Tag Archives: obesity

Low Back Pain Treatment and Obesity


Low-back-pain-treatment-SFLow
back pain (LBP) is a VERY COMMON PROBLEM! Here are some facts about LBP: 1) At
ANY given time, 31 million Americans experience LBP; 2) LBP is the single
leading cause of disability worldwide; 3) 50% of ALL working Americans admit to
having LBP symptoms each year; 4) LBP is the #1 reason for missed work and, the
2nd most common reason for doctor office visits (outnumbered ONLY by upper
respiratory infections); 5) Most cases of LBP are “mechanical” and NOT caused
by serious conditions like inflammatory arthritis (like rheumatoid), infection,
cancer, or fracture; 6) At least $50 BILLION is spent annually by Americans on
back pain (and that’s JUST the more easily identifiable costs); 7) At some point
in life, experts estimate 80% of the population will experience LBP.

            In prior Health Updates, we’ve
discussed ways to prevent LBP like exercise, eating right, staying active
(avoid prolonged inactivity or bed rest), not smoking, maintaining proper posture,
wearing low heeled comfortable shoes (and possibly foot orthotics and/or heel
lifts), sleeping on a medium-firm mattress, using proper bending and lifting
methods, fixing work station problems (computer key board and monitor placement
is important!), and more.

            This month’s topic concerns obesity
and LBP. How are these related, and does it really matter? Let’s look at some
adult obesity facts: 1) Obesity is common, serious, and costly: 35.6% of US
adults are obese; 2) Obesity related conditions include: heart disease, stroke,
type 2 diabetes, certain types of cancer, and is the LEADING CAUSE of
preventable death! 3) An estimated $147 BILLION was spent on obesity related
medical costs and the average medical cost for an obese person was $1429 higher
than for those of normal weight (Body Mass Index or BMI of 18.5-24.9). 4)
Ethnic variations: Non-Hispanic blacks have the highest obesity rate at 49.5%
vs. Mexican Americans (40.4%), all Hispanics (39.1%) and non-Hispanic whites
(34.3%) [ref. JAMA, 2012; 307(5):491-97]. 5) There was a dramatic increase in
obesity in the US
from 1990 through 2010. No state in the U.S. met the nation’s “Healthy
People 2010” goal to lower obesity prevalence to 15%. Instead, in 2010, there
were 12 states with obesity prevalence >30% vs. in 2000, NO state had an
obesity prevalence >30%! 6) More than 2 in 3 adults are overweight (BMI
25-29.9) and, 1 in 3 adults are obese (BMI >30). 7) In children 6-19 years
old, about 33% are overweight or obese and 17% are obese.

            Intuitively, common sense tells us
that if we are overweight, it has to affect our low back in a negative way.
Well, you are right! In the 1/15/13 journal Spine, an 11 year study from
Norway, gathered data between 1995-1997 and again in 2006-2008 of an entire
county in Norway which included 8733 men and 10,149 women, aged between 30-69
years old who DID NOT have chronic LBP (>3mo. within the past year) vs. 2669
men and 3899 women who DID have LBP. After 11 years, a significant increase in
risk was reported between those with a BMI >30 (obese) vs. those <25 (BMI
18.5-24.9 = normal). They also found that the recurrence rate of LBP was also
higher in those who were obese.

            Weight management is a goal of LBP
care, and we have many strategies that can help you fight this problem.

            We realize you have a choice in who
you choose to provide your healthcare services.
If you, a friend or family member requires care for low back 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 low back pain treatment in San Francisco please call 415-392-2225

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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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Kids, Junk Food, and TV

A new report says snacking on junk food while watching TV encourages unhealthy eating habits in kids

Kids, junk food and TVPreschoolers from low-income neighborhoods and kids who spend more than two hours a day in front of a TV or video-game console have at least one thing in common: a thirst for sugary soda and juice. 54.5% of 4-5 year olds from poorer neighborhoods drank at least one soda per week, compared to 40.8% of kids from higher socioeconomic backgrounds. Preschoolers from low-income areas also drank less milk and consumed more fruit juice, which, like soda, is linked to rising sugar intake.

