Dr Davis' Back & Wrist Pain Blog

Hand Pain and the Role of the Neck

We have been providing treatment for hand pain in San Francisco for over 20 years now. During this time we have learned much about the role of the neck when it comes to hand pain and carpal tunnel symptoms. 

After-all, the nerves that innervate and control the shoulder, arm, wrist and hand, originate in the neck. The neck is the source of power, energy and life for the upper extremity.

If we were to cut-off the nerve supply from the neck to the hands, the hands would die. If there is diminished nerve supply the hands will malfunction and symptoms will manifest. In order for the hands to function at 100%, they need 100% nerve power. Some of the signs and symptoms of nerve pressure in the neck are as follows:

 

1. Neck Pain

2. Shoulder, Arm, and Elbow Pain

3. Wrist and Hand Pain

4. Numbness and Tingling in the Arms and Hands

5. Weakness of Grip

6. Night Pain

These are also the classic signs and symptoms of Carpal Tunnel Syndrome (CTS). Yes, the same symptoms result from nerve interference between the neck and had as true CTS, which is the result of pressure on the median nerve in the wrist. This is because the median nerve originates in the neck.

Interesting Huh? This is why it is SO important for a doctor to check you from the neck to the fingertips when you have hand pain or any of the other carpal tunnel SYMPTOMS.

There is a subset of chiropractors like us that specialise in the diagnosis and treatment of neck, arm and hand pain. Chiropractic upper extremity experts will incorporate tools such as deep tissue laser therapy, Graston Technique, ART, and upper extremity adjustments, in addition to cervical spine adjustments to remove nerve pressure from the neck to the hands.

Sometimes hand pain will resolve quickly...sometimes it takes a while. It just depends how long your condition has been there and the extent of the damage. One thing for sure...taking pain pills, anti-inflammatory medication such as cortisone injections, and wearing wrist splints, is not going to do much for you if the problem is nerve pressure in the neck from subluxations, bulging or herniated discs, disc degeneration, or muscle spasms.

Physical pressure on nerves (to the hand) requires the removal of the pressure on the nerves or the carpal tunnel symptoms will persist.

If you need help finding a carpal tunnel doctor in your area you can send me an email at ebendavis@yahoo.com and I will try to find a doctor I have trained in your area.

To schedule an appointment with one of our San Francisco Carpal Tunnel Doctors please call 415-392-2225. Mention this blog post for a complimentary consultation.

Serving local 94111 since 1992

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Vitamin D and Some Amazing Health Facts

20 Fun and Amazing Health Facts. 

1.) Women have a better sense of smell than men. 2.) When you take a step, you use up to 200 muscles. 3.) Your ears secrete more earwax when you are afraid than when you aren’t. 4.) The human brain has the capacity to store everything you experience. 5.) It takes twice as long to lose new muscle if you stop working out than it did to gain it. 6.) The average person’s skin weighs twice as much as their brain. 7.) Every year your body replaces 98% of your atoms. 8.) On average, there are 100 billion neurons in the human brain. 9.) The lifespan of a taste bud is ten days.  10.) Dentists recommend you keep your toothbrush at least 6 feet away from a toilet to avoid airborne particles caused by flushing.  11.) Your tongue is the only muscle in your body that is attached at only one end. 12.) Your stomach produces a new layer of mucus every two weeks so that it doesn’t digest itself. 13.) It takes about 20 seconds for a red blood cell to circle the whole body. 14.) The pupil of the eye expands as much as 45% when a person looks at something pleasing. 15.) Your heart rate can rise as much as 30% during a yawn. 16.) Your heart pumps about 2,000 gallons of blood each day. 17.) Your heart beats over 100,000 times a day. 18.) Your hair grows faster in the morning than at any other time of day.  19.) Your body is creating and killing 15 million red blood cells per second. 20.) You’re born with 300 bones, but when you reach adulthood, you only have 206! 

