Tag Archives: doctors

Headaches That Wont Go Away!

 

headaches treatment san francisco

Headaches That Wont Go Away?

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

One of the most common complaints n a chiropractic office are headaches. Especially, chronic headaches, which are headaches that persist for over 90 days wont go away.

There are many underlying causes of headaches, and fortunately, most respond favorably to chiropractic case management.

During the past 23 years or so we have helped thousands of patients with headaches return to more normal “headache free” active lifestyles. Some were diagnosed with tension headaches, some with migraines, temporal headaches, unilateral headaches, whatever. A diagnosis is just a name…a way to label the symptoms. It’s really just a particular doctors opinion.

In reality, most headache symptoms overlap with each other which makes it very difficult to correctly classify it as one type of headache or the other.

Chiropractors tend to focus more on how to help the headache than how to name it.

Experience tells us the most headaches originate from misalignment’s or pinched nerves in the neck. The causes are usually poor posture or ergonomics,  a bad mattress or pillow, stress,  auto accidents (many left untreated), sports injuries, a short leg, on and on. The cause is usually mechanical.

Sure, there can be serious causes of headaches, but these are usually associated with headaches that are new and acute with sudden onset. These are very rare and involve infections, tumors or fractures.

Sometimes x-ray or MRI is necessary to quantify the problem in the neck.

Chiropractic treatment for headaches (at our clinic) typically consists of chiropractic adjustments, massage, stretching, low tech exercises, posture and ergonomic advice, a cervical pillow, and laser if needed. Visits take about 20-30 minutes. Results are outstanding.

In the event you have a serious headache or there are any “red flags” we have medical doctors at our primary clinic a few blocks away to check you out.

So, if you have headaches that wont go away and would like to be checked to see if you are a candidate for headaches treatment in San Francisco, please call 415-392-2225.

Most insurance accepted. Validated Parking 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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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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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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What is Carpal Tunnel Syndrome?


carpal tunnel treatment san franciscoWe have been providing treatment for Carpal Tunnel Syndrome and related disorders in San Francisco for over 22 years now. 

Here is an excerpt from an article on the great chiropractic consumer website Chiro-trust.org entitled Carpal Tunnel Syndrome-What Is It?:

Carpal Tunnel Syndrome (CTS) basically occurs when pressure is applied to the median nerve as it travels through the wrist on the palm side resulting in numbness, tingling, pain, and later, weakness of the grip and pinch functions. But, the median nerve can be pinched at many other locations as it courses down from the neck to the hand, which is why we examine and treat the CTS patient from the neck down! The median nerve has been described as the “eye of the hand,” as it is one of the three major nerves formed from the brachial plexus– that “highway” of nerves made up of the C5-T2 roots leaving the neck, merging together to eventually form the three main nerves of the arm. Because the median nerve function regulates pinch and grip strength, buttoning a shirt, writing a note, driving a car, and even sleeping are ALL affected by a median nerve pinch.

So, since the median nerve originates in the neck, and carpal tunnel symptoms are mostly in the hand, the neck-hand connection is often overlooked by doctors and therapist that do not routinely treat CTS.

Our carpal tunnel doctors in San Francisco have been treating CTS since before the dotcom boom-bust. In fact, we have successfully treated over 20,000 cases of carpal tunnel symptoms and upper extremity disorders. The secret is to ALWAYS examine and treat from the neck to the fingertips…on both sides. At our clinic we also check the entire spine and feet. A pedal imbalance such as a pronation or short leg can cause cervical muscle spams and interfere with nerve transmission to the hands. Interesting Huh?

Bottom Line:  Carpal Tunnel Symptoms are nothing to mess around with. You use your hands for everything. Patients with chronic hand pain are often depressed and have other problems such as sleeping disorders and lowered immune function. It’s a chain reaction that can overwhelm your life.

The good news is that a chiropractor that specializes in CTS can help…and results are usually seen right away.

To find out if you are a candidate for carpal tunnel treatment 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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Chiropractic and the Long Distance Runner

mike pound meb keflezighi SF

Executive Express Chiropractic’s Dr. Mike Pound and Olympic Silver Medal Winner Meb Keflezighi in for a tune-up!

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

The physical demands on the body of the long distance runner are intense. There are so many things that need to be right, and at the top of the list is spinal alignment and the alignment of the pedal foundation, leg lengths and the human frame.

