Tag Archives: local

Whiplash Treatment & Diagnosis: What Does It Mean?

Whiplash treatment SF downtown
We have been providing whiplash treatment in San Francisco since 1992.

Whiplash is, by definition, the rapid
acceleration followed by deceleration of the head causing the neck to “crack
like a whip” forwards and backwards at a rate so fast that the muscles cannot
react quickly enough to control the motion. As reported last month, if a
collision occurs in an automobile and the head rests are too low and/or seat
backs too reclined and the head moves beyond the allowable tissue boundaries,
“whiplash” injury occurs.

            When
gathering information from the patient, this portion of the history is called
“mechanism of injury” and it is VERY IMPORTANT, as it helps us piece together
what happened at the time of impact. For example, was the head turned upon
impact? Was the impact anticipated? What were the weather conditions (visual,
road conditions)? What was the direction of the strike (front, rear, side,
angular, or combinations of several)? Did a roll over occur? Was a seat belt
used (lap and chest) and were there any seat belt related injuries (to the low
back/pelvis, breasts/chest, shoulder, neck)? Any head impact injuries with or
without loss of consciousness (if so, how long)? Any short-term memory loss and
residual communication challenges (post-concussive syndrome)? All of the answers
to these questions are very important when determining the examination path,
establishing the diagnoses, and determining the treatment plan.

            We
also discussed last month the WAD classification or, Whiplash Associated
Disorders, which was coined in 1995 by the Quebec Task Force. Types I, II, and
III are defined by the type of tissues injured and the history and examination
findings. In 2001, the Quebec Task Force found that WAD II (loss of range of
motion or ROM/negative neurological findings) and WAD III (both ROM loss and
neurological loss) carried progressively greater risk of prolonged recovery
compared to WAD I injuries (those with pain but no loss of motion or
neurological findings).

            Establishing
a strong diagnosis allows for accuracy in prognosis and treatment plan
recommendations. For example, in WAD II & III injuries, flexion/extension
x-rays are needed to determine the extent of ligament damage as normally, the
individual vertebrae should not translate or shift forwards or backwards by more
than 3.5mm. Similarly, the angle created between each vertebra in flexion &
extension should be within 11 degrees of the adjacent angles, and if that’s
exceeded, ligament damage is likely to have occurred. So often, ER records
describe little to no information about the historical elements reviewed in the
1st paragraph and if x-rays were taken, they rarely include flexion/extension
stress x-rays.

            Headaches
are another component of WAD. Here, the first three sets of nerves that exit
the uppermost levels of the spine (C1, C2, and C3) innervate the head. When a
patient describes headaches that start in the upper part of the neck and
radiate up into the head, the distribution of the pain by history can tell us
which nerve(s) are most affected. In the examination, applying manual pressure
to the base of the skull can reproduce pain when a nerve is injured. Tracking
these findings on a regular basis can tell us how the condition is healing.
Chiropractic is at the forefront of diagnosis for WAD! 

            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 one of our whiplash doctors in downtown San Francisco call 415-392-2225. Mention this article for a complimentary in house or phone 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 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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Neck Pain Relief and Best Treatment Options

Neck pain relief in downtown san franciscoWe have been providing natural solutions for neck pain in San Francisco for over 20 years now.

Neck
pain is a very common problem. In fact, 2/3rds of the population will have neck
pain at some point in life. It can arise from stress, lack of sleep, prolonged
postures (such as reading or driving), sports injuries, whiplash injuries,
arthritis, referred pain from upper back problems, or even from sinusitis!
Rarely, it can be caused from dangerous problems including referred pain during
a heart attack, carotid or vertebral artery injuries, or head or neck cancer,
but these, as previously stated, are very uncommon. However, since you don’t
know why your neck hurts, it’s very important to have your neck pain properly
evaluated so the cause can be properly treated and not just covered up from the
use of pain killers!