Vitamin D

       For most people, Vitamin D levels drop considerably in the winter (or summer if you live in the Southern Hemisphere).  Vitamin D is very important for both muscle tone and health, and recent research suggests it’s important for the immune system.  Obviously, the winter is an important time to keep your immune system as strong as possible so you can fight off the common cold and the dreaded flu.  Now, some new research shows how much Vitamin D the average person needs to maintain optimal levels. According to the recommended levels in this new research, it is believed that 30-50% of Americans and Canadians are deficient.  In order to raise your Vitamin D levels into the optimum range throughout the year, the Endocrine Society has recommended the following daily intake levels of Vitamin D (from all sources):  Children under one years old: 400-1,000 IU/day; Children 1 to 18 years old: 600-1,000 IU/day; Adults: 1,500-2,000 IU/day.

Is All Vitamin D Created Equal?

            Research published in the June edition of the American Journal of Clinical Nutrition has shown that Vitamin D3 supplements could provide more benefit than its close relative, Vitamin D2.  This is important because it is difficult for most people to get enough Vitamin D through food and sunshine, especially during the winter months.  Many foods are fortified with Vitamin D, but it is usually in the Vitamin D2 form.  The research shows that Vitamin D3 is better at raising the Vitamin D levels in your blood when given as a supplement. Dr. Laura Tripkovic explains: “We know that Vitamin D is vital in helping to keep us fit and healthy, but what has not been clear is the difference between the two types of Vitamin D. It used to be thought that both were equally beneficial, however our analysis highlights that our bodies may react differently to both types and that Vitamin D3 could actually be better for us.”  

            To get their results, researchers analyzed the results of 10 studies with a total of over 1,000 people.  They stated, “Vitamin D3 could potentially become the preferred choice for supplementation. However, additional research is required to examine the metabolic pathways involved in oral and intramuscular administration of Vitamin D and the effects across age, sex, and ethnicity, which this review was unable to verify.” 

Is Vitamin D Really That Important?

            According to the National Institute of Health: “A growing body of research suggests that Vitamin D might play some role in the prevention and treatment of type 1 and type 2 diabetes, hypertension, glucose intolerance, multiple sclerosis, and other medical conditions. Laboratory and animal evidence, as well as epidemiologic data, suggests that Vitamin D status could affect cancer risk. Strong biological and mechanistic bases indicate that Vitamin D plays a role in the prevention of colon, prostate, and breast cancers.”  

Remember, we’re always here to help your body heal and maintain the pain free body you deserve.

This information is solely advisory, and should not be substituted for medical or chiropractic advice.  Any and all health care concerns, decisions, and actions must be done through the advice and counsel of a healthcare professional who is familiar with your updated medical history. We cannot be held responsible for actions you may take without a thorough exam or appropriate referral. If you have any further concerns or questions, please let us know.

Altadonna Communications ©

To schedule an appointment with one of our San Francisco Chiropractors call 415-392-2225

 

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Chiropractor San Francisco: Patient Review

Our San Francisco Chiropractor "Patient of the Week" is John Joseph.

John presented to us a few years ago with complaints throughout his body including neck pain, back pain, knee pain, and arm pain. Since his first visit with us he has experienced direct relief after adjustments.

His treatment regimen includes chiropractic adjustments to the neck, upper back, and lumbar regions. Extremity adjustments to the shoulders, arms, hands, knees, and ankles, massage, custom exercises, and lots of TLC.

Now John is going to the gym, hiking, and has become much more active in his daily life. We are proud to have witnessed John change to a more healthy "chiropractic" lifestyle. Often times, he is only able to come in at the end of the day but we are more than happy to fit him in. We are confident that with regular chiropractic adjustments he will not only be able to maintain his current health but continue to make progress in his achieving his health and fitness goals.

Like John, many of our chiropractic patients have multiple areas of complaints, and we are able to address them all in a short period of time.

Chiropractic is very efficient this way which enable patients like John that have multiple areas of chronic pain to get the treatment they need without having to go to several different health care  providers.

Thank you John for sharing your story. The pleasure has been ours. It's why we come to work.

