Author Archives: Dr. Amie Gregory

Erb’s Palsy in new born babies

Erb’s palsy occurs when there is an injury to the cervical nerve roots, C5 and C6 (Brachial Plexus).  It commonly occurs due birth injury in a baby during difficult labor. Tugging and pulling on the infant’s head during birth pulls on the nerves and can severely damage the nerves coming from the neck going down to the hand.  It can also occur in adults due to bike accidents or fall when the shoulder is pulled downward and the head is tilted.

Erbs palsy involves the deltoid muscle, which helps in lifting the arm upwards and other shoulder muscles that help with rotating the arms.  It is also known as “waiters tip deformity” because the arm is straight down the side of the body with the palm of the hand pointing up as if a waiter is asking a bribe or tip from someone.

Surgery is sometimes performed but in many cases, new borns can get a slight  adjustment to the neck to help lessen the stretching of the nerves.  When these nerves start to relax they can regenerate and normal movement can be restored.

Skin Cancer Signs

Where skin cancer develops

Skin cancer develops primarily on areas of sun-exposed skin, including the scalp, face, lips, ears, neck, chest, arms and hands, and on the legs in women. But it can also form on areas that have very little exposure to the sun like your palms, beneath your fingernails, the spaces between your toes or under your toenails, and your genital area.

Skin cancer affects people of all skin tones, including those with darker complexions. When melanoma occurs in those with dark skin tones, it’s more likely to occur in areas not normally considered to be sun-exposed.

Basal cell carcinoma signs and symptoms
It usually occurs in sun-exposed areas of your body, such as your face, ears or scalp and may appear as:

A pearly or waxy bump

A flat, flesh-colored or brown scar-like lesion

Squamous cell carcinoma signs and symptoms
Most often, squamous cell carcinoma occurs on sun-exposed areas of your body, such as your face, lips, ears and hands. Squamous cell carcinoma may appear as:

A firm, red nodule

A flat lesion with a scaly, crusted surface

Melanoma signs and symptoms
Melanoma can develop anywhere on your body, in otherwise normal skin or in an existing mole that becomes cancerous. Melanoma most often appears on the trunk, head or neck of affected men. In women, this type of cancer most often develops on the lower legs. In both men and women, melanoma can occur on skin that hasn’t been exposed to the sun. Melanoma can affect people of any skin tone. In people with darker skin tones, melanoma tends to occur on the palms or soles, or under the fingernails or toenails.

Melanoma signs include:

A large brownish spot with darker speckles

A mole that changes in color, size or feel or that bleeds

A small lesion with an irregular border and portions that appear red, white, blue or blue-black

Dark lesions on your palms, soles, fingertips or toes, or on mucous membranes lining your mouth, nose, vagina or anus

Signs and symptoms of less common skin cancers
Other, less common types of skin cancer include:

Kaposi sarcoma. This rare form of skin cancer develops in the skin’s blood vessels and causes red or purple patches on the skin or mucous membranes. Kaposi sarcoma mainly occurs in people with weakened immune systems, such as people with AIDS, and in people taking medications that suppress their natural immunity, such as people who’ve undergone organ transplants. Kaposi sarcoma can also occur in older adults of Mediterranean heritage.

Merkel cell carcinoma. Merkel cell carcinoma causes firm, shiny nodules that occur on or just beneath the skin and in hair follicles. Merkel cell carcinoma is usually found on sun-exposed areas on the head, neck, arms and legs.

Sebaceous gland carcinoma. This uncommon and aggressive cancer originates in the oil glands in the skin. Sebaceous gland carcinomas — which usually appear as hard, painless nodules — can develop anywhere, but most occur on the eyelid, where they’re frequently mistaken for other eyelid problems.

When to see a doctor
Make an appointment with your a dermatologist or skin specialist if you notice any changes to your skin that worry you.

References: http://www.mayoclinic.com/health/skin-cancer/DS00190/DSECTION=symptoms

Hyperthyroidism (overactive thyroid)

Hyperthyroidism (overactive thyroid) is a condition in which your thyroid gland produces too much of the hormone thyroxine. Hyperthyroidism can significantly accelerate your body’s metabolism, causing sudden weight loss, a rapid or irregular heartbeat, sweating, and nervousness or irritability.