Researchers found similar drinking habits among preschoolers who spent more than two hours of "screen time" per day watching TV or playing video games. Kids from poorer neighborhoods sat in front of screens more often, and drank larger volumes of sweetened beverages. Just 30% of children ate recommended amounts of fruits and vegetables, and only 23.5% consumed the recommended amount of servings of grain products. -University of Alberta, August 2012

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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Obesity on the rise in children and adults. Have You Heard of The New Term: OBESOGENS?

Jayna faceThe obesity epidemic is skyrocketing. According to an article in USA TODAY 9/18/12 (Obesity On The Rise) on the front page, the Center for Disease Control puts the obesity rate on track to be 50% of all Americans in 2030. In 2010 it was 35%. Heck, right now almost 70% are overweight or obese…I guess it will be 80% plus by then.

Of particular concern to me (I have a 7 year old daughter) is the rapidly climbing childhood obesity rate, and there may be more to it than just poor food choices and sedentary lifestyles. A recent study links BPA to obesity in children. Here is an excerpt from an article (also in USA today) entitled:

Study links chemical BPA to obesity in children, teens.

But the findings, in today's Journal of the American Medical Association,
add to a growing body of research — in both humans and animals —
questioning BPA's safety, says Philip Landrigan, director of Children's
Environmental Health Center at the Mount Sinai School of Medicine in New
York.

STORY: FDA has 'some concern' about chemical BPA

"It's a credible study and it has to be given some attention," says Landrigan, who was not involved with the study.


In particular, the study adds to the notion that certain chemicals
are "obesogens" that alter the body's metabolism, making it harder for
people to lose weight, even with diet and exercise, says Linda Birnbaum,
director of the National Institute of Environmental Health Sciences,
who was not involved in the study.

"Are we programming people to fail?" Birnbaum asks. "That's the question we need to ask, instead of blaming people."


Exposure to BPA — an estrogen-like chemical used in everything
from plastic water bottles to the linings of metal cans and even the
coatings on certain paper receipts — is nearly ubiquitous. More than
92% of Americans over age 6 have detectable levels in their blood,
according to the Centers for Disease Control and Prevention.


The new study drew on CDC surveys of 2,838 kids and teens, ages 6 to 19.

My Take: So what can we do? Well, as parents we can make sure we are educated on diet, health and nutrition, so we can make healthy informed decisions for ourselves and our children.  I have found that a diet centered around "plant foods" is best. My favorite resource is Dr. John McDougall, MD.

I also recommend Michelle Obama's "Let's Move" Initiative to help fight childhood obesity.

And stay away from products that contain BPA. This is not that hard to do. And make sure you and your children are getting plenty of exercise. Not all kids have PE in school, and should have 60 minutes of exercise per day. Most of the killer diseases like heart disease, strokes, diabetes and cancer are rooted in poor lifestyle choices. You can make a difference!

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

Eben Davis

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

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Obesity Rate Climbing. What Can We Do?

Junk Foods and DiseaseAccording to researchers at Harvard University, at least 20% of the US population is obese, and steadily climbing. Up to 1/3 of the population is either overweight or obese. Heck, only 20 years ago no state reported an obesity rate over 15%. We are blowing-up fast and driving health care costs up along with it.

Here is an excerpt from the article entitled Obesity Keeps Climbing for U.S. Adults from the "Harvard Reviews of Health News" on what can be done to address this problem:

What Changes Can I Make Now?

It's time to declare a "War on Obesity." I dislike using the term "War" related to any health problem. But it does reflect the dangers of this epidemic.

We don't know the main reason for the dramatic rise in body weights over such a short time. Therefore, we need to use the ammunition we already have available. You've heard this one before — yes, it's exercise and diet.

A recent study confirmed the importance of physical activity to hold back weight gain. New guidelines from the American College of Sports Medicine strongly recommend:

  • Moderate intensity aerobic exercise 30 minutes a day, five days a week OR high intensity aerobic exercise 20 minutes a day, 3 days a week

  • Strength-training exercises twice per week. Exercise 8 to 10 different muscle groups with 8 to 12 repetitions of each exercise.

