Fibromyalgia – What is it, and How Can Chiropractic Care Help?

The word  fibromyalgia comes from the Latin term for fibrous tissue (fibro) and the Greek ones for muscle (myo) and pain (algia). Fibromyalgia syndrome is chronic disorder which includes widespread muscle pain, fatigue, and multiple tender points that affects 3-6 million people in the United States. For reasons that are unclear, more than 90% of those who develop fibromyalgia are women. It is not currently known whether the predominance of women who suffer from fibromyalgia is a phenomenon of the socialization of women in the American culture or whether it is some combination of the female reproductive hormones and other genetic predispositions.

fibromyalgia Uptown Chiropractic

A combination of chiropractic, trigger point therapy, and lifestyle changes has proven to be very effective in decreasing the severity and duration of the physical pain of fibromyalgia.

According to the American College of Rheumatology (ACR), fibromyalgia is defined as a history of pain in all four quadrants of the body lasting more than 3 months. Pain in all four quadrants means that you have pain in both your right and left sides, as well as above and below the waist. The ACR also described 18 characteristic tender points on the body that are associated with fibromyalgia. In order to be diagnosed with fibromyalgia, a person must have 11 or more tender points. In addition to pain and fatigue, people who have fibromyalgia may experience:

  • sleep disturbances
  • morning stiffness
  • headaches
  • irritable bowel syndrome
  • painful menstrual periods
  • numbness or tingling of the extremities
  • restless legs syndrome
  • temperature sensitivity
  • cognitive and memory problems (sometimes referred to as “fibro fog”)

Fibromyalgia is often confused with another condition called “myofascial pain syndrome” or “myofascitis.” Both fibromyalgia and myofascitis can cause pain in all four quadrants of the body and tend to have similar tender point locations, but the two conditions are worlds apart. Myofascitis is an inflammatory condition due to overuse or injury to your muscles, whereas fibromyalgia is caused by a stress-induced change in metabolism and healing. Myofascitis tend to come on rather suddenly and is usually associated with a particular activity or injury, true fibromyalgia has a slow, insidious onset, usually beginning in early adulthood. It is very important to diagnose each of these correctly, for they require very different approaches to treatment. Unfortunately, fibromyalgia is a chronic condition, meaning it lasts a long time – possibly a lifetime. However. it won’t cause damage to your joints, muscles, or internal organs.

 

The Basics of Fibromyalgia

The latest research indicates that fibromyalgia is a stress-related condition that is a cousin in Systemic Lupus Erythematosis (often referred to as simply ‘lupus’) and Chronic Fatigue Syndrome. In all three of these conditions, there is the same predominantly female distribution, chronic fatigue, sleep disturbances, irritable bowel, as well as many other similarities. You can think about these three conditions as lying on a continuum with Fibromyalgia on one end, Lupus on the other and Chronic Fatigue Syndrome in the middle. All three of these conditions are caused by an abnormal stress response in the body, but with Lupus, the immune system is primarily affected, causing an autoimmune reaction that attacks your healthy tissues. On the other end of the spectrum is fibromyalgia, where metabolic abnormalities are primary. These metabolic changes are the result of a stress-induced decrease in blood flow to an area of the brain called the pituitary. This, in turn causes a decrease in a number of important hormones, such as the growth hormone releasing hormone (somatotropin) and the thyroid stimulating hormone. These hormonal changes lead to abnormal muscle healing, borderline or full-blown hypothyroid, as well as memory and cognitive changes.

One of the major physical abnormalities that occurs with fibromyalgia lies in the muscle itself, where there is a build up of a protein called “Ground Substance.” Ground substance is normally found in muscle, bone and connective tissue all over the body and is responsible for making the tissues stronger and less susceptible to tearing. In a normal person, when a muscle is injured, the muscle tissue itself is able to regenerate and over time, completely heal itself. In a person with fibromyalgia, the muscle is unable to completely heal itself. Instead, an abnormally large amount of ground substance builds up in the injured area. It is the ground substance, coupled with local muscle spasm it creates that creates the muscle ‘knots’ associated with fibromyalgia.

