Archive for October, 2009

what is Chronic Pain?

 Chronic pain is defined as pain that persists longer than 90 days beyond the course of the natural expected healing time.  As a chiropractor in San Diego, I get calls from both new and established patients on a regular basis who complain of back pain, neck pain, etc. 

One of the factors that comes into play when planning a chiropractic treatment program is the duration of the patients pain.  In genereral, the longer that a patient suffers with a painful condition, the longer / more intense the treatment is needed in order to fix it.  Acute or recent episodes of pain respond much quicker than do chronic conditions.

Pain is very difficult to quantify by any practitioner.  Pain is subjective in nature and completely defined by the person experiencing the symptoms, the fact that chronic pain can exist without an obvious cause makes it much more difficult to treat. 

I see the difficulties that my chronic pain patients have with their conditions on a daily basis.  Aside from the actual pain that they experience, those who suffer with chronic pain often limit their activities for fear of exacerbating their conditions.  They also have a much harder time focussing on mental tasks as the pain is a constant source of distraction.  The more severe the pain, the more difficulties these people have with attention demanding tasks.

While we strive to avoid pain, pain is a wonderful tool of the nervous system.  Pain lets us know of actual or potential tissue damage with an unpleasant sensation that directs our attention to the affected area so that we can either immediately take action to stop the process or focus on healing the injured body parts.  Chronic pain sensations are a bit more insideous.

Chronic pain often involves a decrease in the sensativity of the nerve fibers that send messages of pain from the damaged area.  With a decreased sensativity (threshold), the nerve is much more likely to transmit painful sensations to the brain then a healthy nerve / tissue combination.  This activity within the nervous system is know as a wind up phenomenon and it is very difficult to stop once it has been established.  In some other cases, nerve fibers that normally don’t carry painful sensations not only begin to transmit pain signals but it is thought that they may actually generate the signals themselves.

In my office, chronic pain is often the result of untreated sprain / strain type injuries of the joints.  In untreated or under-treated sprain / strain injuries, the joint or the muscles that move the joint are laden with scar tisuue that acts to either limit or alter motion of that joint.  With time, the awkward, unnatural biomechanics of the scar tissue laden joint results in irritation, inflammation and finally pain and spasm. 

While chiropractic care is often successful at re-establishing “clean” biomechanics of a joint, it is always better to get the care in the beginning of an injury versus waiting for that injury to become chronic, with a requiring more care with a decreasing chance of complete recovery.

Because of the possibility of an acute painful condition becoming a chronic one, I always encourage my patients to take care of themselves immediately when they first start to experience pain.  I have practiced chiropractic care for almost two decades now and I can say that chronic painful conditions of the spine are devastating. 

Not only do they make you expereince pain, but in most instances they limit your physical activities creating a situation that can easily degrade from inactivity secondary to pain, to deconditioning and eventually to obesity and ill health in general leading to a dissatisying lifestyle.

The bottom line on chronic pain is this – avoid it if you can.  Don’t ignore your pain.  Painful acute conditions that are left untreated can easily spiral into a chronic condition that has the potential to alter your lifestyle in a negative way.

Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at
(619) 280 0554
San Diego Chiropractic

ADJUSTABLE MOUSE PLATFORM Website to learn more about or Buy Ergo Nav

Chiropractic San Diego Website to make an appointment
Better Health Steve Jones

Whiplash Articles for Sale

San Diego SEO : “I’ve been working for several Chiropractors of late, doing seo for their sites, and have noticed a problem, which although on the surface is specific to Chiropractors, when you look at the problem generally it’s common to hundreds of different websites.

All Chiropractics that I have spoken to agree, they would like to specialize or at least work a lot more with car accident injury patients, whiplash responds extremely well to chiropractic treatment.

Yet even though they want to work with this type of patient, usually their websites or webpages are not at all optimize for whiplash. Usually whiplash will be mentioned along with a list of other services they offer, and only on about 1% of sites do chiropractors even have a page that is directly aimed at car accident victims. Of those 1% of website that actually have a page about whiplash, I’ve yet to see that page is is actually optimized for search engines or the word whiplash, or car accident treatment or anything along these lines.

