What is meant by disc herniation?

A herniated disc results in symptoms of back pain, leg pain and/or weakness of the legs.

What consists of the disc?
The disc lies between each vertabrae of the spinal column.  The outside of the disc (annulus fibrosis) is rigid and can take the pressure of gravity on the spine but can rip when there is excessive twisting.  The inner part of the disc (nucleus pulposus) which is gel like leaks out of the tear and puts pressure on the nerves exiting the bone.  This causes pain, numbness, tingling in the areas supplied by those nerves.

What causes the disc to herniate?
It happen with a fall or accident or can occur over time with stress to the spine.  Many people live with a herniated disc but it is when the nerve is irritated and swells that it begins to cause symptoms.

What other symptoms can occur with a disc problem?
1. Shocks that shoot down the leg, arm or back
2.Tingling and numbness
3. Pins and needles
4. Bowel or bladder dysfunction (this may be a cauda equina syndrome which may be an emergency if associated with numbness in the groin area)

How is a disc diagnosed?

A thorough examination is performed and if treatment is performed with no improvement, an MRI is recommended.

What can chiropractic do?

Chiropractic has a high success rate with herniations.  We are proficient with moving the bones in the proper alignment and freeing up the nerve.  We also give exercises to patients to strengthen the core.   As mentioned above, people can live with a herniation as long as there is no stress to cause inflammation.  We can keep the body healthy and moving properly making sure that the herniation does not swell and cause symptoms.

6 tips for managing Ankylosing Spondylitis

What is Ankylosing Spondylitis?

Ankylosing Spondylitis (“AS”) is also known as Mari Struempell disease or Bechterew’s disease.  This is an inflammatory arthritis that results in fusion of the spine, pelvis and sacral joints.  It can affect other joints in the body as well.  Spondylitis is defined as inflammation of the joints of the body.   When AS forms on bones, it begins to grow more bone and eventually fuse the joints together causing pain, stiffness and decreased movement in the body.

Symptoms:

Joint pain in the low back is the most common symptom but may be ignored and called “growing pains” because signs and symptoms can occur at 15 years of age or younger.  Other symptoms are

1. Stiffness especially in the morning in the Sacroiliac joint and spine,
2. Aches in low back which interrupt sleep
3. Pain that goes down the legs and groin area
4. Pain in the morning, after waking up
5. Aches in buttock, neck, shoulders, hips and upper back
6. Weight loss and fatigue
7. Eye inflammation, heart, lung, nervous system, bowel dysfunction
8. An increase of the curve of the thoracic spine may occur.

What can be done to decrease the symptoms of AS?

A. Flexibility exercises to keep the muscles and tissues moving as much as possible.
B. Keep weight within normal limits to keep the strain off of the joints of the body
C. Avoid quick movements which may inflame the body
D. When pain and stiffness occur, use heat.
E. Swimming, yoga and pilates is the best exercise for AS
F. Omega 3 rich diet.

What can your doctor do to help with this problem?

1. X-rays can show fusion of the joints to confirm the diagnosis of AS
2. Assist with an exercise program to keep mobility and correct posture
3. Massage and muscle therapy included in the treatment plan to increase flexibility

Keeping proper movement and flexibility in your body can drastically decrease the affects of AS.  Chiropractic care that incorporates soft tissue work can keep you healthy and functioning at the highest level possible.

This was presented by Dr. Amie Gregory, D.C. of Precise Moves Chiropractic in San Carlos, CA

The Affects Of Tight Hamstrings

A lot of patients that come into my office have tight hamstrings and think it is normal to feel a pull in the back of their legs when bending forward.  This is not normal.  Sure, there may not be any problems right now but in time, the muscle can cause several dysfunctions.  Tears, low back and sciatic pain (because the muscle attaches to the lower portion of the hips), and pain or tears in the back of the knee may occur.  The hamstring muscle is really three muscles.  The semitendinosis, semimembranosis and biceps femoris.

What causes hamstring tightness?
Sure, genetics can play a part but in most cases it is caused by improper or not enough stretching.  There are easy stretches that only take about 6-10 minutes and can prevent tears and problems in the future.  Stretching before and after an athletic event helps in maintaining a flexible muscle so it is recommended to do so every time you engage in a sport.  Here is a common stretch that is easy to do.

  • Sit on the floor with one leg straight
 and the other bent with the foot pressing against the inner portion of the outstretched leg
  • Keep your back straight as you lean forward through the hips 
to one the straight leg side
  • Hold (don’t bounce) for 25 to 30 seconds
  • Switch sides

Doing these exercises will prevent injuries and keep you low back loose preventing injuries.

iPhone and iPod ergonomics!