A number of tests may be done to rule out other disorders and an examination can reveal whether a person has the characteristic tender areas on the back of the neck, shoulders, sternum, lower back, hips, shins, elbows, or knees. Unlike its cousin lupus, there are currently no diagnostic laboratory tests for fibromyalgia. Because there are no clinical tests for fibromyalgia, some doctors, unfortunately, conclude that a patient’s pain is not real, or they may tell them that there is little they can do. But a combination of chiropractic, trigger point therapy, and lifestyle changes has proven to be very effective in decreasing the severity and duration of the physical pain and disability of fibromyalgia.

Fibromyalgia can be difficult to treat. Not all doctors are familiar with fibromyalgia and its treatment, so it is important to find a doctor who is. Fibromyalgia treatment often requires a team approach, utilizing chiropractic care, trigger point therapy, massage, dietary changes, as well as exercises and stretching.

 

Treating Fibromyalgia With Chiropractic

Chiropractic care is critical for those who suffer from fibromyalgia in order to keep the spine and muscles from losing too much movement. Because fibromyalgia causes the muscles to tighten up and lose some of their natural pliability, it results in a global loss of movement in the spine. The loss of movement in the spine results in a neurological reflex that causes the muscles to tighten further. This vicious cycle will continue and over time will lead to increased pain, increased muscle tightness, a loss of movement, more difficulty sleeping and the development of more and more trigger points.

The only option is to continually adjust the spine and keep it moving. It is not uncommon for those with fibromyalgia to be adjusted three to four times per month to keep everything mobile and relaxed. The biggest concern in treating people with fibromyalgia is that their muscles have a diminished healing ability. For this reason, chiropractic adjustments are usually modified slightly to be more gentle than normal. This helps to decrease the stress on all of the small supporting muscles of the spine, which can be easily injured. It is important when seeking chiropractic care, to make sure that the doctor is familiar with the muscular changes that occur with fibromyalgia so that they can adjust their treatment accordingly.

 

Treating Fibromyalgia with Trigger Point Therapy

The overwhelming characteristic of fibromyalgia is long-standing, body-wide pain with defined tender points, and frequently, trigger points. Trigger points are often confused with “tender points.” They are not the same. A trigger point needs firm pressure to elicit pain, while tender points are painful with even very light pressure. Trigger points will refer pain to other areas of the body, whereas tender points will not. Unlike tender points, trigger points can occur in isolation and represent a source of radiating pain, even in the absence of direct pressure. As discussed earlier, trigger points are purely comprised of spasmed muscle fibers, whereas tender points are knots filled with ground substance. Those with fibromyalgia almost always have a combination of the two – trigger points and tender points – and can improve dramatically with light trigger point therapy.

Trigger point therapy for fibromyalgia is much like trigger point therapy for low back pain, neck pain or headaches. The points are the same. The difference is just intensity. Since the muscles in patients with fibromyalgia are easily injured and take longer to heal, it is necessary to use less pressure on their trigger points.

 

Treating Fibromyalgia with Cold Laser Therapy

Since poor healing of muscle tissue and chronic pain are characteristic traits of fibromyalgia, laser therapy is an important part of any treatment plan. Two of the major benefits of cold laser therapy is stimulation of tissue healing and decreased sensations of pain.

A 1997 study of 846 people with fibromyalgia reported in the Journal of Clinical Laser Medicine and Surgery demonstrated that two-thirds of the patients experienced improved pain and mobility with cold laser therapy. Another study published in Rheumatology International in 2002, showed that those who received laser therapy had a significant improvement in pain, fatigue and morning stiffness.

 

Self-Care for Fibromyalgia

Your day to day lifestyle choices have a tremendous impact on how much impact fibromyalgia will have on your life. The difference between those who take care of themselves and those who do not is tremendous. Those who make lifestyle changes to help their fibromyalgia suffer much less pain, are able to remain more active and have a much higher quality of life than those who do not. If you have fibromyalgia, here are some of the main things that you can do on a daily basis to help your body:

 

Getting enough good sleep

—Getting enough sleep and the right kind of sleep can help ease the pain and fatigue of fibromyalgia, but is something that can be hard to get. Many people with fibromyalgia have problems such as pain, restless legs syndrome and brain-wave irregularities that interfere with restful sleep. Insomnia is very common. Although alcohol may help you to relax, it is not recommended before bed as it has been shown to interfere with restful sleep. Some of those with fibromyalgia have found 5-hydroxy tryptophan (5-HTP) very helpful, as well as the prescription anti-depressant amitriptyline. Typically, we don’t recommend taking perscritpion drugs, but in this case, it is difficult to heal without enough sleep.

