~ Along the Road to Wellness ~
All About Your Ongoing Treatment
Different types of care serve different purposes. For those people seeking symptom relief only, certain methods work best for different people. For those people that wish to correct underlying structural problems that contribute towards painful episodes, there are protocols described below. For others seeking to reduce the level of subtle energy and emotional stress in their bodies, there are techniques to assist with the awareness and release of this as well.
The goal of this phase of care is reduced symptoms and often increased range of motion. Gentle adjustments provided "by hand" or by mechanically assisted instrument, ice, range of motion exercises and stretches, trigger point work and home Activity of Daily Living instructions are utilized. In this office we also include Wobble Chair protocols to increase spinal range of motion along with other physiological benefits.
Correctional Care Protocols Based Upon Chiropractic Biophysics And Pettibon Sytem Research
Protocols for Structural Rehabilitation of the spine and posture are evidence-based protocols designed from multiple non-randomized controlled clinical trials that have shown good results in restoring improved spinal cervical and lumbar curves and reducing trunk/ribcage lateral displacements.
In order to obtain these changes, three important aspects of care must be utilized; mirror image spinal adjustments, mirror image exercises and proper spinal molding methods.
When patient pain relief has significantly been achieved, often within 30 days, structural Corrective Care will begin if needed. Recommended care programs vary in frequency but are commonly several days per week initially. The goals of this phase of care are postural improvement and spinal curve correction. Treatment will be modified to begin Mirror Image drop table adjustments, the use of a cervical adjusting instrument, cervical or lumbar extension traction, Mirror Image exercises, Pettibon-style head-weighted postural re-training, repetitive cervical pumping and thoracic foam roll interventions may be selectively used.
Physical re-examinations will occur every 12 visits. Follow-up x-rays of areas requiring spinal correction will be taken after 36 visits. Post x-ray measurements and physical/postural examination will determine the necessity, frequency and duration of the next phase of your care.
Chiropractic philosophy is based upon the idea that in a large percentage of conditions, the body doesnít need anything added or taken away from it; what is needed is the removal of nerve interference so that the body can restore normal physiology and heal itself. An adjustment is the application of a force designed to remove interference with normal nerve and joint function. The adjustment moves the bone through a range of motion that has many benefits, i.e. restoring movement to a restricted joint that better allows the body to reabsorb inflammatory chemicals and alters neurotransmitters back to normal levels. Like Dr. Lenarz states in his text, The Chiropractic Way, it is kind of like pushing the re-set button on your computer.
Adjustments are performed according to the intent and technique of the Chiropractor. At this office, adjustments are performed manually (by hand), assisted (with drop table technology), or by instrumentation (hand held instrument or Activator). Adjustments may be performed lying down/up, on your side, seated or standing. Given the correctional care approach of this office, utilizing the research and techniques of Chiropractic Biophysics
and the Pettibon Technique
, adjustments are performed not only with spinal joint and healthy nervous system restoration in mind, but gives special attention to postural correction.
Although many patients feel relief following an adjustment, the effects may not be immediate. It takes time for the body to restore itself to optimal functioning. By addressing the subluxations rather than the symptoms, the adjustment allows the body to activate its own self-healing mechanisms. The bone is not, as some patients think, 'put back into place'
, it is, in a sense unlocked, so that exercises, postural awareness and improved ergonomic habits can alter and correct proper spinal alignment.
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Use Of Ice/Heat
When acute tissue injury occurs, ice should be the first course of intervention during the first week of injury. Tissue injury/destruction results in increased swelling, causing splinting and lack of movement in a joint. The body can overreact to injury, especially when we errantly continue to aggravate it. Ice is very effective at locally reducing further tissue destruction by decreasing pain and swelling without altering the bodyís entire chemistry, as do anti-inflammatory medication. Although you may be tempted by the soothing idea of heat, DO NOT USE HEAT FOLLOWING AN ACUTE INJURY! Heat will promote inflammation, swelling and delay healing.
Ice is best applied as a gel pack, but NEVER directly to the skin. Use a thin t-shirt or paper towel. Apply for 15-20 minutes at a time do not go longer or you can aggravate the condition or cause frostbite. Continue to apply ice for 20 minutes at 2-hour intervals until the doctor instructs otherwise. DO NOT use ice if: it is an area of decreased circulation i.e. in diabetes, Raynauds, you have a previous history of frostbite in the area, metabolic Disease such as Gout or RA.
Dr. Weiner will instruct you when you are ready to proceed to Contrasting; the repeated and cyclical application of ice and heat at 15 minute intervals.
The application of heat should be primarily limited to chronic conditions of muscular tightness and limited range of motion in joints not due to an acute injury.
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Once signs of acute pain have been relieved, in order to support or improve your spinal curves, you will be given a set of Spinal Home Molding Blocks. Their purpose is to help re-mold your spinal ligaments and spinal alignment.
You may use these molding locks on the floor or on the bed. It is best to use them just prior to going to sleep so that your sleep/rest time best utilizes your improved alignment. Begin with 3 to 5 minutes and progress at 3-minute intervals until reaching 20 minutes. If you find this is painful, do not increase the time, reduce your time and let the doctor know. For some people, this will be an easy and simple progression. For those with a stiffer spine or with greater degenerative changes or more significant curve loss, this will be a slower progression. If at any time you experience any sense of dizziness or light-headedness, stop, and let the doctor know.