  • This is a minimum amount of exercise. But it probably is not enough for many people to avoid weight gain. Your goal should be:

  • 45 to 60 minutes of moderate intensity aerobic exercise 5 times per week OR

  • 30 minutes of high intensity aerobic exercise at least 4 times per week

Moderate intensity aerobic exercise means keeping your heart rate at 60% to 75% of its maximum. High intensity exercise usually means 80% of your maximum heart rate. An easy way to calculate maximum heart rate is 220 minus your age.

Of course, all calories count. But some calories count more than others. Sugary foods and drinks usually contain a lot of fructose. Fructose causes more weight gain than other carbohydrates with the same number of calories. The same is true for potatoes.

Vegetable and yogurt eaters gain fewer pounds than those who eat few or none of these foods. I don't think the vegetables and yogurt are the direct reason for less weight gain. But surely eating them means you are likely to eat fewer foods that do cause weight gain.

My Take: Honestly, The above is easier said than done. Heck, most medical doctors don't know enough about nutrition to give good advice. And our kids sure don't learn much about nutrition in school…and the teachers themselves, mostly have no clue. So kids pretty much take on the poor nutrition habits of their parents. We need to get into the schools and start teaching the teachers. And there should be mandatory continuing education for medical doctors on nutrition…specifically, "plant based nutrition".

Anyway…there are simple things that can be done right now that just involve common sense. Eat better and exercise. Exercise turbo charges weight loss. In fact, according to a report in the journal Obesity Reviews, physical exercise seems to encourage a healthy diet. Use the guideline's above to get it going.

Most of the killer diseases like heart disease, cancer, and diabetes, are all considered "diseases of excess"…meaning they result from poor lifestyle choices, primarily at the dinner table.

The good news is many of these diseases are reversible, and immediate changes in body-weight, blood pressure, and body chemistry can be had with a healthy diet and exercise.

And you look better too. Life is just better all the way around.

Dr. Eben Davis is a vegan chiropractor in San Francisco. To schedule an appointment at Executive Express Chiropractic 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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Is Back Pain Hereditary?

San Francisco Chiropractor Comments:

Is back pain hereditary? It is fairly common for a patient with chronic back pain to have a family history of back pain. Does this mean that back pain symptoms are hereditary?

It seems probable…especially when you consider that our immune response and the potential to develop certain illnesses (obesity) and bad habits (Preganant mothers diet effects fetus) is pre-wired in utero depending on the diet of our mothers, her body chemistry (any alcohol & drugs), and the parents genes.

Then, as we grow up…all of our lifestyle choices are made by our parents until we leave the nest.

Depending on the quality of our internal and external environment (food choices, exercise, breast feeding or not, sleep patterns, etc) during childhood, and the way we were taught to do things like lift and work and sit, we may be predisposed to certain health problems…including back pain.

What I believe is this: Whether or not back pain manifests as an adult, mostly depends on the choices we make as an adult. But since children tend to develop similar habits as their parents…the same bad habits that contributed to the parents back pain, can contribute to the back pain of the off-spring.

Unhealthy, handed down lifestyle choices are responsible for many other health problems too…especially diseases like obesity, diabetes, heart disease and cancer. Being pre-wired makes things even worse.   

However…In my opinion,  most of the pre-wiring and tendencies to develop the same health problems (or develop their bad habits) our parents had, can be overcome by making healthy lifestyle choices once we start making decisions for ourselves.

Once you are an adult…the keys to the Porsche (your body and your health) are yours. If you want the Porsche to run, handle, and perform like a Porsche…you have to take care of it like one.

You have to eat right (I prefer a plant based diet). You have to exercise frequently. You have to get plenty of rest. You want to refrain from drugs and tobacco. And you want to limit your intake of alcohol and caffeine. And if you are really smart…you want to make sure your nervous system is functioning properly with with regular chiropractic adjustments.

Listen…it's a great excuse to blame the outcome of your poor lifestyle choices on your hormones or on your genes…but I don't buy it. I think the choices we make as adults are the primary drivers of our health and well being.

There have been many studies done with identical twins that were separated from their biological parents when they were young. One becomes overweight or obese (as almost 2/3 of Americans do) and the other one is lean and healthy. Did only one of them get the bad genes?