Hyperthyroidism can mimic other health problems, which may make it difficult for your doctor to diagnose. It can also cause a wide variety of signs and symptoms, including:

  • Sudden weight loss, even when your appetite and diet remain normal or even increase
  • Rapid heartbeat (tachycardia) — commonly more than 100 beats a minute — irregular heartbeat (arrhythmia) or pounding of your heart (palpitations)
  • Increased appetite
  • Nervousness, anxiety and irritability
  • Tremor — usually a fine trembling in your hands and fingers
  • Sweating
  • Changes in menstrual patterns
  • Increased sensitivity to heat
  • Changes in bowel patterns, especially more frequent bowel movements
  • An enlarged thyroid gland (goiter), which may appear as a swelling at the base of your neck
  • Fatigue, muscle weakness
  • Difficulty sleeping

Who gets this problem?
Older adults are more likely to have either no signs or symptoms or subtle ones, such as an increased heart rate, heat intolerance and a tendency to become tired during ordinary activities.

Grave’s Ophthalmopathy:

Sometimes a problem called Graves’ Ophthalmopathy may affect your eyes. In this disorder, your eyeballs protrude beyond their normal protective orbits when tissues and muscles behind your eyes swell. This pushes the eyeballs forward so far that they actually bulge out of their orbits. This can cause the front surface of your eyeballs to become very dry. Signs and symptoms of Graves’ ophthalmopathy include:

  • Protruding eyeballs
  • Red or swollen eyes
  • Excessive tearing or discomfort in one or both eyes
  • Light sensitivity, blurry or double vision, inflammation, or reduced eye movement

What causes Hyperthyroidism?
A number of conditions, including Graves’ disease, toxic adenoma, Plummer’s disease (toxic multinodular goiter) and thyroiditis, can cause hyperthyroidism.

Hyperthyroidism can lead to a number of complications:

  • Heart problems. Some of the most serious complications of hyperthyroidism involve the heart. These include a rapid heart rate, a heart rhythm disorder called atrial fibrillation and congestive heart failure — a condition in which your heart can’t circulate enough blood to meet your body’s needs. These complications are generally reversible with appropriate treatment.
  • Brittle bones. Untreated hyperthyroidism can also lead to weak, brittle bones (osteoporosis). The strength of your bones depends, in part, on the amount of calcium and other minerals they contain. Too much thyroid hormone interferes with your body’s ability to incorporate calcium into your bones.
  • Eye problems. People with Graves’ ophthalmopathy develop eye problems, including bulging, red or swollen eyes, sensitivity to light, and blurring or double vision.
  • Red, swollen skin. In rare cases, people with Graves’ disease develop Graves’ dermopathy, which affects the skin, causing redness and swelling, often on the shins and feet.
  • Thyrotoxic crisis. Hyperthyroidism also places you at risk of thyrotoxic crisis — a sudden intensification of your symptoms, leading to a fever, a rapid pulse and even delirium. If this occurs, seek immediate medical care.
  • How is this diagnosed? A diagnosis can be confirmed with blood tests that measure the levels of thyroxine and TSH in your blood. High levels of thyroxine and low or nonexistent amounts of TSH indicate an overactive thyroid. The amount of TSH is important because it’s the hormone that signals your thyroid gland to produce more thyroxine. These tests are particularly necessary for older adults, who may not have classic symptoms of hyperthyroidism.

How can chiropractic help?
There is evidence that supports certain cases of thyroid disorders can result from the disruption or malfunction of nerves emerging from the brain and spinal cord which control the thyroid gland.  Eliminating improper curvature in the spine resulting in stretching or pinching the nerves that supply signals to the thyroid gland.

Sjogren’s syndrome

Sjogren’s (SHOW-grins) syndrome is a disorder of your immune system identified by its two most common symptoms — dry eyes and a dry mouth.

Sjogren’s syndrome often accompanies other immune-system disorders, such as rheumatoid arthritis and lupus. In Sjogren’s syndrome, the mucous membranes and moisture-secreting glands of your eyes and mouth are usually affected first — resulting in decreased production of tears and saliva.

Although you can develop Sjogren’s syndrome at any age, most people are older than 40 at the time of diagnosis. The condition is much more common in women.

There is no known cure for Sjogren’s and treatment focuses on treating symptoms, which often subside with time.

 

References: http://www.Sjogrens.org

 

Tips for next years holiday season

We all know how important it is to keep yourself as stress free as possible during the holiday season.  The stress of holiday candies, dinners, celebrations and travel can take a toll.   Make sure to eat right, drink plenty of water, stretch, exercise and take a few minutes to slow down take some deep breaths and relax.

