A Common Issue at the Base of the Neck

        Stress at the juncture of the cervical spine with the thoracic region, at the lower neck, may cause compression between the parts of the vertebrae that touch each other and the neighboring soft tissues.

The vertebral parts that touch are called the facets. Here the compression causes a “jamming” of the bone areas together. The adjacent soft tissues become involved, and the result is similar to a clenched fist. 

This causes pain to be referred out into the shoulder, and it can be persistent, usually needing precise intervention to resolve.

Most often the patient presents with complaints of a shoulder problem. However, the real cause of the problem is not in the shoulder at all, but in the neck.

I see this problem often in my office. Specific, precise adjustments with the Activator instrument release the compression and bring patients relief.

Distortion of the Rib Cage

  Often when patients present with pain in the thoracic region, an underlying, global aberrance of the rib cage is involved. 

The patient may say, “I feel twisted,” or “Something feels pulled.”’ They may have been coughing, may have tripped on a curb, fallen, or lifted something while their upper body was turned to one side.

After adjusting misalignments in the thoracic spine, including relieving jammed ribs at their articulations with vertebrae, I always check the status of the rib cage.

Nine times out of ten, I find a torquing of the ribs, in which one side is stressed superiorward, while ribs on the opposite side are stressed downward.

Precise, vectored, subaxillary adjustments with the Activator instrument correct the global rib cage distortion, and put the “finishing touch” on relieving the patient’s discomfort. 

What Causes Scoliosis?

 Abnormal lateral spinal curves, called scoliosis, develop for reasons that are largely unknown. Although there are various theories, about 80% of scoliosis is considered idiopathic---of unknown cause. 

Statistically, about 4 adolescent girls in 1000 may develop it, and about 1 in 2500 boys. Roughly 2% of the adult population has some degree of it.

Schools offer scoliosis screening for good reason; the earlier it is detected and addressed, the better chance that conservative care can be effective. 

My treatment plan, the earlier began the better, includes precise Chiropractic balancing of the entire frame, accompanied by specific exercises. 

Special attention must be given to the pelvis, which is the biomechanical foundation for the spine. An unlevel pelvis must be corrected and monitored, because it results in an unstable foundation for the spine.

Status of the Feet Affects the Whole Body

  What’s happening at our feet is integrally related to the state of our entire frame---our skeleton, our bones, our joints---to its overall equilibrium or disequilibrium.

For example, people who have fallen arches or who pronate need to support their feet with orthotics, not just for comfort, but also because these conditions in the feet reverberate up into the knees, hips, and pelvis and cause problems. 

Some may need prescription orthotics, but many people will find over-the-counter orthotics can do the job.

When the inside of your foot drops inward toward the floor when you’re standing, it’s called “pronation,” and is often seen in combination with fallen arches, or “flat feet.” This often creates abnormal stress on the Achilles tendon, causing a visible and abnormal inward curving. You can see this by standing behind someone who pronates and looking at the backs of their ankles. 

Pronation can cause foot pain and fatigue, but it also negatively affects the knees, and can reverberate upward to cause abnormal stresses in the hips and pelvis.

These abnormal stresses cause wear and tear that can lead to instability, pain, impairment of function, and eventually to osteoarthritis.

     Abnormalities at the feet should be properly addressed. My treatment plan includes precise assessment of feet, ankles, knees, hips, and pelvic joints and gentle, precise corrections with the  Activator instrument,.

A Fall That Affects the Shoulder

  Instinctively in a fall, we reach out to brace our body’s impact with our arm(s) and hand(s). Among the upper extremity consequences of this instinctive reaction are injuries to the shoulder(s), which can be serious and painful.

Depending on the angle and direction of impact, forces driven up the arm may cause the head of the humerus, the bone in our upper arm, to misalign from its normal position at the glenoid fossa, a shallow “cup-like” socket which is part of the scapula.

