Dr Davis' Back & Wrist Pain Blog

Backpack Tips For Kids To Prevent Injury

San Francisco Chiropractor Comments:

Heavy backpacks are a primary cause of poor posture and spine injuries in children. Heavy backpacks can cause spinal disc compression, muscle strain, and misalignment's which can lead to back, neck, and shoulder pain, as well as headaches and carpal tunnel symptoms.

For the most part, backpack trauma can be prevented with a little homework and a basic understanding of the relationship between backpacks, posture, and back pain. 

I did a little research online and found an excellent article entitled Backpacks and Back Pain. Here is an excerpt:

Backpacks are supposed to alleviate pain, not create it. But when worn incorrectly, they can cause you or your child to adopt postures that may give rise to spine problems. As 90% of students wear backpacks, a little knowledge on the relationship between backpacks and back pain may be in order. Below are 10 tips on how to avoid back pain for kids (and adults) who wear backpacks.

1. Observe Your Child's Spine

Heavy packs may cause kids to change their spinal position to accommodate the load. This can result in back pain, and at worst, the possibility of temporarily compressed discs and posture problems. Studies show that backpack wearers tend to begin adapting their posture once the weight of the pack reaches about 26 lbs. At an estimated 20% of the child’s weight, a backpack load may even begin to interfere with breathing. So observe your child's spine when she’s got her pack on and adjust the load according to the other tips in this article.

2. Lessen the Load In The Backpack

Most kids carry between 10% and 22% of their body weight in their back packs. Research shows that heavy loads may cause spinal discs to compress. As the weight of the backpack increases, so may the degree of disc compression. Experts recommend a backpack’s load be no more than 10% of the child’s weight.

3. Carry Only What Is Necessary

Help your child manage the amount of heavy items she carries in her pack. Encourage her to stop at her locker and switch books out frequently. Consider purchasing a second set of textbooks to keep at home.

 

Click here for full story

 

My Take: A little bit of knowledge and planning can go a long way when it comes to choosing and packing your child’s backpack.  However, if your child has developed symptoms such as neck pain, back pain, shoulder pain, or headaches, they should be checked out by a chiropractor.

 

Sure, fixing the backpack situation will help a lot, but it wont do anything to correct a spinal misalignment or muscle strain. If a spinal problem is left uncorrected it could lead to more problems down the road.  So don’t take any chances.

 

If you live or work near the San Francisco Financial District you can visit Executive Express Chiropractic for a complimentary backpack check and spinal exam for your child. Just mention this blog post. To schedule call 415-392-2225.

 

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Teaching Children About a Plant Based Diet

San Francisco Chiropractor Comments:

I have a 5 year old daughter that my wife and I have raised primarily on plant foods.  We are confident that this will serve her well throughout her lifetime, or at lease until she is able to make her own food choices. It already seems to be paying dividends as she is very healthy and rarely gets sick. She also receives chiropractic adjustments.

Now that she is in school...and especially when she is around other kids and food is involved (or just watching TV), she gets to see first hand what most kids eat...and it's not pretty. So how do you teach the principles of plant based nutrition to a young child? Well...you do it the same way our meat and dairy industries (who provide much of the nutrition info to schools and run massive advertising campaigns) try to...with children's books, posters, videos, and pamphlets.

Of course this is probably not going to happen unless the parents are either primarily plant food eaters, or want to teach their children about vegan or vegetarian lifestyle so that they know the difference. I don't know too many parents who eat poorly who will sit down and read a book on plant based nutrition to their kids...unless they are ready for change themselves, and that would be great.

The principles behind plant based nutrition and vegan lifestyle are easily understood and parents can learn while teaching their kids. In fact...I came across a really good book just for this purpose entitled:

That's Why We Don't Eat Animals: A Book About Vegans, Vegetarians, and All Living Things

I am going to order this book today, and get some extras as gifts. If you have read this book please let me know. Or if you buy the book and read it with your child, let me know what you think by coming back to this post and leaving a comment below. This post will be under the  "Plant Based Diet and Nutrition" category.

Dr. Eben Davis is clinic director of Executive Express Chiropractic in San Francisco

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Do Children get Migraine Headaches? Is the problem physical or chemical?

