Tag Archives: doctor

Carpal Tunnel Syndrome? Maybe, Maybe Not!

carpal tunnel san franciscoWe have been providing treatment for Carpal Tunnel Syndrome in Downtown San Francisco for over 23 years. 

Most of the patients we treat spend the majority of their day sitting in front of a computer doing repetitive motions Many go on to do more computer work at home. Some are even on the computer or smart phone as they commute to and from work. OUCH!

We are simply not designed to be sitting for long periods doing the same thing over and over.  In fact, we are designed to be doing just the opposite…running and hunting for food. Our bodies need constant motion in order to function properly.

When we sit all day the muscles in the neck and back are in a constant state of tension. Plus, our posture tends to take on hunched-over position we are in. This can cause pressure on the nerves in the neck that travel down the arms and control the hands. Pressure on the nerves can cause the same symptoms you experience when you have carpal tunnel syndrome (CTS).

The classic signs and symptoms of CTS are as follows:

  • Hand pain
  • Numbness and Tingling in the hand
  • Night pain
  • Neck pain
  • Pain that radiates from the hand to the elbow or neck
  • Weakness of grip

Again, pressure on the nerves in the neck cause the same symptoms This is why so many carpal tunnel surgeries fail. It was not the true problem. The nerve involved in true CTS is the Median Nerve. It is actually formed by branches of the cervical nerves (neck). This is why the symptoms are the same. True CTS is when there is compression of the median nerve in the wrist. This is a far less likely scenario than compression on the nerves in the neck. It is also easier to treat the neck. Results can typically be seen right away.

Some of the conditions in the neck area that can pinch the nerves that innervate the arm and hand are as follows:

  • Bulging and herniated discs
  • Vertebral Subluxation
  • Degenerative Disc Disease
  • Facet Syndrome
  • Spinal Degeneration
  • Thoracic Outlet Syndrome
  • Cervical Rib

So there you go. Changes are if you have CTS Symptoms you don’t have true CTS. And one more thing…

Not all doctors know how to treat CTS and related disorders. Chiropractors are experts and some (like us) even specialize in treating neck, arm, and hand pain. The treatment is 100% natural s usually covered by insurance (we belong to most plans).

To find out more about CTS check out the other blog posts on this blog.

To make an appointment for carpal tunnel treatment in San Francisco please call 415-392-2225.  We validate parking at the Embarcadero Center. 

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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Hand Pain For No Reason?

Hand Pain Treatment in SF

Hand Pain Treatment in San Francisco

We have been treating hand pain in San Francisco for over 22 years.

Every week, many people come to our clinic with hand pain that has no apparent cause. Some say they woke up with it…others say it just came on while they were performing normal work or household duties. For some, the hand pain comes and goes and may be getting progressively worse.

The obvious place to look is the hands themselves. Are they being overworked? This day and age most of us spend a good amount of time sitting at a desk in front of a computer doing repetitive motions with the arms and hands. This alone without adequate breaks or proper ergonomics and posture can lead to hand pain, numbness, tingling, burning and weakness.

There is a not so obvious place to look as well that could well be the primary contributor to your arm or hand pain. The neck or cervical spine. This is where all the nerves that innervate or control the arm and hands (upper extremities) originate  and they are very vulnerable to pressure or interference as they exit the spine.

Some of the conditions in the neck that can pinch the nerves and cause hand pain and related disorders are as follows:

  • Herniated or bulging discs in the neck
  • Facet Syndrome
  • Degenerative Disc Disease
  • Vertebral Subluxation
  • Bone spurs
  • Spinal Stenosis

Here are some of the potential symptoms from these conditions:

  • Neck and shoulder pain
  • Arm pain
  • Elbow Pain
  • Hand Pain
  • Numbness and Tingling
  • Weakness of Grip
  • Night Pain

These are also the symptoms of Carpal Tunnel Syndrome (CTS). In fact, many patients are misdiagnosed with CTS when the problem is actually in the neck. It’s easy to do since the symptoms are the same. This is why it’s so important to See a doctor who spends the majority of their day managing cases of hand pain and related disorders and knows how to treat them naturally. There are many chiropractors that specialize in this like we do.

The last thing you ant is unnecessary drugs or surgeries.