 

Exercising

— Improved fitness through exercise is recommended. Studies have shown that fibromyalgia symptoms can be relieved by aerobic exercise. Though pain and fatigue may make exercise and daily activities difficult, it’s crucial to be as physically active as possible. The best way to begin a fitness program is to start with low impact exercises, like walking and swimming. Starting slowly helps stretch and mobilize tight, sore muscles. High-impact aerobics and weight lifting could cause increased discomfort, so pay attention to your body. The more you can exercise, the better off you will be.

 

Making changes at work

—Most people with fibromyalgia are able to continue working, but they may have to make big changes to do so. It may be necessary to reduce the number of hours at work, find a job that will allow you to have a flexible schedule, or switch to a less physically demanding job. Many people with fibromyalgia require specially designed office chairs, adjustable desks or other adaptations in order to continue working. If you face obstacles at work, such as an uncomfortable desk chair that leaves your back aching or difficulty lifting heavy boxes or files, your employer may make adaptations that will enable you to keep your job.

 

Eating well

—Foods, just like anything else, have the ability to either stress your body or to help your body heal. Foods that tend to be stressful on the body include: dairy, eggs, wheat, corn, as well as anything with monosodium glutamate (MSG), nitrates or nitrites (as are found in processed foods). Several environmental toxins may also contribute to the overall physical stress on your body, therefore fish should be avoided as well. It is important that you eat as much clean, organically grown fresh foods as possible. Base your diet around whole foods such as: brown rice, legumes, oats, spelt, rice milk, soy, hormone-free chicken or turkey, roots, nuts and berries.

 

Nutritional supplements

—There are dozens of nutritional products that claim to be ‘the answer’ for fibromyalgia. To date, none of them have proven to be of much long-term benefit for anyone. However, there are some people who have used magnesium malate with good results, some people who have used ginkgo biloba with good results and others with various herbals. The bottom line with nutritional supplements is that, do date, there is nothing that works for everyone. If you come across something that you would like to try, by all means do so, as long as you check it out with your chiropractor first to ensure that it won’t interfere with any of your other treatment. Contact us today!

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Published in: on June 24, 2011 at 6:03 pm  Comments (1)  
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The “Slipped” Spinal Disc and Chiropractic

You may have heard the term “slipped disc” used to describe a low back injury.  Discs do not actually “slip”.  Rather, they may herniate or bulge out from between the bones.  A herniation is a displaced fragment of the center part or nucleus of the disc that is pushed through a tear in the outer layer or annulus of the disc.  Pain results when irritating substances are released from this tear and also if the fragment touches or compresses a nearby nerve.  Disc herniation has some similarities to degenerative disc disease and discs that herniate are often in an early stage of degeneration.  Herniated discs are common in the low back or lumbar spine.

The Spinal Disc - Uptown Chiropractic

Discs do not actually “slip”. Rather, they may herniate or bulge outward. A herniation is a displaced fragment of the center part of the disc.

What causes discs to herniate?

Many factors decrease the strength and resiliency of the disc and increase the risk of disc herniation.  Life style choices such as smoking, lack of regular exercise, and inadequate nutrition contribute to poor disc health.  Poor posture, daily wear and tear, injury or trauma, and incorrect lifting or twisting further stress the disc. If the disc is already weakened, it may herniate with a single movement or strain such as coughing or bending to pick up a pencil.

How do I know if I have a disc herniation?

Herniated discs are most likely to affect people between the ages of 30 and 40.  Disc herniations may be present without causing pain.  The most common symptom will be pain in the area of the herniation that may radiate across the hips or into the buttocks.  You may also experience numbness or pain radiating down your leg to the ankle or foot.  If the herniation is large enough, you may notice weakness with extension of your big toe and you may be unable to walk on your toes or heels.  In severe cases of lumbar disc herniation, you may experience changes in your bowel or bladder function and may have difficulty with sexual function.