            Barring the dangerous causes of neck
pain listed above, treatment methods vary depending on whom you elect to
consult. Classically, if you see your primary care physician, pharmaceutical
care is usually the approach. Medications can be directed at reducing pain
(Tylenol, or one of many prescription “pain killers”), at reducing inflammation
and pain (Aspirin, Ibuprofen, Aleve, etc.), to reduce muscle spasms (like
muscle relaxers) or, medications may be directed to reduce depression, anxiety,
or the like. When a sinus infection affects the 2 deep sinuses (ethmoid and
sphenoid sinuses which are located deep in the head), the referred pain is
directed to the back of the head and neck. Here, an antibiotic may be needed
and/or something specifically directed at allergies when present. In general,
in cases that do not respond to usual chiropractic care, co-management with the
primary care physician is a good option.

            However, the good news is that
chiropractic care usually works well, and the need for medication can be
avoided since the side effects of medication can sometimes be worse than the
benefits. Recently, The Bone and Joint Decade Task Force on Neck Pain published
arguably the best review of research published between 2000 and 2010 regarding
neck pain treatment approaches. They concluded that spinal manipulation and
mobilization are highly effective for many causes of neck pain, especially when
arising from the muscles and joints – the most common cause. Therefore it would
seem logical to consult with a Chiropractor FIRST since manipulation and
mobilization are so effective and safe. When we add neck exercises, the results
are even better, according to some studies. As chiropractors, we will often use
different modalities including electric stimulation, ultrasound, hot and/or
cold (which are usually given as a good home-applied remedy), and others. In
particular, low level laser therapy (LLLT) has been shown, “…to reduce pain
immediately after treatment in acute neck pain and up to 22 weeks after
completion of treatment in patients with chronic neck pain” [Lancet, 2009;
374(9705)]. LLLT is a commonly used modality by chiropractors and when combined
with spinal manipulation, the results can be even faster! We will also evaluate
your posture, body mechanics, and consider “ergonomic” or work station problems
and offer recommendations for improving your work environment. We also
frequently utilize anti-inflammatory nutrients including vitamins, minerals,
herbs, and more to avoid the negative side effects to the stomach, liver, and
kidney negative that can result from using non-steroidal anti-inflammatory
drugs (NSAIDs) like aspirin, ibuprofen, or Aleve. Make chiropractic your FIRST
choice when neck pain strikes, NOT last resort!

            We realize that you have a choice in
where you choose your health-care services.
If you, a friend or family member requires care for neck pain, 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 for neck pain relief in San Francisco please call 415-392-2225.

Serving local 94111 downtown and the Financial District since 1992

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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Headaches Treatment with Chiropractic


Headaches treatment in san francisco financial districtWe have been providing natural headaches treatment with chiropractic in downtown San Francisco since 1992.

Did you
know that 9 out of 10 Americans suffer from headaches? There are many different
types of headaches with a multitude of symptoms including achy, throbbing,
nausea, vomiting, dizziness, numbness, blinding, noise, light and/or odor
sensitivity, and more. The causes of headaches can include genetics (familial traits
like migraine headaches), stress or tension (probably one of
the most common), environmental (allergies, seasonal, bright sunlight, loud
noises, certain foods), behavioral (insomnia, excessive
exercise, blood sugar problems, depression), and many more.

            Environmental factors can “trigger”
the onset of a headache. About 95% of headache sufferers have “primary
headaches” such as tension, migraine, or cluster headaches. The other 5% may be
caused by other physical conditions or problems and the headache serves as a
“warning sign” that something else is wrong. The “key” in the 5% of potentially
dangerous types of headaches is to pay attention to when there is a rapid onset
(“…it came out of nowhere fast!”), if they are very intense, and are
“different” from other headaches previously suffered. When nervous system
symptoms occur that are unusual for that person, such as lapses in memory, the
person is not responding, rapid onset of dizziness, balance disturbance,  and/or a “blinding sharp pain,” these should
trigger a warning sign that something specific and potentially dangerous may be
causing the headache.

