Tag Archives: shoulder

Hand Numbness and Tingling?

carpal tunnel treatment san franciscoWe have been providing treatment for the neck, shoulders and hands in downtown San Francisco for over 23 years now.

Most of the patients we treat in the SF Financial District spend the majority of their day sitting in front of a computer doing repetitive motions. This activity can put a lot of stress on the bones of the spine in the neck and well as the muscles, ligaments and tendons of the shoulders, arms and hands.

The nerves that control the arms and hands exit from in between the bones of the spine in the neck. These nerves can become compromised with abnormal wear and tear leading to numbness and tingling in the hands. The problem can be in the neck, shoulders, elbows, or wrists.  All must be checked.

In most cases there is joint dysfunction and muscle imbalances, and even nerve pressure in multiple locations. The good news is that these sorts of problems tend to respond favorably to chiropractic and favorable outcomes are the norm.

The standard treatment for hand pain and numbness at our clinic is chiropractic adjustments to the neck, shoulder, elbow, wrists and fingers, massage or ART, low tech exercises in office and at home, deep tissue laser if needed, and ice or heat. Most cases respond in short order. Chronic long standing cases can take longer to treat.

We also have a team of medical doctors and physical therapists that specialize in sports medicine at our primary clinic, Chiro-Medical Group, Inc. which is a few blocks away from our Embarcadero Center walk-in clinic.

To find out if you are a candidate for hand pain treatment in San Francisco please call 415-392-2225. We validate parking at the Embarcadero Center. 

Eben Davis

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

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Headaches From Sitting at the Computer?

headaches relief in san francisco

Headaches Relief in San Francisco

We have been treating headaches in San Francisco for over 23 years.  

Headaches are fairly common…especially with people that spend a lot of time on the computer like most of our chiropractic patients in the San Francisco Financial District.

Sitting for long periods in front of a computer can cause static muscle tension in the back, neck and shoulder muscles. Constant tension on the neck and shoulder muscles which attach to the head can cause tension headaches that can become chronic (lasting over 90 days) and debilitating.

Poor ergonomics can also contribute to computer related neck pain and headaches. As can lack of proper (frequent) micro-breaks, which are brief resting periods (typically 1-2 minutes) that allow the muscles to rest and recover.

In addition, you could be compounding the problem by sleeping on your stomach or using a soft pillow. It’s always best to sleep on your back or side with an orthopedic pillow like a Tempur-Pedic Pillow.

If you do get a sore neck at home there are stretches you can do as well as ice techniques to reduce inflammation, pain and muscle spasms.  Your chiropractor is your best resource for these.  You can also search Google or YouTube. If you do a search for the following you can find some videos we have done:

“Neck stretches Executive Express Chiropractic”, “cervical pillow executive express chiropractic”, “how to ice executive express chiropractic”.

Your chiropractor is also an expert on ergonomics as well as natural neck, shoulder, back and headaches treatment. Typically, you can expect to start feeling better right away…although it could take a few weeks.

Our San Francisco headaches treatment consists of chiropractic adjustments, massage, laser, ice, heat, ergonomic instruction, work and home stretches, cervical pillow, and stress reduction techniques. We have affordable cash fees and accept most insurance.

To find out if you are a candidate for headaches relief in San Francisco at our chiropractic clinic 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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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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Treatment of Shoulder Pain

Shoulder pain treatment in san francisco
We have been providing natural solutions for shoulder pain in downtown San Francisco for over 20 years now. We use a combination of chiropractic adjustments, deep tissue laser therapy, massage, Graston Technique, and KinesioTaping.

Treatment of Shoulder pain can be tricky…especially if it involves Rotator Cuff Injuries. Here is what the Mayo Clinic has to say about Rotator Cuff Injuries:

Rotator cuff injury includes any type of irritation or damage to your
rotator cuff muscles or tendons. Causes of a rotator cuff injury may
include falling, lifting and repetitive arm activities — especially
those done overhead, such as throwing a baseball or placing items on
overhead shelves.

Rotator cuff injury signs and symptoms may include:

  • Pain and tenderness in your shoulder, especially when reaching
    overhead, reaching behind your back, lifting, pulling or sleeping on the
    affected side
  • Shoulder weakness
  • Loss of shoulder range of motion
  • Inclination to keep your shoulder inactive

The most common symptom is pain. You may experience it when you reach up
to comb your hair, bend your arm back to put on a jacket or carry
something heavy. Lying on the affected shoulder also can be painful. If
you have a severe injury, such as a large tear, you may experience
continuous pain and muscle weakness.