So the chances of a potential whiplash patient ever finding their website are fairly limited, and for the other 99% of Chiropractors that just mention they work with whiplash patients, alongside headaches and neck and back-pain, they will never be found in search engines. They are counting on visitors clicking on their services page.

You have to have a web-page that is about whiplash, and preferably 1 page for each whiplash symptom or issue in order to get visitors from search engines.

The general population is not even aware that chiropractic care is even an option for whiplash symptoms, so chiropractic’s need to educate the general public. To do this, they need pages on their website or blog, explaining the different whiplash symptoms, and how chiropractic can help. The more pages the better.

From my experience with other websites, a page will have to be read about 100 times in order to get one customer, so if a chiropractic has a list of say 10 types of treatments they offer, whiplash being one of them, the page will have to be viewed about 1000 times before they can hope to get one whiplash patient. So if a chiropractors website had 10 pages about whiplash and symptoms and treatment of whiplash, just by having correctly optimized pages, they would get more visitors, and therefore get more patients.

The Answer: Add several pages or blog posts about the different whiplash symptoms to a website or blog, optimize them correctly, and chiropractics will start receiving the patients they are wanting.

The next problem. Most Chiropractics I have spoken to are great Chiropractors, but aren’t good at writing, so where do all these pages about whiplash come from? Writing Search engine friendly content is not something just anyone can do.
Just copying information from elsewhere on the internet, besides being illegal won’t work. Also much of what is written online is meant for chiropractics to read and understand, not for general Joe Public…
A chiropractic would be better to get something written for them exclusively… however this will cost a fortune usually $250+ per article.

I have a chiropractic a fine writer, that has agreed to write, for a start, a series of 10 unique articles about various aspects of whiplash, and how chiropractic treatments can help,which

I’m offering for sale in bundles of 3 articles, for $225.

These articles can be used to add to a website, or on a chiropractic blog that is for a specific chiropractic office.

Contact me at seo4chiros@gmail.com using the subject ‘Buy Whiplash Articles‘ and we’ll discuss your purchase. Articles will be unique to your website, and I will not sell the same articles again.

Of course I’d be happy to do Search engine optimization on your website or blog as well, but this offer of articles specially about whiplash is a stand alone offer, if you are happy optimizing your own site, or are an SEO for a chiropractor, then you can buy these one off articles, and use them on a website or blog for one chiropractic office.

I have several hundred articles about other aspects of chiropractic treatments, that I’m also selling, and articles that are not unique and have been used on other blogs which of course cost much less….

so just ask if you are looking for articles about anything chiropractic. Or visit this blog specifically about SEO for Chiropractics and see other article buying options some usage rights are as little as $10 per use.”

Regards Lynny

SEObyCanz.com

Canzdesign.com

SEO San Diego

from the BEST SEO!!!

Not The Cheapest SEO, I get SEO Results

Microwaving and Your Health

Microwaving and Your Health

I wanted to convey a self imposed revelation that I recently had regarding microwave ovens. About six months ago I moved into a new place that did not have a microwave oven. At the time of my move, I looked at getting a microwave oven as a priority; after all, I had not been without a microwave for about 30 years. As time passed, I learned to live without the microwave. I noticed that I was eating healthier, planning my meals better and feeling physically better by cooking my food on the stove, the old fashioned way.

I have just recently started hearing about how the microwave destroys the nutritional value of the food as it cooks. I decided to do some research on this topic and found this interesting article. I hope that you enjoy it.

“Healthy eating is not just about choosing healthy foods to eat, but also relates to how they are prepared prior to eating. Vegetables, for instance, can suffer nutritional losses during cooking.

A study this week has found, for instance, that boiling broccoli in water for just 10 minutes reduced the content of plant chemicals known as glucosinolates by 40 percent. Within the body, glucosinolates are converted into other compounds called isothiocyanates that are believed to have cancer-protective properties.

This research, conducted at Warwick Medical School, found that shorter cooking times, as expected, led to less degradation of glucosinolates: Just five minutes of boiling led to losses of only 15 percent.