            For the main 95% of headaches
sufferers, neck tension is a common complaint with the headache. Research
supports that spinal manipulative therapy (SMT), the primary form of care
utilized by chiropractors, is an effective option for tension headaches. A 2001
Duke University study reported that SMT
resulted in almost immediate improvement for those headaches originating in the
neck, had fewer side effects, AND longer-lasting relief of tension-type
headaches compared to those receiving commonly prescribed medication. Another
study found that SMT was effective, not only for relieving the headache, but
had a sustained benefit AFTER it was discontinued after a 4-week treatment
period. This was NOT seen in a similar tension-type headache group receiving
prescribed medication treatment only.

            Here is how to help yourself:

 

1.
Improve your posture: Most of us are “chin pokers” and
“slouchers.” The weight of the head pulls on the neck and upper back muscles
and when held in that fixed position while driving, typing, watching TV, the
static muscle tension can create a headache.

2.
Take “mini-breaks” every 30-45 minutes from static fixed
positions and perform some exercises. A good stretch is to reach over to the
opposite side of the head and gently pull to stretch the sides of the neck.
Repetitively, poke and tuck your chin in & out to stretch different muscle
fibers. Then, add flexion, extension and/or rotation to the same movements for
about 10 sec./side. Try it now!

3.
Avoid clenching your teeth and shrugging your shoulders. We do
these things without being conscious that we’re even doing it. Those static
loads play havoc with our neck muscles. 

4.    Drink plenty of water – at least 8 oz., 8x/day (more when
exercising or pregnant). If you want to be more accurate, take your current
weight and divide by 2. (Eg., 130# person = 65oz./day; 190# = 95oz./day).

5.
If
you have chronic headaches, COME SEE US!
This is what we do, and it helps A LOT!

             We realize that you have a choice in
where you choose your healthcare services.
If you, a friend or family member requires care for headaches, 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 San Francisco Headaches Doctors please call 415-392-2225. Mention this blog post for a complimentary consultation.

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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Car Accident (Whiplash) Treatment Options


Car accident chiropractor san franciscoWe have been providing effective treatment for car accident victims in downtown San Francisco since 1992. During this time we have managed thousands of cases of whiplash injuries to the neck and back.

Our current Whiplash topic continues
from last month when we reviewed the “mechanism of injury,” the “type of
injury,” and “prognosis.” This month, we will review the “nuts and bolts” of
the whiplash injury or, whiplash associated disorders (WAD). 

Whiplash diagnosis: The diagnosis of whiplash first and
foremost requires a thorough history. Here, we discuss the factors leading up
to the MVC (motor vehicle collision), the angle or direction of impact (front
end, angular, side or T-bone, rear end), whether the head was pointed straight
or rotated, whether the head hit anything inside the car, airbag deployment and
any related injury, seat belt location and effectiveness, the conditions of the
day (weather, road, lighting, etc.), the onset of each injured area including
neck, upper/lower back, headache, memory loss, and radiating symptoms (time
lapse to symptom onset), ER/ambulance involvement, the initial 24-48 hours, the
point of maximum pain intensity, job and non-vocational capabilities, prior
test results (x-ray, CT, MRI, lab, etc.), prior treatment effectiveness, and
more! The physical examination centers on observation (posture, patient
distress, mood); palpation or touching the injured areas; orthopedic tests
(looking for positions that either relieve or increase symptoms); range of
motion (how far forward, back, sideways, and in rotation can the head be
voluntarily moved and its related level of comfort, speed/quality of motion);
neurological exam (sensory, motor, cranial nerves, etc.); and special tests
(x-ray, CT, MRI, lab, etc.) if not previously done.

Course of care: The type and length of treatment will
vary based on the degree of injury (see last month’s “prognosis” discussion),
the initial response to care (improvement vs. worsening), the compliance of the
patient in modifying their activities, performing home-based care (ice, rest,
exercise, etc.), and the patient’s motivation to get better. The latter may be
partially dependant on factors like whether there is litigation planned or
occurring, their belief that they will “get better,” and how the health care
provider manages the care (the use of passive approaches where the patient must
go and see the doctor vs. active approaches where the patient is taught how to
self-manage through diet, exercise, activity modifications, education, etc.)