Patients come to our San Francisco Chiropractic and medical center because they know we are hand pain and carpal tunnel experts. We have medical doctors, chiropractors, physical therapists, trainers, massage therapists, and nurses, that routinely treat hand pain, naturally.

We have two clinics in downtown San Francisco to serve you.

So…if you are suffering with hand pain, numbness, tingling, burning, aching, neck or shoulder pain or night pain, you may want to give us a call.

To schedule an appointment with a hand pain doctor on San Francisco please 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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Carpal Tunnel SYMPTOMS vs. Carpal Tunnel Syndrome

carpal tunnel treatment san franciscoWe have been providing treatment for carpal tunnel syndrome and related disorders in San Francisco for over 23 years. 

Carpal Tunnel Syndrome (CTS) is when a nerve in the wrist (the median nerve) becomes compressed, usually due to repetitive motions over time, acute trauma (rare), or as part of other upper extremity musculoskeletal disease complexes.

Either the diameter of the carpal tunnel narrows or the contents of the carpal tunnel expand putting pressure on the median nerve (which originates in the neck).  The carpal tunnel is a small opening, about the size of the tip of your pinkey, that is created by the 8 carpal bones and the transverse ligament that holds them together. There is no extra space in the carpal tunnel.

Inside the carpal tunnel is the median nerve and some some blood vessels. The median nerve has protective sheaths around it that also secrete fluids which allow for the nerve to glide within the tunnel.

With overuse syndromes such as repetitive stress injuries (RSI) the fluid dries up and the nerve sheath and median nerve swell causing pain and dysfunction.  RSI can also cause the carpal bones to misalign which can irritate the median nerve as well. Trauma to the hand can also cause CTS. The signs and symptoms of carpal tunnel syndrome are as follows:

  • Hand Pain
  • Numbness and Tingling
  • Weak Grip
  • Night Pain
  • Burning
  • Neck, shoulder, elbow pain

So, true carpal tunnel syndrome is when there is compression of the median nerve in the carpal tunnel…either from the tunnel narrowing or the contents expanding. True CTS is rare. The majority of the time CTS symptoms are NOT the result of true CTS…they are the result of problems (nerve pressure) in the neck. 

The median nerve originates in the neck. It is actually created by branches of nerve roots that exit  the lower part of the neck (C5-8). Each of these nerves passes through bones. If there is any kind of nerve pressure on these nerve roots it can cause the same exact symptoms in the hand that you would get if you had true CTS.

This is why it’s so important to visit a doctor that routinely treats patients with carpal tunnel SYMPTOMS. Carpal Tunnel Syndrome is one of the most misdiagnosed conditions there is. It is not uncommon for an emergency room doctor or primary physician or nurse to make a CTS diagnosis for hand pain. The typical course of treatment is a wrist splint and Motrin. Meanwhile, the true cause in the neck is left untreated.

Some of the conditions in the neck that can cause carpal tunnel SYMPTOMS in the upper extremity are as follows:

  1. Bulging or Herniated Cervical Disc
  2. Vertebral Subluxation
  3. Thoracic Outlet Syndrome
  4. Facet Syndrome
  5. Degenerative Disc Disease
  6. Spinal Stenosis

There are other upper extremity disorders that can mimic CTS. The point here is you need to know what they are and how to check for them. And even more importantly…how to treat them before they get worse.

A chiropractor that specializes in carpal tunnel syndrome and related disorders is your best bet. We may take x-rays or order a nerve conduction test or MRI.  The treatments we use to treat these types of problems are spinal and extremity adjustments (gentle), massage, laser, exercise, ice/heat, physical therapy, ART, Graston, traction.

All cases present differently and are treated as such. Often times a patient that presents with carpal tunnel SYMPTOMS can be fixed in a fe days. Other times, with more chronic cases it takes months. And everything in between.

Whatever you do make sure you see an expert. My advice is to see a chiropractor. Call around. Search the internet and find out if the doctor is experienced in carpal tunnel treatment and call and speak to them.

And even if you do have true carpal tunnel syndrome, a trained chiropractor is your best treatment choice.  You can save yourself a lot of time and grief by doing some homework.

If you live or work in San Francisco you can see us. We also have medical doctors and physical therapists in the event you need them.

To make an appointment with a carpal tunnel doctor in San Francisco please call 415-392-2225. We validate parking at the Embarcadero Center.  