San Francisco Chiropractor Comments:

I began to have headaches when I was very young. In fact, my first visit to the chiropractor was for neck pain and headaches. Our family doctor had no answers, and thankfully my mother was smart enough to take me to Dr. Frank in Miami, FL...who fixed me after 2 sessions. 

This type of story is happening thousands of times per day around the world. Sure, my headaches had a physical cause...a bone out of place, putting pressure on a nerve...but in my opinion, most headaches do.

Look at it this way...If you have a pebble in your shoe and it is causing you pain...the problem is physical. If you take a pain pill, which is a chemical solution, it will only mask the pain...but the pebble is still there. The longer the pebble is there, the worse the pain will become over time. You could get a cortisone injection, a massage, acupuncture, whatever. You could do an Indian rain dance around the foot...but until you remove the pebble (the physical stress causing the problem), the problem remains.

...If the problem is physical.

I'm sure you are thinking...How does my kid get a bone out of place in the neck?

HUH? Most problems adults present with happened when they were kids. All the spills and falls we took growing up. Sitting in classrooms all day. Sleeping funny. Sports. Learning to ride a bike. Sitting in front of a computer/TV screen. On and on.

And man...it sure is easy to go down the wrong path when it comes to getting treatment for migraine headaches in children. You can't believe the stories I have heard about kids becoming zombies from the medication. I have had many adults that I have helped over the years that have had migraines all their lives, and have been taking headache medication the entire time. Nobody could figure out the right drug for them (chemical). You know why? Because the problem was physical.

Do yourself and your children a favor if they are suffering from tension or migraine headaches...visit a chiropractor. If the headaches are being caused by something physical that is out of alignment and not working right...the solution is physical.

A chiropractor will gently adjust the misaligned bone (subluxation) back into alignment (if a physical problem is found).  It does not usually hurt and results happen quick...sometimes on the spot.

Think I am kidding...well then go find out for yourself. And if you are not under chiropractic care, get yourself checked too. Chiropractic is a family affair.

If you live in San Francisco and would like to find out if you or your child is a candidate for chiropractic care at Executive Express Chiropractic in the SF Financial District...call 415-392-2225. We are open Saturdays 9-1. We validate parking at the Embarcadero Center.

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Childhood Obesity and Sugar

San Francisco Chiropractor Comments:

As the father of a 5 year old daughter I am very concerned about what she eats...and what I know about what she eats.

I know one thing...fast food chains and many food manufacturers (cereals/candy/soft drinks) sure spend a lot of advertising dollars trying get us to buy their stuff for our kids...most of it garbage. Is this right? I don't think so.

Heck, just recently McDonald's Happy Meals were banned in Santa Clara County, CA.  And there will be more to come.

In fact...childhood obesity rates are exploding, and the primary cause appears to be sugar (and processed foods). Checkout these childhood obesity facts:

"Childhood and teenage obesity has increased by four times over the past 40 years. Statistics on childhood obesity also indicate that over 70 percent of overweight adolescents will be overweight or obese as adults"

· The increasing number of health conditions being seen in children. Type 2 diabetes was once rare in American children; now, it accounts for 8 to 45 percent of newly diagnosed diabetes cases in children and adolescents. The number of children developing high blood pressure and high cholesterol is also increasing at alarming rates. Asthma, liver disease, and sleep apnea are also more common in overweight children.

• The risk for adult obesity. Over 70 percent of overweight adolescents will become overweight or obese adults.

eMedTV.com

Anyway...here is an excerpt from an excellent article (advice and tips) I came across at www.theworkout.com entitled Childhood Nutrition:

With childhood obesity (and a whole host of other weight-related illnesses) on the rise, it’s more important now than ever to start our kids on the right foot.

The biggest factor plaguing kids today is sugar.

The hard truth is, kids don’t even know it exists until it’s introduced to them.  So, who’s the real culprit?  That’s right.  It starts with us – the parents and caregivers.

Out of all the things I despise the most in the nutrition world, it really is sugar.  Many people don’t realize that it truly is like a drug.  It can be destructive and addicting, a scientific fact.

Sugar’s effects are especially apparent in kids because their bodies are so little.  A serving of any sugary food (ice cream, chocolate, etc.)  is plenty of sugar for the adult body to handle.  This same serving is simple overwhelming to a child’s system.