The ACA and Precise Moves Chiropractic have some tips to keeping you healthy and limit stress during the holiday season: 

Treat Holiday Shopping As An Athletic Event

  • Stay hydrated! Drink eight to ten 8-ounce glasses of water a day. (Coffee, tea, soft drinks and alcohol are dehydrators. Don’t substitute them for water.) On shopping days, you may need to drink even more water.
  • Be sure to stretch before and after a long day of shopping or taking those returns back. When you are stressed-out, your muscles are less flexible than usual.
  • Wear shoes with plenty of cushioning in the soles to absorb the impact of walking on those hard shopping mall floors.
  • Make sure your clothing is as comfortable as possible. It’s a good idea to wear layers, because you may be going from a cold environment (outdoors) to a warm environment (indoors).
  • Leave your purse at home. Wear a light fanny pack, or if necessary, a light backpack instead. Pack only those items that are absolutely essential (driver’s license, credit card, etc.).
  • If you start to feel some pain, nip it in the bud. Apply an ice bag to the affected area for 20 minutes, then take it off for a couple of hours. Repeat a couple of times each day over the next day or two.

Plan Frequent Breaks Into Your Shopping Day

  • During a day of heavy shopping, most people should take a break every 45 minutes. Those with less stamina may even need to take breaks more frequently.
  • If possible, obtain a locker. Lockers can help cut down dramatically on how much you have to carry around. You can take a load off by scheduling trips to your locker into your breaks.
  • If your mall or shopping center doesn’t offer lockers, try to plan trips to your car. Don’t carry around more than is absolutely necessary at one time.
  • When taking breaks, try to eat light foods. A salad and some fruit is a much better option than a burger and fries.
  • Skip the coffee break! Coffee and sodas contain caffeine and sugar, which add even more stress to your body. Pass on the designer coffee at the java stand and keep drinking water.

Shopping With Children

  • If at all possible, DO NOT bring children along on a holiday shopping trip. Most children simply do not have the stamina for such an event, and you and your child will only become frustrated with one another. Don’t add this type of stress to an already stressful situation.
  • Try to split “child duty” up with a spouse or another parent. They’ll watch your kids while you shop, and vice-versa.

Wrapping Your Gifts

  • Since there is no “ideal” position for wrapping gifts, the most important thing to remember is to vary your positions. For example, try standing at a table or countertop for one package, sitting on a bed for another, sitting in a comfortable chair for another, etc.
  • Do not wrap packages while sitting on the floor. Wrapping packages while sitting on a hard floor can wreak havoc on your posture, and should be avoided.
  • Always stretch before and after you wrap gifts.

“When wrapping presents, it’s a good idea to ‘stretch the opposites,’” says Dr. Bautch. “In other words, if you are leaning forward when wrapping your gifts, stretch backward when you are done.”

Chiropractic Care Can Help
If you experience pain or discomfort as a result of holiday shopping, consider calling us for a visit. We can help alleviate your pain naturally, so you can enjoy the holiday season as it was meant to be.

Hope your holidays were wonderful and have a prosperous New Year!

References: http://www.acatoday.org/content_css.cfm?CID=74

Low Blood Pressure (Hypotension)

Low blood pressure is also called hypotension.  We talk about high blood pressure a lot and want to keep our readings low but sometimes too low can cause serious problems.  Low blood pressure can cause symptoms of dizziness and fainting. In severe cases, low blood pressure can be life-threatening.

Although blood pressure varies from person to person, a blood pressure reading of 90 millimeters of mercury (mm Hg) or less systolic blood pressure (the top number in a blood pressure reading) or 60 mm Hg or less diastolic blood pressure (the bottom number) is generally considered low blood pressure.

What are the causes of Hypotension?

1. Pregnancy. Because a woman’s circulatory system expands rapidly during pregnancy, blood pressure is likely to drop. During the first 24 weeks of pregnancy, systolic pressure commonly drops by five to 10 mm Hg and diastolic pressure by as much as 10 to 15 mm Hg. This is normal, and blood pressure usually returns to your pre-pregnancy level after you’ve given birth.

2. Heart problems. Some heart conditions that can lead to low blood pressure include extremely low heart rate (bradycardia), heart valve problems, heart attack and heart failure. These conditions may cause low blood pressure because they prevent your body from being able to circulate enough blood.

3. Endocrine problems. An underactive thyroid (hypothyroidism) or overactive thyroid (hyperthyroidism) can cause low blood pressure. In addition, other conditions, such as adrenal insufficiency (Addison’s disease), low blood sugar (hypoglycemia) and, in some cases, diabetes, can trigger low blood pressure.

4. Dehydration. When you become dehydrated, your body loses more water than it takes in. Even mild dehydration can cause weakness, dizziness and fatigue. Fever, vomiting, severe diarrhea, overuse of diuretics and strenuous exercise can all lead to dehydration.

