Tag Archives: sports

Chiropractic For Shoulder Pain

shoulder pain treatment in SF

Shoulder Pain Treatment with Chiropractic

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

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

There are 3 primary causes of shoulder pain:

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

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

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

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

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

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

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

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

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

Eben Davis

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

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Low Back Pain and Weightlifting

weightlifting and low back pain SF

              Weightlifting and Low Back Pain

We have been providing treatment for low back pain in downtown San Francisco for over 22 years now.

Many of our patients identify weightlifting as the source of their low back pain. Others say weightlifting helps their low back pain. So the question becomes…Is weightlifting good for my back or does it cause back pain?

Well…this is a great question and unfortunately there is no easy answer.

It just depends on your individual circumstances. In general, there is always a point where stress overcomes resistance. No matter how good a shape you are in you can still overdo it. In fact, most of the patients that list weightlifting or working out as a cause of their low back or neck pain are in pretty good shape…they just did too much.

Sometimes we predispose our back to problems and don’t even realize it. There are so many variables. Things like mental stress, which can tighten muscles can make your next workout with weights do more harm than good.

Heck, even a new pair of workout shoes can cause your low back muscles to work differently than they are used to, resulting in post workout low back pain. Traveling, moving, a new chair, a new bed or pillow, and many more lifestyle modifications can contribute to low back pain that you associate with lifting weights.

There are also those that start a new workout (New Years resolutions) that get new low back pain or sciatica. This usually happens because they overdo it or are just too out of shape when they start and they send their body into shock. It’s best to start off really easy and build up intensity and duration slowly over time. Think “long term”.

Sure, poor weightlifting techniques and performing exercises that just don’t work for you will always be a cause of low back pain…but this is where common sense and trial and error come into play. Always test new exercises gingerly. And if you can afford it, hire a personal trainer to guide you along.

In addition, regular chiropractic adjustments from a chiropractor that works-out and treats lots of patients that work out should be very high on your list. Not only will your chiropractor be able to assist you with your workout plans, nutrition, and other lifestyle factors…they will be able to help ensure that you recover quickly from your weightlifting sessions and stay in proper alignment.

Chiropractic is the perfect workout partner!

So there you go. Sure, weightlifting can cause back pain.  But there are many adjustable factors. There are not many activities that give you as many health benefits as weightlifting. It’s worth the effort to figure out how to make it work for you.

To schedule an appointment for low back pain treatment in San Francisco call 415-392-2225. Our chiropractors are all sports oriented and workout with weights regularly. 

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 Syndrome: Defined


Whiplash experts in san francisco
We have been providing treatment for whiplash injuries in San Francisco for over 21 years now in the Financial District.

The term “whiplash” is a slang term
for a neck injury most accurately called a cervical acceleration-deceleration
(CAD) injury. Now you know why we call it “whiplash”! It suggests that the head
was forced through a range of motion that exceeds the barriers of our normal
tissue, resulting in injury to the neck.

             Though
a slip and fall, or even a bar-room brawl, can cause whiplash, whiplash is
usually associated with injuries that occur from a car accident or “motor
vehicle collision” (MVC). The term “syndrome” refers to a cluster of symptoms
that can include neck pain, headache, light-headedness, ringing in the ears,
visual disturbances, memory loss, nausea/vomiting, noise and/or light
sensitivity (usually associated with mild traumatic brain injury or,
post-concussive syndrome), TMJ (jaw) pain, radiating pain, numbness, and/or
weakness in the arm, limited neck movements, and more. Even the low back can be
injured in a whiplash injury!  In other
words, a whiplash injury can affect MANY different parts of the body, and the
clinical picture can vary widely from case to case.

