Tag Archives: 415-392-2225

Whiplash Syndrome: Defined


Whiplash experts in san francisco
We have been providing treatment for whiplash injuries in San Francisco for over 21 years now in the Financial District.

The term “whiplash” is a slang term
for a neck injury most accurately called a cervical acceleration-deceleration
(CAD) injury. Now you know why we call it “whiplash”! It suggests that the head
was forced through a range of motion that exceeds the barriers of our normal
tissue, resulting in injury to the neck.

             Though
a slip and fall, or even a bar-room brawl, can cause whiplash, whiplash is
usually associated with injuries that occur from a car accident or “motor
vehicle collision” (MVC). The term “syndrome” refers to a cluster of symptoms
that can include neck pain, headache, light-headedness, ringing in the ears,
visual disturbances, memory loss, nausea/vomiting, noise and/or light
sensitivity (usually associated with mild traumatic brain injury or,
post-concussive syndrome), TMJ (jaw) pain, radiating pain, numbness, and/or
weakness in the arm, limited neck movements, and more. Even the low back can be
injured in a whiplash injury!  In other
words, a whiplash injury can affect MANY different parts of the body, and the
clinical picture can vary widely from case to case.

            Whiplash
is diagnosed through a thorough history, paying particular attention to the
mechanism of injury – that is, how fast were you and the opposing vehicle
traveling, in what direction did you get hit (front, side, rear, angular, or
combinations), what size was your vs. the opposing vehicle, was your head
turned or pointed straight at the time of impact and did you hit your head?
Also, we will ask, what were your immediate symptoms compared to 30 min., 60
min., 3 hrs, 6 hrs later, the next morning, and when did your symptoms peak?
What activities (including work) have been affected, and to what degree? What
self-management approaches have you tried, and how have they worked? The more
we can learn about the accident and your immediate symptoms, or delay in
symptom onset, the better we can address your problems. The physical
examination is also very important as we will observe your movement quality,
posture, pain expression, palpate for muscle guarding, trigger points, and
swelling of the injured joints. We will also evaluate your neck and back range
of motion, assess your neurological functions, and assess extremity issues that
might be present. X-rays will more than likely be done and may include “stress
views” where you bend the neck forwards and backwards to assess the stability
of your spine. Comparison to older x-rays can be very helpful, if they exist.
Depending on the degree and type of the injury, special tests will be
considered such as MRI, EMG/NCV, laboratory tests, and perhaps others.

            Treatment
will consist of: addressing the acute inflammatory painful symptoms by the use
of gentle massage, mobilization and/or manipulation, electrical stim or a
different anti-inflammatory modality, review how to apply ice and/or heat, how
to bend/lift/pull & push properly to avoid irritation. We’ll teach you
exercises, proper sleep positions, and other home applied, self-help
techniques. The goals of pain management, functional restoration, and
prevention will be applied. If needed, coordinating care between our office and
primary care, orthopedic, neurology, or others will be smoothly managed as the
need arises.

            We realize you have a choice in where you choose your
healthcare 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 a whiplash specialist in San Francisco please call 415-392-2225. Mention this blog post for a complimentary consultation in house or by telephone.

Serving local 94111 since 1992

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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A Patient’s Headaches Treatment Story

Treatments for Headaches in San FranciscoOur San Francisco Chiropractor  “Patient of the Week”. Treatment for headaches story. Antone reported
to our clinic about a month ago with a terrible migraine headache that
he had been suffering with for two weeks.  The pain was getting so
intense that it was interfering with his ability to sleep, made it
difficult to work at times, and made it hard to relax and enjoy his free
time.  Life was just miserable and nothing seemed to help.

After trying everything else and not getting lasting results,
Antone decided to give chiropractic care a try.  After his first
treatment, Antone reported a 50% decrease in pain!  Dedicated to getting
better and out of pain, Antone followed the treatment plan his doctor
recommended and continued to improve after each visit.

We are SO happy
and excited to announce that Antone has been migraine and headache-free
for the last week!  Knowing he never wants to feel pain like that again,
Antone has elected to continue to receive maintenance care to keep his
spine healthy and moving properly.  Great job, Antone!

We have been providing treatment for headaches in San Francisco since 1992. During this time we have helped thousands of patients with tension and migraine headaches return to normal healthy lifestyles.