My Take: One of the problems is that many parents are just not educated on nutrition and they don't understand how very large quantities of salt, fats and sugar are contained in processed foods...and/or the cause and effect relationship to childhood obesity.

But many are educated...they just choose to ignore the facts and give-in too easy. 

When you consider that almost 70% of the nation is either overweight or obese, it's no wonder that childhood obesity rates are skyrocketing. Most children eat the same foods their parents do.

Combine poor nutrition with decreased physical activity from the computer/electronic age we are in, and you get a recipe for disaster.

While I'm not crazy about some of the moves our president is making right now...I love what his wife  Michelle is doing with her "Lets Move" initiative.  

Let’s Move! has an ambitious but important goal: to solve the epidemic of childhood obesity within a generation.

Let’s Move will give parents the support they need, provide healthier food in schools, help our kids to be more physically active, and make healthy, affordable food available in every part of our country.

Join First Lady Michelle Obama, community leaders, teachers, doctors, nurses, moms and dads in a nationwide campaign to tackle the challenge of childhood obesity. Learn more, read the action plan, and join us in solving the problem within a generation.

Michelle Obama "Gets It". Parent's...it's your turn!

Dr. Eben Davis is clinic director of Executive Express Chiropractic in San Francisco. 

   

June Is Scoliosis Awareness Month

San Francisco Chiropractor Comments:

Here is an excerpt from an article I came across on Spine-health.com about Scoliosis Awareness Month:

An estimated 6 million people in the United States have some form of scoliosis, and it affects people of all races, ages and socio-economic classes. Scoliosis is not a disease. It is the term used to describe an abnormal, lateral (side-to-side) curvature of the spine. The onset of scoliosis is usually between 10 and 15 years of age (around the time of an adolescent's big growth spurt). While some cases of scoliosis have an identifiable cause (like congenital spine deformities, cerebral palsy or spina bifida), more than 80% of the cases diagnosed are idiopathic, which means there is no known cause.

Why it's important to be aware of scoliosis.

Catching the beginning of scoliosis in children and teenagers ensures the most options for treating the curvature and slowing or stopping the progression. Children's bones are not yet fully hardened, so non-surgical treatments like bracing are frequently employed -- to not only attempt to correct existing abnormalities, but in severe cases to delay the need for surgery until the child is older.

Click here to watch "What is Scoliosis Video". Courtesy of Spine-health.

My take: Chiropractic care has excellent results treating scoliosis. It just depends on whether or not the scoliosis is congenital or acquired and how far along it has progressed. This is why it is so important to catch scoliosis at an early age. Regular chiropractic check-ups can help detect scoliosis.

We offer complimentary scoliosis checks for children under 17 at Executive Express Chiropractic in San Francisco. Simply call 415-392-2225 and mention this blog post.

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Back Pain, Neck Pain, and Headaches in Kids On The Rise From 'Sitting In Front Of A Screen'

San Francisco Chiropractor Comments:

About 6 months ago I was contacted by a reporter from the New York Times who had come across a blog post of mine. The article was about Repetitive Stress Injuries (RSI) and Forward Head Posture (FHP) in children from digital media use. I actually wrote the article after reading a USA Today story about how children were spending on average 53 hours per week engaging with digital media (TV, games, and computers).  

The reporter wanted to know if there was any actual research to support the claims that chiropractors and medical clinics were making about an increase in adolescent back pain, neck pain, headaches, and RSI from increased digital media usage?

At the time I did not know of any. That is...up until now. 

Today I came across an article today on www.medicalnewstoday.com entitled Sitting In Front Of A Screen Associated With Physical Complaints In Teenagers. Here is an excerpt from the article:

The amount of time teenagers spend in front of TV screens and monitors has been associated with physical complaints. A large study of more than 30,000 Nordic teenagers published in the open access journalBMC Public Health has shown that TV viewing, computer use and computer gaming (screen time) were consistently associated with back pain and recurrent headaches.

Torbjørn Torsheim, from the University of Bergen, Norway, worked with an international team of researchers to study the association between 'screen time' and head- or back-ache. He said, "A rising prevalence of physical complaints such as back pain, neck and shoulder pain, and headache has been reported for adolescent populations. Parallel to this, adolescents are spending an increasing amount of time on screen-based activities, such as TV, computer games, or other types of computer based entertainment".