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 For Shoulder Pain

shoulder pain treatment in SF

Shoulder Pain Treatment with Chiropractic

We have been providing treatment for shoulder pain in San Francisco since 1992. 

Shoulder pain is fairly common these days, especially with office workers who spend the majority of their day sitting in front of a computer doing repetitive motions with the upper extremities.  often times there is associated neck, arm and hand pain.

There are 3 primary causes of shoulder pain:

1. Acute shoulder pain from trauma or injury such as a sports injury or auto accident.

2. Cumulative Trauma Disorder from doing repetitive shoulder and upper extremity movements over time.

3. Chronic shoulder pain, which is pain that persists for over 3 months. It is usually the result of 1 or 2 above,

Unfortunately, a visit to the chiropractor is not high on the list of someone that is experiencing a bout of shoulder pain. Typically, they do nothing or visit a medical doctor. Some sharp medical doctors will refer out for physical therapy or even chiropractic. Many will still prescribe painkillers and muscle relaxers (bad news). Drugs typically only mask the symptoms and do not address the cause.

Over the past 23 years we have treated thousands of cases of shoulder pain at our chiropractic clinic in San Francisco. The treatment methods (depending on the actual problem) we use are as follows:

  • Chiropractic adjustments to the neck, arms and shoulders
  • Deep Tissue Massage
  • Active Release Techniques (ART)
  • Deep Tissue Laser Therapy
  • Kinesio Tape
  • Graston
  • Electronic Muscle Stimulation
  • Ice and Heat

Depending on whether the case is acute or chronic or cumulative will dictate the actual treatment plan and duration of care. We will usually be able to make our recommendations on the first or second day.

So, if you live or work in the SF Bay Area and have suffered a shoulder injury, we would like to meet with you. We are conveniently located at the Embarcadero Center One in the Financial District and have validated parking.

To schedule an appointment for shoulder pain treatment in San Francisco please call 415-392-2225 and mention this blog post. 

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 Chiropractic Adjustments Do You Need?

san francisco chiropractorWe have been providing chiropractic in San Francisco for over 22 years now.

During this time we have delivered hundreds of thousands of chiropractic adjustments to tens of thousands of patients.  So…we know a thing or to about how they work.

Some patients only need a few adjustments…some only one. Some many more…it just depends.

What it depends on is a variety of things. Things like age, overall physical condition, the nature of your condition, any complications such as a herniated disc, short leg or scoliosis, whether the problem is new or acute, your occupation, lifestyle, on and on.

The good news is that chiropractors take in all this information, process it quickly, then make recommendations based on standards of care and clinical experience. We can always adjust the visits up or down as needed.

And we let YOU decide how you wish to utilize our services.

Most patients just want to get out of pain quick and so that is the primary goal.

People that travel frequently, workout a lot, are under a lot of stress, athletes, and weekend warriors often come in a few times a month. They find everything works better when they do. Many only come in when they are in pain. You decide…that’s the beauty of it.

So, in any case, how many adjustments you need depends on a lot of factors…including how many you want. We like to keep it simple. No stress. No hassles.

To find out if you are a candidate for care at our San Francisco Chiropractic Center, please 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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Whiplash Treatment With Chiropractic

whiplash treatment downtown SF

Whiplash Treatment in San Francisco

We have been providing treatment for whiplash in San Francisco for over 22 years.

With the rainy season upon us the roads will be much more slick leading to more auto accidents and whiplash injuries.  Some more severe than others.

The important thing to remember if you or someone you know is involved in a motor vehicle accident is that even a small amount of property damage can cause major misalignment’s in the neck and back.

Untreated whiplash injuries can lead to arthritis, disc and spine degeneration and symptoms such as headaches, neck pain, insomnia, and chronic back pain.

According to research, it’s best to see a chiropractor for whiplash injuries…and it’s best to be seen right away. If you wait, then scar tissue and inflammation may persist which can become irreversible.

A chiropractor trained in whiplash injuries can prescribe a course of treatment that will include chiropractic adjustments, massage, ice, exercises, and home care to reduce the likelihood of permanent damage. Whiplash is nothing to mess around with and should be addressed immediately to ensure a favorable treatment outcome.

To find out if you are a candidate for whiplash treatment in San Francisco please call 415-392-2225. Ask for a complimentary consultation.