To make an appointment with one of our headaches doctors in San Francisco please call 415-392-2225. Mention this patient review for a complimentary consultation. 

Dr. Eben Davis

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Whiplash and how it damages the neck

Whiplash relief san franciscoWe have been providing treatment for whiplash in San Francisco since 1992.

To better
understand Whiplash, let’s take a look at the anatomy and what is actually
injured in a whiplash injury.  Our spine
is basically a long chain made up of blocks that are larger at the bottom and
smaller at the top. This means the low back vertebra are huge compared to the
neck vertebrae. The vertebrae fit together in a way that “locks” them together
by the small joints in the back called “facets” and in the front by the disks.
These joints function as shock absorbers between the blocks or “vertebral
bodies.” Also in the front, there is a tough piece of tissue called the
“anterior longitudinal ligament” that provides a barrier so that when the neck
is bent backwards (into “extension”), it becomes tight and stops that movement
so it doesn’t over-extend, which could fracture the small facet joints in the
back.

            There are ligaments, or tissues that
hold bone to bone, in the back of the spine that connect between the “spinous
processes,” or bony “bumps” in the middle of the back. These ligaments check or
stop excessive forward motion of the neck during whiplash. Joint capsules
surround joints, which we all have seen when we separate a chicken leg from the
thigh. Remember how smooth and shiny the end of the chicken leg is? That smooth
surface at the end of long bones is call “hyaline cartilage”, and it allows for
slippery gliding between the ends of our bones when we move any joint,
including our fingers, wrists, shoulders, hip as well as the facet joints of the
spine. Joint movement is facilitated by the presence of an oily substance
called “synovial fluid” which acts like a lubricant for the joint allowing for
pain-free movement.

            A “sprain” occurs when we damage a
joint capsule or a ligament, or when the muscle or its attachment (tendon) is
injured. These are graded as mild, moderate or severe, or grades 1, 2,or 3,
with grade 3 being the worst at 75% or greater tearing, and healing takes
progressively longer with each grade.

            During a whiplash injury, the
classic rear-end collision results in over stretching of the ligaments in the
neck, and tearing can occur (sprain, grades 1, 2 or 3). If one of the nerves
gets pinched, then numbness, pain, and/or weakness can occur, radiating down
the arm to a specific location. When this occurs, the long-term prognosis is
worse. Concussion can also occur if the brain is slammed against the inside of
the skull. Chiropractic adjustments, when administered early, yield the best
results for treating whiplash, according to many studies.

            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 whiplash doctors in San Francisco call 415-392-2225.

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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San Francisco Chiropractor Health Update


San francisco chiropractor health updateMental Attitude
: Smoking and Anxiety. The belief that smoking relieves stress is pervasive, but likely wrong. Smoking is actually anxiogenic (causes anxiety) and successful quitters usually experience a drop in anxiety. ~British Journal of Psychiatry, January 2013

Health Alert: Stroke! In males and females ages 5-14, the number of ischemic stroke hospitalizations increased 31% and 36%, respectively, from 1994 to 2007. For ages 15-34 the increase was 51% for males and 17% for females. For ages 35-44, the increase was 47% for men and 36% for females. The increase in obesity seems to be the primary cause. ~CDC, February 2011

Diet: How Much Protein? An estimator used for daily protein intake is 0.36 grams per 1 pound of body weight (or .8g/kg). For example, if you weigh 155lbs, you should consume 56 grams per day (155 * .36 = 56 grams/day). Note: If you are overweight to begin with, do not use this estimator for your current body weight because this will calculate a higher protein intake number than you really need.
 

