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Spine and Extremity
Joint Manipulation
Objective effects of a chiropractic adjustment have been
investigated and reported. More specifically, a single
chiropractic adjustment produces both sensory and motor effects
as well as sympathetic nervous system effects.
Reported sensory and motor effects of a manipulation include:
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Increased joint ROM in all 3 planes and reduction of
pain |
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Increased skin pain tolerance level |
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Increased paraspinal muscle pressure pain tolerance
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Reduced muscle electrical activity and tension |
Reported Sympathetic nervous system effects of a manipulation
include:
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Increased blood flow and distal skin temperature
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Blood pressure reduction |
Reported blood chemistry changes after a manipulation include:
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Increased secretion of melatonin |
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Increased plasma beta endorphin levels |
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Elevation of Substance P and enhanced neutrophil respiratory
burst |
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Pupillary diameter changes. |
There are many different techniques a chiropractor can choose
from and there is a certain skill level and "art" involved with
high velocity, low amplitude adjustment or manipulation. It is
perhaps more important for the chiropractor to determine when
not to apply the adjustment, which is the reason for the
extensive academic load placed on the chiropractic student (4
years of college plus 4 years at a chiropractic college).
The number of chiropractic treatments required for the
particular patient varies significantly due to the degree of the
injury, the unpredictability between patients, and co-morbid
risk factors of chronicity (anxiety, depression, poor coping
strategies, financial distress, low educational attainment, and
others). For example, the chiropractic treatment plan of a grade
1, lumbar sprain/strain rarely demands greater than 4-6 weeks to
manage in an uncomplicated case with no co-morbid factors.
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Rehabilitation
We customize a rehabilitation program to fit your body's
needs and your daily routine. We focus our services with a
one-on-one approach, while teaching you how to rehabilitate your
body.
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Graston Technique
Graston® Technique is a form of instrument-assisted soft
tissue mobilization that enables clinicians to break down scar
tissue and fascial restrictions effectively.
This technique utilizes specially designed stainless steel
instruments to detect and treat areas exhibiting soft tissue
fibrosis or chronic inflammation.
The Graston Technique treatment protocols may
also include the use of heat, ice and rehabilitation to restore
patients to their pre-injury level of activity. Most
patients report pain reduction and improved function within the
first two treatments.
Review our
printable brochure on the Graston Technique.
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Myofascial Release
Therapy
Myofascial Release Therapy is a specialized form of manual
treatment that is well suited to the healing of many acute and
chronic pain conditions, fibromyalgia, chronic myofascial pain
syndrome, movement restrictions, TMJ disorder, and carpal tunnel
syndrome.
Myofascial Release addresses restrictions in the connective
tissue, or fascia, of the body. The fascia is an extremely tough
tissue that surrounds every muscle, bone, organ, nerve, and
blood vessel, down to the cellular level. Fascial restrictions
can result from accidents, injuries, repetitive stress
situations, surgical or traumatic scarring, and abnormal
postures. Any of these traumas can cause the fascial tissue to
bind down, exerting abnormal pressures and tensions on pain
producing structures.
Myofascial Release is a whole-body therapy. Functionally, the
fascial system forms a continuous web from head to toe. Injury
to any part of the system can have far-reaching effects on other
parts of the body. This helps to explain many individuals'
seemingly inexplicable combination of pain complaints. Often
times, painful symptoms occur in what might be considered
unrelated regions of the body. A basic tenet of Myofascial
Release is that no part of the body is separate from the other.
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Kinesio Taping
Kinesio taping offers innovative and effective therapeutic
and rehabilitation taping. The taping, often seen on
athletes with vibrant colors, are utilized over muscles to
assist and support injured areas. Kinsesio Taping focuses
on taping around and over muscles for support, protection, and
injury prevention.
Several athletes utilized this procedure during
the 2008 Olympic Games, most notably, gold medalist Kerry Walsh.
Learn more about the benefits of Kinesio Taping
from the manufacturer's website:
www.kinesiotaping.com.