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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Fibromyalgia Nutrition Recommendations

fibromyalgia in san francisco

Fibromyalgia Treatment & Nutrition

We have been providing Natural Fibromyalgia Treatment in San Francisco for over 22 years.

Fibromyalgia (FM) is truly a challenging condition to manage, as anyone with this condition will attest to! In the past, we’ve discussed many management strategies, including dietary suggestions. Although much of the Fibromyalgia nutrition information is not supported by a lot of “scientific study,” the National Institute of Health through the NCCAM (National Center for Complementary and Alternative Medicine — formed by Congress to evaluate and appraise alternative treatments) provides information on dietary recommendations and supplements. They also provide dietary guidelines and define the benefits and effectiveness for FM patients and us doctors to follow. This month, we will dive deeper into nutritional considerations as this can REALLY make a huge difference for the FM patient!

 

                Since fatigue, sleep quality, and muscle pain are three VERY common FM complaints, the FM patient can track their response to different dietary approaches as they add, modify, or delete various foods and/or supplements from their diet. We recommend “grading” these three symptoms daily on a 0-10 scale (0=good and 10=bad) as this can REALLY help the FM sufferer keep track of various changes that are made in the diet and is extremely useful for future reference.

 

                FOODS: Since many FM sufferers have “sensitivities” to certain foods (reported to be as high as 42% of all FM patients), eliminating these foods makes GREAT sense.

 

                First, it is REALLY IMPORTANT that you KEEP A FOOD JOURNAL for future reference (using the 0-10 scale) as it is impossible to remember all the reactions or responses to various foods even a day or two later, but especially a week or month later! Some common food offenders include MSG (commonly found in Chinese food – simply ask for the MSG to be NOT included when you place your order), certain preservatives, eggs, gluten (grains like wheat, oats, barley and rye), dairy, as well as other common allergens (such as chocolate, nuts, shellfish, and others). Common symptoms may include headaches, indigestion (irritable bowel syndrome), fatigue, and sleep interruptions. When using an “elimination diet,” it is important to make sure you’re getting the essential nutrients in your diet, in which supplementation can help.

 

                Secondly, make it easier to eat in a healthful way! Have fruits and vegetables cut up and ready to eat so when you’re hungry, you can QUICKLY satisfy that urge. Lean meats or proteins are also VERY important! Remember, a well balanced diet gives you the “ammo” needed to fight fatigue, hurt less, help you sleep more deeply, and give you energy. By doing so, you will be able to stay more active and productive. Accept the fact that unless you pre-prepare the foods, you will instinctively reach for pre-packaged, no prep time, “fast food” options that most likely have poor nutritional content. Look for healthy foods that do not require a lot of preparation such as buying pre-washed, pre-cut vegetables. Some deli sections have pre-prepared foods like beet salad or quinoa that can be purchased in small quantities to add variety to your diet.

 

                Third, plan for WHEN you eat. It is well known that eating small meals frequently during the day helps increase energy levels, such as at 9-10am and 2-3pm, especially if you’re feeling tired. Make sure the word “SMALL” is understood or else you’ll gain weight and not be hungry for the next meal! ALSO, DON’T SKIP BREAKFAST, AND DON’T EAT LATE AT NIGHT!!! Our metabolic rate (which regulates how efficiently we digest and breakdown our food) is highest in the morning and slowest at night. Try to include some protein and whole grains with your breakfast such as a boiled egg and oatmeal as this keeps the blood sugar from spiking and provides energy that lasts longer. Next month, we will look at supplementation including vitamins, minerals, and herbs that GREATLY help as well.

 

                If you, a friend or family member requires care for Fibromyalgia, we sincerely appreciate the trust and confidence shown by choosing our services!

To schedule an appointment for Fibromyalgia Treatment 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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Fibromyalgia Diagnosis: What Is It?

 

           

Fibromyalgia in San Francisco

Fibromyalgia Diagnosis and Treatment

We have been providing natural solutions for Fibromyalgia in San Francisco for over 20 years now.

Confirming the diagnosis of fibromyalgia (FM) is challenging, as there are no blood tests to verify accuracy of the diagnosis like so many other disorders. However, blood tests are needed when FM is suspected to “rule in/out” something else that may be mimicking FM symptoms. Also, FM is often associated with other disorders that are diagnosed by blood testing, so it is still necessary to have that blood test. So what is the CURRENT recommendation for diagnosing FM?

