONSULTATION CALL 262-251-8306

Carpal Tunnel Syndrome (CTS): Management Strategies

Many patients ask whether I treat conditions like carpal tunnel syndrome.   Usually they are surprised to learn that chiropractic approaches are very effective for this condition.

Interestingly, it is the rule rather than the exception that carpal tunnel syndrome is accompanied with other conditions also caused by repetitive types of activities like work or hobbies.  Therefore, a very important treatment strategy is educating the patient about the causes of CTS.  Overuse and fatigue typically precedes the onset of carpal tunnel syndrome.

Other types of conditions affecting the upper extremity such as tennis elbow, shoulder bursitis, and neck pain are often present with the CTS.  Once all the conditions are identified, the next important aspect in the treatment process is gaining an understanding of the patient’s work or hobbies. A successful outcome is dependent on identifying faulty workstations and modifying the work environment so that repetitive forces in awkward positions can be corrected.  This is important because the most effective treatment approach can be made totally ineffective by a faulty workstation.

To find out more about how I treat carpal tunnel syndrome, log on to www.relieffromcarpaltunnel.com

What Is Fibromyalgia and Can Doctors Agree On the Diagnosis?

Fibromyalgia (FM) has long been considered a condition involving the soft tissues of the body, that is, the muscles, ligaments and tendons. It is defined as “a chronic, generalized pain condition associated with symptoms of fatigue, stiffness, and sleep disturbance and is characterized by the physical findings of local tenderness in many specific but widely dispersed sites. Fibromyalgia is the most common cause of widespread pain. The prevalence of this disorder in the general population is between 3% and 5%… Most patients with fibromyalgia remain symptomatic for several years, and no cure has been identified.”  Disturbances in the central nervous system (CNS) has also been linked to this condition.

In one study, 168 FM patients had the CNS evaluated by hearing tests, eye movement tests, and a test that evaluates balance/dizziness.  Abnormal findings were common in the FM patient group compared to non-FM subjects. Another study utilized an electrical current treatment approach through the skull to stimulate part of the brain to see if that would help a group of patients with FM. Two different parts of the brain were stimulated as well as a sham or fake treatment approach.  One of two parts of the brain that was stimulated resulted in reductions of pain that lasted for three weeks and mild improvements in quality of life were reported.

Comparing 287 general practitioners (GPs), 160 orthopedists, 160 physiatrists, and 160 rheumatologists, evaluating a patient injured in a motor vehicle crash, those most likely to diagnose FM were rheumatologists (83%) with physiatrists and GPs in the middle at 60% and 71%, respectively.  Orthopedists were least likely at 29%. There were five factors found to be important in the respondent’s agreement or disagreement with the FM diagnosis:

1. The number of FM cases diagnosed weekly by the respondent (strong predictor).

2. The patient’s gender (females > males was a strong predictor).

3. The force of the initial impact (least important).

4. The patient’s psychiatric history before the trauma (more important).

5. The initial injury severity (least important).

This information is important as the shift from considering fibromyalgia to be strictly a condition of the muscles and other soft tissues to being a condition of the central nervous system will affect our future treatment strategies.  Obtaining multiple opinions from various types of practitioners will most likely result in a variety of opinions. Treatment options utilizing chiropractic, exercise, and strategies to facilitate sleep have been shown to be very effective.

YOU MAYBE A CANDIDATE FOR DRUG-FREE RELIEF!

LOG ONTO www.stopyourfibronow.com for more information.