This painful misalignment is commonly posterior, or backwards, occurring in falls forward such as tripping or stumbling, but can be anterior / superior, as when one’s foot slips forward and the body falls backward, with arm(s) instinctively extended backward to break the fall.

Carelul assessment of the shoulder after a fall and gentle, precise corrections of misalignments are essential to relieve pain, support healing, maintain normal range of motion, and prevent future degenerative changes that lead to arthritis.

Loss of Cervical Curve

  Often after an injury such as whiplash, there is a “straightening” of the normally forward-facing curve in the neck. This can happen in absence of injury, and may be unexplained. 

Sometimes called “military neck,” it can have various consequences. 

The altered curve changes biomechanical function in the cervical spine, affects posture, and may result in chronic discomfort. 

The cervical vertebrae should be gently and precisely aligned, and appropriate exercises and stretches prescribed. Traction is often part of my treatment plan for this.

Magnificent Magnesium

          Magnesium is important to our health in multiple ways. It is required for functioning of over 300 enzyme systems, important for efficient energy production in our cells, and for heart health and cognition.

It is involved in the metabolism and activation of other nutrients, including Vit. D.

There is a link between magnesium and Type II diabetes; magnesium helps regulate blood sugar by improving insulin sensitivity. Studies show that magnesium deficiency may be linked to an increased risk for diabetes.

Magnesium-rich foods include leafy greens, nuts, whole grains, avocados, and legumes.

"Just" a Head Bump?

      Bumping your head can be more than just an embarrassment or a temporary discomfort.  It can disturb the cranial rhythms, possibly setting you up for future headaches. 

      The cranial rhythms are subtle movement patterns of the cranial bones. These rhythms aren't synchronized with our pulse or respiration. They are related to the circulation of the cerebrospinal fluid, which bathes our brain and our spinal cord.

     Disturbance of these movement patterns is frequently associated with headaches, and sometimes with vertigo.

     Balancing the cranial rhythms and restoring them to normal is part of every full-body treatment that I do. If you bump your head, or if you suffer from headaches, I will be happy to help.

Unrelieved Rib Pain

 Pain along a rib that has no preceeding trauma, is unresponsive to chiropractic adjustments, and persistently worsens may be the first stage of an outbreak of shingles. 

Anyone who has had chicken pox carries the herpes zoster virus in the nerve ganglia alongside their spine. The virus is dormant until conditions such as hyperthermia or stress trigger an outbreak.

A shingles viral outbreak follows the path of the related sensory nerve, called a “dermatome.” Dermatomes wrapping around from the thoracic spine resemble the paths of our ribs, so initial symptoms of shingles are often misinterpreted as rib pain.

Nature's "Pest Control Experts"

      Owls are Nature's "pest control experts"---they feed on rats, mice, and gophers.

      Rat poisons can sicken and kill wildlife and pets, because after rodents eat the poison, they go back into the wild and can take more than a week to die. Any animal that preys on them also becomes poisoned. 

     "Using poison to kill rodents has the long-term effect of actually increasing the rodent population, since the poison kills off the rodents’ natural predators, allowing the rodents to breed unchecked."

    Owls are one of the best non-toxic methods of rodent control. Attract owls to your property by putting up nest boxes; one owl can devour 1400+ rodents per year!

    Learn more at  https://www.raptorsarethesolution.org

What Does Medicare Cover?

  For Chiropractic care, Medicare currently covers only treatment of the spine. So shoulder, knee, ankle, wrist, etc., problems aren’t covered. 

The Chiropractic profession is working on changing this---on getting Medicare coverage for the whole body---and hopefully, it will happen soon.

In the meantime, when I see Medicare patients, I make careful documentation of their spinal symptoms and treatment, and report these to Medicare on the required forms and according to the specific Medicare coding system. Medicare patients in my office pay my fee at the time of service. 

Typical allowances for Chiropractic patients in Santa Cruz County are between about $48.00 and $33.00 per visit, depending on the patient’s complaints and the concomitant treatment. 

