Ribs---Like a Bucket Handle

Think of each of your ribs as being like a bucket handle:  on our right side, each rib is attached in our back at a thoracic vertebra, and curves around under our arm and across our chest, where it attaches in the front to our sternum. Ditto each rib on our left side at the matching spinal levels.

With inhalations, our chest expands. With deeper breaths, the ribs move up / out from their front & back attachments, in the same way that a bucket handle moves from its attachments on either side of a bucket.

An impact on a rib in the back can affect its attachment in the front of the body, and vice versa. Impacts on side(s) of rib(s) can disturb their attachment(s) in front and / or back. Careful assessment of the rib cage is part of my full-body balancing with Activator Chiropractic.

6 Secrets to Strong Immune Function

     (1) Cut way back on all forms of sugar. The amount of sugar in one soft drink suppresses immune function for up to 12 hours.

     (2) Minimize high-glycemic carbs. These foods rapidly elevate your blood sugar.

     (3) Support a healthy intestinal microbiome with a diet of fresh vegetables and fruits, organic as much as possible, with plenty of prebiotic fiber (feeds the good bacteria in our intestinal tract), small amounts of healthy meats (if you choose to eat meat), and healthy fats.

     (4) Take a good-quality, high-potency daily probiotic. Up to 70% - 80% of our immune system is in our intestinal tract!

     (5) Get plenty of sleep.

     (6) Find effective ways to manage your stress. 

Hinge Joints

   Our knees, the joints in our fingers, & our elbows are “hinge” joints—-similar to door, window, etc. hinges---meant to move in one geometric plane.

Introducing a rotating force in these joints causes injury, sometimes mild with a relatively easy recovery, but sometimes serious sprains that are not only difficult to recover from, but may leave lasting damage to the joint tissues.

Another force these joints are not meant to tolerate is hyperextension. Taking a hinge joint  past its end point of tolerance for extension will cause injury. I often see this in patients who have propped their heel on a stool or ottoman, causing hyperextension of the knee.

       Lateral forces such as sometimes happen in football to players’ knees, often also injure & can permanently damage a hinge joint. 

Distant or Local?

Tingling or numbness in the hand or arm is a sign of nerve impingement, and finding a solution requires differentiating between a local origin, i. e. in the arm, wrist, or hand, or an impingement happening further away, perhaps in the neck or shoulder region.  

The patient’s presentation, orthopedic tests, and careful assessment of the neck and involved upper extremity will reveal the source of the the problem.

In some instances, there is more than one site of impingement, e.g., symptoms in the hand may be due to a “double crush”—-impingement in both the new and the wrist. 

Twist & Lift---A Bad Combination

  Lifting when the body is twisted to the side—either left or right—is a recipe for back pain, often in the thoracic region. 

An example is lifting a child into or out of a carseat. The lift + twist action often necessary to do this can torque the rib cage, stress and misalign vertebrae, & set off muscle spasms, 

As soon as the child is able to climb in and out of the carseat on their own, give your body a break and let them do it.

In the interim, take care to twist as little as possible when getting them in / out, and try to keep your body as close to them as possible while doing it. This creates shorter-lever stresses on the back and spine, helping to make it less likely that you will injure yourself.

Chronic Neck Pain

Successful treatment plans for chronic neck pain should include home care counseling for postures and ergonomics.

There are usually modifications that can be made in the patient’s positions & pastures during different activities—e.g., computer use, kitchen chores, sitting, standing, and sleeping—that will help.

An important key to change is the patient’s developing an awareness of their body’s positioning, and this may take some practice. I often recommend setting a timer, using it as a reminder to “check in”—where is my head? am I slumping? leaning in to see my computer monitor?

Using the right pillow for sleeping, changing the height of one’s computer monitor so that it is at eye level, getting computer glasses with corrective lenses if one is having a hard time seeing the screen, raising the height of one’s work space on the kitchen counter—-all are simple things that can make a big difference.

