Category Archives: Chiropractor

Posture Does Matter

I’ve discussed posture before. I like to talk about strong vs weak posture rather than good or bad posture because weak implies that you can do something about it, where bad implies something that has just happened to you. This video uses the terms good and bad posture, but it still explains things well.

PA10:ENG Posture from Haavik Research on Vimeo.

You don’t have to wait until you or your child is in pain to solve the problems. Come in and address your weak posture before it becomes painful.

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Water Weight

 

 

Water does affect weight gain and weight loss, and not just because of so called water weight.Water

Water improves digestion (absorption, creation of saliva, transportation of nutrients) circulation, cellular communication and maintenance of body temperature. Water also decreases caloric intake by filling you up. There are so many ways that water helps your body that I’m creating a post about it next.

water bottleIn regards to water and loosing weight there are a few tips, but the most important to remember is to just drink enough regularly. Drinking a gallon of water all at once is not as good as drinking plenty throughout the day. Having a water bottle with you is a great way to remind yourself to drink as well as to encourage periodic drinking.

Drinking before you sit down to a meal can help you feel more full and eat less. While drinking before exercise can keep you exercising longer and with more intensity. Ideally you should keep yourself hydrated rather than drinking immediately before exercise, but for that extra hydration try drinking a whole water bottle about 1-2 hours before working out. This will allow the water to absorb into your system rather than just sloshing around in your stomach. When you’re done working out you will need to replenish that water and so you should drink at least another bottle within the 2 hours after working out.

Urine ColorMost people don’t keep track of how much water they drink, but everyone wants to know how much they should be drinking. A general rule is that you should be drinking at least half of your body weight (in pounds) in ounces each day. So if you weigh 150lbs you should be drinking at least 75 ounces of water every day, and that doesn’t count the extra water that you should be drinking when you work out. That’s about 2 1/2 of those plastic 1 liter sports bottles. Another way to make sure you’re getting enough is to check the color of your urine stream. If you are well hydrated your urine will be clear. The darker the urine the more water you need.

 

Access to Chiropractic for Military Families

The NavyTimes reported on a possible revamping of the military medical system recently

Washington policymakers will soon begin consideration of the biggest overhaul of the military health care system since Tricare replaced CHAMPUS in the early 1990s — changes that would shift millions of beneficiaries to commercial, private-sector health plans.

This plan is purported to save the Pentagon billions of dollars as well as improving access to care for over 9 million military families.

Participants would have to provide the same services now covered by Tricare, including inpatient and outpatient services, medical and surgical care, mental health and substance abuse treatment, maternity care and pediatrics, preventive care and more.

But some plans could offer benefits that the current Tricare program doesn’t — chiropractic care, fertility treatments, acupuncture and more — at various costs.

The commission, whose members included six retired military officers, a Navy reservist and a Medal of Honor recipient, all with legislative and professional expertise in military pay-and-benefits issues, says the program, called Tricare Choice, would give families more choice of doctors, better access and improved treatment.

For the full article visit http://www.navytimes.com/story/military/benefits/health-care/2015/03/16/commission-proposes-tricare-choice/24458697/

chriscapitolstraightTo support improved access to chiropractic for our military and their families you can sign up for alerts about legislation affecting chiropractic at http://www.chirovoice.org/ or you can visit the legislative action center for the ACA (http://cqrcengage.com/aca/) to find current issues and contact your representative or senator to make your voice heard.  There are currently 3 federal issues that affect chiropractic and the military. Take a look and support our troops.

Alternative Medicine or Alternative To Medicine

There are many alternative medicines.  Chiropractic is not one of them.

There are many alternative medicines. Chiropractic is not one of them.

According to the medical community I practice Alternative Medicine.   I don’t use any medicine in my practice at all.  An alternative medicine to Tylenol would be Advil, not chiropractic.  Perhaps if it was said that chiropractic is an alternative to medicine rather than chiropractic is Alternative Medicine then I could accept it.  The medical community is obtaining a monopoly on health care terminology.