Everyone has an iPhone, ipod, Blackberry or high tech phone these days.  Texting, internet searches and long periods of time are spent on these tiny gadgets.  Technology is great, but problems with fingers, wrists, forearms,  neck and back are becoming common place because of bad ergonomics and posture when using our new technology.

Go to any cafe or restaurant at lunchtime and you will see people on their cell phones or reading,  looking down for long periods of time and texting without taking a break. This can lead to neck, shoulder, arm and wrist pain.

Having your head down for long periods of time starts to put an added burden to your neck muscles, ligaments and bones! It is a good idea to place your phone at a level where your eyes are even with the screen and you are not looking down.

When tweeting, SMSing or emailing, take a break once in a while and stretch your forearms, fingers and neck.  Every 20 minutes is recommended.  This is going to help you prevent long term stress leading to problems later on.  While taking this break practice looking far and near to exercise your eyes and keep your lenses in shape.

At Precise Moves Chiropractic, we can help you with any problems you may have with your neck, back, hands, forearms and any joint in your body!  We will provide proper exercises and ergonomic advice to keep your body healthy and functioning properly.  Don’t hesitate to call and make an appointment today. 650.353.1133. We’ll help show you how to make the most out of new technology while remaining pain free.

Precise Moves Chiropractic, San Carlos Chiropractor

The importance of good posture

To most people, “good posture” simply means sitting and standing up straight. Few of us realize the importance of posture to our health and performance. The human body craves alignment. When we are properly aligned, our bones, not our muscles, support our weight, reducing effort and strain. The big payoff with proper posture is that we feel healthier, have more energy, and move gracefully. So while the word “posture” may conjure up images of book-balancing charm-school girls, it is not just about standing up straight. It’s about being aware of and connected to every part of your self.

Posture ranks right up at the top of the list when you are talking about good health. It is as important as eating right, exercising, getting proper rest and avoiding potentially harmful substances like alcohol, drugs, and tobacco. Good posture is a way of doing things with more energy, less stress and fatigue. Without good posture, you cannot really be physically fit. Without good posture, you can actually damage your spine every time you exercise.

Ideally, our bones stack up one upon the other: the head rests directly on top of the spine, which sits directly over the pelvis, which sits directly over the knees and ankles. But if you spend hours every day sitting in a chair, if you hunch forward or balance your weight primarily on one leg, the muscles of your neck and back have to carry the weight of the body rather than it being supported by the spine. The resulting tension and joint pressure can affect you not only physically, but emotionally, too, — from the predictable shoulder and back pain to headaches, short attention span, and depression.

Poor posture distorts the alignment of bones, chronically tenses muscles, and contributes to stressful conditions such as loss of vital lung capacity, increased fatigue, reduced blood and oxygen to the brain, limited range of motion, stiffness of joints, pain syndromes, reduced mental alertness, and decreased productivity at work. According to the Nobel Laureate Dr. Roger Sperry, “the more mechanically distorted a person is, the less energy is available for thinking, metabolism, and healing.”

The most immediate problem with poor posture is that it creates a lot of chronic muscle tension as the weight of the head and upper body must be supported by the muscles instead of the bones. This effect becomes more pronounced the further your posture deviates from your body’s center of balance.

To illustrate this idea further, think about carrying a briefcase. If you had to carry a briefcase with your arms outstretched in front of you, it would not take long before the muscles of your shoulders would be completely exhausted. This is because carrying the briefcase far away from your center of balance places undue stress on your shoulder muscles. If you held the same briefcase down at your side, your muscles would not fatigue as quickly, because the briefcase is closer to your center of balance and therefore the weight is supported by the bones of the skeleton, rather than the muscles.

In some parts of the world, women can carry big pots full of water from distant water sources back to their homes. They are able to carry these heavy pots a long distance without significant effort because they balance them on the top of their heads, thereby carrying them at their center of balance and allowing the strength of their skeleton to bear the weight, rather than their muscles.

Correcting bad posture and the physical problems that result can be accomplished in two ways. The first is by eliminating as much “bad” stress from your body as possible. Bad stress includes all the factors, habits, or stressors that cause your body to deviate from your structural center. Bad stress can result from a poorly adjusted workstation at work, from not having your seat adjusted correctly in your car, or even from carrying too much weight around in a heavy purse or backpack.

The second is by applying “good” stress on the body in an effort to move your posture back toward your center of balance. This is accomplished through a series of exercises, stretches, adjustments, and changes to your physical environment, all designed to help correct your posture. Getting your body back to its center of balance by improving your posture is critically important to improving how you feel.