Hey, don't get me wrong…I know that there are special situations and what I describe is not always the case. I know it's not ALWAYS the case…it's just MOSTLY the case.

Once you become an adult YOU are the one that decides what you eat, how often you exercise, how hard you play, if you drink or smoke, etc. You also decide if you see a chiropractor…or get massages…or get enough rest…or keep your stress levels manageable. It's all up to you.

Your ability to adjust your own lifestyle "knobs" in either the direction of illness or health is what determines if you have back pain, or neck pain or just about any other illness really.

It's just a matter of discipline and responsibility…at least that's the way I see it!

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

 

Eben Davis

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

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Back Pain, Obesity, and Chiropractic

San Francisco Chiropractor Comments:

Back pain relief SF Almost 70% of Americans are either overweight or obese, and millions suffer with chronic back pain…is there a connection? I think so.

After-all…the spinal bones, spinal discs, ligaments, muscles, and tendons, are designed to function best with a more normal body weight. When we over-load the spine and it's supporting structures over an extended period of time it will cause them to breakdown and malfunction.

 

Here are some of the musculoskeletal disorders that are associated with obesity:

  • Degenerative Disc Disease (DDD)
  • Herniated Discs
  • Bulging Discs
  • Spinal Stenosis
  • Sciatica
  • Chronic Back Pain
  • Facet Syndrome
  • Degenerative Joint Disease (DJD)

Is it possible that if an obese back pain patient were to lose weight the back pain would go away?

It's not only possible, but the reverse is also often true.

Many times, if an obese patient does not lose weight the back pain will persist…even if the patient is undergoing chiropractic care, or acupuncture, or physical therapy.

In fact, many obese patients are so de-conditioned because they have been unable to exercise (or unwilling to) that back pain treatments cause even more pain. Managing this is an art.

So how does an obese patient fix their back pain?

In my 20 years as a chiropractor in San Francisco I have helped hundreds of obese patients with back pain. I have always found that it is best to do a combination of chiropractic care, aerobic and strentgh training, and plant based nutrition therapy or some other form of nutrition based weight loss (not a quick fix program).

If we can do all these lifestyle modifications together…slowly at first…we can make long term permanent changes in a patients body weight and back pain.

And here's the deal…usually the back pain is the least of an obese patient's health care concerns. Obesity is a primary cause of most killer diseases such as heart disease, cancer, stroke, and diabetes.

Often times we work closely with medical doctors, nutrition counselors, and physical therapists…and sometimes a chiropractor manages everything. I have done both.

So anyway…YES, there is a direct connection between back pain and obesity…and a chiropractor skilled in lifestyle modifcation programs can help get an obese patient back on track. A chiropractor is a great first step. 

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

 

 

Eben Davis

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

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High Fat Diets Linked To Asthma in Children


Hiet Fat Diet and Asthma in Children
San Francisco Chiropractor Comments:

It is said…We are what we eat…literally. The food we eat today becomes living, thinking, breathing, flesh and blood by tomorrow. And the food a pregnant woman eats, becomes the building blocks of her fetus.

Recent research at the Dept. of Pediatrics at the University of West Virginia showed that early abnormalities in lipid and glucose metabolism may be responsible for the development of asthma in children.

The study goes even further and links maternal diets with high fat (high calorie) intake to inflammation of the airwaves in early life. Here is an excerpt from the article entitled Imbalanced Diet and Inadequate Exercise May
Underlie Asthma in Children
:

Furthermore, Dr. Piedimonte noted that animal
studies recently presented by his group suggest a link between maternal diets
high in fat and calories, the subsequent triglyceride levels of offspring, and
the development of airway hyperreactivity in early life, hinting at a potential
role of maternal diet in the prevalence of asthma in their offspring.

"The primary implication of the present
study is that early metabolic abnormalities induced by imbalanced diet during
pregnancy and childhood constitute the central hub from which the
asthma-obesity-diabetes triad originates, at least in a subpopulation of
patients," said Dr. Piedimonte. "This opens a Pandora's box of
questions concerning the role of pre- and early post-natal nutrition as a
critical determinant of chronic diseases throughout life. The ultimate goal is
to elucidate the chronologic sequence of early-life events and the specific
molecular mechanisms linking hypertriglyceridemia, insulin resistance, and the
inflammation seen in obesity and asthma, which may open a new chapter in the
management of these medical conditions that are among the most prevalent today."