It may not have been planned that way originally, but there are now laws being put forward by medical associations to ban non-MDs from using the title doctor or physician.  Below are a few samples of how the medical community refers to other providers of health care:

Here is the (government) MedlinePlus take (emphasis added):

Complementary and alternative medicine (CAM) is the term for MEDICAL products and practices that are not part of standard care. Standard care is what medical doctors, doctors of osteopathy, and allied health professionals, such as nurses and physical therapists, practice.The claims that CAM treatment providers make can sound promising. However, researchers do not know how safe many CAM treatments are or how well they work…

They later recommend you discuss it with your “doctor”  implying of course medical doctor. This article leads you to the belief that “alternative medicine” is non-standard and of unknown safety.

This article on Wikipedia makes me want to become a Wikipedia editor.

Alternative medicine is any practice that is put forward as having the healing effects of medicine, but is not based on evidence gathered with the scientific method… Examples include homeopathy, traditional [folk] medicine, chiropractic and acupuncture.

Despite the myriad of medical treatments that are based on tradition rather than on the scientific method, and despite the mountain of scientific research supporting chiropractic treatment this article still exists.  

The Mayo Clinic starts it’s CAM article by saying “You’ve heard the hype about complementary and alternative medicine.  Now get the facts.”  They list chiropractic as CAM, and then proceed to tell us that many medical doctors don’t have any training in CAM.  They state that some CAM treatments have been proven effective (perhaps Wikipedia should cite the Mayo Clinic), but warn that because some aren’t proven you should talk to your doctor about the risks and benefits of these treatments about which they have no training.

I recommend that you discuss your treatments and possible treatments with all of your providers.  They should all be working as a team and some treatments do interact poorly.  The purpose of this article is not to discourage communication with your medical provider nor to disparage them.  Most of the medical doctors that I have worked with are well trained, intelligent, and work with alternative providers to compliment their own treatments.Conversation-bubble

I would like to bring attention to the fact that words have meaning.  Chiropractors have struggled for years to come up with good terminology in our profession, even skipping the debate on the word “subluxation,” we’re still left saying things like “it went” after a successful treatment.  Chiropractors need to do better producing our terminology, because if we don’t the medical community will.

According to the State of Utah I am a Chiropractic Physician, According to the Department of Education I am a Doctor of Chiropractic.  I am a practitioner that provides an alternative to medicine, but I am not an Alternative Medicine provider.

Phases of Care


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There are three phases of treatment that I usually tell to patients.  There are lots of ways to divide phases of recovery/care this is just one way that I explain things to patients.

The first phase is the Acute Phase of Care.  In this phase our goal is to reduce symptoms, such as pain.  Most people feel that if they aren’t in pain they are healthy.  Pain as discussed before is a lousy indicator of health.  For example a cavity in your tooth doesn’t become painful until after it gets to the root, but everyone knows that the cavity was there long before that.  With cancer you always hear about early diagnosis and treatment long before symptoms being the best way to treat the disease.

When you start chiropractic care because of pain you have been unhealthy for a while.  Pain is the first thing to go away, but you are often far from healthy and much of the problem still remains even though you are feeling fine.  This is often when insurance companies will try to stop paying for care, but if you do the chance of recurring injury is significant.

This phase of care can last from 2 weeks to 2 months.

The second phase is the Corrective Phase of Care.  In order to prevent or reduce the risk of recurring injury you need to continue treatment until the problem has been corrected and your body has been strengthened.  This is often long after your symptoms are gone.  You won’t need to receive adjustments as often in the corrective phase, and depending on your condition you may begin exercises and other home care to strengthen your body and provide accelerated healing.

There may be occasional symptom flare-ups in this stage of care. Like a bruise in this phase it doesn’t hurt unless you poke it and then it reminds you in no uncertain terms that yes it is still there.  Your body has not quite finished the healing process.   Imagine a scrape. scraped-knee The pain is gone in hours but the scab remains for weeks, still a reminder that your body isn’t done healing.

This phase of care can last a few months to years in extreme cases.

The third phase of care is Wellness Care.  Just like getting six-pack abs it takes a lot of effort to get them.  Maintaining them takes much less effort but must be done or they disappear a lot quicker than the time it took to get them.  Regular chiropractic care can help keep your body at it’s best and catch problems early.