This recent research reminded me of a previous piece I wrote which summarized some of the research of the nutrient losses that can occur with different methods of cooking.

Microwaving is often recommended as a preferred cooking method because it can shorten the cooking time. However, the evidence suggests that this form of cooking can lead to considerable nutrient losses. In a study published in the Journal of the Science of Food and Agriculture, researchers assessed the effects of a variety of cooking methods on nutrient levels in broccoli.

While boiled broccoli was found to lose two-thirds of its original content of disease-protective nutrients known as flavonoids, this actually compared quite favorably with the whopping 97 percent loss induced by microwave cooking. Analysis of other nutrients revealed similarly dire depreciations. Contrary to what may be expected, it seems we can microwave goodbye to a good deal of the nutritional goodness vegetables have to offer.

In this study, steaming induced only 11 percent degradation in this type of flavonoids. In another study, boiling was found to reduce the level of folate (believed to protect against both heart disease and cancer) in spinach and broccoli by more than half. In comparison, steaming had minimal effects on the level of this vitamin.

What the research shows is that when it comes to cooking vegetables, steaming is generally best. And the shorter the cooking time, the better. For the best of health, it can help to develop a taste for vegetables done al dente.

Dr. John Briffa is a London-based doctor, author, and health writer with an interest in nutrition and natural medicine.
Dr. Briffa’s website

More Soon,

Doc Jones

Call Steve Jones at his San Diego Chiropractic Clinic

(619) 280 0554

www.jonespainrelief.com

Visit our Adjustable Economical Mouse Platform website to learn more about or Buy Ergo Nav

Visit my San Diego Chiropractic Website to make an appointment

Read More Articles on Chiropractic, Nutrition, Preventative Health, Back pain, Neck Pain and more

Neck pain or Back pain Which is worse?

Which is worse – neck pain or back pain?

I hear this question often in my San Diego chiropractic office.  Of course the answer is easy – if you have back pain, back pain is definitely worse than neck pain.  If you have neck pain, neck pain is definitely worse than back pain.

Another common question that I hear regarding low back pain is why sitting makes it hurt more than standing.

This is a good question, which can be answered through physics.  I remember seeing a diagram in one of my office ergonomic books that exposed the different stress levels on the spinal disks with various body positions.

The diagram had drawings of a person standing, lying down, sitting and then sitting while hunched forward with very poor posture.  The disk pressure differences with these different postures was given as follows:

1)    Standing upright 100%
2)    Lying down          24%
3)    Sitting upright     140%
4)    Sitting hunched   190%

The explanation of the much higher disk pressures while sitting is explained by examining the structural changes that occur when we change from a standing to a seated position.

Our spines are supposed to have curves when viewed from the side.  The neck should have a nice sweeping forward curve, the mid-back should carry a backward curve and the low back should have a sweeping forward curve.  When these curves are present, the weight of your body is carried evenly across several different structures of the spine.  These curves help provide stability for your spine.

Once we assume a seated position, the natural forward curve in our low backs reverses which increases the pressure on the disks and either increases back pain or causes back pain.  If we stay in that seated position but flex our bodies forward at the waist (think bad posture – slumping over your keyboard or desk) the pressure in the disks elevates causing more damage and more pain.

Limiting the time that you sit will help your back pain in most instances.  This is advice that I hand out to my San Diego chiropractic patients everyday of the week.  I hope that it helps you as well.

Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at
(619) 280 0554
San Diego Chiropractic

ADJUSTABLE MOUSE PLATFORM Website to learn more about or Buy Ergo Nav

Chiropractic San Diego Website to make an appointment
Better Health Steve Jones.

