Category Archives: Chiropractic

The Long Term Solution to Pain

To a clinician, there are a variety of reasons that the public comes knocking.  As a chiropractic physician, the overwhelming reason for that initial visit boils down to the presence of pain.  Pain is the problem and people come to us looking for a solution.  Sure, chiropractors are in the healthcare field and many have opened their own practices but the bottom line is that we are in the solutions business and to be successful you must give the people what they want.

Now, treating pain naturally is a chiropractor’s specialty.  The use of various soft tissue techniques, cold laser or e-stem, and of course the adjustment all can work wonders in alleviating pain.  However, many times the pain returns after the initial relief from treatment.  The reason for this is that the underlying cause of pain was never addressed.  This is where the profession and healthcare as a whole falls short.

When someone presents with a symptom such as pain, the goal of both the practitioner and patient is to get out of that pain.  However, pain alleviation should be just phase one of the treatment progression.   Throwing a treatment at pain, whether it be an adjustment or drug, is nothing more than symptom care at its best.  Granted, the all-natural former comes with virtually no negative side effects but the application of both by their lonesome remains the same.  This is “sick” or “symptom care” that usually leaves the pour soul dependent on treatments due to ignorance, greed, laziness or a combination of all three by the practitioner.

This is one of the main reasons that chiropractors are looked at in a negative light, as the constant need for treatment has many proclaiming, “that once you go to a chiropractor you need to go forever.”  On the same level, it is the reason people pop NSAIDs or prescription pain killers like daily vitamins (yet it seems there is less discontent in resigning to the latter).

It must be pointed out here that it truly does take two to tango in these situations.  The reason NSAID sales, prescription drugs and non-stop palliative chiropractic treatments even exist is because there is a market for it.  It is not just the practitioner who is lazy or ignorant.  Breaking the pain-treatment cycle takes more time and effort and thus many on both sides of the equation do not want to be put out.

The proper way to approach any health issue, whether it be pain or any other symptom, is to take it a step further and find the break down in function.  Symptoms such as pain are helpful signs from our body letting us know that something is wrong.  Somewhere along the line a breakdown in optimal function has occurred and because of that, symptoms of that breakdown are now outwardly manifesting themselves to the point that we have the pleasure of meeting and working together.

For the sake of this discussion, we will stay focused on pain and take it one step further to the chiropractor’s traditional forte: back pain.  Back pain continues to be one of the most debilitating conditions in this country and if the current trends continue, the majority of us will unfortunately fall victim to chronic back pain at some time or another.

Well, this is your wake up call.  You don’t need to be another statistic.  Just because something is deemed “the norm” due to the majority of the population succumbing to it, doesn’t make it right.  You can free yourself from the back pain sentence if you work with a well-trained healthcare professional to identify its cause and do what you can to properly heal and prevent it in the future.

As we stated, pain is a symptom that manifests due to an underlying breakdown in function.  Outside of trauma, back pain in this country is largely a result of our culture of desk jobs, prolonged sitting and poor posture.  What happens is our anterior muscles become tightened and shortened due to us always leaning forward.  This leaves our posterior muscles (think glutes, hamstrings, spinal muscles, etc.) lengthened and weakened.  The problem here is that it is these muscles of the posterior chain that are designed to move us efficiently through the world.

Somewhere along the way in our world of laptops and long hours seated we have picked up a new hunched forward posture and thus a new movement pattern.  Just like with anything else, we eventually adapt to this new mode of operation even though it is not the most efficient for our bodies.  The result is an eventual structural breakdown in the form of disc herniations, osteoarthritis, muscle strains and inflammation.

So how do we tie this all together?  Well, obviously the pain needs to be addressed.  It is the reason treatment was sought in the first place.  Once the pain is alleviated, it needs to be understood that this pain was not just a random, inevitable occurrence.  It occurred for a reason and many times it was due to these faulty movement patterns and a breakdown in proper function as we described.

