Monday, May 6, 2019

Tale of A Wayward Kneecap

  A common cause of knee pain is when the kneecap “tracks” too far toward the lateral side of the leg. This causes abnormal friction, and if not corrected, can lead to a form of arthritis called chondromalacia patella
Why does this aberrant tracking of the kneecap happen?
Every time you activate your quads (quadriceps)--the muscles in the front of your thigh--the kneecap moves up & down, because the kneecap lies embedded in the tendon of the quadriceps muscles. With contraction / relaxation of the quads, the kneecap “tracks” in a groove on the tibia, underneath it.
The outer (lateral) parts of the quadriceps often become dominant, pulling the kneecap laterally, causing it to rub abnormally against the tibial groove. Pain and eventual arthritis are the results.
I correct this with specific adjustments with the Activator instrument, and give the patient exercises to balance the quadriceps & eliminate the abnormal dominance.

Monday, April 29, 2019

Three Anatomical / Geometric Planes

  As an Advanced Proficiency Rated ACTIVATOR Chiropractor, I am trained to evaluate and adjust joints of the body in three anatomical / geometric planes.
For example, the “ball and socket” hip joint may become misaligned laterally (in the sagittal plane, which divides the body left / right), superiorly or inferiorly (in the axial, or horizontal, plane, which divides the body up / down), or backwards or forwards (in the coronal or frontal plane, which divides the body into back / front). 
The precision of this geometric assessment, with accompanying corrections, contributes significantly to the effectiveness of Activator Chiropractic Method, and helps patients heal and return to normal functioning in a quicker, more lasting way.


Monday, April 22, 2019

Compression in the Carpal Tunnel

  I frequently find that patients have compression in the carpal tunnel at their wrist(s), especially if their activities involve a lot of use of their hands.
This compression can develop slowly over time, prior to full-blown Carpal Tunnel Syndrome (CTS).
The carpal tunnel is a passageway through bones in the wrist. The median nerve goes through this passageway. With repetitive motion / overuse of the hand & wrist, this nerve can become impinged or irritated due to pressure on, or abrasion of, the nerve inside the tunnel. The irritated, inflamed nerve may swell, further complicating the situation.
Unrelieved, the end result can be the painful, and often difficult to resolve, condition of CTS.
When I find the aforementioned compression, I gently relieve it with the Activator instrument. In patients whom I know may be prone to this condition, I make it a habit to monitor their wrists.

Monday, April 15, 2019

Ouch!!--Pain at the Base of the Thumb

  Pain and soreness at the base of the thumb may be De Quervain’s tendonitis. Tendons at the bottom of the thumb are irritated, inflammed, and constricted.
There may be swelling, tenderness to touch, and moving or using the thumb is painful. Turning the wrist or gripping something will hurt.
This is called De Quervain’s tendonitis, and it is often caused by repetitive motions or overuse of the hand, wrist & thumb. Tendons attach muscles to bone; repetitive uses of the hand / wrist / thumb, such as gripping, twisting, wringing, chopping, etc., irritates the tendons & causes the inflammation.  
As with other inflammatory conditions, ice is your friend. Protecting the inflammed tendons is key, so limit usage to allow healing. Application of anti-inflammatories such as arnica, as well as ice, is helpful.

Monday, April 8, 2019

Medicare Advantage Plans

Medicare recipients have an option of buying private insurance outside of Medicare, often called “Advantage” plans. These plans are offered by private companies that contract with Medicare, and often include benefits not provided by regular Medicare, such as vision, dental, etc.
This type of private insurance plan must conform to the rules of Medicare--such as limiting charges for certain services--but is administered by Blue Cross, United Health, or other private companies. Patients still have the rights and protections provided under original Medicare.