When to see a doctor
You should see your doctor if:

  • You’re experiencing severe shoulder pain
  • You’re unable to use your arm or feel weak in the arm
  • You have shoulder pain that’s lasted more than a week

Click here for Mayo Clinic Rotator Cuff Injuries (full article).

There are also many other causes of shoulder pain such as tendonitis, bursitis, misalignment of shoulder joints, sprains, strains, or tears.

In my experience, the body is able to heal most of these types of injuries with the right kind of treatment. Deep tissue laser therapy penetrates deep into the soft tissues and is attracted to damaged inflamed tissue. It stimulates healing and accelerates inflammation and pain reduction. We use our laser frequently for shoulder pain. Chiropractic adjustments to the neck, shoulders and arms done using proper technique and force is probably the best treatment. And of course massage and other soft tissue therapies such as Active Release Technique (ART), Graston, and Trigger Points, help to reduce muscle spams, adhesion’s, and scar tissue formation.  

In any case…if you would like to find out if you are a candidate for Shoulder Pain Treatment in San Franciso please call 415-392-2225 and ask for a complimentary consultation.

By: 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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Is it Carpal Tunnel Syndrome or Something Else?


Carpal tunnel symptoms treatment SFCarpal
Tunnel SYMPTOMS are a common group of complaints presented to chiropractic offices. Symptoms like arm pain, wrist and hand pain, elbow pain, night pain in the hand, weakness, loss of grip strength, numbness, tingling, loss of normal sensations in the arm and hands, and even neck pain.

Sometimes these symptoms are the result of true Carpal Tunnel Syndrome (CTS) and sometimes they aren’t. It’s our job to figure out the cause.


Usually, patients with CTS symptoms wait for weeks, months, or even years before seeking care,
thus making management more challenging. The history of the “classic” CTS
patient includes a mild, sporadic onset that gradually becomes more frequent
and intense. This usually leads to continued problems that start to affect
other areas proximal to the hand, such as the elbow, shoulder and/or neck. We
usually find that people will compensate during their activities, and instead
of moving the wrist and hand to perform a task, they will start to move their
elbow and shoulder more to avoid irritating movements of the hand/wrist. Over
time, overloading the muscles in these areas can lead to one or more conditions
commonly referred to as “cumulative trauma disorder” (CTD), which includes many
diagnoses including (but not limited to) tendonitis of the thumb (de Quervain’s
Disease), ganglion cysts, tennis elbow (lateral epicondylitis), golfer’s or
bowler’s elbow (medial epicondylitis), cubital tunnel syndrome (ulnar nerve
pinch at the medial elbow), tunnel of Guyon syndrome (ulnar nerve pinch at the
wrist), shoulder tendonitis (biceps, rotator cuff), thoracic outlet syndrome
(pinched nerve at the shoulder), and / or neck strain, neck herniated disk,
pinched nerve, and/or headaches. Many times, these conditions co-exist if the
patient has really abused themselves (such as music majors who may practice
playing their instrument for 4-5 hours a day) to a point where they are REALLY
injured in multiple areas.

            Limiting this discussion to pinched
nerves in the neck and upper limb, the question often arises, “…how do you know
where the nerve is pinched?” The answer centers around determining an accurate
history to find out  EXACTLY where the
patient feels numbness, tingling, weakness, and/or pain as each nerve
innervates a different area. For example, if a patient says, “…I feel numbness
in my 4th and 5th finger,” this tells us that the ulnar nerve is pinched (as
opposed to numbness in the 2nd, 3rd, or 4th fingers which suggests median nerve
pinch — more classic of CTS). If the patient says the numbness affects the arm
from the elbow down to the 4th and 5th finger, this suggests cubital tunnel
syndrome (ulnar nerve pinch at the medial elbow). If the numbness affects the
person from the shoulder to the 4th and 5th finger, thoracic outlet syndrome
becomes a probable diagnosis. And lastly, if the neck, shoulder, arm and hand
(on the pinky side) are numb, we are suspicious of a pinched nerve in the neck.

            Then, we confirm our suspicions with
a more detailed physical examination. Here, we test for compression of a nerve
at the neck by positioning the head in a backwards, rotated position and
holding it for about 10 seconds to see if the numbness is reproduced. We can
also manually (with our hands/fingers) compress the various nerve pathways to
see if numbness occurs at the front of the neck, the shoulder under the collar
bone, at the elbow and wrist counting the seconds to time the onset of numbness
and mapping the numbness location. Placing the shoulder, elbow, and wrist in
different positions can pinch the nerve as well, and mapping the location of
the numbness tells us where and to what degree the nerve is pinched.