            Whiplash
is diagnosed through a thorough history, paying particular attention to the
mechanism of injury – that is, how fast were you and the opposing vehicle
traveling, in what direction did you get hit (front, side, rear, angular, or
combinations), what size was your vs. the opposing vehicle, was your head
turned or pointed straight at the time of impact and did you hit your head?
Also, we will ask, what were your immediate symptoms compared to 30 min., 60
min., 3 hrs, 6 hrs later, the next morning, and when did your symptoms peak?
What activities (including work) have been affected, and to what degree? What
self-management approaches have you tried, and how have they worked? The more
we can learn about the accident and your immediate symptoms, or delay in
symptom onset, the better we can address your problems. The physical
examination is also very important as we will observe your movement quality,
posture, pain expression, palpate for muscle guarding, trigger points, and
swelling of the injured joints. We will also evaluate your neck and back range
of motion, assess your neurological functions, and assess extremity issues that
might be present. X-rays will more than likely be done and may include “stress
views” where you bend the neck forwards and backwards to assess the stability
of your spine. Comparison to older x-rays can be very helpful, if they exist.
Depending on the degree and type of the injury, special tests will be
considered such as MRI, EMG/NCV, laboratory tests, and perhaps others.

            Treatment
will consist of: addressing the acute inflammatory painful symptoms by the use
of gentle massage, mobilization and/or manipulation, electrical stim or a
different anti-inflammatory modality, review how to apply ice and/or heat, how
to bend/lift/pull & push properly to avoid irritation. We’ll teach you
exercises, proper sleep positions, and other home applied, self-help
techniques. The goals of pain management, functional restoration, and
prevention will be applied. If needed, coordinating care between our office and
primary care, orthopedic, neurology, or others will be smoothly managed as the
need arises.

            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 a whiplash specialist in San Francisco please call 415-392-2225. Mention this blog post for a complimentary consultation in house or by telephone.

Serving local 94111 since 1992

Eben Davis

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

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What Is Osteoarthritis Of The Knee?

Treatment for knee pain san franciscoOsteoarthritis or “OA” is the most common form of arthritis. OA is a condition where the cartilage between joints wears away, causing pain.
Then, when enough synovial fluid (a naturally occurring lubricant found in the knee) and cartilage is gone, the pain can be unbearable and require total knee replacement.

If You Have Knee Arthritis,
Is There Anything You Can Do About It?
According to researcher, Dr. Tatyana Shamliyan, “Several guidelines recommend non-drug treatment, including exercise, electrical stimulation, tai chi and esthetics.”

Her team analyzed the evidence and came up with results that were sometimes at odds with those guidelines. They looked at how the therapies affected pain, functioning, and disability. “Based on the analysis, we can’t conclude sustained benefit with tai chi, manual therapy or massage, or transcutaneous electrical [nerve] stimulation.”

Dr. Shamliyan's team reviewed nearly 200 studies and found there was evidence that low impact aerobic exercise and water exercise improved function and decreased disability. Aerobic exercise, strength training and therapeutic ultrasound reduced pain and increased mobility. However, the best outcomes came when patients stuck to their exercise program. This is particularly important as exercise can increase knee pain in the short-term.
It should be noted that the study did not show that intense exercise was any better than moderate exercise.

The take home message here is that it looks like certain moderate exercise can help some of the symptoms associated with knee OA.
But this does not mean you should take it upon yourself to “just go exercise.”
If you suffer with knee OA, you should see a qualified physician such as a chiropractor. They will be able to determine the best treatment program for your individual case.

Altadonna
Communications ©

The chiropractors at Executive Express Chiropractic have been providing treatment for knee pain in San Francisco for over 20 years. To schedule an appointment call 415-392-2225.

Serving local 94111 and surrounding areas

 

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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Iliotibial Band Friction Syndrome: Causes, Prevention, Treatment

IT Band SyndromeBy: Lindsay Stephens, DC

We have been providing sports chiropractic in San Francisco for over 20 years now. 

Familiar to many runners, this fibrous band runs along the outside, or lateral, portion of the thigh. It plays a role in hip and knee stability and commonly becomes overstretched and tightens with runners who over train or increase their intensity (distance or speed) too quickly. However, awareness of this band and the issues it causes is not common knowledge. Unfortunately, runners are not the only group who suffer from IT band issues. Many people, who are not runners, can also experience this same condition. I have personally it in seen bikers, soccer players, triathletes, even the sedentary population.

The question is: What causes this?

Well in order to answer this question lets do a quick anatomy lesson. The IT band arises from a muscle in the glutes called the TFL, or tensor fasciae latae, which plays a role in abduction of the hip (in lay terms, allows the leg to rise up to the side). From there, the IT band runs down the leg and crosses the knee joint. As it passes across the knee joint, it becomes more fibrous, and when it becomes taut it creates friction over the lateral femoral epicondyle (or the bony prominence just above the knee joint).