How is a disc herniation treated?

Mild to moderate disc herniations can usually be treated conservatively with stretching, exercise therapy and chiropractic care.  More advanced cases will often require some form of spinal decompression, such as traction or mechanical decompression, in conjuction with chiropractic care.

Occasionally, a herniation may be severe enough to warrant surgical intervention.  These cases are usually reserved as a last resort when other forms of therapy have failed to relieve pain, or if there is significant compression of the spinal cord or nerves.

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Whiplash

The term “whiplash” was first used in 1928 to define an injury mechanism of sudden hyperextension followed by an immediate hyperflexion of the neck that results in damage to the muscles, ligaments and tendons – especially those that support the head.  Today, we know that whiplash injuries frequently do not result from hyperextension or hyperflexion (extension and flexion beyond normal physiological limits), but rather an extremely rapid extension and flexion that causes injuries.

Due to their complicated nature and profound impact on peoples lives, few topics in health care generate as much controversy as whiplash injuries.  Unlike a broken bone where a simple x-ray can validate the presence of the fracture and standards of care can direct a health care professional as to the best way in which to handle the injury, whiplash injuries involve an unpredictable combination of nervous system, muscles joints and connective tissue disruption that is not simple to diagnose and can be even more of a challenge to treat.  In order to help you understand the nature of whiplash injuries and how they should be treated, it is necessary to spend a bit of time discussing the mechanics of how whiplash injuries occur.

The Four Phases of a Whiplash Injury

During a rear-end automobile collision, your body goes through an extremely rapid and intense acceleration and deceleration.  In fact, all four phases of a whiplash injury occur in less than one-half of a second!  At each phase, there is a different force acting on the body that contributes to the overall injury, and with such a sudden and forceful movement, damage to the vertebrae, nerves, discs, muscles, and ligaments of your neck and spine can be substantial.

Phase 1

During this first phase, your car begins to be pushed out from under you, causing your mid-back to be flattened against the back of your seat.  This results in an upward force in your cervical spine, compressing your discs and joints.  As your seat back begins to accelerate your torso forward, your head moves backward, creating a shearing force in your neck.  If your head restraint is properly adjusted, the distance your head travels backward is limited.  However, most of the damage to the spine will occur before your head reaches your head restraint.  Studies have shown that head restraints only reduce the risk of injury by 11-20%.

Phase 2

During phase two, your torso has reached peak acceleration – 1.5 to 2 times that of your vehicle itself – but your head has not yet begun to accelerate forward and continues to move rearward.  An abnormal S-curve develops in your cervical spine as your seat back recoils forward, much like a springboard, adding to the forward acceleration of the torso. Unfortunately, this forward seat back recoil occurs while your head is still moving backward, resulting in a shearing force in the neck that is one of the more damaging aspects of a whiplash injury.  Many of the bone, joint, nerve, disc and TMJ injuries that I see clinically occur during this phase.

Phase 3

During the third phase, your torso is now descending back down in your seat and your head and neck are at their peak forward acceleration.  At the same time, your car is slowing down.  If you released the pressure on your brake pedal during the first phases of the collision, it will likely be reapplied during this phase. Reapplication of the brake causes your car to slow down even quicker and increases the severity of the flexion injury of your neck.  As you move forward in your seat, any slack in your seat belt and shoulder harness is taken up.

Phase 4

This is probably the most damaging phase of the whiplash phenomenon.  In this fourth phase, your torso is stopped by your seat belt and shoulder restraint and your head is free to move forward unimpeded.  This results in a violent forward-bending motion of your neck, straining the muscles and ligaments, tearing fibers in the spinal discs, and forcing vertebrae out of their normal position.  Your spinal cord and nerve roots get stretched and irritated, and your brain can strike the inside of your skull causing a mild to moderate brain injury.  If you are not properly restrained by your seat harness, you may suffer a concussion, or more severe brain injury, from striking the steering wheel or windshield.