We will
also perform a neurological exam testing reflexes and strength, as well as
sensory function using a sharp object. A special test called an EMG/NCV
(electromyography and nerve conduction velocity) can be obtained to further
verify the location and degree of nerve pinching and damage. At our San Francisco Back, Neck, and Wrist Pain Center we first try conservative treatment before ordering nerve tests or MRI.

            The advantage of chiropractic
management is that we will treat EVERY LOCATION that may be contributing to the
CTS symptoms, whether the pinch is in the neck, shoulder, elbow and/or wrist.
Managing the WHOLE PERSON, not just the wrist or CTS is KEY to a successful
outcome. And we can do this in a very short period of time. We can adjust from the neck to finger tips on both sides in a matter of minutes. We also have tools such as deep tissue laser therapy that can help speed the healing process as well as advanced soft tissue treatments such as Graston Technique.

            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 with a carpal tunnel doctor in San Francisco please call 415-392-2225 and ask for a complimentary consultation.

 

Eben Davis

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

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Treatment for Shoulder Pain in San Francisco

Shoulder pain treatment san franciscoWe have been providing shoulder pain treatment in San Francisco for over 21 years now.

Our “Patient of the Week” is Choung Phung. Choung was searching for shoulder pain relief but was unable to find treatment that could help. She searched online and can across some of our patient reviews talking about how we had helped their neck, shoulder, arm and hand pains. So, Choung decided she would give us a shot.

Well, several weeks later Choung has a dramatic reduction in her shoulder, neck, and upper back pain. She has more range of motion, and is able to carry things and sleep with much less pain.

The thing about shoulder pain is that it can linger and become chronic and debilitating without proper treatment.

Chiropractors seek to restore shoulder joint alignment, motion, and function. We use a combination of chiropractic adjustments to the neck, upper back and shoulder, along with massage, traction, ice, exercises and deep tissue laser therapy. We will also use Kinesiotape if the injury needs to be stabilized and supported.

We treat shoulder pain frequently at our San Francisco chiropractic clinic as the majority of our patients are sitting at the desk all day doing repetitive movements with their upper extremities.

To find out if you are a candidate for treatment for shoulder pain in San Francisco please call 415-392-2225.

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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San Francisco Chiropractor Review: Neck Pain

Treatment for Neck Pain in SFWe are proud to present our San Francisco Chiropractor "Patient of the Week" Norma
presented to our clinic with constant, severe, neck, shoulder and upper back
pain for which she could find no relief.

After limited success with other treatment methods such as physical
therapy, acupuncture, and other forms of pain management medicine, Norma
decided to give us a shot. She had read our patient reviews and done her research.

After the first visit at our clinic she began to
feel better. Her neck pain felt like it was melting away. Her upper back and shoulder pain felt instant relief and she knew she had found the right treatment…finally.

Our chiropractor team used a combination of soft tissue mobilization (ART and Graston),
stretching, traction, and chiropractic spinal and extremity manipulation, along with lots of TLC to
treat Norma's condition. We were confident from the start that we would
succeed. We are all very happy that Norma has finally found an effective
treatment for her chronic problem and we look forward to finishing what we
started at helping Norma return to pain free living.

Many Financial District office workers suffer with chronic neck, back, shoulder, and arm pain and do not know what to do about it. We do.

If you are like Norma and feel you have nowhere to turn, you may be a canidate for care at our clinic. To schedule a complimentary consultation with one of our San Francisco Chiropractors call 415-415-392-2225. 

For more San Francisco Chiropractor Reviews

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: Diagnosis and Treatment

Carpal tunnel syndrome clinic san francisco
We have been providing treatment for Carpal Tunnel Syndrome in San Francisco for over 20 years.

Carpal
Tunnel Syndrome
(CTS) refers to the median nerve being pinched in a tunnel at
the wrist. As the name implies, “carpal” refers to the 8 small bones in the
wrist that make up the “U” shaped part of the tunnel and “syndrome” means
symptoms that are specific and unique to this condition. As we learned last
month, CTS can be affected by nerve pinches more proximal to the wrist, such as
at the forearm, elbow, mid-upper arm, shoulder or neck. To make matters more
complex, there are two other nerves in the arm that can also be pinched in
different tunnels, and the symptoms of numbing and tingling in the arm and hand
occur with those conditions as well. This is why a careful clinical history,
examination, and sometimes special tests like an EMG/NCV (electromyogram/nerve
conduction velocity) offer the information that allows for an accurate
diagnosis of one or more of these “tunnel syndromes” in the “CTS” patient.
Let’s look at these different tunnels and their associated symptoms, as this
will help you understand the ways we can differentiate between these various
syndromes or conditions.