Pain Relief Doctor Mission Valley San Diego

Cold Laser therapy, also known as Low Level Laser therapy, has been used around the world for over 30 years, and is just now becoming popular in the U.S.  One of the biggest benefits of cold laser therapy is that it can be used to treat areas and conditions that all previous therapy modalities could not.  This is a truly revolutionary form of treatment.
http://www.mairschiropractic.com/cold_laser/Laser_Treatment.html

Car accidents are a fact of life; even the best of drivers will eventually be involved in one.  Injuries from car accidents can lead to a lifetime of chronic pain.  This is why it is so important to see a doctor who has the highest amount of training and knowledge specifically in the area of car accident injuries.
http://www.mairschiropractic.com/accident_injuries/Car_Accidents.html

Chiropractic Care and Nutrition Update

Chiropractic Care and Nutrition

Are you ready to feel better? 

Back in the early part of April, I posted a blog article regarding chiropractic care and nutrition, specifically, my own nutrition.  Being the owner of my San Diego Chiropractic office, I spend most of my days treating patients with neck pain and back pain.  While neck pain and back pain are very important to resolve, there are other health concerns that must be addressed if we expect to be truly healthy.

Several months ago, I had a hair mineral analysis performed on myself.  The results of that test were surprising to me.  Aside from my calcium and magnesium levels, every other nutrient mineral was deficient. 

Even iron!

As I had indicated in prior posts on this topic, one of my primary health concerns over the last 10 years has been lack of restful sleep or insomnia.

As I read up on the minerals that I was deficient in, insomnia was a side effect in two of them in instances of deficiency. 

That bit of knowledge was not enough to quiet the skeptic in me.  After all, the company that does the hair mineral analysis also makes the vitamins and minerals that they recommended to me.  In addition, I also indicated on my paperwork that insomnia is one of my health concerns.

In order to test these results, I bought mineral supplements from a local source and began taking them as directed on the containers.  It took about 11 days before I could say for sure that the quality of my sleep had improved.  Within a few more days the improvement was dramatic.  Prior to taking these mineral supplements, a good nights sleep was limited to two or three nights per month. 

As I write this blog post, I have slept well, over 7 hours per night, for the past month or so.  Despite all this quality sleep, I still feel like I am playing catch-up with my rest.  I suppose that is the result of 10 years of poor sleep.

I will do future posts on this topic.  In the mean time, remember that you are what you eat!  Poor dietary habits definitely create a need for dietary supplements.  Maintaining your health is work but it is worthwhile.

Call Steve Jones at his San Diego Chiropractic Clinic

(619) 280 0554

www.jonespainrelief.com

Visit our Stop RSI Economical Mouse Platform, website to learn more about or Buy Ergo Nav

Visit my San Diego Chiropractor Website to make an appointment

Read More Articles on Chiropractic, Nutrition, Preventative Health, Back pain, Neck Pain and more

End Points of Care Personal Injury Case

End Points of Care for a Personal Injury Case

In our experience, this is often the most debated aspect of the personal injury case. The attorney is again forced to justify the length of his client’s care, and thereby support the amount billed as well. The care rendered should be reasonable and fall within reasonable guidelines for treatment duration.

In our opinion, when one or more of the following occurs, the patient has reached the maximum point of medical/chiropractic improvement from the type of care rendered.

1.    If the patient’s condition gets worse under the care rendered.

2.    When the patient’s subjective complaints have clearly reached the upper and lower limits. An example is when the patient’s subjective complaints have reached a point where the treatment rendered only “makes them feel better” for a few days and then they are the same as before the visit.

It is clear that the feeling of being “better” for a few days is only temporary and the patient has more than likely reached the clinical limitations of matter from the type of care rendered.

This is not to say the patient does not have complaints, or that the care does not make him feel good, only that further treatment will more than likely be of very little clinical benefit. Thus, the criteria for determining the end points of care.

3.    When the patient fails to make clinical progress between lengthening dates of service. All care is based on achieving a preinjury status.

If the patient fails to make progress between visits over an expected period of time, the clinical potential for further healing is remote.

Treatment, after these points have been achieved, increases the total amount of services rendered and makes a timely settlement more difficult.

Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs. www.JonesPainRelief.com

Call Steve Jones at his San Diego Chiropractic Clinic

(619) 280 0554

www.jonespainrelief.com

Visit our Adjustable Economical Mouse Platform website to learn more about or Buy Ergo Nav
Visit my San Diego Chiropractic Website to make an appointment

Read More Articles on Chiropractic, Nutrition, Preventative Health, Back pain, Neck Pain and more

Health benefits of Soy is it really good for you?