At this point, it takes extra effort and commitment by both patient and practitioner in order to identify the exact breakdown in function and work together diligently to reset and reprogram the body’s movement pattern.  This is done through repetition and a controlled, intelligent progression through exercises and treatments in order to rebuild the foundation and retrain the body to move correctly.  Only then can we see long lasting relief and prevention of pain.

If any of this resonates with you as it has with me and you would like to work together to not only get out of pain but prevent it in the future, please give me a call (321-848-0987) and let’s get to work on a pain free, smooth moving life.

What’s With that Weird Tape?

If you’re a sports fan like myself, you can’t help notice the increasing presence of an oddly positioned, colored tape being donned by athletes of all sports.  The use of this tape generated much publicity when beach volley ball icons Kerri Walsh and Misty May sported it during their 2008 Olympic gold medal run in Beijing.  Top tennis stars Serena Williams and Novak Djokovic, and most recently, NBA superstar and huge proponent of chiropractic, Derrick Rose have been seen taking advantage of the tape’s therapeutic properties.   

Or maybe you’ve noticed someone in the gym or on the streets fashionably accessorizing with the colorful tape.  The point is, it’s out there and more and more people are utilizing it.

But what exactly is it and what does it do?

In most cases, what you are seeing is a form of athletic tape known as kinetic tape.  The tape had its origin as kinesiotape by Dr. Kenzo Kase in the 1970s.  Since then, other brands such as Rock Tape or Strength Tape have followed suit with slight modifications.

While various manufacturers boast their own techniques to the actual taping method, the main purposes of the tape is shared.  Kinetic tape is a form of tape that can provide support and stability without limiting range of motion.  This is a huge deal in that in order for all of us to function optimally, we need to have access to the full range of motion our joints were designed to provide.  This is key for all of us, but is imperative for an athlete.

Another benefit to kinetic taping is that it helps to reduce swelling and inflammation.  Permitting full range of motion allows this by encouraging venous return of blood and the lymphatic system (waste removal), but the tape actually does this in additional ingenuous ways.

The first way the tape does this is by lifting the skin off of the underlying tissue and allowing room for accumulated fluids to exit.  Another way inflammation and swelling is reduced can be facilitated by a distinct taping method in which the tape is cut into individual strips which resemble fingers. When the patient moves, these fingers then lightly squeeze the area of involvement, creating a massaging effect that encourages the removal of stagnant fluids in the area.  This method is quite useful for the acutely injured athlete who is trying to limit the initial swelling.

In addition, properly applied kinetic tape can provide an all natural analgesic or pain-killing effect.  One way this is done is by lessening inflammation in the ways described above.  The chemical mediators of inflammation excite the nerves that transmit pain signals, so anytime we can lessen inflammation, we can also lessen pain.

The second way the perception of pain is dampened by the tape is by closing what is known as the physiological pain gate.

You see, nerves vary in size and speed of transmission, with the bigger, faster nerves overriding the smaller, slower nerves.  Luckily for us, painful stimuli is mainly transmitted by the smaller nerves, while the sensation of touch takes a ride on the larger, faster nerves.  One way to intelligently and naturally lessen pain is to override the signal by stimulating nerves that pick up touch and enter the spinal cord at the same level.

It is this mechanism that serves as the explanation behind why we instinctively shake or rub the finger we just smashed with a hammer.  By doing this you are literally closing the gate on the transmission of the pain.  Unfortunately, as soon as the stimulation by way of rubbing or shaking ceases, the gate re-opens and the pain signals are once again permitted to reach the brain where the perception of pain occurs.

Kinetic tape conveniently comes into play here by providing constant stimulation to the painful area, thus closing the pain gate.  This serves as an extremely practical, temporary fix while we work to fix the underlying cause of the pain.