            Let’s start at the neck. There are seven cervical
vertebrae and eight cervical spinal nerves that exit the spine through a small
hole called the IVF (intervertebral foramen). Each nerve, like a wire to a
light, goes specifically to a known location which includes: the head (nerves
C1, 2, 3), the neck and shoulders (C4, 5), the thumb side of the arm (C6), the
middle hand and finger (C7) and the pinky side of the lower arm and hand (C8).
If a nerve gets pinched at the spinal level (such as a herniated disk in the
neck), usually there is numbness, tingling, and/or pain and sometimes, usually
a little later, weakness in the affected part/s of the arm and hand (or
numbness in the scalp if it’s a C1-3 nerve pinch). So, we as chiropractors can
test the patient’s sensation using light touch, pin prick, vibration, and/or
2-points brought progressively closer together until 1-point is perceived and
then comparing it to the other arm/hand. Reflexes and muscle strength are also
tested to see if the motor part of the nerve is involved in the pinch. The exam
includes compression tests of the neck to see if the arm “lights up” with
symptoms during the test.

            Next is the shoulder. Here, the nerves and blood vessels travel through
an opening between the collar bone, 1st rib and the chest muscles (Pectorals).
As you might think, the nerves and blood vessels can be stretched and pinched
as they travel through this opening and can cause “thoracic outlet syndrome.”
Symptoms occur when we raise the arm overhead. Hence, our tests include
checking the pulse at the wrist to see if it reduces or lessens in intensity as
we raise the arm over the head. At the shoulder, the ulnar nerve is the most
commonly pinched nerve, which will make the pinky side of the arm and hand
numb, tingly, and/or painful. A less common place to pinch the nerves is along
humerus bone (upper arm) by a bony process and ligament that is usually not
there or resulting from a fracture. Here, an x-ray will show the problem.

            The elbow is the MOST common place to trap the ulnar nerve in
the “cubital tunnel” located at the inner elbow near the “funny bone” which we
have all bumped more than once. Cubital tunnel syndrome affects the pinky side
of the hand from the elbow down. The median/carpal tunnel nerve can get trapped
here by the pronator teres muscle, thus “pronator tunnel syndrome.” This
COMMONLY accompanies CTS and MUST be treated to obtain good results with CTS
patients. The radial nerve can be trapped at the radial tunnel located on the
outside of the elbow and creates thumb side and back of the hand
numbness/tingling.

            Hence, you see the importance of
evaluating and treating ALL the tunnels when CTS is present so a thorough job
is done (which is what Chiropractors do). Try the LEAST invasive approach first
– non-surgical treatment – as it’s usually all that is needed!

            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 with one of our San Francisco Carpal Tunnel Doctors 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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Chiropractor San Francisco Review: Hand Pain

Carol MartinOur San Francisco Chiropractor "Patient of the Week" is Carol Martin. Carol came to our clinic searching for answers to her ongoing  wrist pain. Months ago she had broken her wrist and it never healed properly. 

Pain and swelling persisted even after the cast had been removed. Using a combination of chiropractic adjustments to the neck, arm, and wrist, icing, massage and laser therapy, we have significantly decreased her swelling and pain.

We are now helping her rehabilitate her wrist injury as she continues to improve and heal. As this new year has dawned upon us, we're excited for the progress that Carol has made and we are all looking forward to supporting her along the way.

We have been providing treatment for hand pain in San Francisco since 1992. After-all, the nerves the innervate and control the hand originate in the neck. Pressure on these nerves will cause pain and malfunction in the shoulders, arms and hands.

Many chiropractors such as ourselves specialize in the diagnosis and treatment of neck, arm, and hand pain. We can help conditions such as r tunnel syndrome, tendonitis, sprain and strains, repetitive stress injuries, and fractures that have not healed properly.

To schedule an appointment with one of our San Francisco Hand Pain Doctors call 415-392-2225. Mention this hand pain review for a complimentary consultation.

Eben Davis

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

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Carpal Tunnel Syndrome Awareness Week

We have been providing treatment for Carpal Tunnel Syndrome in San
Francisco
for over 20 years. Next week (October 15-19) we will be
demonstrating our carpal tunnel syndrome (CTS) treatments to the public.
If you have wrist, hand, arm, shoulder, or neck pain, you may have CTS
or a related disorder. Please call 415-392-2225 to schedule your demo
treatment.

Carpal Tunnel Syndrome Promo

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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