Whiplash is also known as hyperflexion-hyperextension injuries

Injuries Resulting from Whiplash Trauma

As we discussed briefly in the introduction, whiplash injuries can manifest in a wide variety of ways, including neck pain, headaches, fatigue, upper back and shoulder pain, cognitive changes and low back pain.  Due to the fact that numerous factors play into the overall whiplash trauma, such as direction of impact, speed of the vehicles involved, as well as sex, age and physical condition, it is impossible to predict the pattern of symptoms that each individual will suffer.  Additionally, whiplash symptoms commonly have a delayed onset, often taking weeks or months to present.  There are, however, a number of conditions that are very common among those who have suffered from whiplash trauma.

Neck pain

It is the single most common complaint in whiplash trauma, being reported by over 90% of patients.  Often this pain radiates across the shoulders, up into the head, and down between the shoulder blades.  Whiplash injuries tend to affect all of the tissues in the neck, including the facet joints and discs between the vertebrae, as well as all of the muscles, ligaments and nerves.

Facet joint pain is the most common cause of neck pain following a car accident.  Facet joint pain is usually felt on the back of the neck, just to the right or left of center, and is usually tender to the touch.  Facet joint pain cannot be visualized on x-rays or MRIs.  It can only be diagnosed by physical palpation of the area.

Disc injury is also a common cause of neck pain; especially chronic pain.  The outer wall of the disc (called the anulus) is made up of bundles of fibers that can be torn during a whiplash trauma.  These tears, then, can lead to disc degeneration or herniation, resulting in irritation or compression of the nerves running through the area.  This compression or irritation commonly leads to radiating pain into the arms, shoulders and upper back, and may result in muscle weakness.

Damage to the muscles and ligaments in the neck and upper back are the major cause of the pain experienced in the first few weeks following a whiplash injury, and is the main reason why you experience stiffness and restricted range of motion.  But as the muscles have a chance to heal, they typically don’t cause as much actual pain as they contribute to abnormal movement.  Damage to the ligaments often results in abnormal movement and instability.

Headaches

After neck pain, headaches are the most prevalent complaint among those suffering from whiplash injury, affecting more than 80% of all people.  While some headaches are actually the result of direct brain injury, most are related to injury of the muscles, ligaments and facet joints of the cervical spine, which refer pain to the head.  Because of this, it is important to treat the supporting structures of your neck in order to help alleviate your headaches.

TMJ problems

A less common, but very debilitating disorder that results from whiplash is temporomandibular joint dysfunction (TMJ).  TMJ usually begins as pain, clicking and popping noises in the jaw during movement.  If not properly evaluated and treated, TMJ problems can continue to worsen and lead to headaches, facial pain, ear pain and difficulty eating.  Many chiropractors are specially trained to treat TMJ problems, or can refer you to a TMJ specialist.

Brain injury

Believe it or not, mild to moderate brain injury is common following a whiplash injury, due to the forces on the brain during the four phases mentioned earlier.  The human brain is a very soft structure, suspended in a watery fluid called cerebrospinal fluid.  When the brain is forced forward and backward in the skull, the brain bounces off the inside of the skull, leading to bruising or bleeding in the brain itself.  In some cases, patients temporarily lose consciousness and have symptoms of a mild concussion. More often, there is no loss of consciousness, but patients complain of mild confusion or disorientation just after the crash.  The long-term consequences of a mild brain injury can include mild confusion, difficulty concentrating, sleep disturbances, irritability, forgetfulness, loss of sex drive, depression and emotional instability.  Although less common, the nerves responsible for your sense of smell, taste and even your vision may be affected as well, resulting in a muted sense of taste, changes in your sensation of smell and visual disturbances.

Dizziness

Dizziness following a whiplash injury usually results from injury to the facet joints of the cervical spine, although in some cases injury to the brain or brain stem may be a factor as well.  Typically, this dizziness is very temporary improves significantly with chiropractic treatment.

Low back pain

Although most people consider whiplash to be an injury of the neck, the low back is also commonly injured as well.  In fact, low back pain is found in more than half of rear impact-collisions in which injury was reported, and almost three-quarters of all side-impact crashes.  This is mostly due to the fact that the low back still experiences a tremendous compression during the first two phases of a whiplash injury, even though it does not have the degree of flexion-extension injury experienced in the neck.