Far more serious is hypovolemic shock, a life-threatening complication of dehydration. It occurs when low blood volume causes a sudden drop in blood pressure and a reduction in the amount of oxygen reaching your tissues. If untreated, severe hypovolemic shock can cause death within a few minutes or hours.

5. Blood loss. Losing a lot of blood from a major injury or internal bleeding reduces the amount of blood in your body, leading to a severe drop in blood pressure.

6. Severe infection (septicemia). Septicemia can happen when an infection in the body enters the bloodstream. These conditions can lead to a life-threatening drop in blood pressure called septic shock.

7. Severe allergic reaction (anaphylaxis). Anaphylaxis is a severe and potentially life-threatening allergic reaction. Common triggers of anaphylaxis include foods, certain medications, insect venoms and latex. Anaphylaxis can cause breathing problems, hives, itching, a swollen throat and a drop in blood pressure.

8. Lack of nutrients in your diet. A lack of the vitamins B-12 and folate can cause anemia, a condition in which your body doesn’t produce enough red blood cells, causing low blood pressure.

Depending on the reason for your low blood pressure, you may be able to take certain steps to help reduce or even prevent symptoms.

Here are Some suggestions to help manage this problem:

Drink more water, less alcohol. Alcohol is dehydrating and can lower blood pressure, even if you drink in moderation. Water, on the other hand, combats dehydration and increases blood volume.

 Follow a healthy diet. Get all the nutrients you need for good health by focusing on a variety of foods, including whole grains, fruits, vegetables, and lean chicken and fish. If your doctor suggests using more salt but you don’t like a lot of salt on your food, try using natural soy sauce or adding dry soup mixes to dips and dressings.

 Move slowly when changing body positions. You may be able to reduce the dizziness and lightheadedness that occur with low blood pressure on standing by taking it easy when you move from a prone to a standing position. Before getting out of bed in the morning, breathe deeply for a few minutes and then slowly sit up before standing. Sleeping with the head of your bed slightly elevated also can help fight the effects of gravity. If you begin to get symptoms while standing, cross your thighs in a scissors fashion and squeeze, or put one foot on a ledge or chair and lean as far forward as possible. These maneuvers encourage blood to flow from your legs to your heart.

Eat small, low-carb meals. To help prevent blood pressure from dropping sharply after meals, eat small portions several times a day and limit high-carbohydrate foods such as potatoes, rice, pasta and bread. Your doctor also may recommend drinking caffeinated coffee or tea with meals to temporarily raise blood pressure. But because caffeine can cause other problems, check with your doctor before drinking more caffeinated beverages.

Hope this helps clear things up!

Behavioral Changes and Chiropractic Care, A Case Study

A documented case study published in the October 4, 2006 issue of the peer reviewed publication, the Journal of Vertebral Subluxation Research (JVSR), describes the results of chiropractic care on an 8-year-old boy with many learning and behavioral disorders. Additionally, his mother reported that the boy also suffered from, severe headaches, neck pain, constant blood shot eyes, stomach pains, an inability to sit still, incoordination, behavioral problems and learning difficulties. She noted that the child’s medical doctor had no explanation for these problems.

It was noted that the majority of the boy’s problems started after a fall he had 18 months earlier. The mother also noted that her son had normal development, activity and learning skills until the accident. Finally the mother brought the boy to a chiropractor. The chiropractor performed an examination and x-rays. It was noted that there was a restriction in neck movement and tenderness over certain neck vertebrae. After review of all the findings it was determined that vertebral subluxations were present.

Care was initiated for corrections of subluxations with visits initially starting at once per week for the first two months. However, as documented in this case, positive changes started occurring quickly. After the third adjustment the boy’s mother brought in the spelling tests the child had taken. The tests prior to care showed severe problems as the child could only get two or three correct out of ten. After the second adjustment, the child scored a 100% and his tests continued to show drastic improvement. His teacher even noted that the boy was able to, “sit still and concentrate without disturbing the other children.”

The child continued to receive reports from school commenting on his academic improvement as well as his social interactivity. The authors of the case study noted that there were many possible explanations for the results seen in this case. However, they noted that other than the usage of over the counter medications reported by the mother, the young boy did not take any prescribed medication. The only change that directly correlated with the improvement in this young boy was the introduction of chiropractic care.

http://www.chiropracticresearch.org/search-result.php?aid=1024

Sometimes chiropractic can be life changing

Chiropractic Life-Changing Success Story Documented

Appearing in the March 2004 issue of the peer-reviewed Journal of Manipulative and Physiological Therapeutics, was a documented case study of a life changing case. The subject of the study was a previously healthy 17 year old who was involved in high school sports.

