Monday, October 5, 2020

Plantar Fasciitis

   Pain in the bottom of the foot, usually in the arch further back toward the heel, may be plantar fascitis. It is caused by injury or inflammation of the plantar (bottom of the foot) fascia. The plantar fascia is a band of fibrous connective tissue on the sole of the foot.
The pain may come on slowly, related to chronic pronation (a falling inward of the inside of the arch) combined with a “fallen” arch, or be more acute, due to an injury---landing hard on the sole of the foot, quick acceleration / deceleration when walking or running, or repetitive shock of hard heel strike during the gait cycle.
My treatment includes carefully aligning the bones of the foot with the Activator instrument, support of the arch with orthotics, exercises to strengthen the arch, stretches to maintain flexibility, and ice and other applications for inflammation.
The patient must not go barefoot---there must be NO weight-baring without orthotic support.

Monday, September 28, 2020

Could It Be My Pillow??

   No, not the My Pillow advertised an infinitum on TV---I seriously doubt those provide proper and adequate support for the cervical spine.
If you aren’t sleeping on a proper pillow, one that correctly supports the curve of the neck, this may be the reason you have persistent neck and upper back pain.
When the pillow you sleep on allows your head to tilt downward toward the mattress, or pushes your head upward at an angle, it is not serving you. Your neck should be parallel with your mattress when you are lying on your side, and if on your back, your head should not be angled abnormally up or down.
The right pillow gives consistent, resistive support to the spine throughout the night.
It doesn’t compress, as does a pillow filled with down or feathers. 
It doesn’t deform, as a buckwheat pillow will.
It doesn’t squash down where your head and neck press on it, creating a depression that discourages movement during the night, as a memory foam pillow does.
Look for an orthopedically-designed pillow, such as the one I sleep on----I have them available in my office for patients.

Monday, September 21, 2020

Bench Pressing / Ergonomics

   Dropping the elbows too low while bench pressing heavy weight can cause stress injuries to the acromioclavicular joint in the shoulder.
The outer end of the collarbone, near the front and top of the shoulder, articulates with the acromion process, a bone projecting forward from the scapula. The clavicular part meets the acromion part, forming the “acromioclavicular, or AC, joint.
One of several joints making up the shoulder complex, the AC joint is particularly subject to injury because it is essentially two bones butting together, held by ligaments.
Recently a patient who had come from working out at the gym presented with shoulder pain due to over-stressing the AC joint while bench pressing.
Precise adjustments with the Activator instrument, combined with home care & ergonomic counseling, were the solution.

Monday, September 14, 2020

It's a Veggie! It's a Fruit! It's Full of Vit. C!

         Often thought of as a vegetable, red bell peppers are actually classified as a fruit, because they have seeds.
        Red bell peppers are an excellent source of Vit. C---one cup contains 117 mg---and they are low in sugar.
They also contain multiple antioxidant compounds---a single red bell pepper has 30 different antioxidants. They are one of the most nutrient-dense foods one can eat.

Monday, September 7, 2020

Yep, It's All Connected

  “The thigh bone’s connected to the knee bone, the knee bone’s connected to the.....” as the saying goes. 
And it’s true. The technical term is “a kinematic chain.” Meaning the movement of one part affects or is linked to movements of the other parts.
Thus a problem at the hip affects the knee and possibly the foot, a problem at the ankle affects the knee & in turn the hip, a distorted pelvis reverberates down into the lower extremities, etc.
So if you come in with hip pain, I'm going to also check your pelvis, knees, ankles, and feet. If you have knee pain, I will likewise check your lower extremity above and below your knee, as well as your pelvis. 
Unless the whole kinematic chain is addressed and corrected, you're not likely to get lasting relief.