 

My Take: As the father of a 5 year old daughter who loves to play on the computer I am concerned. I give her regular chiropractic adjustments, she uses a small cervical pillow...and I make sure she gets tons of exercise. Exercise is the key. And nutrition is important also.

 

The typical American diet is really high in processed foods, fats, and animal protein...all of which are pro-inflammatory. When you combine an pro-inflammatory diet, lack of exercise, and the stresses of sitting for long periods in front of a computer screen...you are going to get back pain, neck pain, headaches, RSI, and even CTS (carpal tunnel syndrome)...even in children 

 

Just like adults get neck pain and headaches from staring at a computer screen for hours...so do children.

 

And the solutions are the same. Eat right. Get plenty of exercise. Maintain proper posture and spinal health (chiropractic can help). Take lots of breaks and stretch out. And use a cervical pillow (do not sleep on your stomach) and a good mattress. And drink plenty of clean water as lactic acid builds up in the muscles when they are in a static position for extended periods of time.  

 

It sounds like a lot of stuff...but it really isn't...and it's really easy to apply when you know what to do.

 

The best resources I know of for plant based nutrition are the Veggie Queen and Dr. John Mc Dougall, MD. A good chiropractor can help you implement the plan.

 

Dr. Eben Davis is clinic director of Executive Express Chiropractic in San Francisco.

 

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Back Pain and Childhood Obesity

San Francisco Chiropractor Comments:

"Childhood and teenage obesity has increased by four times over the past 40 years. Statistics on childhood obesity also indicate that over 70 percent of overweight adolescents will be overweight or obese as adults"

• The increasing number of health conditions being seen in children. Type 2 diabetes was once rare in American children; now, it accounts for 8 to 45 percent of newly diagnosed diabetes cases in children and adolescents. The number of children developing high blood pressure and high cholesterol is also increasing at alarming rates. Asthma, liver disease, and sleep apnea are also more common in overweight children.

• The risk for adult obesity. Over 70 percent of overweight adolescents will become overweight or obese adults.

eMedTV.com

 

Well...add back pain to the laundry list of illnesses that obesity brings with it. The #1 risk factor for chronic back pain (which is back pain that persists for longer than 90 days) is previous back pain. Children that are carrying too much weight have a much higher incidence of back pain, and since the cause (too much body weight) is persistent, it can set the stage for a lifetime of pain and discomfort (along with all the other health problems mentioned above).

So what is the cause of this childhood obesity epidemic and what can be done about it?

 

It's a combination of all the processed foods that kids eat along with the decrease in physical activity associated with the computer age and technological revolution.

 

Heck, just yesterday McDonald's Happy Meals were banned in Santa Clara County, CA. It's out of control.

 

If we think we have a Health Care Crises now...wait another 10 years.

 

The good news is, we know the cause...Poor nutrition and lack of exercise.

 

And we know the solution...Improve nutrition and activity levels in kids.

 

This is exactly what Michelle Obama has set out to do with her Let's Move initiative. Americas Move to Raise a Healthier Generation of Kids.  

 

Let’s Move! has an ambitious but important goal: to solve the epidemic of childhood obesity within a generation.

Let’s Move will give parents the support they need, provide healthier food in schools, help our kids to be more physically active, and make healthy, affordable food available in every part of our country.

Join First Lady Michelle Obama, community leaders, teachers, doctors, nurses, moms and dads in a nationwide campaign to tackle the challenge of childhood obesity. Learn more, read the action plan, and join us in solving the problem within a generation.

My Take: I love what Michele Obama is doing, because what we are doing is not working. She is attacking the cause of the problem. She is smart enough to know that the answer is not a new diabetes drug, or a new gastric surgery.

If your kids have back pain, you can have them checked out by a chiropractor which will help reduce the likelihood of the back pain becoming chronic. Find a chiropractor that understands nutrition also (if there is a weight problem), because the only true solution for obesity is to lose the weight. The best resource I know of for nutrition is www.drmcdougall.com. 

Dr. Eben Davis is clinic director of Executive Express Chiropractic in San Francisco, and is the father of a 5 year old daughter.  

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Low Back Pain, Chiropractic, and Competitive Sports During Youth

San Francisco Chiropractor Comments:

The #1 risk factor for chronic low back pain (back pain that last over 90 days) is previous low back pain.