Just about all professional, collegiate, and amateur (competition) runners these days include chiropractic adjustments as part of their regimen for staying healthy and preparing for and recovering from races.

 Meb Keflezighi is an Olympic Silver medalist who makes sure to get adjusted frequently to stay in top form.

There are many types of running injuries, from shin splints, to ankle sprains, to knee problems, hip issues, Plantar Fasciitis, Turf Toe type problems and on and on.

In addition, many runners often develop low back and neck pain because of poor bio-mechanics or overuse syndromes.

The modern sports chiropractor will have at their disposal many new technologies such as deep tissue laser therapy, rock tape, custom foot orthotics, electronic gait testing, and Active Release Techniques (ART) to name a few.  Most proficient sports chiropractors are able to adjust the extremities including the feet, knees, and hips as well as the spine.

Now,  not all sports chiropractors are equal. Many chiropractors in San Francisco can treat some sports injuries. But if you are an elite athlete and a long distance runner, you want to visit a clinic that specializes in treating sports injuries like we do.

Dr. Scott Calzaretta, founder of Chiro-Medical Group, team USA doctor at 1988 Olympics

Dr. Scott Calzaretta, founder of Chiro-Medical Group, team USA chiropractor at 1988 Seoul Olympics.

Many of our chiropractors have advanced sports injury training and designations. We also have two locations to serve you.

Our primary location is Chiro-Medical Group, Inc. at 246 First Street #101, San Francisco, CA 94105. 415-495-2225.

Our second location is Chiro-Medical Group Express (formerly Executive Express Chiropractic) at the Embarcadero Center One. 415-392-2225.

*We also have physical medicine doctors, athletic trainers, physical therapists, and advanced diagnostic and therapy equipment to serve you. Many of our doctors and staff are runners and athletes themselves. 

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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Is it Carpal Tunnel Syndrome or Pinched Nerve in Neck?

carpal tunnel doctors san francisco

Is it Carpal Tunnel Syndrome or the Neck?

We have been providing treatment for carpal tunnel syndrome in San Francisco for over 22 years.

One of the more common presentations of symptoms that we see at our chiropractic clinic in downtown San Francisco is computer related hand pain, numbness, tingling, burning, aching and weakness (some or all of these together). Sometimes there is associated neck shoulder, or arm pain.

So the question becomes…what is the underlying cause of the symptoms?

Sure, these are the classic symptoms of carpal tunnel syndrome (CTS), but the likelihood there is true CTS is rare. What’s more likely is that the cause of the CTS symptoms is a pinched nerve in the neck. After-all…the nerves that exit from in between the bones in the neck, travel into the upper extremities and innervate and control the arms and hands.

When there is pressure on these nerves in the neck it can cause the same signs and symptoms of true carpal tunnel syndrome.

Pinched nerves in the neck are mostly the result of bulging or herniated cervical discs, subluxated vertebrae, or degenerative disc disease…all of which respond favorably to chiropractic adjustments. In the event we need a little help, we have deep tissue laser or nonsurgical spinal decompression.

We do chiropractic adjustments to the neck, shoulders, elbows, wrists and fingers on both sides. We do massage and exercise as well. We are also concerned with proper ergonomics, sleeping positions and nutrition. It is this comprehensive approach that has allowed us to successfully treat thousands of patients with CTS symptoms over the years.

So…if you are experiencing the signs and symptoms of carpal tunnel syndrome and would like to find out if you are a candidate for care…please call 415-392-2225 and make an appointment with one of our San Francisco Carpal Tunnel Experts. Chances are, you will be glad you did :-)

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: What’s Best Rest or Treatment?

whiplash treatment downtown SF

Whiplash Treatment in San Francisco

We have been providing treatment for whiplash in downtown San Francisco for over 20 years.

Whiplash, or WAD (whiplash associated disorders) results from the rapid movement of the neck and head resulting in injury. This is the net result of the “classic” motor vehicle collision, though other injury models (like slips and falls) can result in similar injuries. Last month, we listed basic facts, of which one was better results (less long-term pain and disability) occurred from initial active treatment of the neck with mobilization/manipulation, exercise, and encouraging movement vs. placing a collar on the patient and “resting” the injured neck. Though there are a few studies that suggest there is no difference in results, the majority state that it is BEST to actively treat the patient and encourage movement (of course, assuming no unstable fractures have occurred) rather than to place the patient into a collar and limit activities. The first question that we’ll address this month is, why is this important?           