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Custom Orthotics
An 'orthotic' is a device designed to restore your natural
foot function. Many 'biomechanical' (walking) complaints such as
heel pain, knee pain and lower back pain are caused by poor foot
function. Orthotics re-align the foot and ankle bones to their
neutral position, thereby restoring natural foot function. In
turn this helps alleviate problems in other parts of the body.
In addition, orthotics give a more even weight distribution,
taking pressure of sore spots (e.g. the ball of the foot, corns
in between toes, bunions etc) and they provide some shock
absorption.
Who needs orthotics?
Orthotics benefit people with foot pain or discomfort due to
walking imbalance (biomechanical complaint). Imbalances such as
Flat fee, heel pain, knee pain and shin pain are known to cause
pain and discomfort.
Can you wear the orthotics during all daily activities?
People who stand or walk all day will benefit from orthotics.
If you suffer from pain during any form of sporting exercise
then orthotics can reduce the pain associated with your
condition.
For overweight individuals, orthotics will help to counteract
the extra stress being placed on the feet.
What specific conditions may be helped?
Below is a list of all the conditions that orthotics can help.
Achilles Tendonitis, Corns, Metatarsalgia, Sesamoiditis, Ankle
Sprains, Flat Feet, Neuroma, Tendonitis, Arch Pain, Heel Pain,
Pronation, Top of the foot pain, Bunions, Knee Pain, Shin Pain,
Toe Pain. Imbalance in your feet can alter the bony structure of
your feet and lower legs, foot orthotics may eliminate posture
problems and foot and leg pain.
Do I need a physician's prescription to get custom orthotics?
No. Chiropodists are primary health care professional and
therefore do not need a physician's referral. Custom orthotics
are orthotics that are especially molded to your feet. Only a
registered Chiropodist can properly determine if you require
orthotics. The best orthotics are formed from a plaster cast
rather than a computer foot pad and the orthotic needs to be
made by a Chiropodist.
Why do I need orthotics?
Imbalances of the bones of the feet can result in abnormal foot
motion (over pronation). This can impair foot function which can
result in abnormal rotation of the legs and sometimes affects
the knees, hips or back. If we combine these tremendous forces
with the need for precise balance, we can see how small
structural changes in the foot can make significant differences.
Orthotics help to improve those structural changes.
How long will my Foot Orthotic Last?
Usually between 12 to 18 months.
Does it take time to get used to orthotics?
Your feet need time to adjust to the correct biomechanical
(walking) position. Orthotics should be gradually used to begin
with. During the first 48 hours of use, use the orthotics for
approximately 3-4 hours. After this period of time it is
recommended you use the orthotics for 6-8 hours. In the second
week of use the orthotics can be utilized all day.
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Ultrasound
This treatment should not be confused with diagnostic
ultrasound, often used in prenatal screening, but is instead a
therapeutic procedure that utilizes sound waves to treat injured
muscles, joints, and soft tissues. The sound waves vibrate the
tissues back and forth, creating a deep, micro-massage effect.
In the case of a recent injury, this helps to decrease scar
tissue and adhesion formation, which would otherwise interfere
with the body's healing process. The sound waves also decrease
inflammation by destroying unwanted inflammatory cells. The
sound waves also accelerate healing by stimulating the activity
of the cells responsible for cellular and tissue repair. In
chronic cases, special settings are used to create a
deep-heating effect, heating the tissues far below the skin's
surface. This heat, along with the vibrations that are caused by
the ultrasound, help to "melt away" the muscle spasms and
"knots" felt in our muscles.
What is Ultrasound?
Ultrasound uses high-frequency sound waves and it is
administered in the region of soft tissue injuries.
How does Ultrasound work?
The sound waves, some moving with a frequency of 1,000,000 waves
per second, penetrate into deep into the tissues. The vibrations
and heat break down and disperse unhealthy calcium and other
hard tissue accumulations.
What does Ultrasound feel like?
Dr. Picard keeps the gel warm in a special warmer as not to
irritate the tissues. During the treatment most patients either
feel nothing, or a pleasant and relaxing sensation below the
skin's surface.
Why is Ultrasound used?