Treatment options: The patient has the choice of following a traditional
medical model of initial anti-inflammatory medication, patient education, wait
and watch, and/or a physical therapy referral. The chiropractic approach
includes patient education, anti-inflammatory approaches (ice – NOT HEAT,
anti-inflammatory herbs), exercise training and manual therapies including
spinal adjustments. The latter, when applied properly, has been found to return
patients to work faster than other approaches with a shorter recovery time and
is less costly and more satisfying. When comparing treatment options beyond 6
or 12 months, the differences are more subtle. Other treatment options include
acupuncture, massage therapy, and various forms of exercise. When necessary,
injections, narcotics, and other pharmaceutical options exist but are not recommended as initial care
approaches. Behavioral and cognitive therapy can help people cope with chronic,
permanent pain related problems. There are many approaches to the management of
whiplash and the patient needs a “quarterback” or someone to help them with
these decisions. This is perhaps the
most important role of the chiropractor!

            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 San Francisco Car Accident and Whiplash Experts, please call 415-392-2225. Mention this blog post for a complimentary in house or telephone consultation. 

We specialize in Personal Injury Cases

 

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 and Sciatica Success Story

Low Back Pain and Sciatica San FranciscoOur San Francisco Chiropractor “Patient of the Week is Jeannine Neal. Jeanine was standing in her kitchen when she suddenly sneezed and
immediately felt excruciating sharp pain feeling in her low back and down her
legs Classic signs of a herniated disc).

She collapsed to the ground and was unable to move for quite
some time.  She went and got a 90 minute massage the next day, which she
thought helped, but when she went to get off the massage table she
suddenly couldn’t move again.  After another 30 minutes of massage to her low back and a
session of acupuncture, she was finally able to make it home that
evening.

After one more session of acupuncture, and only feeling slight
relief in pain, she decided to come to our chiropractor clinic at the Embarcadero Center to see if there was anything we
could do to help.

After just one chiropractic treatment, Jeanine
reported a dramatic decrease in her low back and leg pain.  After her second treatment
she reported being able to perform her regular daily activities again.
After 3 treatments, she was back to walking 3+ miles again!

Jeanine
has been very compliant with her recommended treatment plan, which
helped her to become pain-free and get back to enjoying life in less
than 3 weeks! Way to go Jeanine!

This story is similar to thousands of similar stories that happen around the world each day in chiropractic clinics. If you have been suffering with low back pain and sciatica or know someone that is, you may need a chiropractic adjustment.

To schedule an appointment with one of our San Francisco Chiropractors please call 415-392-2225. Mention this blog post for a complimentary consultation. 

Serving 94111 local for over 20 years.

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 Syndrome – Nutrition Update

Carpal tunnel san francisco
Carpal
Tunnel Syndrome
(CTS) is a condition where the median nerve that arises in the
neck and travels through the shoulder, arm, and into the hand becomes
compressed. Compression of the median nerve results in tingling, numbness, pain
and/or weakness that affects the 2nd, 3rd, and thumb-side half of the 4th
fingers. It can wake sufferers up in the middle of the night, forcing them to
have to shake the hand and flick the fingers to “wake it up.” This can occur
multiples times a night, making for a long next day! We’ve discussed
chiropractic management strategies such as manipulation/mobilization of the
neck, shoulder, elbow, wrist and hand, the use of a cock-up splint (especially
at night and at times when driving), but more information regarding the use of
nutritional supplementation is lacking; hence the purpose of this Health
Update!