So how does this happen?

This arises from a fundamental weakness, of the core and gluteal musculature. Allowing the hip to deviate laterally, lengthening and pulling the IT band taut. Weakness in the gluts usually arises from fatigue, especially for athletes. Overtime the adductors, the muscles on the inside of the leg, become tightened, further pulling the IT band taught, which ultimately aides in the acceleration of the syndrome. This overcompensation can also cause changes in the biomechanics of the ankle, causing a syndrome called over pronation (walking on the inside of the foot), which has its own host of issues. Now, after this quick anatomy lesson, you can easily see, that it’s like a house of cards, once one card is pulled out the rest topple over.

Treatment/Prevention

Typically, if treated soon after the symptoms arise, IT band can resolve with little residual complication. However, if left untreated (which happens more frequently than it should) the condition becomes chronic and not only does the outcome become less favorable but the treatment becomes more complicated and drawn out. Since the IT band works in concert with the ACL for proper knee biomechanics, and blends some of its fibers with lateral meniscus, it can lead to more serious conditions, besides just the biomechanical changes. Examples include; ACL sprains, meniscal irritation, chondromalacia patella, patellafemoral tracking disorder, and even early degeneration of the knee joint itself. So, needless to say, this should be treated early and with gusto, to ensure that none of the above develops.

Treatment consists of soft tissue therapies like Active Release Technique (ART), Graston, Kineseotaping and PNF (description of these therapies can be found on this blog in the archives) stretching to most muscles of the lower extremity. Extensive rehab of the lower extremity and core musculature is key, as well as maintaining proper spinal and extremity joint motion with manipulative therapy. Like I mentioned earlier, if treated early, care is less complicated and can resolve quickly. But if the condition progresses, so does the level of complication and duration of care. It is always best to seek care earlier on and get evaluated for early signs of IT band issues. Prevention is key!

If you have any further questions or think you need to be evaluated please contact us at Executive Express Chiropractic by phone 415-392-2225 or email me @ drstephens@executiveexpresschiro.com.

Serving zip code 94111 and surrounding areas since 1992

Treatment for sports injuries 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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Weight Lifting with a Herniated Disc

San Francisco Chiropractor and Herniated Disc Doctor Comments:

Wow_108c1 I guess if you know you have a herniated disc in your low back…or in your neck…you had an MRI at some point. Actually, x-rays and positive orthopedic tests for disc pathology are usually a pretty reliable indicator also. Either way…you had some sort of episode of low back or neck pain, that was diagnosed as a herniated disc. So now what?

Well…most of the time the back pain or neck pain resolves with conservative treatment, such as chiropractic, physical therapy, or medications. We treat many patients (that lift weights) with herniated discs at Executive Express Chiropractic in downtown San Francisco. Most of the time we are successful with treatment outcomes.   

But what about the disc herniation…it’s still there…can I lift weights?

Probably (see a good chiropractor)…as long as you are careful not to do exercises that could put too much stress on the herniated disc. If your disc herniation is in the low back…I would avoid squats, presses behind neck, and low back extensions…and I would be careful with everything else. avoid exercises that cause pain.

If you have a herniated disc in the neck…I would avoid presses behind neck, heavy shoulder presses, and neck extensions with weights. Go nice and easy with everything else. Use lots of dumbbells and cables.

Sit-ups are OK with really good form…no pulling on the neck…nice and slow…squeeze the abs on each rep.  A strong abdominal region and core will help stabilize the low back…and neck.   

On the other hand…If your disc pain symptoms are persistent and are not responding to conservative treatments…I would think twice about weightlifting…unless it gives you symptomatic relief…which can happen.

And…just remember…there are lots of exercises to choose from…so do the ones that don’t hurt.

The worst thing you can do is think you can weight lift your way through back or neck pain, and that it will make your back stronger. This could lead to serious injury.

So yes…you can lift weights with a herniated disc…but just use common sense…and preferably, expert advice.

If you would like to find out if you are a candidate for care at our SF Financial District Chiropractic Clinic…simply call 415-392-2225, press 1 (24 hr live operator). Ask for a complimentary consultation with 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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