Chest pain can be caused by a rib out of place

Most people are amazed to find out that the ribs are not directly attached to the vertebrae.  There is tissue between the rib and vertebrae which allows them to move and expand when we breathe. When a rib is not in the right place, it will inflame causing pain and discomfort.

So, what does it feel like when a rib is out?

When a rib is out of alignment, pain can occur in the front of you chest, side or upper to mid back.  In the case of a rib out in front of out chest, it may sometimes feel like you are having a heart attack.  Many patients check into the emergency room only to find out that cardiac or pulmonary problems are ruled out.  If this occurs, it is probably a rib out of place.  I personally have had a rib out of place in the front from boxing and I can say from experience that it can be a bit scary until you know that you are not having a heart attack.

If a rib is out in the back, pin point pain will occur in the upper/lower back or side, especially when breathing.

So, what can be done?

A chiropractor can find the rib easily with a “hands on” assessment.   After finding the problem and guiding the rib back in place, the rib will stay in place and the tissues and nerves around the area will heal which will stop the pain.

Ribs are overlooked by many health practitioners but I have seen several patients with pain that just won’t go away and they are unsure what is causing the problem.
After finding a rib that is out of place and correcting it I have gotten amazing results!  The patient can normally get fast relief and reassurance that they do not have a serious health problem.

Physical Therapy, Scar Tissue and Chiropractic

When a person injures themselves and sees a medical doctor, in most cases the M.D. sends them to physical therapy to strengthen the injured area.  Exercise is great for your body and health but there is a difference between stretching and strengthening.

First of all, depending on the injury, there may be numerous areas of scar tissue that has to be alleviated in order for the muscles to function properly without further injury.  If exercise is done too soon, it may only add to the problem.  After most accidents or sport injuries, the chances of scar tissue forming is very high.  This needs to be addressed before building your muscles.  Sound Assisted Soft Tissue Therapy is great at getting rid of scar tissue quickly and easily.  It is used by trainers and athletes around the world.

After the scar tissue has been addressed, it must be determined whether stretching or strengthening is needed.  Stretching your muscles is key before starting any exercise program. You don’t want to start exercising a muscle that is already stiff and tight.  That will increase the chance of a further tear or injury.  After a few bouts of stretching, you will become more flexible and are now ready to start an exercise program.

Physical Therapy is great and offers a wonderful benefit to healing.  However, if your body is not aligned or moving properly, physical therapy can only do so much.  Chiropractic aligns the body properly to enable proper function.   We offer more than just an adjustment, you can get it all!

At Precise Moves Chiropractic, we offer proper alignment of the body, massage and physiotherapy.  This helps you get better results quicker!

We can help with any musculoskeletal problem and so much more!!!  Call us today (650) 353-1133

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.

How can I take care of Vertigo and dizziness?

Vertigo and dizziness can be scary but there are a couple of maneuvers that can help.

Vertigo happens sometimes when we change position of our head rapidly.  This can happen when changing from a sitting position to standing or from a laying down to standing position.  It can even happen if we turn our head too fast.

Sometimes this problem is because of a blocked nerve in the upper portion of our neck which goes to our inner ear.  It can also be caused by a mass of particles in the inner ear.  In either case, it can be taken care of and you can get your life back!

The Epley Maneuver is helpful with this problem.  It reconfigures the fluid in the ear and allows the inner ear to function.  How this works is a patient is taken from the seated position to laying down on his/her back with the affected ear facing down.  This is held for about 20-30 seconds and then the head is rapidly moved to the other side.  It is again held in this position for 20-30 seconds.  After staying in this position, the patient is then put on their side.  Then the patient is turned to face the floor.

After this maneuver it is recommended to remain in an upright position for 24 hours (or as long as you can sit comfortably).

Chiropractic adjustments to the top of the neck are safe and also help greatly with vertigo or dizziness.  Since the head is moving properly and the nerves are functioning normally, the ear works the way it should and the equilibrium is maintained.  Performing both the Epley Maneuver and adjusting the neck gets great results!

Call our office today if you have this problem!  We can help!

Precise Moves Chiropractic
San Carlos, CA
650-353-1133

Whiplash and chiropractic

Whiplash is an injury to the cervical spine (neck).  In a whiplash injury the joints between the spinal bones (vertebrae), discs, muscles, ligaments and nerves may be irritated or damaged.

When does whiplash occur?
Whiplash is commonly seen with car accidents but it can happen in any case where a person is hit from behind.  This can be from sports or even if someone playfully pushes you from behind a little too hard.

Symptoms of whiplash can happen within a two week period.  It doesn’t necessarily happen right after the incident.  Pain in neck, arm, hand and/or shoulders is common.  Limited neck movement, swelling, stiffness, dizziness, ringing in the ears, blurred vision, concentration or memory difficulty, insomnia may also occur.