Exercise: Aerobic or Resistance Training? A study of 234 obese/overweight adults compared the effects of aerobic training (AT), resistance training (RT) and both aerobic training and resistance training (AT/RT). Researches found the participants in the AT/RT group both increased lean mass (muscle) and decreased body fat, while the RT group did not decrease body fat, and the AT group did not increase lean mass. According to Leslie H. Willis, an exercise physiologist at Duke University Medical Center and the study’s lead author, “If increasing muscle mass and strength is a goal, then resistance training is required. However, the majority of Americans could experience health benefits due to weight and fat loss. The best option in that case, given limited time for exercise, is to focus on aerobic training. When you lose fat, it is likely you are losing visceral fat, which is known to be associated with cardiovascular and other health benefits.” ~Journal of Applied Physiology, December 2012

Chiropractic: Pregnancy and Back Pain. 20% of women who suffer from severe back pain during pregnancy refrain from having more children out of fear their severe back pain would recur with another pregnancy. ~Obstetrics & Gynecology, February 1998

Wellness/Prevention: How Are You Doing This Year? Only 8% of people succeed in achieving their top New Year’s Resolution. ~Journal of Clinical Psychology, December 2012

Quote:Leave all the afternoon for exercise and recreation, which are as necessary as reading. I will rather say more necessary because health is worth more than learning.” ~ Thomas Jefferson

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• Visit us at www.Spine-Health.com

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

 

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Chiropractic Treatment for Neck Pain

Neck pain treatment in san francisco, CAWe have been providing treatment for neck pain in San Francisco for over 21 years now. In fact, neck pain is one of the most common conditions we treat. Our chiropractic clinic is located in the SF Financial District so most of our patients spend the majority of their day in front of a computer, mostly in a static position.

This puts tremendous pressure on the structures in the neck such as the cervical spinal joints, muscles, ligaments and tendons. What happens is the head has a tendency to move forward towards the computer screen as we do our work. The neck muscles react and adapt and have to work much harder than they should. This forward head posture (FHP) also puts abnormal stresses on the neck bones predisposing them to Vertebral Subluxations, which is the term chiropractors use to describe what we treat.

Subluxations in the neck are a combination of misalignment of the cervical spine, abnormal or restricted cervical motion, cervical muscle spasms, pressure on the cervical nerve roots, and loss of function. There may or may not be neck pain.

Chiropractors can tell if you have subluxations in your neck by checking your posture, your cervical range of motion, your muscle strength of your upper extremities and grip strength, as they are controlled by the nerves in the neck, the reflexes and sensation in the upper extremities, and any tenderness or swelling around the cervical vertebrae.

Once a chiropractor determines you have vertebral subluxations, also referred to as “Pinched Nerves”, they will make a determination of how long the problem has been there so they can grade it. This can be done by taking an x-ray of the neck to check for spinal degeneration, loss of neck curve, thinning of the disc, and anterior weight bearing of the skull on the spine. X-rays are not always necessary but are a very useful tool if indicated.

Chiropractic means “done by hand”. So most chiropractors will use their hands to correct subluxations and all it’s components. This is usually done on a chiropractic table or bench and there are hundreds of variations of this. The object is to re-align the cervical spine, restore neck joint motion, reduce muscle spasm, swelling and inflammation, take the pressure off the spinal nerves, and restore lost function such as lost grip strength.

And yes, of course…if there is neck pain or neck, shoulder, and arm pain or headaches, your chiropractor will want to rid you of this as soon as possible. The good news is…as the cervical subluxation corrects the neck pain subsides.

How long will it take to fix my neck pain?

Well, this depends on how long the problem has been there, your age, your level of spinal degeneration, your adherance to the treatment recommendations, your stress level, your diet, your exercise frequency, your work schedule, etc. Chiropractors take all this into consideration and depending on the chiropractors technique make recommendations that make the most amount of sense for you.

Some chiropractic doctors such as us, incorporate exercises into the treatment process or massage or deep tissue laser…but the main course is always the chiropractic adjustment.

So there you go. Done by hand 100% natural chiropractic for neck pain. It just makes sense. 

To schedule an appontment for neck pain treatment in San Francisco please call 415-392-2225.

Dr. Eben Davis is founder and clinic director of Executive Express Chiropractic.

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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How Many Adjustments Do I Need For Neck Pain?

Neck pain doctors downtown sfWe have been providing neck pain treatment in San Francisco for over 20 years now. During this time we have learned much. The most important thing we have discovered is that everybody is different and needs to be treated as such.

For instance…you may have two 35 year old men present with neck pain from sitting at a desk too long…one of them gets better after a few chiropractic adjustments, the other takes 10. That's just the way it is.

Sure, we make treatment recommendations based on a patients age, exam findings, and cases we have treated that are similar, but still, as we get into the treatment each case responds differently.