Neurologically, the tape serves a therapeutic purpose providing feedback from the taped area to our brain.  Aside from pain, when we are injured, feedback from the injured area tends to become inhibited or lessened.  This can lead to further issues as things like balance or proprioception (the sense of where our body or body parts are in space) is largely influenced by feedback from the actual body part.  Kinetic taping provides neurological stimulation to enhance the necessary communication between the central (brain and spinal cord) and peripheral nervous systems.

At Clarke Chiropractic and Wellness we utilize kinetic taping quite frequently when treating athletes and other patients in order to take advantage of the therapeutic benefits described above.  It should be noted that ideally, the tape is used like any other type of therapy; as an adjunct to chiropractic care and temporarily while we correct the underlying issue.  However, many athletes with chronic issues and a schedule or lifestyle that doesn’t always allow adequate rest for healing absolutely love being routinely taped as well.

If you are curious and would like to explore the world of all natural treatments like kinetic taping feel free to call us at anytime.

I’m ready when you are.

Have You Tried Active Release Therapy?

One of the most desired and effective soft tissue treatments we utilize at Clarke Chiropractic and Wellness is that of active release therapy or ART.  My Crossfitters swear by this form of therapy and we normally implement it to some degree or another on every patient.

So what is it?

What we are talking about here is a soft tissue technique whereby the practitioner applies pressure in a specific direction to a specific area of an involved muscle or ligament while the patient then moves through a specific range of motion.  You may note by my use of the 3 “specifics” that proper application of this technique requires a thorough knowledge and understanding of human anatomy and the mechanics of all individual muscles.

It goes way beyond simply massaging a painful area, and includes identifying and addressing all other structures involved with the problematic area.

For example, one of the most common problem areas most athletes come in for is the shoulder, and it’s usually due to anterior or front side shoulder pain.  Rather than directing all treatment at the spot of pain manifestation, the entire shoulder complex is addressed, sometimes including up to 10 separate muscles.  The shoulder complex, like many joint complexes in the body is just that, complex; and addressing all of the muscles that contribute to its function is key to not only alleviate discomfort, but to ensure the issue doesn’t resurface.

How does it work?

By taking a specific contact on a muscle or ligament, the practitioner anchors that tissue in place.  Then, by having the patient move through a precise motion (usually taking the tissue from a shortened or contracted position to an elongated or extended position) tension is created at the site of the practitioners contact.

Benefits to this include breaking up adhesions or scar tissue build up that may be causing discomfort or limiting full range of motion.  Having pain is one thing and is usually the reason people come visit us in the first place, so addressing it is always a priority.

But restricted range of motion due to chronically shortened or tight muscles can be the underlying issue behind a multitude of issues, including pain.

Muscles that are constantly tight, contracted or constantly working means they tend to build up lactic acid which causes the perception of pain.  This can also lead to compensatory postural changes and movement patterns in order to continue to function despite the limited mobility.  This can also lead to accelerated degeneration or early arthritis due to suboptimal posture and movements.

Reduced range of motion also leads to a reduction of blood and waste removal from the area.  You see, the heart pumps blood to our structures but the body relies on gravity; more so, movement to return that deoxygenated blood to the heart.  Without proper movement you now open the door for more swelling which can than place pressure on surrounding tissues, causing more problems.

You also need full range of motion to rid yourself of inflammation.  Just as the veins rely on movement to bring blood back to the heart, the lymphatic system (your waste removal system) relies on movement to pump all the nasty, pain- provoking, inflammatory mediators out of dodge.

Another variation of ART we implement is that which incorporates something referred to as “nerve flossing.”  That’s right.  It’s not just for your teeth.  Many times, nerves and other soft tissue can become “stuck” or irritated by adhesions or simply by a tight muscle.

The term “flossing” comes into play because we essentially pin the area where the nerve is presumed “stuck” and then have the patient move in a way that allows the nerve to slide back and forth as the fluoride-free floss does between your teeth.  This method can be quite advantageous for people experiencing a variety of symptoms including carpal tunnel symptoms, sciatic complaints, neck, shoulder, and elbow pain.