How do you know if you have whiplash?
Most of the time you will have discomfort and not be able to move properly.  After car accidents it is common to take an X-ray.  It will show the bone positions in the neck and soft tissue swelling in the neck.   After a car accident it is common for most hospitals to take a CT Scan or MRI to see if there is any serious soft tissue or cervical disc damage.

How can whiplash be helped?
Well, first the swelling needs to be diminished.  Ice packs help this problem tremendously.  Then after the swelling is down, we can start working with getting the scar tissue and damage in the soft tissues of the neck repaired and functioning properly.  Gentle adjustments to the neck allow the neck to keep its curve and move without promoting more damage.  During treatment, exercised to strengthen the neck are performed.

In the past cervical collars were immediately put on patients after a car accident.  This is not recommended unless there is a severe injury with a lot of instability in the neck.  Normally, if a collar is worn and there is no severe damage, the muscles and ligaments in the neck weaken and this can promote further injury.

We have helped several patients that have come in with whiplash.  Soft tissue repair and neck adjustments can get you back to normal.  Just because you have a car accident and were hurt doesn’t mean you have to live your life in pain and dysfunction.  We can help!

Call our office today!

Precise Moves Chiropractic
San Carlos, CA
650-353-1133

How can I prevent spraining my ankle?

Ankle sprains are becoming common.  Sprains occur when the ligaments of the ankle are stretched and pulled beyond their capacity.  This sometimes leads to partial tears or complete tears in the foot.  In 85% of ankle sprains, the Anterior Talofibular ligament is damaged by someone planting their foot, then rolling over the outside of their foot.  This inside of the foot is only sprained about 15% of the time.

In a total tear, stabilization of the foot is necessary along with R.I.C.E (rest, Ice, compression, elevation) for regrowth and restoration of the tissues.  The foot can still be checked for proper movement and can be manipulated safely but with caution.  Partial tears require R.I.C.E and stabilization is not normally necessary.  Exercises after the inflammation is gone along with getting the foot and ankle in their proper position helps and gets patients back walking normally quickly.

People with chronic sprains sometimes think it is normal to keep spraining their ankle.  This in NOT true!  The reason why someone sprains their ankle many times can be because of balance issues, pathological gait patterns and improper foot position.  Learning balance exercises, proper gait and getting the foot in the proper position can prevent future sprains and keep patients healthy and active for a lifetime.

We are extremity experts at Precise Moves Chiropractic.  We can help with any sports injury or extremity problem.  Please call us today to make an appointment for an exam and consultation!

Precise Moves Chiropractic has been serving the San Carlos, CA area since 2007!

Bursitis in our joints

Bursitis definition:
Bursitis is inflammation of a bursa.   The bursa is an area of fluid around a joint which functions like grease on a machine.  It helps our joints glide properly and protects us from unnecessary friction causing injury. Technically, there are 160 different bursae in our body.  Most common areas where bursitis occurs is by large joints such as the shoulder, elbow, hips and knees.  These are complex areas that are commonly flared up by most athletes who train hard.

Over the years there may be flare ups of the bursae because of added joint pressure, crystal accumulation or degeneration in the joint space. Infection affiliated with Rheumatoid Arthritis can also cause Bursitis.

Symptoms of Bursitis is pain, swelling and tenderness in the joint space.

How can this be treated?
In the case of an infection, a visit to your primary care physician may be necessary for inflammatory medication.  In the majority of cases, rest, ice and making sure the joint is moving properly to prevent unnecessary friction is recommended.  Once your body is moving correctly, the bursae can now go back to functioning normally.

We take great pride in helping people through this debilitating problem.  Proper treatment and rehabilitation can prevent future flare-ups.

Can chiropractic help when I am pregnant?

Yes! You will be glad to hear that chiropractic adjustments can significantly reduce labor time. Mothers giving birth for the first time have averaged 24% shorter labor time and repeat pregnancy labor times decreased 39% (Fallon, 1991). Chiropractic adjustments during pregnancy can also reduce the likelihood of experiencing back pain during pregnancy (Diakow, 1991). You can be adjusted and relieve stress and dysfunction in your body until the birth of your child (Penna, 1989).

During pregnancy, weight-bearing changes occur when we have an added load to our abdomen. This can cause an added stress to the low back, hips and other areas of the spine. Chiropractic treatments help your body stay relaxed and comfortable and may also help facilitate your birth.

Here is how we can help:

Sacral misalignment can cause twisting and tightening of pelvic muscles and ligaments. This can prevent the baby from tipping comfortably into the proper position in preparation for child birth. Chiropractors using the Webster Technique can address this situation naturally by adjusting your pelvis and reducing the tension on your muscles and ligaments. The baby will innately move into the proper position and you will save yourself from a cesarean birth. It has even been successful with twin births as well!