Chronic neck pain…which is neck pain that has persisted for 90 or more days complicates things further. Now we are talking about pain that is deep rooted. The nervous system has been re-wired because of the chronic neck pain and other parts of the spine and body are compensating.

Typically, chronic neck pain can take several weeks to many months to fully resolve. Chronic neck pain is usually the result of repetitive stress or injuries that have not healed properly, such as a sports injury or whiplash. Headaches can develope as well as shoulder and arm pain…even low back pain as the body adapts to the neck pain and abnormal motion and function.

So…how many adjustments you need for your neck pain will vary on all the above.

The good news is that chiropractors deal with all these scenarios on a daily basis…it's what we do. And after 20 years we have seen a lot…enough to know what to do and what not do do. When it comes to neck pain it's best to get chiropractic adjustments right when you feel the pain. The last thing you want is for your neck pain to become chronic.

My recommendation…see a chiropractor ASAP after any kind of injury to the neck, such as a whiplash from an auto accident…or a sports injury…or if you sleep funny or work too hard. And get checked for misalignment's to your neck periodically…say once per month.

If you take care of your spine it will take care of you…and nobody needs a pain in the neck!

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

For an appointment with one of our San Francisco Neck Pain Doctors call 415-392-2225

Serving zip code 94111 and surrounding areas since 1992.

 

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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San Francisco Chiropractor Review: Neck and Shoulder Pain

The Executive Express Chiropractic "Patient of the Week" is Alma Co. Alma presented to our clinic with chronic neck and shoulder pain, which was making life difficult at work and at home. Our San Francisco Chiropractors have treated Alma with chiropractic adjustments to the neck and shoulders, massage therapy, traction, stretches, and lots of TLC. Alma reports things are returning to normal…thankfully!

Chiropractor Review Neck and Shoulder Pain San Francisco

To schedule a complimentary consultation for neck and shoulder pain treatment in San Francisco, call 415-392-2225.

We serve zip code 94111 and surrounding areas

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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What Causes Sciatica?

San Francisco Chiropractor Comments:

Herniated disc
The primary cause of sciatica (pain down the leg) is a herniated lumbar disc or a bulging lumbar disc (pinching a nerve). There are other causes such as piriformis syndrome. The piriformis is a muscle in the buttocks that the sciatic nerve passes through which can become inflammed (often in people that sit a lot) and irritate the sciatic nerve.

The sciatic nerve is the largest nerve in the body. It is as large as the diameter of a quarter in some people. Lumbar nerve roots come together after they exit the lumbar spine and form the sciatic nerve which travels down the leg to the feet.

All it takes is a little bit of pressure on the sciatic nerve to irritate it and cause pain down the leg. Under normal circumstances (when the spine is in alignment and the discs are healthy) there is plenty of room for the nerves to exit the spine.

However, when the spine is out of alignment it can cause abnormal wear and tear on the lumbar discs, and cause them to bulge, herniate, and degenerate. A degenerated disc will weaken over time, leading to degenerative disc disease, bulging discs, and disc herniations…and eventually pinched nerves and sciatica.

Maintaining proper spinal alignment can help avoid sciatica.

Once someone experiences the symptoms of sciatica, chances are there has been a problem in the lumbar spine manifesting for many years. Sciatica is much more common in people that are overweight or obese. Excess bodyweight will make it more difficult to treat sciatica also. Weight loss should be a component of the treatment plan…preferably with a diet rich in plant foods which will help reduce inflammation.

Chiropractic Treatment Options For Sciatica: Chiropractic adjustments, spinal exercises (or a controlled Yoga program), and therapeutic pain laser are some of the treatments that could and should be introduced as soon as possible. If the above treatments fail to deliver results, nonsurgical spinal decompression should be considered. Proper sleep and work postures should also be addressed.

Some patients will have already seen a medical doctor for pain control. If the pain is not bearable your chiropractor will refer you for a medical opinion. It is very common these days for chiropractors and medical doctors to work together to co-manage care for chronic back pain patients.

So, while it’s best to avoid sciatica all together by maintaining a healthy spine, it’s not the end of the world if sciatica strikes. My advice if it does…call a chiropractor.

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

Sciatica Pain Relief San Francisco

 

 

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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