To schedule an appointment with one of our chiropractors in San Francisco please call 415-392-2225.

Serving local 94111 for over 20 years

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What Is Osteoarthritis Of The Knee?

Osteoarthritis or “OA” is the most common form of arthritis. OA is a condition where the cartilage between joints wears away, causing pain. Then, when enough synovial fluid (a naturally occurring lubricant found in the knee) and cartilage is gone, the pain can be unbearable and require total knee replacement.

If You Have Knee Arthritis, Is There Anything You Can Do About It? According to researcher, Dr. Tatyana Shamliyan, “Several guidelines recommend non-drug treatment, including exercise, electrical stimulation, tai chi and esthetics.”

Her team analyzed the evidence and came up with results that were sometimes at odds with those guidelines. They looked at how the therapies affected pain, functioning, and disability. “Based on the analysis, we can’t conclude sustained benefit with tai chi, manual therapy or massage, or transcutaneous electrical [nerve] stimulation.”

Dr. Shamliyan's team reviewed nearly 200 studies and found there was evidence that low impact aerobic exercise and water exercise improved function and decreased disability. Aerobic exercise, strength training and therapeutic ultrasound reduced pain and increased mobility. However, the best outcomes came when patients stuck to their exercise program. This is particularly important as exercise can increase knee pain in the short-term. It should be noted that the study did not show that intense exercise was any better than moderate exercise.

The take home message here is that it looks like certain moderate exercise can help some of the symptoms associated with knee OA. But this does not mean you should take it upon yourself to “just go exercise.” If you suffer with knee OA, you should see a qualified physician such as a chiropractor. They will be able to determine the best treatment program for your individual case.

Altadonna Communications ©

The chiropractors at Executive Express Chiropractic have been providing treatment for knee pain in San Francisco for over 20 years. To schedule an appointment call 415-392-2225.

Serving local 94111 and surrounding areas

 

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Chiropractor San Francisco: Review Back and Neck Pain

Our "Patient of the week" is Kim Slosek. Kim presented to us with neck, back, and shoulder complaints that were getting worse and interfering with her daily home and work life. She was unable to find the relief she was after and decided to try us out.

Through a series of chiropractic adjustments, stretches, exercises, massage, and Graston technique we have made huge strides toward reducing her symptoms and restoring lost function. Kim reports life is returning to normal. We are excited to see Kim progress through her treatment plan and are always happy when she comes into the office with great news.

Our team is confident that with regular Chiropractic care we will be able to help her maintain her new found health. Thank you Kim for trusting us with your health!

Our patients find that they are able to have us work on chronic conditions that they have been living with because they do not need appointments at our clinic and there is little to no waiting. So when they have a spare 30 minutes they just pop on over and know they will be seen in a jiffy.

To schedule an appointment with one of our San Francisco Chiropractors simply call 415-392-2225

Serving local zip code 94111 since for over 20 years

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How to get the most from your visit to the doctor

5 Steps to Turn a “Dud” Check-Up Into a Get-Younger Plan:

Dr. Michael F. Roizen

            Just showing up isn’t what makes a doctor visit valuable. The value is in actually getting a plan to stay healthy, and then following it to live a longer and happier life. You can transform that all-too-often rushed doctor's appointment to make sure you’re not in the 50% of patients who walk out not knowing what to do next. We believe in a plan.

Step one:  Partner up with your doc. We docs love it when you become the world’s leading expert on you, your body, and your health. Knowing as much as possible about any health conditions you have, and about treatment options, helps you make smarter decisions.

Step two: Come prepared. Bring along a list of the drugs, supplements and remedies you take, extra medical info (like X-rays or reports from other docs), all your health insurance information, and a note pad and pencil (maybe a tape recorder and/or a friend or relative).  Write down in advance any special questions you want answered.