            The simple answer is that you, as an advocate for an injured friend, family member or as a patient yourself, may NOT be offered “the best” treatment approach by the ER or primary care physician. In fact, one study cited a survey regarding the management of whiplash injuries in an ER and reported that between 23-47% of physicians prescribed a soft cervical collar for acute whiplash rather than promoting immediate active treatment. By knowing this information, the knowledgeable patient can refuse the collar method of care and seek care that emphasizes the use of early mobilization and manipulation, like chiropractic! Though referrals to chiropractors are increasing as more research becomes available, chiropractic care is still significantly ignored or not considered by many practicing ER and primary care physicians. As always, you need to be your own “best advocate,” and the only way to do that is to be informed, hence the intention of this Health Update! Some studies even report that the use of a collar may have deleterious or “bad” side effects and can actually make you WORSE (this was reported by the Quebec Task Force)! The majority of studies on the subject of whiplash report that encouraging “normal activity,” as opposed to immobilization, IS the best approach. We will certainly help steer you in the right direction!

            Next, let’s talk about WHY does this method works better? The research supports that soft tissues injuries heal better and with less scar tissue formation when patients receive active treatment/early activity types of care (like manipulation / chiropractic). In general, any treatment approach that reduces patient suffering sooner, encourages one to return to “normal activities” faster, and promotes independence and self-care methods earlier is the best approach!

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

To schedule an appointment for whiplash treatment in San Francisco please call 415-392-2225.

~Altadonna Communications   

 

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 and the Immune System: Study


Fibromyalgia pain treatment in SFWe have been providing treatment for Fibromyalgia in San Francisco for over 20 years.

 Fibromyalgia
(FM) is a condition with a polarized audience comprised of those who believe
it’s real and those who don’t. This interesting political-like conflict is, in
a large part, centered around the topic we discussed last month concerning the
causes of FM. This month’s article will focus specifically on the immune system
and its relationship to FM.

“EXTRA, EXTRA, READ ALL
ABOUT IT! New research published on 12-17-12 in BMC Clinical Pathology
describes cytokine abnormalities were found in FM patients when compared to
healthy controls.”
OK!
But what does that mean?

            Very simply, this study reports that
immune dysfunction is part of the cause of FM. The most exciting part is that
this study identified a BLOOD TEST (finally!) that, “…demonstrates value as a
FM diagnostic tool.” Looking at this closer, the researchers used multiple
methods to examine cytokine (proteins that help regulate our immune response)
blood levels in FM patients. They found the FM group had, “…considerably lower
cytokine concentration than the control group, which implies that cell-mediated
immunity is impaired in fibromyalgia.” This study’s findings of an immune
response abnormality strays from previous study findings which largely pointed
to the central nervous system (CNS – brain & spinal cord) as the origin of
the FM syndrome. This makes some sense as the study of immunology (in this
case, “neuroimmunology” – the combination of neurology and immunology) has only
been around for about 10 years, and as such, may hold some important answers as
more evidence is uncovered to further support this potential “paradigm shift”
in considering the primary cause of FM. The authors offer further excitement as
this focus could lead to a better understanding of the cause of other
neurological conditions such as multiple sclerosis (MS)! They go on by
describing how body temperature, behavior, sleep, and mood can all be
negatively affected by “pro-inflammatory cytokines” (PIC) which are released by
certain types of activated white blood cells during infection. PIC have been
found in the CNS in patients with brain injury, during viral and bacterial
infections, and in other neurodegenerative processes (like MS)!

            To further support this advance in
understanding, the National Institutes of Health (NIH) reported, “…Despite the
brain’s status as an immune privileged site, an extensive bi-directional
communication takes place between the nervous and the immune system in both
health and disease.” They describe multiple signaling pathways that exist
between the brain and the immune system that function normally throughout our
lifetime. When immune, physiological, and psychological “stressors” occur,
cytokines and other immune molecules stimulate interactions within the
endocrine (our hormone) system, nervous system and immune system. To prove
this, brain cytokine levels go up following stress exposure and similarly go
down when treatments are applied that alleviate stress. They list other conditions
such as stroke, Parkinson’s, Alzheimer’s disease, MS, pain, and AIDS-associated
dementia as being similarly affected as well. They also report that cytokines
and other neuro-chemicals play a role in our neuro-development throughout our
lifespan, help regulate brain development early in life and brain function
throughout life, and how this all changes in the aging brain. There are also
interactions of these immune chemicals that result in gender differences on
brain function and behavior.