        Of these allowances, Medicare will reimburse the patient 80%, and the typical Medicare supplement policy will cover the other 20%.  Allowances do change annually, but often by only a few cents.

Nerve Impingement in the Neck

 “Impingement” of a nerve simply means the nerve is somehow negatively affected. It might be pressure, abrasion, stretching, or other constriction, causing symptoms such as pain, numbness, tingling, burning, hyper- or hypoesthesia.

In the neck, nerves exit the spine and travel out into the shoulders and down both arms & hands. These nerves are called the “brachial plexus.” Impingement of the brachial plexus is called “thoracic outlet syndrome." 

There are several common sites of impingement of the brachial plexus, including between muscles on either side of the neck, and between the clavicle and the first rib. The patient may complain of pain or numbness or tingling in the arm(s) or hand(s).

This can be due to, among other causes, poor posture, trauma such as whiplash, over-exercising or imbalanced exercising, stress, or unaccustomed activities--often some kind of work with the arms over the head.

Once I identify the site(s) of impingement, I make precise, directional adjustments with the Activator instrument and give the patient ergonomic and home care counseling and appropriate stretches.

A "Winged" Scapula

  A common cause of discomfort and restriction in the upper back and shoulder is an outwardly rotated, or “winged” scapula.

When this occurs, symptoms can present around or underneath the shoulder blade itself, or in the involved shoulder and arm. Muscles may be in reactive contraction; the range of motion of the shoulder and arm is often restricted.

I reposition the scapula to its normal orientation, using the Activator instrument. It is also necessary to adjust the humerus, the upper bone in the arm which articulates with the scapula, as well as the radius or ulna in the forearm, and some of the bones in the wrist, because the “winging” of the scapula reverberates all the way into the shoulder and down the arm.

Ouch! Pain in the Toes

  Recurring pain in a toe or toes, which may feel like a cramp, can be related to an aberrant gait cycle. When a patient presents with this complaint, I watch them walk. 

Commonly, during toe-off, when the weight-bearing foot is rolling forward as the heel of the opposite foot takes the body’s weight, the toes on the “rolling” foot are "pushing." This not only assists in balance, but helps propel the walker forward.

If this action of the toes is unnecessarily strong, toe pain, either from stress on the joints or overly-contracted muscles, can be the result. This is common with vigorous walkers or “power” walkers.

Shoes that are too stiff can also be part of the problem. The walker must work harder during the gait cycle to overcome a stiff shoe. 

When a patient has this toe pain, I adjust the lower extremities, with careful attention to the feet and toes. then advise about proper walking shoes. I show the patient how to moderate their gait to help this condition resolve.

Lateral Ankle Pain

  Pain on the outside (lateral side) of the ankle can be due to a misaligned lower fibula. 

The lower end of the fibula, the smaller bone in the lower leg, forms the “bump” on the outside of the ankle. It is attached to the lower end of the larger bone, the tibia, by ligaments. Even a mild sprain of these ligaments can bring on pain.

Aside from a ligamentous sprain, however, the lower fibula may become stressed, or misaligned, in multiple directions, which results in pain, An inferior misalignment is quite common, as is a posterior misalignment. 

I correct these misalignments with the Activator instrument, precisely and comfortably for the patient, bringing relief.

Yes--Medicare Covers Chiropractic!

  Attention Seniors:  Medicare covers Chiropractic. Although it only pays for spine care (not extremities), Medicare does reimburse for Chiropractic care.

Medicare patients are welcome in my practice. My focused Chiropractic care is excellent support for seniors’ health, wellness and vitality, and a solution to pain and discomfort. My Activator Chiropractic method is low-force and gentle; my goal is to help you feel better and recover fullness of activity and function.

  I am happy to discuss how this works, always pleased to help seniors, and to report to Medicare about my senior patients’ diagnoses and treatment.

One Hip Higher

  Patients frequently tell me that one of their hips feels “higher” than the other, or that someone has told them that one hip looks higher. They are usually, but not always, having discomfort in their pelvis or low back.