Soy – Good or Bad

Being a chiropractor in San Diego, I am surrounded by patients who try to make improvements in their health on a number of fronts.  Sure, they often come to my office complaining of neck pain, back pain or headaches, but usually at some point the topic of nutrition comes up.  At that point I usually ask the question – Are you a soy consumer?

Soy is everywhere now days.  It can be found in bread, cakes, baby formula, milk, meat substitutes, cereal, snack foods and even pet foods.  As most of you know you can even get soy-based drinks at Starbucks.  In fact, almost every time that I have been in Starbucks I have overheard customers ordering a “Soy Chai Latte” something or other intentionally.

In many cases, soy seems to be the answer to many peoples diet concerns.  Those who are lactose intolerant use soymilk and soy burgers are seen as an ideal protein substitute for those who are vegetarians.

Soy, however, has some very real health complications for its consumers.  Soy is an estrogen precursor and can cause a host of side effects in both women and men.  Like most hormones, elevated levels of estrogen come with dangers.  Soy can trigger the growth of estrogen based fibrotic tumors in women and result in the formation of breast tissue in men (gynecomastia).

Many people have allergies to soy that can cause everything from mal-absorption to full blown allergic reactions that include upset stomachs, excessive mucus production, vomiting and hives. 

In addition to elevated estrogen levels, soymilk contains nearly 100 times the aluminum that is found in cow’s milk.   In a report issued in 1997 by the American Academy of Pediatrics Committee on Nutrition, aluminum levels in breast milk ranged from 4 to 65 ng/mL while soy-based formulas contained 600 to 1300 ng/mL.   As many of you may know, research is leaning heavily toward aluminum as a contributor to Alzheimer’s disease.

Soy is neither safe nor natural.  It is heavily processed with a variety of toxic chemicals.

Soy is often offered as a healthier and natural alternative to our normal foods.  However, there are many problems with soy, and I see my chiropractic patients struggle with physical symptoms secondary to soy consumption on a regular basis.  This article touches on just a few of the problems with soy consumption.  If you would like more information on soy, try going to the food and drug administrations’ website and search for “soy” to find in depth material on the possible dangers of soy in your diet.

Dr. Steven R. Jones is a licensed Chiropractor in the state of California.  He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California.  Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.  Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at his San Diego Chiropractic Clinic

(619) 280 0554

www.jonespainrelief.com

Visit our Stop RSI Economical Mouse Platform, website to learn more about or Buy Ergo Nav

Visit my San Diego Chiropractor Website to make an appointment

Read More Articles on Chiropractic, Nutrition, Preventative Health, Back pain, Neck Pain and more

Chiropractic treatment of Pain in Extremities

Sound Assisted Soft Tissue Mobilization (SASTM) is an extremely effective way to treat soft tissue injuries, be it acute or chronic.  It works so well that many professional sports franchises have incorporated it into the care for their injured athletes.

San Diego Soft Tissue Injury Doctor

Mairs Chiropractic

(619) 261-6590

http://www.mairschiropractic.com/

The Effects of Dehydration

The Effects of Dehydration

Dehydration is a common problem among adults.  I have read studies that indicate that at any one time approximately 75% of American adults are suffering with mild symptoms that result from being dehydrated.  Being a chiropractor in San Diego, a desert community, we see many people suffering from ailments ranging from neck pain and headaches to lower back pain that carries some link to dehydration.

The human body is approximately 65% water.  By definition, dehydration occurs as the result of excessive loss of water from the body.  This occurs as a direct result of not taking in enough water.  That is a very superficial explanation of dehydration.   In reality, it’s a bit more complicated than that since the body loses electrolytes as well as fluids.
Dehydration is a major issue with our health.