Step three: Set health goals with your doctor. Do you need to quit smoking? Lose 15 pounds? Lower blood pressure or LDL cholesterol by 20 points? Spend 10 minutes a day chilling out to ease stress? Set a real target, with a “done by” date. (Need to start exercising? Not ready to walk for 30 minutes today? If you can get out the door, down to the corner and back in 15 minutes, start there and do it every day for a week. Next week, add a couple minutes. Get a walking buddy, or go to www.EnforcerECoaching.com—there is a charge.)

Step four: Find out what to do at home. Would a home blood pressure monitor, a new blood-sugar meter, a smart phone app that tracks your fruits and vegetables, or headphones help you reach your goals?

Step five: Schedule a follow-up visit. It’s good to see how you are doing on your plan and make midcourse corrections to your plan as indicated.  You want to get to 5 "normals" as a minimum (blood pressure, weight for height, LDL cholesterol, fasting blood sugar, and absence of tobacco use) all with or without medications,whatever it takes for you to hit your plan goals for this and each year. That's the real value of the yearly check-up with your doc.  That check-up isn’t just to get a blessing (no cancer, whew), it is to set targets and then ensure you have enough support to hit ‘em.

Reducing Colds With Bacteria:

            Lurking in the 20-plus feet of your intestines are trillions of bacteria, some good, some bad, and none good looking! In fact, they make up between 40% and 60% of what you excrete (if you’re typical) every day.

            But don’t let that bug you! You have more of these friends (we hope), 10 trillion, than you have of your own cells.  These microscopic creatures make up your microbiome, the inner world of bugs (bacteria really) that swirl through your digestive system in a sometimes friendly, sometimes adversarial tango to promote immune strength, protect you from infection, help you control your weight (or send it up, up, up), and ease digestive woes. And yes, they battle the common cold too.

            The one billion colds that afflict North Americans every year may have met their match in the gut-dwelling bacterial duo Lactobacillus rhamnosus (also in yogurt) and Bifidobacterium animalis ssp. B12 (in fermented milks, infant formula) and maybe in other probiotics.

            When college kids (notoriously susceptible to colds because of close living quarters, lack of sleep, and high levels of stress) were given a daily supplement packing 1 billion of each of those bacteria for 12 weeks, their colds were shortened by 2 days and they felt 34% better than kids who didn’t get the gut-strengthening buggers. So, opt for probiotic supplements in hard-shelled capsules – they make it through your stomach acid and bug that cold away!

Thanks for reading,  Young Dr Mike.

Altadonna Communications ©   

                               

Chiropractor or M.D. for Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome (CTS) is a very common problem affecting a large population (1 out of 20 in the general population) including typists, assembly line workers, postal employees, secretaries, servers/waiters, musicians, carpenters, and many others. CTS drives a high level of cost to the health care system between time lost from work, treatment costs, and short and long term disability payments (on average $30,000 per claim, and this is an old stat!). Continued CTS signs and symptoms can persist long after surgical treatment and the question that typically arises when this happens is “…why?” Let’s take a look at reasons for failed treatment of CTS…

The classic non-surgical medical management model for treating CTS includes non-steroidal, anti-inflammatory medication (like ibuprofen), rest, and the use of nocturnal (night time) wrist splints. This approach works in some cases, but in the majority, it is unsuccessful and leads to the next medical management step: surgery.  And frequently, the CTS surgery fails and follow-up surgery is needed.

The classic chiropractic management model for treating CTS includes similar initial treatment approaches including anti-inflammatory measures, rest, and night wrist splints. One anti-inflammatory measure is ice massage or cupping, where the ice is rubbed directly on the skin until numbness is achieved (this usually takes about 4 minutes). Prior to numbness, there will be a burning and aching often described as intense, “…like a brain-freeze when I drink a slushy too fast.” The ice cup approach can be repeated several times a day. Other anti-inflammatory measures may include the use of herbal anti-inflammatory nutrients such as ginger, tumeric, boswellia, bioflavinoids, and/or the use of digestive enzymes taken between meals to help reduce the inflammation. The “rest” component is also shared by both models as is the use of the night wrist splint. So, what makes the chiropractic model different?