Let’s
look at what we are trying to accomplish by nutritional approaches for CTS:

  1. Anti-inflammation: Because of stomach, liver, and kidney side
    effects, NSAIDs such as ibuprofen, aspirin, and others may not be your
    best choice. Rather, consider Turmeric (300 mcg), Ginger (100 mg),
    Boswellia (100 mg), Rosemary (100 mg), Bioflavonoid (100 mg), Bromelain
    (50 mg), Vitamin C (1-3 grams/day), Vitamin E (400 IU/day), Vitamin D3
    (2000-5000 IU/day), Vitamin B-complex (especially B6, 9, and 12).
  2. Muscle relaxation: Calcium (1500mg/day), Magnesium (400 mg/day),
    Potassium, valerian root (vervain), B-Complex, L-Arginine, Rosemary,
    Catnip, Kava root, Chamomile, Cayenne Pepper, Horseradish, Lavender,
    Licorice, Devil’s Claw.
  3. Nerve repair: Folate (B9), B12 (cobalamin), Vitamin D3, B1 (Thiamin; minimum:
    1.2mg/day), B5 (Pantothenic acid), B3 (niacin; minimum 16 mg/day), B12.
  4. Managing systemic conditions:

a)       Diabetes
(dysinsulinism)
: Chromium
(picolinate or choloride), Alpha-Lipoic Acid, Omega-3 Fatty Acids (1000 mg of
EPA & DHA), Coenzyme Q10, Polyphenols (dark chocolate, green tea),
Botanicals (plant extracts such as garlic, prickly pear, aloe vera, fenugreek,
bitter melon and ginseng).

b)      Thyroid
dysfunction (hypothyroid)
: B-Complex
(100 mg of B1, 3, 5, & 6 3x/day; B2, 50 mg 2x/day; B12 1000-2000 mcg/day;
Selenium and iodine, Anti-oxidants (Selenium, Vit. C, Vit. E) Copper, thyroid
extract, organic iodine.

c)       Obesity
(BMI>30)
: Childhood
obesity: Vit. D (ages 1-13, 5 mcg/day), B12, Vit. C, Fiber, Calcium (an extra
300mg of Calcium= >2 lb. weight drop); other fat soluble vitamins (Vit. A,
E, and K), iron (iron is more commonly deficient in obese children and adults
and can lead to fatigue and poor mental health and memory function).

  1. Other considerations: General health: paleo diet, sleep quality, and
    exercise (see below).

You may notice that there is a lot
of overlap in many of these vitamin recommendations. If one were to give
nutritional recommendations for general health purposes, the anti-inflammatory
“big 5” might include 1. A good quality multi-vitamin mineral, 2. Magnesium
(often with calcium as a combined supplement), 3. Omega-3 fatty acids; 4.
Vitamin D; and 5. Coenzyme Q10. For CTS specifically, the addition of a B
complex seems consistently recommended above.
Controlling weight will reduce CTS risk and decrease the risk of acquiring
type II diabetes which increases CTS risk by itself. Perhaps an “ideal diet”
for everyone might include eating plenty of fruits, vegetables, lean meats, and
the elimination of gluten (grains) – referred to by some as the
“anti-inflammatory diet,” paleo diet, caveman diet, and Mediterranean diet. Fortifying
a great diet with vitamins is the “take-home” concept!

            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 Carpal Tunnel Syndrome, we would be
honored to render our services.

To schedule an appointment with a carpal tunnel doctor in San Francisco call 415-392-2225. Mention this blog for a complimentary carpal tunnel syndrome consultation.

Serving local 94111 for over 20 years

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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Back, Neck and Arm Pain Treatment in San Francisco

Chiropractor San Francisco Financial DistrictOur "Patient of the Week" is Jennifer Rocco. We first met Jennifer almost 20 years ago. She had developed back, neck, and arm pain from long hours of repetitive movements at work. Jennifer works for a gaming company and is involved in testing new products and research and development. This requires intense sessions of sitting with lots of hand and arm movement and limited rest.

Jennifer soon discovered that regular chiropractic adjustments combined with regualr exercise and proper nutrition could keep her healthy and better able her to meet the physical demands of her job. She had witnessed co-workers succumb to the demands of the job and develop serious repetitive stress injuries like carpal tunnel syndrome, tendonitis and chronic back and neck pain. She did not want that to happen to her.