Accentuated Curve in the Low Back

  An abnormally accentuated lumbar curve, whether congenital or acquired, can result in disequilibrium and vulnerability in the lower back.

Sometimes this is partially alleviated with postural counseling, Activator adjustments, and specific exercises. If the patient habitually “locks back” their knees when standing, changing this habit often helps a lot.

Ergonomic counseling about sitting, sleeping, etc. can also help.

But often these are only partial solutions. A patient with this condition may need more consistent chiropractic treatments, the frequency of which can be judged according to what works for each individual. 

A Torqued Tibia

Rotational stresses acting on the proximal tibia (where the large bone in the lower leg, the tibia, articulates at the knee) are common in people who drive a lot, e.g. for a job.

The tibia is not meant to rotate at this joint, but will tolerate some rotational stresses for short periods of time or if the stress is not repetitive or chronic.

Patients whose work requires a lot of driving often come in with aberrance and pain in their right (gas / brake foot) knee. Usually I find, and adjust to relieve / correct, rotational stress of the involved proximal tibia. 

Medicare "Advantage" Plans

If you are eligible for Medicare, but choose a Medicare Advantage Plan, you have opted for private insurance that is outside of Medicare.

Medicare Advantage plans are offered by private companies, e.g. Humana, United Health, Blue Cross, etc., and often include benefits not provided by regular Medicare, such as vision, dental, etc. 

This type of private insurance plan must conform in certain ways to the rules of Medicare--such as limiting charges for certain services--but is administered by the private companies which sell the plans. Patients still have many of the rights and protections provided under original Medicare.

Whiplash From a Fall

Being rear-ended is not the only way one can suffer whiplash. A fall that “whips” the head and neck will have a similar result, and often takes a similarly extended recovery time.

Though the cause is different, my treatment plan is the same:  rest, anti-inflammatories such as ice and topical arnica, gentle chiropractic adjustments with the Activator instrument, and active care as soon as possible (stretches and exercises) to assist healing.

A Key Headache Solution

Persistent headaches that are unrelieved by clearing the cervicals, the cranial rhythms,, and occipital tension can have a hidden and often unsuspected etiology.

The key, discoverable by a highly trained, Advanced Proficiency Rated Activator Chiropractor like myself, may lie in the position of the posterior arch of C2.

When the arch is abnormally stressed superiorly, it often causes a headache.

This is quickly and comfortably corrected with the Activator instrument, applying the correct contact on the C2 posterior arch, and vectoring the instrument to make the adjustment. 

A "Hitched Up" Hip

Patients often tell me they feel that one of their hips feels “higher” than the other. 99% of the time, they are correct!

A common underlying cause of this is distortion in the pelvis.

The “pelvic girdle,”  or pelvic composite, consists of several movable joints—-the sacroiliac, lumbosacral, hip, and pubic symphysis joints. Distortion of the pelvis can involve one, two, or several being misaligned or aberrant positionally in articulation with their neighbor(s).

After careful assessment of the pelvis, I make precise, directional adjustments with the Activator instrument to correct the distortion and bring relief of discomfort or a “hitched up” hip.

"Knock Knees"

Remember when you were a kid and some other kid you knew had knees that “bent in,” or “bumped” each other? 

Sometimes this was somewhat insensitively referred to as “knock knees.”

This condition, professionally called “genu valgum,” can be due to a rotation of the femoral head in the ball-and-socket hip joint, or to pronation of the foot, both of which result in an abnormal “Q angle” relating to the knee.

Foot pronation, or the falling inward of the medial side at the plantar arch, is the most easily correctable. Appropriate orthotics, often over-the-counter if properly fit, will help.

Orthotics should be consistently worn; going barefoot should be avoided.

As an Advanced Proficiency Rated Activator Chiropractor, I precisely evaluate and adjust the bones of the pelvis, hip, knee, foot, and entire involved lower extremities for this condition.

Prepare for Summer Fun

As summer approaches, patients begin to come in with sequelae of warm weather activities, one of which is water skiing.