 

            The American College of Rheumatology (ACR) developed criteria for diagnosing FM in 1990 and has updated it since then. The original 1990 criteria included the following: 1) A history of widespread (whole body) pain for three months or more; and 2) The presence of pain at 11 or more of 18 tender points which are spread out over the body. The main criticism regarding this approach has come from the poor accuracy and/or improper methods of testing the 18 tender points. As a result, this examination portion of the two main criteria has been either skipped, performed wrong, or mis-interpreted. This left the diagnosis of FM to be made based on symptoms alone. Also, since 1990, other KEY symptoms of FM have been identified that had previously been ignored including fatigue, mental fog (“cognitive symptoms”), and the extent of the body pain complaints (“somatic symptoms”).

 

            As a result, it has been reported that the original 1990 approach was too strict and inaccurate because too many patients with FM were missed – 25% to be exact – by using this method. In 2010, the diagnostic approach was modified by using two different questionnaires: 1) The “Widespread Pain Index” or (WPI), which measures the number of painful body regions; and 2) the development of a “Symptom Severity” scale (SS). The MOST brain fog” common with FM, unrefreshed sleep, fatigue, and the  number of “somatic symptoms” (other complaints). The Symptom Severity scale (SS) incorporates these four categories and is scored by adding the totals from each category.  By using both the WPI and the SS, they correctly classified 88.1% of FM cases out IMPORTANT FM diagnostic variables included the WPI score and scores of “cognitive symptoms,” which includes the “of a group of 829 previously diagnosed FM patients and non-FM controls!

 

            What’s important is that this NEW approach does NOT rely on the “old” physical exam requirement of finding at least 11 of 18 tender points. Because FM patients traditionally present with highly variable symptoms, removing the challenge of determining the diagnosis by physical examination is very important! Plus, now we can TRACK the outcomes of the FM patient to determine treatment success both during and after care. Since the 2010 approach has been released, it has been published in multiple languages and is starting to be used in primary care clinics. Recently, in July 2013, a study reported that the Modified ACR 2010 questionnaire is highly sensitive and specific for diagnosing FM, and its future use in primary care was encouraged. What is most exciting about this is that a referral to a rheumatologist may not be needed since this tool can be easily administered by primary care physicians, which include chiropractors!

 

            In past health updates, we have discussed the need for a “team” of health care providers to best manage the FM patient. This multidisciplinary approach offers the FM patient multi-dimensional treatment strategies that encompass manual therapies, physical therapies, nutritional strategies, pharmacology, exercise, and stress management, cognitive management, and behavioral management. Now, with the release of the Modified ACR 2010 criteria, we can diagnose FM more accurately, track progress of the patient, and make timely modifications to the treatment plan when progress is not occurring. This is a “win-win” for the patient, providers/health care team, and the insurer!

 

            If you, a friend or family member requires care for FM, we sincerely appreciate the trust and confidence shown by choosing our services!

           

Altadonna Communications ©

To schedule an appointment for Fibromyalgia Treatment in San Francisco call 415-392-2225

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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Fibromyalgia – Do We Really Know The Cause?


Fibromyalgia body pain treatment SF
We have been offering natural solutions for Fibromyalgia in San Francisco for over 20 years.

Fibromyalgia
(FM) is a condition that is characterized by widespread pain, fatigue and an
increased pain response. Symptoms can include tingling of the skin, muscle
spasms, weakness in the arms and legs, nerve pain, muscle twitching, bowel
disturbances, chronic sleep disturbances, and more. So, what can cause such a
widespread, whole body condition? Though the “cause” of FM is unknown, several
hypotheses have emerged. Here is what we know:

 

1.     The brains of FM patients: Structural and functional differences
have been identified in the brains of FM vs. healthy individuals. What is
unclear is whether these identifiable brain changes cause the FM symptoms or
are the result of an unknown cause. Some experts have reported that the
abnormal brain findings may be the result of childhood stress, or prolonged,
severe stress at any time in life. An area commonly affected is called the
hippocampus, which plays a crucial role in maintaining cognitive functions,
sleep regulation, and pain perception.