            Needless to say, it will be very
interesting
to watch for additional developments along this line of
research as it pertains to the FM patient and future treatment recommendations!
Also, immune stimulation by chiropractic adjustments has been postulated as a
benefit and this too may be better understood using this new research approach!

            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 for Fibromyalgia Treatment in San Francisco call 415-392-2225

 

Altadonna Communications ©      

 

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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Post Surgical Nutritional Management of CTS

 


Carpal tunnel symptoms relief san francisco
Obviously, the goal of all health
care providers, including chiropractic management of Carpal Tunnel Syndrome
(CTS), is to AVOID surgical intervention, but this is not always possible. Last
month, we looked at herbal approaches to reduce inflammation with the focused
goal of preventing surgical need. But, as chiropractors, we also care for
patients post CTS surgery, and one of our treatment approaches beyond manual
therapies includes nutritional management.
 

As we all know, during the surgical
process, tissue damage occurs due to incisions, removal of injured tissue, and
other factors. Depending on the “success” of the surgical procedure, damage to
the nerves causing numbness, weakness, and/or other nerve related symptoms can
occur.

Often, nerves will regenerate during the healing process but not always
100%. This may be due to factors such as the amount of tissue damaged during
the surgery, the length of time CTS had been present pre-surgery, how well the
patient follows post-surgical instructions, as well as the general health and
overall condition of the patient. A healthy diet along with certain specific
vitamins can play a positive role in tissue healing and nerve regeneration.
Here are some examples:

 

1.    Folate or
vitamin B9
has been reported to
have beneficial effects on the genes located within the nerve cells that help
to regulate the healing process. One study published in 2010 reported that
folate helped to promote nerve repair in the central nervous system (CNS) in
rats, which is unique as typically nerve damage in the CNS does not usually
regenerate. Anti-inflammatory benefits have also been reported with vitamins
B6, B9, and B12.

2.    Cobalamin
or Vitamin B12
has also been
reported to facilitate nerve regeneration after injury. This, along with the
anti-inflammatory benefits, supports the use of B12 in the post-surgical CTS
patient.

3.       Vitamin D may also play a significant role in nerve
regeneration after surgery. In one study, vitamin D2 was found to have a
positive effect on nerve regeneration. Another study reported that D3 and
calcium together has strong anti-inflammatory benefits.

4.      Vitamin
B6
: There is evidence that
supports the use of B6 both before and after surgery. Some feel B6 acts
directly on nerve repair and others report a diuretic (fluid reducing) benefit.
One cause and/or complication of CTS is fluid retention, which commonly occurs
in conditions such as pregnancy, the use of birth control pills, obesity,
diabetes, and others. Thus, keeping fluids in our tissues under control can
certainly help CTS patients. Most studies agree that less than 200mg of B6 per
day is safe. The dosage should be carefully monitored as numbness/tingling (a
common CTS symptom) can be a sign of B6 toxicity.

5.       Vitamin C has long been reported to facilitate in the wound
healing process. It also is an effective anti-inflammatory agent, a common
problem in the cause of CTS as well as a negative post-surgical side effect. A
dose of 1000-3000mg/day spread out throughout the day is beneficial to the
post-surgical healing process.

6.      Vitamin E: As far back as 1967, Vitamin E been reported to
reduce inflammation. More recent studies report that when used in combination
with vitamin C, the two together works even better in reducing inflammation
than either one alone. Also, this combination was found to improve the body’s
ability to use insulin, which may also facilitate healing in the post-surgical
CTS patient.

            There are many others we didn’t get
to (such as B1, 3, 5; zinc, Bromelain, and Quercetin). Bottom line: Eat healthy, exercise, don’t smoke, and fortify
your diet with these nutrients!

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

To schedule an appointment for carpal tunnel treatment in San Francisco call 415-392-2225.

 Altadonna
Communications ©

 

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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