These are just some of the benefits of properly applied ART.  We could fill pages and pages with a broader explanation and other benefits.  Feel free to research on your own or give us a call if you have any questions.

As with all treatments, this particular technique serves as a worthy adjunct to the total package of neurologically based chiropractic care and nutrition.  As described in the previous paragraphs, ART can be part of a perfect marriage of healthcare delivery in finding a way to breakthrough to those stubborn aches and pain.

If you or someone you know has been unnecessarily dealing with pain and have tried other methods with limited success, I invite you to call us and try a fresh approach to natural and holistic healthcare.

When you’re ready, I’m here to help.

Posture: The Window to Your Health

In business, excellent posture is a universal sign of confidence and power, yet few truly realize the importance of posture to our health and performance.  Good posture goes way beyond simply sitting and standing up straight.
Of the 680 muscles in our body, only a few are specifically designed to hold the body upright and relaxed, but most of us tense dozens of the wrong ones when we sit, stand and move.  Over the course of a typical work day this results in an enormous waste of personal energy.
With poor posture, your body begins to adapt to the imbalances.  This results in chronically misaligned bones and over stressed muscles.  (You know, that tight neck and aching low back many feel after a long day.)
Improper posture also hinders our lungs ability to fully expand, leading to a decrease in vital lung capacity (meaning less oxygen being delivered throughout the body) which leads to increased fatigue and a global reduction in function.
Poor posture limits our range of motion and causes stiffness in our joints, contributing to pain syndromes such as headaches, jaw pain and muscular aches.
Due to this less-efficient positioning we assume, an altered weight-bearing takes place and the load of our bodies and gravity becomes less uniformly distributed.  This leads to a severe increase in work load for certain bones and joints. Early osteoarthritis anyone?
The reduction of oxygen and blood flow to the brain can be especially troubling,  Remember, the brain requires fuel by way of oxygen and glucose (both delivered via blood) in order to function.  As expected, less fuel to our master control center leads to things like impairments in thoughts, concentration and emotional control, decreased creativity, slowed reaction times, reduced alertness and productivity.
It can even foster a tendency towards cynicism, pessimism, drowsiness, and even depression.  Think of those four descriptive terms in the previous sentence, and then think of how that looks posturaly.  Now think of things like confidence, optimism, pride and positivity and how that traditionally translates into a particular posture.  This is not a coincidence, the linkage clearly exists.
The more mechanically distorted a person is, the less energy is available for thinking, metabolism and healing.  What this means is that you can’t even think you are operating at your highest level while precious resources are being consumed due to poor posture.
With our increasingly seated, computer-attached lifestyles, poor posture has become epidemic with signature forward displaced skulls and hunched shoulders.  With a professional, you can identify and begin to correct that head tilt and those unlevel hips and shoulders so that you won’t fall victim to the laundry list of symptoms mentioned above.
Poor posture, particularly the oh so common forward collapse, can also be a sign of decreased function within the brain. This is why that stooped forward posture is a main characteristic in so many neurodegenerative diseases.
Posture is the window to our health and a by-product of a nervous system program.  We can tell people to stand and sit up straight all day long, and they will in the moment, but as soon as they give up that consciences thought, they will revert back to what’s comfortable.  Until you address and re-program the brain via neurologically based chiropractic care, you will be continually fighting an uphill battle.
Optimal posture consists of no tension or stiffness at all.  It provides an exhilarating feeling of moving smoothly and comfortably in space.  Doesn’t that sound oh so lovely?
Posture is yet another piece to the holistic puzzle that we account for when treating the entire individual.  Do you know and care about someone with suboptimal posture?  Maybe it’s you?  Remember, just because it’s deemed “normal” by sheer way of numbers doesn’t mean it’s right or mandatory as a part of aging.  Let’s get to work on that posture or any other issues that are of concern.
As always, I’m here when you’re ready.