2.
Lower pain threshold: Due to an increased reactivity of
pain-sensitive nerve cells in the spinal cord and brain (called “central
sensitization), FM patients feel pain sooner and worse than non-FM subjects.

3.
Genetic predisposition: It has been reported that FM is often
found in multiple family members. This genetic propensity also includes other
conditions that often co-exist in FM patients such as chronic fatigue syndrome,
irritable bowel syndrome (IBS), and depression.

4.
Stress & lifestyle: Stress by itself may be an important
cause of FM. It is not uncommon to develop FM after suffering from
post-traumatic stress disorder. An association between physical and sexual
abuse both in childhood and adulthood has also been identified. Poor lifestyle
issues including smoking, obesity, and lack of physical activity increase the
risk of developing FM.

5.   Dopamine dysfunction: Dopamine is a chemical needed for
neurotransmission and plays a role in pain perception. It is also connected to
the development of restless leg syndrome (RLS), which is a frequent complaint
of FM patients. Medications found effective for RLS such as pramipexole (also
used for the treatment of Parkinson’s disease) can be helpful for some FM
patients.

6.  Abnormal serotonin metabolism: Another neurotransmitter, serotonin,
regulates sleep patterns, mood, concentration, and pain and can be involved in
causing FM. Decreases in other neurotransmitters (especially norepinephrine),
when combined with serotonin depletion, can especially cause FM (more so in
women than men). Hence, medications like duloxetine (Cympalta) originally used
to treat depression and painful diabetic neuropathy, have been found to help FM
patients, especially women.

7.
Deficient growth hormone (GH) secretion: Abnormal levels of GH have been found in
FM patients, but studies report mixed results when treating FM with GH.

8.
Psychological factors:
Strong evidence supports
the association of FM and depression. Similarities include neuroendocrine
abnormalities, psychological characteristics, physical symptoms and similar
treatment benefits using the same approach (medication, counciling, etc.).

9.
Physical Trauma: Trauma can increase the risk of FM. One
report found a direct association with neck trauma and increased risk of
developing FM.

10.   Small
bowel bacterial overgrowth
:
This can contribute to FM and may explain the association with IBS. The
autoimmune response to the presence of bacteria resulting in FM symptoms has
been hypothesized in these cases.

            CONCLUSION:
As previously stated, it is clear that a “team” of providers is needed to
effectively treat FM. We’d be honored
to be part of your team and we have medical doctors that specialize in FM that we can refer you to if needed.

            If you, a friend or family member
requires care for FM, we sincerely appreciate the trust and confidence shown by
choosing our services!

To schedule an appointment with one of our San Francisco Fibromyalgia experts please call 415-392-2225. Our chiropractors are capable of quarterbacking or just being a part of your FM team.

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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Low Back Pain Treatment Review


Low Back Pain Treatment SFOur San Francisco Chiropractor “Patient of the Week” is Rasmus Lund.
This is a review of his experience as a low back pain patient at our chiropractic clinic.

Rasmus experienced a brand new episode of low back pain while riding his bike in Denmark. He thought he could walk it off, but he ended up having to take a cab home. He saw a chiropractor and the pain went away. Then he moved to the US and the back pain returned and began to get worse, prompting him to seek chiropractic treatment here since it worked so well before.

Rasmus found us because our chiropractic clinic is located at the Embarcadero Center in the Financial District where he works. After receiving chiropractic care, exercises and soft
tissue massage in our clinic, he is finally able to sit with no time
restrictions, and can walk longer distances without experiencing
any pain. Rasmus was very happy to achieve the same favorable results from chiropractic as he did in Denmark. Things are much better now.

Many of our patients work downtown in office buildings sitting in front of a computer by day, but then are very active at night and on the weekends. It’s very important to keep your spine in it’s proper alignment so that you are able to resist the forces of modern day living at optimal levels.

When the spine is out of alignment it can cause pressure on the spinal discs and nerves which can cause unstable bio-mechanical faults under the surface (vertebral subluxations) that are asymptomatic (you don’t know they are there) predisposing you to episodes of acute back or neck pain when you least expect it.  Regular chiropractic adjustments can help prevent these sorts of problems and can certainly help fix them quick if they happen.

To make an appointment with one of our Low Back Pain Doctors in San Francisco please 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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