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

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.

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!

Tips for Adhesive Capsulitis (frozen shoulder)

Causes:

The bones, ligaments and tendons around your shoulder joint are encased in a capsule of connective tissue. Frozen shoulder occurs when this capsule swells and thickens tightening the shoulder joint, restricting its movement and causes pain.

Frozen shoulder is often initially ignored when symptoms first occur because the pain subsides within a few days so people think it is just a short term problem.  It will come back and when it does it is more painful and lasts longer.  Scar tissue and inflammation re-occur and continue to restrict the shoulder from moving properly.

This problem takes a long time to see full results but it can be alleviated.

Frozen shoulder has three stages:

  • Stage one: The “freezing” or painful stage, which may last from six weeks to nine months, and in which the patient has a slow onset of pain. As the pain worsens, the shoulder loses motion.
  • Stage two: The “frozen” or adhesive stage is marked by a slow improvement in pain but the stiffness remains. This stage generally lasts four months to nine months.
  • Stage three: The “thawing” or recovery, when shoulder motion slowly returns toward normal. This generally lasts five months to 26 months.

Risk Factors:

  1. Age: People 40 or older are at risk
  2. Repetitive jobs especially jobs which require raising the arms over the head
  3. Injuries to the shoulder which causes improper movement of the shoulder adding to inflammation.

Treatment:

Inflammation must be decreased before exercises can really be beneficial.   Scar tissue must be broken and new healthy tissue must take its place.  Sound Assisted Soft Tissue Mobilization can decrease scar tissue and increase mobility.  We can also train your shoulder to move properly to prevent further injury.

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

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.