Well…here we are almost 20 years later and she is still going strong. Jennifer comes in 2-3 times per month depending on her workload and is in excellent health. Sure, sometimes she overdoes it like all of us from time to time but she seems to have struck that balance between work and her healthy lifestyle that enables her to live mostly "Pain Free". And we are proud to say that regular chiropractic care is the centerpiece of her healthy master plan.

Patients like Jennifer are the reason we do what we do. We like to refer to our little chiropractic clinic at the Embarcadero Center as a "Corporate Pit Stop". The corporate jungle and the fast pace associated with it is the race track.  And your body is the race car. And just like the cars in the Indy 500 have to pull over from time to time and get a super fast oil, tire and parts change…as well as fuel up…so do you…and that's what we do.

Our Financial District Chiropractic Clinic is open 9-6 Monday to Friday and does not require appointments. When you need a quick tune up you can just pull off the race track and right into our "pit stop". We have no waiting so we get to work right away so you can get back on the fast track.

We offer chiropractic adjustments that include a stretch  exercise and warm-up massage. We also have "deep tissue laser therapy" and spinal decompression. There are not very many musculoskeletal problems that we cannot handle. We mostly treat neck, back, and wrist pain, shoulder and arm pain, foot pain, whiplash, carpal tunnel syndrome, and herniated and bulging discs.

So come on down. Mention this blog post for a complimentary consultation and tour.

Our San Francisco Chiropractors can be reached at 415-392-2225.

Serving local 94111 for over 20 years

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: Causes and Cures

Whiplash doctors san franciscoWe have been providing treatment for whiplash in downtown San Francisco for over 20 years.

Whiplash refers to an injury to the
neck resulting from a rapid movement, usually associated with a motor vehicle
collision
(MVC). However, it can occur with a slip and fall injury, a bar room
brawl, during a sports event like being tackled in football, among other
things. For the sake of this discussion, we will stick with the classic example
of a rear-end MVC.

            Mechanism of injury: So what really happens during the MVC
that causes injury? The answer centers around movement of the neck which
exceeds the normal tissue’s stretch limits, sometimes referred to as “the
elastic barrier.” When the MVC occurs, during the first 100-200 milliseconds
the trunk supported by the back of the car seat rapidly moves forwards leaving
the head unprotected in its original position resulting in a backward glide or
motion of the head and neck. Next, the head (which weighs about 12-15 pounds)
drops back (HOPEFULLY) into the headrest stopping the motion, but if the head
rest is too far back (>1/2 inch) or too low, then the head keeps going
backwards until the tissues in the front of the neck stretch to the point of
either stopping the motion or tearing (or both). Next, the highly stretched
front of the neck muscles, ligaments, disks, and tendons (in a “crack the whip”
like manner) propel the head forwards to the point of over stretching the
tissues in the back of the neck, which similarly stops the movement &/or
tears. The degree of injury depends on many things, but is notably worse in the
long-necked, skinny female where the “crack the whip” reaction is the greatest.
Several factors determine the degree of injury, including the “G-Force,” or the
amount of energy produced during the impact. The greater the G-force applied to
the head/neck, the greater the potential for injury. The G-force affecting the
occupants inside the vehicle is related to many things: the speed of the crash,
the size of the two vehicles (worse if a large automobile hits your smaller
car), the angle and springiness of the seat back, the amount of energy absorbed
by crushing metal vs. no damage to the vehicles (worse when there is no damage
as all the energy is transfer to the occupants), whether the head was rotated
or looking straight at impact, and more. The KEY to all of this is that we
cannot voluntarily contract our muscles quicker than 800-1000 msec and the
whiplash process is over after about 500 msec, so we can’t effectively “guard”
or protect ourselves against injury even if we try by bracing ourselves before
the MVC!

            Type of injury: The classic injury is called a sprain
(ligament tear) and strain (muscle and/or muscle tendon tear) to either or both
the front of the neck and/or back of the neck. Sprains and strains come in 1st,
2nd, and 3rd degree tears, getting progressively worse as more tissue is torn.
Please refer to previous issues of the Whiplash Health Update where the anatomy
is reviewed so you can “picture” this properly.