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Thoracic Foam Roll Instructions
The thoracic spine and rib cage is approximately 13 times larger than the had and neck, it is normally 3 times larger than the lumbosacral spine, therefore a rigid thoracic age and spine can and will easily oppose cervical and lumbar corrections, soon after a person is upright. By using the legs, one should roll the spine over the thoracic roller slowly up and down the ribcage. Over time and practice, you may roll low enough so that the roller is rolled down to the pelvis and up to the skull. You may also slowly rotate your trunk and roll up and down lateral areas to the spine that are the most locked. This is an important aspect of home care rehabilitation.
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Mirror Image Exercises
Mirror Image Exercises are given to the patient generally within the 1st four weeks of care. The purpose of these specific exercises is to re-train the spinal muscles to correct for significantly altered spinal positions.
The exercise may utilize a foam block so as to stabilize the body parts below the part of the body that is being moved. A handout instruction booklet will be given to you that will describe in greater detail the purpose and further details regarding the methodology of these exercises, a list and photo of your specific exercises and a chart for you to keep track of your repetitions.
The exercises are begun with a single set of 10, always holding each mirror position for a 5 to 10 count. By the end of the week you should be progressing to 2 sets of 10. Within a two to four week period you should be doing at least 50 repetitions per day. You make break up the number of times per day that you do your sets.
There should never be any significant pain with the performance of these exercises, though you certainly may feel the effects of stretch, muscular soreness. If you have any sings of sharp pain or dizziness, stop the exercises immediately and let the doctor know.
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Water Hydration And Spinal Correction
Water is crucial to your health. It makes up approximately 60% of your body weight. Every system of your body depends on water. Lack of sufficient water can lead to dehydration, a condition that occurs when you donít have enough water in your body to carry on normal functions. Even mild dehydration, as little as 1-2% loss of your body with can sap your energy and make you tired. Signs and symptoms of dehydration include: excessive thirst, fatigue, headache dizziness, lightheadedness, and muscle weakness.
Each day you lose water through sweating, exhaling, urinating and bowel movements. How much water to drink is not an easy question to answer, and each personís needs may vary base on activity levels and body physiology.
As to how much water to drink; there are several approaches:
- Replacement Approach. The average urine output for adults is 1.5 liters per day. In addition you lose an additional liter of water a day through breathing, sweating and bowel movements. Food accounts for approximately 20% of your fluid intake, so if you consume 2 liters of water a day (~8 cups), along with a normal diet, you are replacing your lost fluids.
- 8 x 8 glasses of water. While there is no scientific proof of this rule of thumb, it is a useful approach to drink approximately 2 liters of water per day.
- Dietary Recommendations. The Institute of Medicine recommends men consume about 32 liters (13 cups) per day and women 2.2 liters (9 cups) of fluids per day based on national food surveys. Remember that beverages such as coffee, tee and many sodas are diuretics, causing a net loss of body water.
Tips to stay hydrated:
- Start off each day with a glass of water.
- Have a re-usable water bottle that you carry with you. Remember that it should be glass or Nalgene. Remember to wash them with hot soapy water often. Most store-bought plastic bottles are not only bad for the environment; they can leach plasticizers into the water especially under hot conditions.
- Substitute sparkling water for alcoholic drinks when socializing to reduce dehydration.
- Do not drink too much water at meals as it will tend to dilute your digestive juices and can affect t the quality and amount of nutrient absorption.
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Tips For Healthy Eating
- In a lecture given on 3/30/07, Adiel Tel-Oren, M.D., D.C. provided a beautiful simple plan for improving the average Americanís diet. I have provided a brief synopsis of this talk as a helpful guide for your inspiration.
In this lecture he stressed the need to return our bodies to be in balance with nature. That the health of both our bodies and nature require the support of each other. For when we are in a state of dis-ease, we tend to care less about our environment, which in turn renders it more difficult for us to be healthy on multiple arenas.
- Rather than focusing on all the bad foods we should not eat (refined carbohydrates, artificial sweeteners, trans fats, over consumption of Omega 3 fats, etc) he simply said this: Focus instead on eating the following nutritious food per day and then if you are hungry, eat what you want. Just make sure that your food serves as a nutrient dense source of building blocks for your bodyís health and repair systems.
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Eat this Every Day (Organic if at all possible):
- One plate full of 'rainbow salad', multi-colored greens and add delicious items of your choice like avocado, sunflower seeds. Lemon, olive oil. Etc.
- One bowl full of Fruit Salad; use fresh seasonal fruits and add nuts as desired.
- Use 3-4 tablespoons of nuts/seeds/day; use raw only as roasting will hide the odor of older rancid nut oils and increase trans fats. Pecans, walnuts, almonds pumpkin and sunflower seeds, etc)
- One good portion of grains/legumes (higher nutrient density of sprouted) i.e. brown rice, millet...
- One good portion of deep green leafy vegetables; spinach, collard, chard, kale, cilantro, parsley
- One good portion of Cruciferous vegetables (i.e. cabbage, broccoli, cauliflower, brussel sprouts. These are high in indoles, powerful anti-cancer nutrients.
- 4-5 servings of whole fruit snacks throughout the day.
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