The study also linked dietary imbalances as well as lack of physical activity to obesity and diabetes. It was also noted that inflammatory airwaves associated with asthma were found in children with normal body weight, but who also had abnormally high triglyceride levels associated with high fat diet. 

My Take: I have known this for a while now…because I myself once suffered with asthma as a child and teenager. As a young adult I figured out that by eating a diet rich in plant foods and avoiding dairy products and reducing animal protein, I could minimize the asthma symptoms. I also found out later in life that chiropractic adjustments can help manage asthma by helping normalize nerve function.

It is also obvious that what pregnant mothers eat and what we feed our children appears to be a primary factor in determining immune and metabolic function. Poor nutrition can initiate disease processes that can effect a child for their entire lifetime and predispose them to disorders such as asthma, obesity, and diabetes. Is all that cake and ice cream really worth it?

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

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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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Childhood Obesity: On the Rise and Parents in Denial


Childhood Obesity. Parents in denial
Childhood Obesity: On the Rise and Parents in Denial.

Young children do not get fat all on their own, they have help from a
variety of sources, including the lack of physical education in schools, lack
of play time and play areas, and too many calories served at home. But many
parents turn a blind eye to the fact that their children are overweight and
becoming unhealthy adults.

A new report, F as in Fat: How Obesity Threatens America’s Future 2010,
published by the Trust for America’s
Health and the Robert Wood Johnson Foundation shows that an increasing number
of children are either overweight or obese and that their parents are in
denial. The report is consistent with an analysis
published in May 2010 by Kaiser Permanente
citing that over one-third of
American children are overweight or obese.

Parents who were polled about their children overwhelmingly—to the tune of
84 percent— rated their children as having an normal or healthy weight, while
in fact that was not true in many of the cases. There were also cultural issues
that were addressed in the report, such as Latino parents preferring to have
children who were a little on the heavier side and African American parents
more likely to underestimate the weight of their children, and more likely to
have an overweight child.

Click here for full story

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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Can Obesity Cause Osteoarthritis? What about in the Hands?

osteoarthritis and obesity john hopkins university
San Francisco Chiropractor Comments:

I just re-read the John Hopkins University Arthritis Center web pages. Of particular interest is the page entitled:

Osteoarthritis and Weight Management (The Role Of Bodyweight in Arthritis)

Here is an excerpt:

Being only 10 pounds overweight increases the force on the knee by 30-60 pounds with each step.

Osteoarthritis is the most common joint disorder with symptoms in the hands, knees, hips, back, and neck. It is unclear exactly how excess weight influences OA. Clearly, being overweight increases the load placed on the joints such as the knee, which increases stress and could possibly hasten the breakdown of cartilage.(ref. 1) For example, it is estimated that a force of nearly three to six times one's body weight is exerted across the knee while walking; an increase in body weight increases the force by this amount.(ref. 2) However, overweight has also been associated with higher rates of hand OA in some studies (refs. 3 and 4) suggesting the involvement of a circulating systemic factor as well.(ref. 5)

MY TAKE: It's interesting that higher rates of osteoarthritis of the hands are also associated with obesity considering the hands are non weight bearing. This suggests negative systemic factors are at work resulting in inflammation of the joints. In my practice we have seen patients with hand pain respond to plant based diet therapy as animal products are a well know cause of systemic inflammation. For more on this subject visit www.drmcdougall.com.

Chiropractic care can also help with joint pain secondary to osteoarthritis. Knee pain, hand pain, hip pain, and back or neck pain, all respond favorably to chiropractic adjustments. A treatment program that addresses weight loss, diet therapy, exercise, and chiropractic can be highly effective with the case management of osteoarthritis related joint pain and dysfunction.

Dr. Eben Davis is clinic director of Executive Express Chiropractic in downtown San Francisco. To schedule an appointment call 415-392-2225 or request an appointment online.

  

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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