            Prognosis: The length of time to recovery or
maximum improvement varies by the amount of tissue damage. A “prognosis scale,”
first introduced in 1995 and validated by 2001, showed that in Type 1 injuries
pain without loss of neck motion healed the quickest. Type 2 injuries where
neck movement was reduced after the MVC (but no neurological findings occurred)
healed next quickest. Type 3 injuries, which included BOTH motion and
neurological loss, healed the slowest and had the worst long-term outcomes.
Other factors enter into this, of course. We
will continue this “Whiplash 101” discussion next month…

            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.

If you have been involved in an auto accident and want to schedule an appointment with one of our San Francisco Whiplash Doctors call 415-392-2225.

Serving local 94111 for over 20 years

 

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 – Where Does the Pain Come From?


Fibromyalgia relief in san francisco CAFibromyalgia
(FM) is a very strange condition. Can you think of any other condition that
creates so many symptoms and yet all the blood and imaging tests are negative?
FM symptoms include chronic fatigue, muscle aches and pains, depression, sleep
disturbance, memory affects, and more. The degree or severity of FM varies from
mild to severe, leaving some totally disabled and distraught. So, the question
of the month is, where does the pain come from?

            Since the usual markers of injury
are negative (that is, blood and other tests), we can tell you first that the
pain is NOT coming from damaged tissue such as muscle, bone, organs, and the
like. If it did, abnormal enzymes &/or inflammatory tests would result.
Rather, the origin of pain appears to be arising from within the central
nervous system. That is to say, there are portions of the brain and spinal cord
where pain signals are received and when they reach a certain level or threshold,
the sensation is felt. When the sensory input is below that level, it will not
be felt. In fact, there are MANY MORE incoming sensory signals that are NOT
felt compared to those that are. This “thermostat-like” function is vital so we
DO NOT feel everything that arrives to the brain. This is why we don’t feel the
clothes hanging from our backs or the shoes on our feet (unless the laces are
tied too tight!). It’s been said that if we DID “sense” all the incoming
signals we would, in a sense, “…short circuit.”

            In the FM patient, this thermostat
is “messed up.” It is set lower than what is considered normal, and as a
result, patients do sense or feel more than they should. This “nervous system
overload,” sometimes referred to as a “sensory storm,” occurs in the FM
sufferer. A more fancy term called “central sensitization” can be searched and
you will find a LOT to read about this
interesting subject (check it out)!

            So how does this hypersensitive
situation start? Fibromyalgia is classified into two main categories – type I
and type II. In type I, or primary FM, the cause is unknown. The cause could
include one’s genetic make-up, but the bottom line is, we really don’t know. In
type II or, secondary FM, some other known condition or situation can be identified
such as irritable bowel syndrome, rheumatoid arthritis, after a trauma, or
following an illness or infection. Some also feel the lack of sleep or sleep
loss can cause FM. This is because it takes about four hours of sustained sleep
to reach deep sleep, and because of frequent sleep interruptions, the person
never reaches deep sleep. Over time, deprived of the relaxing deep sleep
benefits, the body gradually tightens up, “re-setting the thermostat” and too
much sensory information reaches the brain, resulting in overload, and a
heightened pain level is perceived. Studies have shown that when sleep is
restored, many FM patients gradually improve and function better. This focus on
sleep restoration is important in the management strategies of FM treatment. We
all know our tolerance to just about everything suffers when we are over-tired,
similar to the toddler who cries at the drop of a dime when they need a nap.

            Chiropractic adjustments, certain
nutrients like melatonin, valerian root, and vitamin B complex can facilitate
sleep restoration. Treatment for sleep apnea can also help patients with FM. As
we’ve said before, FM is usually multi-factorial and including chiropractic in
the FM treatment “team” is essential for a satisfying result!

            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.

                                   

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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