Improving Pregnancy with Chiropractic

Of all the biological processes, there is none more astounding than the miracle of birth.  Consequently, before, during and after this process, the mother’s body is exposed to a phenomenal amount of stress, both mental and physical.  While many remedies exist for coping with the inevitable side effects of child bearing, one of the most effective continues to be collaborating with a qualified chiropractic physician.

For a variety of reasons, this marriage can be advantageous for both the mother AND child to be, starting with the need to address the drastic body changes for our mother.  These dramatic changes lead to alterations in center of gravity and compensatory postural adjustments all the way up and down the kinematic chain.  The average gain of 25-35 pounds disbursed throughout the body leads to overworked muscles and segmental misalignments.

This stress is particularly intense throughout the spine and the low back, with current studies reporting that at least half of all expecting mothers will experience low back pain at some point throughout their pregnancy.  Studies have also found that as high as 84% of pregnant mothers reported relief of back pain during pregnancy when receiving chiropractic care.

Other studies have shown women receiving chiropractic care through their first pregnancy had 24% reduction in labor times and women giving birth for the second or third time reported 39% reduction in shorter labor times. In another study, the need for analgesics was reduced by 50% in the patients who received adjustments.

In addition to having to tote the extra weight, improper alignment is further facilitated by the release of hormones like relaxin, which as the name implies, relaxes the ligaments in order to make room for the growing baby.  This can be problematic due to the fact that the hormone affects all ligaments and can contribute to your misalignments, imbalance, and fixations.

There is no other profession more aptly trained to identify and correct these issues than chiropractic.  Being consistently checked and when needed, adjusted during the strenuous pregnancy, can not only lead to a more comfortable pregnancy, but a less painful childbirth and decreased likelihood of chronic, postpartum pain conditions.

The pelvis in particular is a major focus when evaluating and treating the pregnant patient.  When misaligned, it can actually reduce the amount of room available for the developing baby, preventing the baby from getting into the best position possible for delivery.

This creates a phenomenon called uterine constraint or mal-presentation, which can lead to a breech positioning or eventual C-section.  Due to the uterus’s direct and indirect attachments to the spine via various ligaments, a technique known as the Webster Technique has been utilized with great success.  The technique involves a specific analysis and adjustment in order to balance the pelvis, relieving stress to the uterus and ligaments and potentially clearing the way for optimal fetal positioning and a natural birth.

This all natural technique has withstood the test of time and continues to be utilized by many, and for good reason.  As far back as 2002, The Journal of Manipulative and Physiological Therapeutics reported an 82% success rate of babies turning vertex when doctors of chiropractic used the Webster Technique. Further, the results from the study suggest that it may be beneficial to perform the Webster Technique as soon as the 8th month of pregnancy when a woman has a breech presentation.

In addition to these examples, the neurological, nutritional and lifestyle support a chiropractor can provide should not be understated.  As we know, the nervous system controls all and the food we provide our bodies fuels that nervous system.  Working with someone who properly addresses both of these two factors, while implementing the necessary chiropractic care, can truly be one of the best options for attaining a smooth, all-natural birthing process.

Outside of the obvious physical alterations, the majority of changes takes place within the body and are governed by the proper release and amount of hormones.  This is all under direct control of the nervous system, which is something we as chiropractors assess and treat in order to obtain optimal function.  This is crucial for the mother, her reproductive organs and child. Many times it is the reason for those “chiropractic miracles” that assist those couples who were having fertility issues.

This topic is particularly near and dear to my heart these days due to my wife being in her second trimester.  We have been working together with great success and are overjoyed to have been blessed with this experience.

If you have any questions about any of the subject matter presented or are interested in pre or postpartum care, as always, please feel free to contact me.

REFERENCES

http://www.ncbi.nlm.nih.gov/pubmed/16399602

http://americanpregnancy.org/pregnancyhealth/chiropracticcare.html

http://icpa4kids.org/Wellness-Articles/an-expectant-parents-guide-to-chiropractic.html