"Pelvic Distortion"--Is That a Rock Band?

      Actually, no, although it may sound like it. 

      Pelvic distortion is a very real, fairly common condition of the pelvis that causes, among other problems, a person to have one leg shorter than the other. 

      It also creates a tilted pelvis, making an unstable foundation for the spine and the rest of the body above. 

      Don't go through life with a pelvic condition that may sound like a rock band; come see me; I will adjust and balance your pelvis with low-force, comfortable ACTIVATOR Chiropractic.

Foot, Ankle, Knee, Hip

 An aberrant condition in the foot often affects the related ankle, knee, and hip. This is known as a “kinematic chain.” Vice-versa, a hip or knee problem can reverberate downward and affect the ankle and foot.

For example, pronation in the foot causes ankle destabilization and results in rotation of the knee. This is easy to demonstrate in someone who pronates by having them stand barefooted, without support for the arch of the foot.

Abnormal rotation at the knee causes stress in the joint, leads to abnormal wear-and-tear, and contributes to degenerative breakdown of the joint tissues.

In turn, this aberrance at the knee reverberates upward and creates abnormal stress in the hip joint.

When patients present in my office with foot pronation, I check and balance their pelvis and entire lower extremities, and prescribe orthotics to support the foot and correct pronation.

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.

Tension Headache

  Possibly the most common type of headache, tension headache, manifests as dull, aching pain and feelings of tension, tightness, and / or pressure in the head.

The sufferer may also have tender spots on their scalp and in the muscles of their neck, upper back, and shoulders.

With patients presenting in my office with this type of headache, I frequently find hypertonicity (abnormal tightness) or spasms in the suboccipital muscles at the base of the skull, in the muscles of the jaw, and in the muscles of the neck, upper back, and shoulders.

Sound familiar?

My treatment includes adjustments with the Activator to correct misalignments in the neck and upper body, and I use the Activator to relieve the hypertonicity in affected muscles.

Since these headaches are often posture - related, I counsel the patient about stressful postures which may be causing them, teach patients how to avoid these tension-producing postures, and give the patients stretches for the involved muscles.   

The Power of Purple

  Which fruits and vegetables pack the most powerful nutrition punch? The answer = the most intensely colorful ones, especially if they are purple, red, or reddish-brown. 

These colored foods are richer in phytonutrients called anthocyanins, powerful antioxidants. They make blueberries blue and strawberries red.

Anthocyanins “show great promise in fighting cancer, lowering blood pressure, slowing age-related memory loss,” etc.

What foods can we begin to add more of in our diets? 

Think purple!---purple onions, purple cabbage, purple potatoes, purple carrots, purple broccoli, purple cauliflower, purple peas & beans, artichokes, and asparagus come to mind.

To learn more, see Jo Robinson’s 2013 book, Eating on the Wild Side:  The MIssing Link to Optimum Health

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.