The treatment can be administered directly to the affected area
and it penetrates deeply. As the temperature rises, blood flow
increases and muscle spasms relax thus speeding up the healing
process.
What are the benefits of Ultrasound?
Ultrasound stimulated healing without irritation and enhances
the body's natural healing ability. It is effective in treating
calcium deposition, speeds metabolism and improves blood flow
and reduces nerve root irritation.
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Electrical Stimulation
Often referred to as "muscle stim," the therapy involves low
levels of electrical impulses delivered to the injured, painful
tissues to reduce pain and speed healing. Often described by
patients as a pleasant, "tingling" sensation, or "electrical
massage," these impulses stimulate the body to release natural
pain relievers, called endorphins. These endorphins reduce pain
and inflammation, thereby promoting faster healing of the
injured tissues. This therapy is often used to treat acute or
chronic pain, as well as strains or sprains of the muscles,
joints, and soft tissues of the spine and extremities.
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Stabilization
Exercises
We teach our patients special exercises designed just for
them to help strengthen and correct their own unique problem.
These exercises can be performed in the comfort of your own home
and can improve the effectiveness of your spinal correction by
as much as 30-40%. This enhances the treatment process and helps
maintain healing benefits, as well as reducing the likelihood of
future problems.
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DTS (Spinal
Decompression) Therapy
DTS Therapy is an Alternative to Surgery
You don't have to live in debilitating pain. Whether you have
lower back pain, a pinched nerve, sciatica, neck pain, or a
variety of symptoms related to damaged or degenerative discs, as
well as syndromes of the lumbar and cervical spine, DTS Therapy
may be for you.
This gentle, non-surgical therapy can provide lower back pain
relief, sciatica pain relief, and is a state-of-the-art therapy
for neck pain relief, bulging or degenerative disc disease, and
lumbar pain.
The gentle distractive forces of the DTS therapy create a
decompression of the spine with unloading due to distraction and
proper positioning, to improve blood flow and nutrient exchange
to the injured area. You willl experience several cycles of stretch
and relaxation, which graduates to a peak over a period of
several minutes.
Therapy sessions typically last less than 20 minutes, 3 times a
week for 1 month, transitioning from passive to active
treatments as you respond, with most patients feeling pain
relief with as few as 6-10 treatments. Most patients are
released from treatment after 8 weeks.
A complete program targeting the function of the stabilization
muscles is a vital part of DTS Therapy. Exercise and adjunctive
therapies such as heat, muscle stimulation, ultrasound, and cold
therapy can assist in rehabilitation of these structures. Our
goal is to not only help heal the disc, but to also enhance
muscular control and support of the back and neck.
Regular home exercise and periodic visits to our office will
help in maintaining your spinal health and reduce the
probability of reoccurrence. Clinical results of this type of
therapy have been effective in over 75% of the patients treated
and most patients find long-term relief or effective management
of their pain when they complete the entire program of
treatments utilizing the DTS Spinal Decompression Therapy.
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Sports Specific
Training
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Chiropractic Massage
Massage therapy addresses a variety of health conditions, the
most prevalent being stress-related tension, which, experts
believe, accounts for 80%-90% of disease. Massage has been
proven beneficial in treating cancer-related fatigue, sleep
disorders, high blood pressure, diabetes, low back pain,
immunity suppression, spinal cord injury, autism, post-operative
surgery, age-related disorders, infertility, eating disorders,
smoking cessation, and depression, to name just a few. Massage
has many physiological effects, such as:
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Increased circulation to all areas of the body. This
means that more oxygen goes to the tissues, enabling
them to function more efficiently. |
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Removal of toxins and waste products that build up
in the tissues. |
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Reduction in recovery time from certain injuries.
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Softening of the connective tissue that permeates
the body, resulting in more relaxed muscles and more
efficient organ function. |
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Breaking of the pain-tension cycle, which helps
prevent muscle strains and aches. |
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Increased flexibility and joint mobility. |
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Better muscular balance throughout the body,
resulting in effective support for other healing
modalities, such as chiropractic and osteopathic
manipulation. |
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