The nerve affected in CTS is called the median nerve. It arises initially from the nerves in the neck, specifically, C6-8 and T1 nerve roots which are part of the brachial plexus. These form into one nerve (the median nerve) which travels through small openings, first at the neck followed by the shoulder (called the thoracic outlet), then into the arm through a muscle at the elbow (pronator tunnel), and finally through the carpal tunnel at the wrist to innervate the hand including the palm and the 2nd, 3rd digits and thumb side of the 4th finger. The median nerve can get “crushed” in more than one tunnel and treatment must address the WHOLE nerve, not just at the carpal tunnel / wrist. This chiropractic management of CTS helps many patients because the nerve along its entire course including the neck, shoulder, and elbow is treated, not just the wrist!

A little known fact is that pressure on the nerves in the neck from misaligned vertebrae, bulging and herniated discs, or spinal degeneration, can cause the same signs and symptoms as CTS. This is why it is so important for doctors to check from the neck to the finger tips when diagnosing carpal tunnel symptoms.

In addition, there must be an effective method of treatment…not just treating the symptoms. Chiropractic adjustments to the neck, shoulder, elbow, wrist and fingers can actually remove physical pressure off the nerve roots and nerves addressing the true cause of the problem, 100% naturally.

We realize you have a choice in who you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend or family member require care for CTS, we would be honored to render our services.

To schedule an appointment with one of our carpal tunnel doctors in San Francisco call 415-392-2225. 

Serving local 94111 for over 20 years

 

Chiropractor San Francisco: Patient Review

Our San Francisco Chiropractor "Patient of the Week" is Sherylin Sjostrom. Sherylin presented to the clinic a year or so ago with very bothersome lower back, neck, and shoulder pain.  Sherylin was surprised how much chiropractic helped her with these symptoms  and has decided to make regular visits part of her over-all health and wellness program. Since her initial visit she has had flare ups, but with chiropractic she is better able to manage her chronic conditions.

We are always experimenting with different treatment techniques to achieve the best measured outcome and are excited to continually find different ways to maximize results. We are very proud of Sherylin's commitment to chiropractic care and want to recognize her for it.

Often times people think they have to live with chronic back or neck pain because they simply don't know what to do about it. They may even know that chiropractic can help but based on previous experience figure they don't have the time to visit the chiropractor frequently enough to fix the problem. After-all, most chiropractors have limited hours, long wait times, and require appointment's. At our San Francisco Chiropractic Clinic we are open M-F 9-6pm. We have walk-in, no appointment needed service, and we have a no-waiting policy.

This makes it easy for patients like Sherylin to get the care they need without interfering with their busy work and home schedules. No Appointments. No Waiting. No Hassles.

To schedule an appointment with one of our San Francisco Chiropractors please call 415-392-2225 

Serving local 94111 for over 20 years

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An Office Visit at Executive Express Chiropractic

Should You See a Chiropractor For Headaches?

This seems like an easy question to answer, doesn’t it? The answer of course being, YES!!! However, there are many people who suffer with headaches who have never been to a chiropractor or have not even ever considered it as a “good option.”

            So, rather than having me “reassure you” that chiropractic works GREAT for headache management, let’s look at the scientific literature to see if “they” (the scientific community) agree or not.

            In a 2011 meta-analysis, researchers reviewed journals published through 2009 and found 21 articles that met their inclusion criteria and used the results to develop treatment recommendations. Researchers discovered there is literature support utilizing Chiropractic care for the treatment of migraine headaches of either episodic or chronic migraine. Similarly, support for the Chiropractic treatment of cervicogenic headaches, or headaches arising from the neck region (see last month’s Health Update), was reported. In addition, joint mobilization (the “non-cracking” type of neck treatment such as figure 8 stretching and manual traction) or strengthening of the deep neck flexor muscles may improve symptoms in those suffering from cervicogenic headaches as well. The literature review also found low load craniocervical mobilization may be helpful for longer term management of patients with episodic or chronic tension-type headaches where manipulation was found to be less effective.

