Temporomandibular Joint (TMJ) Issues?

TMJ can be very painful.  It can lead to headaches, vision problems, neck pain, earaches, the inability to chew properly and much more.

The Cartilage that is above your mandible can move forward or be pushed up behind the joint.  This will either make it impossible for you to put your teeth together or chew evenly on both sides.  You may sometimes hear cracking and experience pain when chewing, talking or moving your mouth.

How can I help you with this problem?

I have taken specialized training in TMJ to move the disk to the proper place above your jaw so that it moves properly without pain or dysfunction.  There is no need for  surgery, x-rays or medication, just a gentle adjustment which will alleviate your symptoms.

Why go through unnecessary procedures when a specialized exam can be performed and find out how your TMJ is working.

If you have this problem, please contact us today for an exam, we can help!

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

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

Carpal Tunnel Syndrome Reasons And Results

What is Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome is hand tingling, numbness and pain. Females more commonly have the condition.

Normally, Carpal Tunnel occurs with people who perform jobs that require repetitive hand movements. Typing, flexing or extending the wrist for long periods of time are very commonly the cause. It can also occur with a muscle or tendon pressing on the nerve or if a bone in the wrist is out of place. Preventing pressure on the median nerve will decrease inflammation in the area and alleviate the problem.

Carpal Tunnel is a “tunnel” made by bones and tissues in your wrist. Bones in the wrist (“carpals”) move and slide to form a tunnel on the palmar surface of the wrist. The median nerve goes through this tunnel into the fingers. The transverse carpal ligament goes over the nerve and provides protection and lubrication to the joint. Sometimes this ligament gets tight and presses on the nerve if muscles, tendons and bones are not in the place they need to be or if there is swelling in the region. Carpal Tunnel can also occur in cases where people sleep with their hands bent for long periods of time.
How do I know if I have carpal tunnel?

1. Numbness, tingling or pain in the hand

2. If an electric shock occurs on the thumb or the long fingers (excluding the pinky)

Initially, symptoms will come and go. Numbness, tingling and pain will occur for short periods, then go away. This is a warning signal! If left without treatment, it will get worse and the symptoms will come back more severely and may last longer and interfere with sleep. Easy tasks may become difficult. You may not be able to button your shirt like you used to or open a pickle jar without pain. You may also begin to drop things easily.

So what can we do to help

To find out if you have this problem, we will talk to you about your symptoms and discuss your medical history. We will perform orthopedic tests to determine if this is indeed Carpal Tunnel Syndrome or another nerve affecting the area. Here is some of what will be performed:

  • Tests to determine weakness in the muscles of your hands
  • Bending and holding your wrists in positions which begin to test the median nerve in your hands
  • Testing the median nerve to see if symptoms occur

There are several traditional forms of treatment that have been applied by practioners in the past. Wrist braces, anti-inflammatory drugs (NSAIDs), such as ibuprofen, ceasing activity on the wrist or corticosteroid injections. Some of these may work but if they don’t, surgery will be recommended. What happens is cut or thin out the transverse carpal ligament. This can expose the nerve to injury and have the symptoms reoccur.

Chiroractors want to help you naturally without the use of drugs or surgery.

What chiropractic does is to make sure the body is aligned properly so the median nerve is not impinged or irritated. We can do this by working with your muscles, tendons and bones. We can prevent unnecessary surgery, steroid shots which have been proven to impede healing and NSAIDS which have to be filtered out by your internal organs which can put an added stress on those areas.

Chiropractors have a high percentage of success with Carpal Tunnel Syndrome and most extremity issues!

Please call today if you are experiencing any discomfort. We can help.

Dr. Amie B. Gregory, D.C.

Sport and extremity chiropractor located in San Carlos, CA

Tennis Elbow…what can be done?

“Tennis elbow” or what may be referred to as “lateral epicondylitis” is caused by misuse or overuse of the forearm muscles. It normally results in pain on the outside of the elbow (lateral epicondyle). It is common with tennis players but anyone can have this problem.

When can you tell if you have Tennis Elbow?

  1. Pain on the outside of the elbow
  2. Pain occurs when shaking hands or gripping objects
  3. Pain with twisting with force, opening jars, even using a toothbrush or holding a knife or fork may cause pain.

Proper function is key to help you prevent chronic problems with your elbow. Chiropractors can help alleviate this pain and dysfunction in the body without drugs, cortisone shots or surgery! We can diagnose this problem using orthopedic tests and by studying the way your arm moves and functions. We perform soft tissue work, muscle and bone alignment to make sure your arm is operating properly. After your pain is gone, we will incorporate exercises in your treatment to prevent further tearing and stress on the joint and teach you proper body movement.

If you think you may have tennis elbow, chiropractic can help. Give us a call at 650.353.1133.

Dr. Amie B. Gregory
Precise Moves Chiropractic
Sports and Extremity Chiropractor located in San Carlos, CA

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.