Well, for many of us that engaged in competitive sports activities when we were kids, the low back pain started back then. Thankfully, my first visit to the chiropractor was when I was 10 years old...and it should have been sooner.

For some reason, we think our kids are so resilient (and they are) that they will bounce back from back pain or neck pain, and that it's no big deal. I think this attitude is especially true when it comes to athletics. After-all...what kid doesn't get low back pain or some kind of aches and pains when they are playing tackle football, basketball, or some other competitive sport?

According to recent research (like we really need research to know this) by Mika Hangai, MD, PhD, Department of Orthopaedic Surgery, Institute of Clinical Medicine, University of Tsukuba, there is a direct correlation between competitive sports activities and low back pain (and lower extremity pain). Here is the conclusion from the abstract (from the American Journal of Sports Medicine) of the study entitled Relationship Between Low Back Pain and Competitive Sports Activities During Youth:

Conclusion Excessive exposure to competitive sports activities during youth was associated with low back pain and symptoms in the lower extremities, with the severity varying with the sport. To reduce low back pain in youth, factors that may be causing low back pain, such as sport-specific postures and motions, need to be investigated.

My Take: No Kidding? Sports are hard on the body. The more physical the sport, the more stress on the back, and the higher the likelihood of low back pain, neck pain, or lower extremity pain.

Everything starts when we are young, including the template for a healthy back. We start seeing the dentist when we are very young, and other doctors to make sure we form good habits that we can carry with us into adulthood, and chiropractic care should be right up there on the list.  Especially if your kids are involved in contact sports or any kind of competitive sports activities.

When you consider that most of the back pain problems that adults present with to a chiropractor started when they were young, doesn’t it make sense to have your kids checked out now? Chiropractic is safe, it’s not expensive, it’s quick, and children respond great to chiropractic adjustments.

Chiropractic is the perfect antidote to sports related low back pain in youths. And that’s a fact.

If you would like to find out if your kids are candidates for care at Executive Express Chiropractic in San Francisco…simply call 415-392-2225 to schedule an appointment.

We are located at the Embarcadero Center in the SF Financial District. We are open 9-6pm M-F, and we are open Saturdays 9-1pm. We validate parking.

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Back Pain, Backpacks and Children

San Francisco Chiropractor Comments:

As the father of a soon to be 5 year old daughter, I am concerned about her posture...even more so because I am a chiropractor, and posture is my specialty.

While my daughter has not started wearing a backpack yet, I am concerned about when she does.

Here's an excerpt from an article on the Children's Hospital Boston website entitled:

Is my child's backpack too heavy?

Many children today are coming home with backpacks laden with several books, notebooks, calculators and school supplies, often bent over under the strain of carrying it all. Some students end up carrying bags that are equal to 30 percent of their body weight, according to some studies. Pierre d'Hemecourt, MD, Sports Medicine specialist at Children's Hospital Boston, offered the following information on the risks associated with heavy backpacks.

Can heavy backpacks cause back problems for my child?
This issue is a bit controversial, as there is no specific proof as to whether backpacks are a direct cause of back problems. During adolescence kids are going through growth spurts and so their bones and posture are susceptible to injury from playing sports, as well as from heavy backpacks. However, the AmericanAcademy of Orthopaedic Surgeons and the American Physical Therapy Association have set out guidelines that should be used with backpacks to reduce the risks associated with them.

I can tell you this…In my professional opinion; backpacks are a primary cause of Forward Head Posture in children. We are living organisms, and we adapt to our external environment. If you are a child and you are wearing a heavy backpack that contains up to 30% of your bodyweight, day in and day out…your body has to adapt to this…and yes, permanent (but not irreversible) changes can and will occur.  

 

The good news is...problems can be prevented in the first place with proper education and planning. Life is a balance scale...with positives on one side, and negatives on the other. There are backpacks that are more posture friendly than others. Checkout this video entitled: Backpacks without back pain. These are a little expensive, but there are cheaper options.

 

Ergoworks has some reasonably priced backpacks for children. You can also find guidelines for backpack weight vs. your child's bodyweight.

 

Anyway...just like most everything, there are best practices for backpacks and children. A little bit of planning will go a long way when it comes to minimizing backpack stress and back pain. 