Recovery from Whiplash

With proper care, many mild whiplash injuries heal within six to nine months.  However, more than 20% of those who suffer from whiplash injuries continue to suffer from pain, weakness or restricted movement two years after their accident.  Unfortunately, the vast majority of these people will continue to suffer from some level of disability or pain for many years after that, if not for the rest of their lives.

Whiplash is a unique condition that requires the expertise of a skilled health professional specially trained to work with these types of injuries.  The most effective treatment for whiplash injuries is a combination of chiropractic care, rehabilitation of the soft tissues and taking care of yourself at home.

Chiropractic Care

Chiropractic care utilizes manual manipulation of the spine to restore the normal movement and position of the spinal vertebrae.  It is by far the single-most effective treatment for minimizing the long-term impact of whiplash injuries, especially when coupled with massage therapy, trigger point therapy, exercise rehabilitation and other soft tissue rehabilitation modalities.

Soft Tissue Rehabilitation

The term ‘soft tissue’ simply refers to anything that is not bone, such as your muscles, ligaments, tendons, nervous system, spinal discs and internal organs.  During a whiplash injury, the tissues that are affected most are the soft tissues, the muscles, ligaments and discs in particular.  In order to minimize permanent impairment and disability, it is important to use therapies that stimulate the soft tissues to heal correctly.  These include massage therapy, electro-stimulation, trigger point therapy, stretching and specific strength and range of motion exercises.

Home Care

The most effective chiropractic care and soft tissue rehabilitation will be limited in its benefit if what you do at home or at work stresses or re-injures you on a daily basis.  For this reason, it is important that your plan of care extend into the hours and days between your clinic visits to help speed your recovery.  Some of the more common home care therapies are the application of ice packs, limitations on work or daily activities, specific stretches and exercises, taking nutritional supplements and getting plenty of rest.

Medical Intervention

In some severe cases of whiplash, it may be necessary to have some medical care as part of your overall treatment plan.  The most common medical treatments include the use of anti-inflammatory medications, muscle relaxants, trigger point injections and, in some cases, epidural spinal injections.  These therapies should be used for short-term relief of pain, if necessary, and not be the focus of treatment.  After all, a drug cannot restore normal joint movement and stimulate healthy muscle repair.  Fortunately, surgery is only needed in some cases of herniated discs, when the disc is pressing on the spinal cord, and in some cases of spine fractures.

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Published in: on April 2, 2010 at 7:53 pm  Comments (1)  
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Effects of Chiropractic Care

Wellness requires you to be a proactive agent for your body. You need to treat it well and not wait until you hurt before you decide to take care of it. As we’ve said before health is not merely the absence of disease any more than wealth is an absence of poverty. Let’s remember health is not simply “feeling fine,” for we know that problems may progress for years without causing any symptoms whatsoever. As you know by now, heart disease for example, often develops unnoticed for many years before it strikes: in fact, the first symptom of heart disease that many people experience is a heart attack or death.

Now let us be clear that we are not under the illusion that everyone who creates a wellness lifestyle will be immune from pain, sickness, and disease. There are many people who do everything right and still get sick and die. Some will argue that there are many people who do everything wrong and live long, seemingly healthy lives. However, since we have no way to predict who is who, we have to do our very best to reduce our risk and promote our health.

Over the years in private practice, we have seen how neglecting their health has drained people of thousands of dollars, sometimes to the point of bankruptcy. We have seen people who have saved up and waited their entire lives to take a dream trip or to send their kids to college, whose savings and dreams were siphoned away to pay for health care expenses. We have seen people with work injuries like carpal tunnel syndrome or neck/back pain who have been unable to work, unable to drive, and even unable to sleep without pain. We have seen family members whose entire lives become dominated by the necessity to care for another family member who is sick or in pain. The effects of long-term illness or disability on a family can be devastating; in many cases, it happens to families who are already over-stressed, under-loved, and emotionally maxed out.

Health is not merely the absence of disease. The body has an innate intelligence that runs a series of complex systems that rely on proper balance and coordination in order to function correctly.