The person’s perception is exactly right---one hip IS higher in the most common pattern of pelvic distortion. 

This distortion pattern consists of one side of the pelvis, the ilium, being posterior-inferior, and the opposite ilium being anterior-superior. It’s as if the pelvis becomes twisted. The anterior-superior side is the side of the “higher hip.”

Distortion of this kind puts undue stress on the sacrioiliac ligaments, results in an unlevel pelvis, often affects the sacrum, and can cause spasms in the gluteal muscles, resulting in pain, and sometimes gait disturbances.

Checking and balancing the pelvis is a critical part of my care for every patient, because a balanced pelvis creates a stable foundation for the spine. I check the pelvis whether or not the patient is having discomfort, gently and comfortably correcting any distortion.

Pain at the End of the Collarbone

The outer end of the collarbone, near the front and top of the shoulder, articulates (makes a joint) with a bony projection from the shoulderblade. The bony projection is called the acromion process.

The clavicular part meets the acromion part, forming the “acromioclavicular, or AC, joint.

Curiously, these bones butt together with little efficient “fitting” surfaces, and are held together by ligaments surrounding and “cementing” their connection. 

On the plus side, this joint, one of several in the shoulder complex, contributes to the range of motion of the shoulder. But on the downside, this joint is particularly vulnerable to injury, including partial misalignment or complete dislocation. 

In my practice, patients with shoulder pain often have AC joint problems. The joint may be jammed, or exhibiting separation stress. I make gentle, precise adjustments with the Activator instrument to bring relief.

Grass-Fed & Finished, or Grain-Fed?

  Grains, soy, and corn are not natural food for cows---grass is their natural food. 

Even though all calves spend the first part of their lives on pasture, feeding on mother’s milk and grass, at around 7 months old, many of them will be transferred to industrial feedlots, to be quickly fattened with corn or soy. And given growth hormones & antibiotics to maximize profitability.

The corn / soy feeds are often supplemented with cheap filler products---stale candy, soda crackers, fish meal, peanut butter, breakfast cereal, ice cream sprinkles, cookies, hot chocolate mix, etc.---to reduce costs & accelerate fattening the animals.   https://money.cnn.com/2012/10/10/news/economy/farmers-cows-candy-feed/

Meat from these animals is high in inflammatory omega-6 fatty acids and lacking in nutrient value and quality. 

Grass-fed & grass-finished cows eat a natural diet; their meat is more nutritious, higher in healthy omega-3’s and lower in inflammatory omega-6‘s, and doesn’t have the toxic chemical by-products (hormones, antibiotics) found in industrially-raised meat.

The grass-finished designation is critically important. If not specified as grass-finished, although initially fed on grass, the cows may have been soy-corn-filler-feedlot-fattened for a period before processing.  

Learn more at:  https://www.drperlmutter.com/differences-between-grass-fed-grass-finished-and-grain-fed-beef/

Patella-Femoral Joint

      The patella-femoral joint is the connection between the patella, or kneecap (which is embedded in the tendon of the quadriceps muscle) and the femur (the thigh bone). This joint is largely dependent on soft tissues (muscles and tendon) for stability. 

      On the back side of the patella are articulating surfaces that contact the matching surfaces (the femoral "groove") on the femur. As you move from full extension (your leg straightened) to flexion (the knee bending) the patella will contact / slide against the femur. Proper alignment for this movement is critical to maintaining a full, pain-free range of motion. 

     If the alignment of the movement is off, there will be abnormal wear and tear. Uncorrected, this can start to be painful, and a "crunching" or "grinding" may be audible when the knee is bent or straightened. This is the development of Patella-femoral Syndrome (pain during knee range of motion), or Chondromalacia Patella (an arthritic condition under the kneecap). 

     In my office, I assess the knee through ranges of motion, and make precise adjustments with the Activator instrument to correctly align the patella. I show the patient specific exercises to do at home to maintain alignment of the kneecap and prevent this condition.