 

And don't forget to have your child's posture checked at least every 6 months by a chiropractor. Early detection can go a long way when it comes to correcting postural problems in children.

 

For a complimentary postural assessment for your children at Executive Express Chiropractic in downtown San Francisco...call 415-392-2225. 

 

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What is Kyphosis? Is it preventable? Is it treatable?

San Francisco Chiropractor Comments:

We have been helping patients with kyphosis for over 18 years at Executive Express Chiropractic(formerly Front Street Chiropractic) in downtown San Francisco. How much we can help depends on the following:

1. The underlying cause of the kyphosis (is it acquired or congenital?). See Mayo clinic link below.

2. The age of the patient and the severity of the problem (the younger the better).

3. Are there any complicating factors such as a scoliosis, or a short leg, or foot pronation (sometimes a short leg or foot pronation can be adjusted with custom orthotics). Do any medical complications such as Multiple Sclerosis (MS) exist?

4. Are there any bad habits that could be accelerating the kyphosis development that can be modified immediately...like sleeping postures, ergonomic set-ups, laptop usage, driving, knapsacks? (this is why we like to see children when they are very young).

5. Emotional factors such as depression, learning disabilities, family instability, and emotional trauma can also play a role in kyphosis.

Here is an excerpt of what The Mayo Clinic has to say about kyphosis:

Kyphosis is a forward rounding of your upper back. Some rounding is normal, but the term "kyphosis" usually refers to an exaggerated rounding, more than 50 degrees. This deformity is also called round back or hunchback.

With kyphosis, your spine may look normal, or you may develop a hump. Kyphosis can occur as a result of developmental problems; degenerative diseases, such as arthritis of the spine; osteoporosis with compression fractures of the vertebrae; or trauma to the spine. It can affect all ages.

Mild kyphosis may cause few problems. But severe cases can affect your lungs, nerves, and other tissues and organs, causing pain and other problems. Treatment for kyphosis depends on your age, the cause of the curvature and its effects.

 Some of the common conditions that accompany a thoracic kyphosis are Forward Head Posture and Hyperlordosis of the lumbar spine. Both are adaptations to the kyphosis...or is the kyphosis an adaptation?...who knows...and it doesn't really matter. What matters at Executive Express Chiropractic is can we help it? And if so, how? 

Primarily we can help treat and prevent Postural (aquired kyphosis) kyphosis.

What we want to do is focus on the things we know we can change...like bad posture habits, and adjusting any kind of a short leg or foot pronation with orthotics.

Then, we want to look at what we think we can adjust as far as the kyphosis complex itself, any hyperlordosis, or forward head posture.

Depending on the patients age, we will taylor make a treatment program that consist of mirror image exercises, specific chiropractic mirror image adjustments, and Active Release Techniques (ART), to turn on muscles that are not working enough, and turn off muscles that are working to hard. We also may use home cervical traction methods to help re-position the head over the body (move it back).

In severe cases we may incorporate class IV deep tissue laser therapy with the LiteCure LCT-1000 to break up scar tissue formation from long standing muscle spasms and inflammation.

We also look to strengthen the abdominal muscles as weak abs can lead to hyperlordosis and compensatory kyphosis. Everything is connected.

So sure...we can help correct kyphosis...but it's sure a lot easier to prevent it from happening in the first place which is why we like to see kids...the younger the better. Children love chiropractic...after they get used to the process. And...they don't need a whole lot of treatment. Children heal quick. 

I have a 4 year old daughter and she is always on her laptop playing games with her head looking down. So I make sure I teach her how to do this at a desk with good posture...and I adjust her to counter-act these negative influences. With video games, computers, and all the other electronic devices that invite poor posture in kids...chiropractic is the perfect antidote. 

So whether you are an adult and you already have a kyphosis...or you are a parent and you think your child is developing a kyphosis...or you just want to prevent it from happening at all...chiropractic should be right at the top of your list.

Sure, there are some medical conditions that can contribute to kyphosis that are beyond the scope of chiropractic, and you can read about them on the Mayo clinic website link above...but my experience has been that chiropractic is the best tool for kyphosis treatment and prevention.  

To find out if you are a candidate for care at Executive Express Chiropractic in the San Francisco Financial District...call 415-392-2225.