A common scene in professional sports is that of the athletes becoming dehydrated and “cramping up”.  This cramping of muscles affects us normal (non-professional athletes) people as well.  We suffer from back spasms, neck pain and many other similar symptoms as a result of dehydration

Headaches are another common symptom of dehydration that needs to be taken into account.  Dehydration has long been known to be a trigger of Migraine type headaches.  It is staggering to think of how many dollars are spent for treatment of headaches when the underlying culprit is dehydration

Many people mistakenly think that dehydration only occurs in hot weather and that you’re not dehydrated if you’re not thirsty.  Usually by the time you feel thirsty you are already dehydrated. 

Dehydration Facts:
•    It takes about 64 to 80 ounces to replace the water our bodies lose in 24 hours.
•    Normally, how much water we need depends on the volume of our perspiration and urine output.
•    Our bodies’ need for water increases under circumstances such as:
•    Living in warmer climates
•    Living at high altitudes
•    Increased physical activity
•    With vomiting or diarrhea
•    With fever
•    When you have a cold or the flu
•    Those with chronic disease such as uncontrolled or untreated diabetes
•    Losing as little as 1 to 2% of body weight can result in dehydration.
•    Losing 3 to 5% can negatively impact reaction time, concentration and judgment
•    Losing 9 – 15% results in severe dehydration and is life-threatening.
Dehydration Symptoms:
•    Excessive thirst
•    Fatigue
•    Muscle weakness
•    Headache
•    Dizziness
•    Less frequent need to urinate and decreased output
•    Darker colored urine (should be nearly clear to pale yellow)
•    Confusion
•    Increased heart rate and respirations
•    Skin that doesn’t snap back when pinched and released
•    Children may exhibit additional symptoms:
•    Absence of tears when crying
•    No wet diaper for three hours or longer
•    Irritability
•    Lethargy
•    Fever
When caught early, dehydration can usually be treated at home.  Common treatments include:
•    Mild dehydration: rehydration by drinking fluids including sports drinks, which rehydrate by providing not only fluid, but also electrolytes and salt. In children, products such as Pedialyte may be recommended as it also contains carbohydrates to help absorption in the intestinal tract. Coffee, tea, and soda should not be used for dehydration as the caffeine in them can actually be dehydrating.
•    Moderate dehydration: rehydration may suffice, but IV fluids may be required.
•    Severe dehydration: Immediate action must be taken, treating the situation as a medical emergency. Hospital treatment is necessary for IV fluids to rehydrate more quickly and efficiently and to allow observation.
As with most ailments,  it’s better to prevent dehydration than to treat it.  Here are some preventative steps you can take:
•    Drink plenty of fluids and eat foods high in water. Fruit contains the most water, followed by vegetables, meat, then grains with the least.
•    Choose your beverages wisely. Caffeine and alcohol can be dehydrating. For some people, too much fruit juice can cause diarrhea, which can be dehydrating.
•    If you’re planning a day with more significantly exercise than usual, begin hydrating the day before.
•    Sports drinks can help maintain electrolyte balance, but be aware of the sugars in them.
•    Plan outdoor activities for cooler parts of the day.
•    If you’re organizing outdoor activities, provide shaded areas.
•    When you’re ill, be sure to continue drinking fluids, and get additional fluids if you have a fever or are vomiting or have diarrhea. Call your doctor for help with vomiting or diarrhea if necessary.

Call Steve Jones at his San Diego Chiropractic Clinic

(619) 280 0554

www.jonespainrelief.com

Visit our Stop RSI Economical Mouse Platform, website to learn more about or Buy Ergo Nav

Visit my San Diego Chiropractor Website to make an appointment

Read More Articles on Chiropractic, Nutrition, Preventative Health, Back pain, Neck Pain and more

What Causes a Stiff Neck?

What Causes a Stiff Neck?

Stiff necks are one of the most annoying forms of spinal discomfort.  Waking with a stiff neck in the morning almost certainly assures you of having an uncomfortable day.  We see many patients each year with stiff necks in my San Diego chiropractic clinic. 

The medical term for a stiff neck in torticollis.  Torticollis usually prevents the head / neck from being turned or tilted to one side or another. 