When you make the effort to be healthy you are not reactionary, but proactive.  You will be able to avoid many of the problems that affect people.  This does not mean that you will never have health problems or injuries, but it does allow you to live your life as full as you are possibly able.  You can live life to the fullest and enjoy more of the activities that you love.

Boy Scout Physicals

BSAThe Boy Scouts of America (BSA) is a valuable organization to our country and to the boys that it serves.  Having served in the BSA for years, I can attest to the benefits of the organization.  As with every organization there is always room for improvement.

In 2009 the BSA made a change in its policy regarding what professionals can perform participation physicals for the boys.  For decades prior to this decision Doctors of Chiropractic were performing physicals for Boy Scouts often times free of charge so that they could participate in their summer camps and other physical activities.  These chiropractors were acting in accordance with their licenses in their respective states.  The state of Utah where I practice allows chiropractors to perform participation physicals for schools or for employment.  Despite their license and education the BSA will no longer accept physicals performed by a chiropractor.  There were no complaints or incidents over the 20 years when chiropractors were performing these physicals.

The American Chiropractic Association (ACA) continues to work on this issue.  They “sent two letters to BSA headquarters supporting the fact that DCs are qualified to perform annual physicals, voicing its concerns about the policy change and requesting that the previous policy be restored to recognize the state-authorized ability of doctors of chiropractic (DC) to provide annual exams to BSA. The group’s decision was not supported by any evidence; in fact, chiropractic physicians performed these evaluations for BSA for more than 22 years prior to the change last year. Furthermore, many DCs are involved with BSA as volunteers, leaders or parents.

If you would like to do something about this issue please visit the American Chiropractic Associations action site here: http://www.acatoday.org/letters/bsa.cfm and follow the suggestions that they have there.

 

 

Ankylosing Spondylitis

Ankylosing Spondylitis (AS) is in the category of less common diseases that you may not know that your chiropractor can treat.  Don’t worry, you probably don’t have it.  Recently the topic came up and I promised to create a post to provide some basic information on the topic of AS.

AS RibbonFirst let me cover what it is.  AS is an inflammatory disease and can be classified as a type of arthritis.  It causes pain in joints and bones, particularly in the spine with the most common complaint being the low back.  In the most severe cases it can cause bones to fuse together.  It is much less common than your typical  osteoarthritis and is also harder to diagnose because of the similarity of its symptoms to so many other conditions.  When you walk into a doctor’s office complaining of low back pain, they won’t jump to the conclusion that you have AS.

Your chiropractor can diagnose AS using a combination of your health and family history, blood tests and radiologic tests, but they won’t usually go hunting for this condition.  It is more often found after other things are ruled out or discovered incidentally with X-rays for other conditions.  This is a sexist disease usually affecting men, but that doesn’t mean that women can’t have it.  AS is also not an illness that comes on late in life.  It usually makes its self known before the age of 35.  The cause of AS is unknown still, but is likely genetic, meaning that it runs in families.  As with most diseases whose causes are unknown there is no known cure yet.  There are however treatments.

Most medical treatments for AS focus on management of pain and symptoms, but there are some medications that have been found to slow the progress of the disease.  Your chiropractor should be able to help you manage or reduce your symptoms as well as slow down the progression of the disease without medication.  As always he should also keep in close contact with your other providers that may be treating you, most likely your  rheumatologist, and together they should come up with a plan of action specific to you.

Image by Cienpies Design http://www.cienpies.net

Image by Cienpies Design http://www.cienpies.net

The treatment with the best results for AS is improving your range of motion and flexibility with exercise, diet, and joint mobilization.  You can do much of it on your own at home with guidance from your provider.  Your chiropractor should already be using these tools to treat any low back pain, but they will be even more important if you have AS.  Your chiropractor may or may not adjust your spine depending on your condition, but managing your care does not require manipulation if you don’t want it.

In the past some practitioners would recommend not seeing a chiropractor for AS because possible risks were unknown.  No studies have found increased risk to people with AS when treated with chiropractic manipulation, and recent research indicated benefits even at the late stages of the disease.  While most of the research is focused on finding a cure to AS here’s a link to an excellent case study of improvement with chiropractic management of AS.