On one particular occasion he was competing as a pole vaulter in a high school track meet when he had an accident in which he landed on his head from a height of 10 feet.

Immediately following the accident, the young man noticed the onset of neck pain focused at the base of his skull. In addition he started suffering from back pain, daily headaches, and migraine headaches approximately 3 times per week. He described his pain as an “unbearable everyday occurrence.” Additionally, several days after the accident he began experiencing “blackouts,” which were later diagnosed as petit mal seizures. These seizures continued to increase until he was experiencing them 4 times per day.

Things continued to get worse for the young man as during the first 6 months following the accident, he started experiencing the onset of depression. He described a complete loss of appetite, extreme lethargy, a lack of concern for himself, and an extremely erratic sleep cycle that often left him awake for several days followed by periods of 14 to 18 hours of sleep.

The patient and his mother reported that he consulted with approximately 24 practitioners during this time. Prescribed medications and therapies did not alleviate or reduce symptoms. To alleviate his pain and depression, he started using illegal drugs in an attempt to “make himself feel better.” After becoming addicted, his parents checked him into a drug rehabilitation program, which he completed.

It was after this long and horrifying 6 year period, that this young man sought chiropractic care from the chiropractor who authored the published study. An examination was performed and it was determined that the young man was suffering due to a subluxation in the upper neck. A course of corrective adjustments was begun to correct the subluxation and reduce nerve pressure.

The results as reported in the Journal was nothing short of life changing for the young man. After 1 month of care, the patient reported an absence of seizures and manic episodes and improved sleep patterns. After 4 months of care, seizures and manic episodes remained absent and migraine headaches were reduced from 3 per week to 2 per month. After 7 months of care, the patient reported the complete absence of symptoms. And eighteen months later, the patient remains asymptomatic. This has changed his life tremendously.

http://www.chiropracticresearch.org/search-result.php?aid=1092

Med Pay on your car insurance policy covers chiropractic care!

Since many insurance companies don’t offer the benefits what we would hope these days, it is scary when we are injured in a car accident.  You may want to consider adding Med Pay to your car insurance policy in case of an automobile accident.

When you elect to have Medical coverage on your car insurance policy, this insures that you are covered for any medical or chiropractic treatments you may need after an accident.  Med Pay will cover everyone’s medical bills who was in your vehicle at the time of the accident, regardless of who is at fault.  Coverage can vary but normally it will allow for up to $1,000, $5,000 or &10,000.   Also, if you or a family member are hurt in someone else’s car, your medical bills would be paid for if the driver of that vehicle doesn’t have any medical coverage for their vehicle.

Insurance companies and agents do not always offer medical payment coverage unless you ask for it.  The reason why is because it is a better deal for you than it is for them.  For example, if you have $1,000 worth of MedPay added to your car insurance it would only cost you $20.00 more per year.

Taking Tylenol or Ibuprofen can have affects on lung function

Acetaminophen Use Associated with Asthma, and Decreased Lung Function

The May 3, 2005 Medical News Today reported on a study that showed that Acetaminophen, more commonly known as Tylenol, if used daily was associated with a greater prevalence of asthma and chronic obstructive pulmonary disease (COPD), as well as directly related to decreased lung function. The original study was published in the May 1st 2005 issue of the American Thoracic Society’s peer-reviewed American Journal of Respiratory and Critical Care Medicine.

Researchers from Britain looked at data from a US survey involving 13,492 participants who were part of the Third National Health and Nutrition Survey which took place from 1988 to 1994. Participants in the survey were asked whether they had taken aspirin, acetaminophen, and ibuprofen during the previous month. The replies to the survey were then divided into “never users;” “occasional users” (1 to 5 times in the past month); “regular users” (6 to 29 times during the past month); and “daily users” (more than 29 times during the last month). This information was then compared to see if there was a correlation.

The researchers found that those who reported daily use of acetaminophen were nearly twice as likely as non-users to have asthma or chronic obstructive pulmonary disease. They noted that the results also showed that neither the use of aspirin nor the use of ibuprofen was associated with the prevalence of either asthma or chronic obstructive pulmonary disease. Researchers also noted that there was a direct relationship between an increase in asthma and a decrease in lung function, with an increased usage of acetaminophen.

In the published report researchers concluded; “This study provides further evidence that use of acetaminophen is associated with an increased risk of asthma and COPD, and with decreased lung function.” They noted that acetaminophen use can cause an increase in asthma risk with potential effects on the onset, progression, and severity of the disease.

http://www.chiropracticresearch.org/search-result.php?aid=1272