            Okay, we realize this is all fairly technical, so sorry about that. But, it is important to “hear” this so when people ask you why are going to a chiropractor for your headaches, you can say that not only that it helps a lot, but there are a lot of scientific studies that support it too!

            Bottom line is that it DOES REALLY HELP and maybe, most importantly, it helps WITHOUT drugs and their related side effects. Just ask someone who has taken some of the headache medications what their side-effects were and you’ll soon realize a non-drug approach should at least be tried first since it carries few to no side effects.

            We realize that you have a choice in where you choose your health-care services.  If you, a friend or family member requires care for headaches, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

To schedule an appointment with one of our San Francisco Headaches Doctors please call 415-392-2225. Mention this blog post for a complimentary consultation.

Serving local 94111 for over 20 years

 

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Whiplash: Can it be Avoided?

We have been providing whiplash treatment in San Francisco for over 20 years now. Now that the rain is upon us (4 days straight) it is whiplash season and we need to be very careful driving in wet conditions and make adjustments where possible to avoid whiplash injury.

Whiplash, or more properly stated, Whiplash Associated Disorders (WAD), is usually associated with car accidents, slip and falls and sports injuries. It is a very common injury affecting millions of people around the world, and costing health care systems billions of dollars. The question of the month is, what can we do to AVOID or prevent whiplash?

STEP 1. SHOP FOR A SAFER CAR. There are many resources that you can review such as the “Insurance Institute for Highway Safety” that have published ratings for the safest seats, head restraints, and include many makes and models of cars, SUV’s and trucks. For example, Volvo and Saab have recently designed car seats where the seat back collapses backwards upon impact so as to minimize the rebound response in a rear-end collision, thus minimizing the head and neck from whipping back and forth. Therefore, before YOU purchase your next car, compare the vehicle’s structural design, its size and weight, the restraint systems, the airbags, the head rests, as well as crash avoidance features. Remember, in general, small cars put you at greater risk simply due to the small mass equaling less protection.

STEP 2. POSITION THE HEAD RESTRAINTS PROPERLY. This means put them in their “up” position. The most common problem with head restraints is that they are placed too low and offer little to no protection if and when you are struck from behind. In fact, 80% of cars have the head restraint in the low or “down” position, which (surprisingly) is WORSE than having no head restraint at all! This is because when the head restraint is too low, it acts like a fulcrum, hitting the middle of the neck promoting MORE hyperextension when compared to having no head restraint whatsoever. Remember, head restraints are designed to fit an “average man,” making it challenging for a tall or short person to obtain a good "fit." A good position for a head restraint is within 1 inch of the back of the head and 1-2 inches above the mid-portion of the head as “ramping” often occurs especially if the seat back is reclined backwards, and the whole body slides up and over the head restraint.

STEP 3. PREPARE FOR THE CRASH. This actually may NOT be possible since the “whipping” action happens within 500 milliseconds and voluntary muscle contraction is about twice as slow, not to mention that the crash can occur at lightning fast speeds leaving you with little time to prepare. However, if you do have time to prepare, do the following: 1. Put your head and neck all the way back into the seat back and a properly adjusted head restraint so that there is firm contact. 2. Extend the elbows and straighten the arms gripping firmly onto the steering wheel in preparation to brace yourself. 3. Place your foot on the brake as firmly as possible (assuming that you are stopped in traffic). 4. Look straight ahead avoiding neck or head rotation. 5. Tilt your head back slightly so that your eyes are pointed toward the top of the windshield. 6. Prior to impact, shrug your shoulders upwards toward the ears and brace yourself firmly.

STEP 4. SEEK IMMEDIATE TREATMENT. It is critical to obtain treatment as quickly as possible as there is a tremendous advantage to start treatment especially with the first 2 weeks post-collision to avoid the likelihood of a chronic potentially disabling condition.

            We realize you have a choice in where you choose your health-care services.  If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

To schedule an appointment with one of our San Francisco Whiplash Doctors call 415-392-2225.

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