When the affected individual attempts to rotate or tilt their head / neck into the restricted range of motion they are met with increasing pain that is more often than not enough to prohibit the movement. 
Torticollis is a protective splinting of muscles in the neck caused by the brain’s perception of bodily injury. Many torticollis patients presenting to our clinic usually have no history of trauma or illness to explain the severity of their symptoms.

Patient history often includes frequently sleeping near an open window or in front of an air conditioner.  We see patients that drive convertibles who are also prone to getting torticollis.

Pain medications and muscle relaxants have limited effects in certain individuals. One such man presented to the Emergency Department (ED) complaining of having awoken with severe neck pain and immobility. The attending ED physician diagnosed the patient as suffering from acute torticollis. The patient was medicated first with an intramuscular injection of Toradol and oral Flexeril, which proved ineffective.

Injection of the narcotic Demarol followed. Reporting minor relief, the patient was discharged with prescriptions for both a nonsteroidal anti-inflammatory analgesic and a muscle relaxant.

The patient returned to the ED later that evening. He complained that neither his pain nor his mobility had improved, in spite of all the medication. The evening ED shift decided to obtain a chiropractic consultation, hoping to increase the patient’s mobility and decrease pain and the need for additional narcotic analgesia.

History and examination revealed findings consistent with a diagnosis of acute spasmodic torticollis. The patient exhibited severely restricted cervical ranges of motion, antalgia, muscle spasm and vertebral joint fixation. Radiographic examination revealed signs of degenerative joint disease, but was negative for fracture or pathology.

I applied electrical muscle stimulation and moist heat to the patient’s neck in preparation for spinal manipulation. The purpose of the adjunctive therapy was to help relax muscle and ease pain to facilitate the manual procedures and spinal adjustment. As the patient relaxed with the adjunctive therapy, we discussed the severity of his pain and immobility in contrast to the lack of significant examination and radiographic findings.

The patient appeared to understand that the torticollis was a protective splinting caused by the brain’s perception of bodily injury. As with many torticollis patients presenting to our ED, there was no history of trauma or illness to explain the severity of the patient’s symptoms. Patient history included frequently sleeping near an open window or in front of an air conditioner.

After removing the adjunctive therapy modalities, I performed manual therapy to further increase the patient’s mobility before performing cervical adjustments. With the patient seated, I asked him to turn his head as far as possible to the painful side. I held his head still and asked him to try to turn further. I instructed him to push hard, but not enough to move my hands. After a few seconds, I told him to relax.

As he relaxed, I also relaxed my grip on his head, allowing his head to move slightly toward the painful side. I had the patient repeat this several times, and then several times to the other side, until he appeared unable to achieve increased range of motion.

For the second part of the manual therapy, I stood behind the patient, held his mastoid and parietal areas between my hands, and lifted gently. I held my forearms against his shoulders and asked him to push up against my resistance. As he pushed, I instructed him to take a deep breath and hold it.

The patient’s physical and emotion tension increased as he simultaneously contracted his upper trapezius muscles and held his breath. I asked him to concentrate on the feeling of relaxation as he lowered his shoulders and exhaled. As he released the tension on his upper trapezius muscles, I added additional traction force. The patient repeated this procedure several times until less muscle spasm was palpable.

With the patient more relaxed and in less pain, I proceeded to have him lie supine for cervical adjustments. I attempted to put the patient at ease by explaining that we would approach adjustment of his neck in a slow, progressive, “step-wise” fashion.

I explained that he might hear a popping sound as the joints moved, which could be loud, as it involved the inner ear, separated from the cervical spine by little more than an inch. I assured him that if at any time during the procedure, he had a sense that the adjustment would hurt, he could let me know and I would defer the adjustment for another day. I also demonstrated the amount of force I would use by making a sample adjusting thrust to his arm. Cervical adjustments were performed bilaterally, with increased mobility noted.

The patient tolerated the entire procedure well and without complications. His range of motion was approximately 90 percent of normal upon discharge from the ED. He did not require any additional prescriptions for medication. Upon leaving. he stopped at the nurse’s station to thank the staff for its help and to demonstrate his increased range of motion.

Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs. www.JonesPainRelief.com

Call Steve Jones at his San Diego Chiropractic Clinic

(619) 280 0554

www.jonespainrelief.com

Visit our Adjustable Economical Mouse Platform website to learn more about or Buy Ergo Nav

Visit my San Diego Chiropractic Website to make an appointment

Read More Articles on Chiropractic, Nutrition, Preventative Health, Back pain, Neck Pain and more

Osteoporosis and Chiropractic:

 Osteoporosis and Chiropractic:

I see many older (and sometimes younger) patients in my San Diego chiropractic office who have been diagnosed with osteoporosis.  Osteoporosis is an insideous  disease.

Initially it developes without any clear symptoms, affecting the skeletons’ bone density.  Osteoporosis is usually discovered by special testing or bone weakening that leads to fractures which can result in falls, back pain, neck pain, etc.

I am always surprised that those diagnosed with osteoporosis know so little about it.  I did a search on line and found the following article that is worth reading.

Osteoporosis is a disease of bone leading to an increased risk of fracture. In osteoporosis the bone mineral density (BMD) is reduced, bone microarchitecture is disrupted, and the amount and variety of non-collagenous proteins in bone is altered. Osteoporosis is defined by the World Health Organization (WHO) in women as a bone mineral density 2.5 standard deviations below peak bone mass (20-year-old sex-matched healthy person average) as measured by DXA; the term “established osteoporosis” includes the presence of a fragility fracture.[1] Osteoporosis is most common in women after the menopause, when it is called postmenopausal osteoporosis, but may develop in men and premenopausal women in the presence of particular hormonal disorders and other chronic diseases or as a result of smoking and medications, specifically glucocorticoids, when the disease is called steroid- or glucocorticoid-induced osteoporosis (SIOP or GIOP).

Osteoporosis can be prevented with lifestyle advice and medication, and preventing falls in people with known or suspected osteoporosis is an established way to prevent fractures. Osteoporosis can be treated with bisphosphonates and various other medical treatments.

Osteoporosis itself has no specific symptoms; its main consequence is the increased risk of fracture. Osteoporotic fractures are those that occur in situations where healthy people would not normally break a bone; they are therefore regarded as fragility fractures. Typical fragility fractures occur in the vertebral column, hip and wrist.
The symptoms of a vertebral collapse (”compression fracture”) are acute back pain, often with radiculopathic pain (shooting pain due to compression of a nerve) and rarely with spinal cord compression or cauda equina syndrome. Multiple vertebral fractures lead to a stooped posture, loss of height, and chronic pain with resultant reduction in mobility.

Fractures of the long bones acutely impair mobility and may require surgery. Hip fracture, in particular, usually requires prompt surgery, as there are serious risks associated with a hip fracture, such as deep vein thrombosis and a pulmonary embolism, and increased mortality.

The increased risk of falling associated with aging leads to fractures of the wrist, spine and hip. The risk of falling, in turn, is increased by impaired eyesight due to any cause (e.g. glaucoma, macular degeneration), balance disorder, movement disorders (e.g. Parkinson’s disease), dementia, and sarcopenia (age-related loss of skeletal muscle). Collapse (transient loss of postural tone, with or without loss of consciousness, leads to a significant risk of falls; causes of syncope are manifold but may include cardiac arrhythmias, vasovagal syncope, orthostatic hypotension and seizures. Removal of obstacles and loose carpets in the living environment may substantially reduce falls. Those with previous falls, as well as those with a gait or balance disorder, are most at risk.

Osteoporosis requires special considerations in our office.  Chiropractic techniques involving little or no force have to be utilized to ensure patient safety.  In addition to variations in technique, nutritional suppliments are also encouraged, especially mineral supplimentation.  Osteoporosis treatment requires a multifaceted approach in order to see improvements.  Patients also must show patience with treatment as results are usually only seen with prolonged periods of care.

More Soon,
Doc

Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at
(619) 280 0554
San Diego Chiropractic

ADJUSTABLE MOUSE PLATFORM Website to learn more about or Buy Ergo Nav

Chiropractic San Diego Website to make an appointment
Better Health Steve Jones