Having fun water skiing without appropriate preparation of one’s musculature, especially the muscles of the low back, can lead to unpleasant consequences.

Simple strengthening exercises that prepare the muscles for summer activities can prevent a lot of unnecessary discomfort.

Pain That "Caps" the Shoulder

When there is pain in the deltoid area, around the upper area of the arm at the shoulder, or at the insertion point of the deltoid muscle on the outer upper arm, it often is not due to a problem in the shoulder itself.

Rather, the origin of the pain is in the neck.

Misalignments or degenerative changes in the spine in the lower cervical region, at C6 - C7, can cause this pain that presents this way in the upper shoulder.

Neurovascular Compromise

 A common example of neuromuscular compromise is Thoracic Outlet Syndrome (TOS), when the nerves and / or blood vessels (brachial plexus) coming from the neck and going down the arm are subjected to pressure or abrasion (impingement) that compromises their normal function. 

Symptoms include numbness & tingling, reduced or altered sensation, or pain in the arm or hand.

Causes can be impingement between the scalenes (vertical muscles on the sides of the neck), between the clavicle & 1st rib, or a posterior distal clavicle (result of a direct frontal blow). Sometimes this is a sequela of whiplash injury; or chronic stress & tension affecting the neck, including postural stress; or from repetitive motion / overuse syndrome.  

I have precise, gentle adjustments to relieve the impingement, and give the patient stretches, exercises, and ergonomic counseling.

5 Secrets of the Right Pillow

IT PROVIDES CONSISTENT, RESISTIVE SUPPORT

to maintain the normal curve of the neck,

IT KEEPS THE HEAD IN LINE WITH THE SPINE

not bent up, or bent down,

IT DOES NOT SQUASH FLAT OR DEFORM

with movement during the night,

IT IS ORTHOPEDICALLY DESIGNED

to normalize posture during sleep,

IT WORKS FOR BOTH SIDE OR BACK SLEEPING

so you can change position.

Rotator Cuff

  Sometimes mistakenly thought to mean bones in the shoulder, the Rotator Cuff actually consists of 4 muscles which help maintain shoulder mobility, stability, & function.

These muscles are called the “S.I.T.S.” muscles, an acronym for the 4 components---the Supraspinatous, Infraspinatous, Teres minor, and Subscapularis muscles.

Of these 4, the Supraspinatous is most commonly injured. It attaches across the top of the scapula to the top of the humerus, the upper bone of the arm. “Swimmer’s shoulder” is an injury to the Supraspinatous tendon, caused by repetitive forceful adduction of the arm against the resistance of the water.   

How To Get A Headache

Some very common postures can give you a headache!

        Here's what to watch out for:

Leaning your head back to look upward toward a TV or computer monitor, or tilting the head backward to see a monitor through the near-focus part of bifocals, are common postural producers of headache. 

These postures causes the occiput (the bone across the back of the head)  to be stressed inferiorly. This inferiority may be more on one side or the other (unilateral) or global (bilateral). 

When patients present with this in my office, it may be in combination with a superiority of the posterior part of the second cervical vertebra, an additional complication which makes the headache even worse.

I make gentle, focused, precise adjustments that correct the problems without discomfort to the patient, and I provide ergonomic counseling to help keep this from happening again.  

A Piriformis Predicament

When there is pain, or numbness / tingling going down the leg, a patient’s first thought is often, “Uh-Oh. It must be a disc.”

Impingement of nerve(s) by a bulging disc can be the cause of these symptoms, but in the absence of any history of injury, such as a lifting strain or a fall or accident, or of disc problems, it is not necessarily the first thing suspected.

A common cause of such symptoms is impingement of the sciatic nerve underneath the piriformis muscle in the buttock. The piriformis may be in spasm, or the patient may have been sitting for prolonged times, or on hard surfaces, causing pressure on the sciatic nerve.

I release a piriformis spasm with the Activator instrument, and give the patient home care instructions and stretches to alleviate the problem.