On the other hand, We have seen people who have been unemployed due to their pain or health condition choose to adopt new healthy habits: within a short period of time they are back at work making money, taking care of themselves and their families again, and are able to put away savings for their retirement.

We have heard every excuse you can imagine as to why people believe they can’t afford the time or money to invest in their health. But the truth is that you must invest in your health today, or disease may bankrupt you in every way later. If you don’t have the time and money to improve your health while you feel good, what makes you think you will have the time and money to improve your health once you have lost it? As Anthony Robbins once said, “you can make time for wellness now or you can make time for sickness later.” The choice is yours.

With regards to your wellness, the three main ideas that we really want to drive home . . .

  1. Health is not merely the absence of disease.
  2. The body has an innate intelligence that runs a series of complex systems that rely on proper balance and coordination in order to function correctly.
  3. By living a wellness lifestyle you can enrich your life with vibrant health.

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Auto Accidents – Chiropractic Can Help

If you have been involved in a car accident, whiplash injuries need to be taken very seriously.  Because symptoms of a whiplash injury can take weeks or months to manifest, it is easy to be fooled into thinking that you are not as injured as you really are.

Numerous studies have shown that years after whiplash victims settle their insurance claims, roughly half of them state that they still suffer with symptoms from their injuries.

Too often people don’t seek treatment following a car accident because they don’t feel hurt.  By far, the most common injury to the neck is a whiplash injury.  Whiplash is caused by a sudden movement of the head, either backward, forward, or sideways, that results in the damage to the supporting muscles, ligaments and other connective tissues in the neck and upper back.

Unfortunately, by the time more serious complications develop, some of the damage from the injury may have become permanent.  Numerous studies have shown that years after whiplash victims settle their insurance claims, roughly half of them state that they still suffer with symptoms from their injuries.  If you have been in a motor vehicle or any other kind of accident, don’t assume that you escaped injury if you are not currently in pain.  It is important to consult with a chiropractor immediately.  Contact us today!

Cool video

 

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Published in: on January 29, 2010 at 3:37 pm  Leave a Comment  

Do You Suffer From Neck or Back Pain?

If so, DO NOT IGNORE IT! It is extremely important that a chiropractor checks you IMMEDIATELY! 

Hello, my name is Dr. David Kreshover, and I am a chiropractor located nearby here in the Bronx. I have offices in The Bronx, as well as Manhattan and Queens. In my 13 years of practice, the largest mistake that most people make is to ignore their body when it is saying something to them. When this occurs, seeing a chiropractor is not only necessary, it is VITAL to one’s well being.

Upon a visit to my office, I will take a comprehensive history and provide a full examination of your spine. I may then implement X-Ray procedures to complete my analysis. All of this is done “in-house”. Afterward, I will review these findings with you, explaining how your condition applies to chiropractic philosophy, and how it can be managed with chiropractic care. This is a type of education process for every patient, as most are unaware of these procedures and philosophies. At the conclusion of this education and review, you will be well aware of WHY you have been feeling the way you have, and HOW you are going to improve with conservative, non-invasive chiropractic care.

However, you should see a chiropractor BEFORE symptoms appear, as this is the best method for PREVENTING them from appearing. Only a chiropractor can find problems in your spine such as these.

Why suffer?

All I can say is…WHAT ARE YOU WAITING FOR? You only have one body. Don’t wait any longer to give yours the attention it needs. THIS MEANS YOU AND YOUR FAMILY!

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Published in: on January 29, 2010 at 3:08 pm  Comments (2)  
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A Little About Uptown Chiropractic

Uptown Chiropractic provides a state of the art multidisciplinary approach to the evaluation, treatment and documentation of patients in need of our professional care. We provide a vast array of services geared to pinpoint our patients’ needs. These services focus on the care of the recently injured patient, the patient seeking wellness care, as well as geriatric care and sports medicine.
What kind of care are you looking for? Let our practitioners and knowledgeable staff help you to make your decision that much easier by giving you the answers you deserve.
Our facilities offer chiropractic care, physical therapy, acupuncture, physical medicine, neurology and orthopedic care. What kind of care are you looking for? Let our practitioners and knowledgeable staff help you to make your decision that much easier by giving you the answers you deserve. 

Auto/Work Injuries:

Uptown Chiropractic specializes in the treatment of work and auto-related injuries. Our facility utilizes the best available rehabilitative techniques, including physical therapy, chiropractic and acupuncture. Our long history makes us well renowned for our excellent service in providing quality care for our personal injury patients.

The patient will receive quality care from Board Certified medical specialists. These include orthopedists, physiatrists, neurologists, psychologists and chiropractors.

We accept all No-Fault and Worker’s Compensation insurance plans. Our staff has a thorough understanding of all No-Fault and Worker’s Compensation protocol and applicable laws.
Our staff will guide you thru the steps recommended by our doctors during your care with us, and will help propel you to a state of recovery.

Wellness Chiropractic:

Here at Uptown Chiropractic, what comes first and foremost is the practice of chiropractic. Chiropractors practice natural, drugless, non-invasive health care and rely on the body’s ability to self-heal. Unlike medical doctors who treat symptoms as they appear, chiropractors evaluate the patient in order to find the cause of the problem. The cause is usually known as a subluxation, which is a structural imbalance in the vertebral or spinal column. A subluxation may appear well before symptoms do, and can be identified through a thorough chiropractic evaluation. At the conclusion of this evaluation, the chiropractor will know the cause of a patient’s ailment, and can then proceed to correct the cause with a regimen of chiropractic care.

Chiropractic care is effective for a wide variety of conditions. The following is a partial list of some of the most common. If you do not see your specific condition listed, we encourage you to give us a call so we can personally address your particular concerns. Here are some conditions our facility specializes in:

• Allergies
• Asthma
• Auto Accidents
• Back Pain-Lower
• Back Pain-Upper & Neck
• Ear Infections
• Fibromyalgia
• Headaches
• Pinched Nerve
• Sciatica
• Scoliosis
• Slipped Disc
• Stress
• Wellness
• Whiplash

Geriatric Care and Sports Medicine:

Using our vast knowledge and experience, our practitioners are the frontrunners in the fields of geriatric care and sports medicine. Whether it be preventive medicine or post-operative rehabilitation, we are confident that our offices can offer you a wide range of therapies that will enhance your treatment and put you on the road to recovery.

Office Locations:

Uptown Chiropractic has been in existence for nearly 30 years, and now offers 3 locations for your convenience. Our flagship office is located on the upper east side of Manhattan, and our newer locations are located in the Bronx and Queens Village. Stop in or call to make an appointment today! 

In good health.
Sincerely,

David A. Kreshover, D.C.

Contact Us!

My Neck Hurts

Who hasn’t had neck pain at one time or another? What’s more, many of us have experienced on-going neck troubles at some point during our lives. Looking at human anatomy, it is no wonder pain strikes us so often in this vulnerable area. While the neck structure gives us an amazing range of movement with which to see our environment, it also leaves us prone to injury of the muscles, ligaments, tendons and joints. But by making regular visits to the chiropractor, paying attention to posture and doing regular stretching and strengthening exercises, our necks can be pain-free.

Frequent chiropractic adjustments help prevent neck pain from occurring in the first place, but some everyday activities such as poor posture during watching TV, using a computer, reading a book or talking on the phone can easily trigger neck pain. Here are a few tips for avoiding neck pain throughout your day:
• Pay attention to your posture. Check with your chiropractor for guidelines to help improve your everyday posture.
• Do not read hunched over a desk or table. Prop reading material at eye level.
• If you spend long periods on the phone at work or home, consider using a headset rather than cradling the phone between your head and shoulder.
• Don’t crane your neck to see a poorly placed computer monitor. Place the monitor at eye level, square to your shoulders if possible.
• Ask your chiropractor to show you neck exercises to strengthen weak areas or relax tight muscles.
Neck pain that won’t go away or keeps coming back can signal a more serious underlying problem such as a subluxation or degeneration in the joints (such as what occurs with arthritis). If you experience neck pain that does not abate within 24 hours, seek the advice of your chiropractor for diagnosis and treatment.

Visit our website for more information.

Published in: on January 22, 2010 at 3:55 pm  Comments (1)  
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