Patients Questions and Dr. Burt’s Answers #14-#18

October 8, 2010 by drburt

Do you think I have a concussion?

I was at cheer practice yesterday, and we were staging, and I guess I got hit in the face somehow. I don’t remember any of it. I barely remember anything that happened yesterday afternoon. I don’t remember the incident, or any of the rest of practice. It hurts a lot. I was knocked to the ground, I was told, and the next thing I remember is sitting on the ground holding my head.

It is still swollen a little, I’ve been dizzy since it happened, and it has been about 29 hours later, I still have a bad headache, even though I am on numerous ibuprofen, and I keep saying bazaar things. I am mixing up words, and saying things that don’t make any sense. I feel really dizzy still, and it is hard to concentrate, and I have a lack of motivation to do my work (when normally I used to do everything to the dot and on time. all a -student.) but now, I am irritable, and I feel confused. But I don’t know about what.
My mom won’t take me to the doctor, even though my coach thinks I have a concussion. She thinks “ill be fine”.

What should I do?

Answer:

In my professional opinion I think you most likely had a concussion. The only way to find out how serious is to go to a Hospital and get CT Scan done of your brain. Your mother must take your complaints seriously. If she does not listen, you must go to your school’s nurse and have her evaluate you. If necessary she will refer you out to a specialist. Dizziness, difficulty concentrating, confusion are all signs of a concussion. Please do not delay seeing a specialist ASAP.

I have a migraine, how do I get rid of it ?

Hello , I have a painful migraine . I got it today around 5:30 pm , it is now 7:52 pm where I live its not as painful anymore , now it feels like a regular headache but it still hurts and I want it to go away. We have no Advil or Tylenol in my house & my mom cant get any because she is sick as well .
Do you have any home remedies? or what ?
My birthday is Friday & I would hate for me to still have one .
I remember I had one migraine that lasted a whole week when I was little 🙁 & I hope it doesn’t happen it again .

So any home remedies ? Or what should I do?
Thanks.

Answer:

Since your mother is sick I assume she will not take you to a local Chiropractor to have your neck checked. At this point and time I would recommend you to educate yourself about migraine headaches – taking into consideration that it is migraine and you can use some stretches that will help to reduce the stress in the musculature of your cervical spine. Please read the following

1. Exercises For Cervical Strain

2. Headache Secrets Revealed and Chiropractic Care

3. C1 Vertebral Level and Chiropractic http://bit.ly/aIqkiQ

4.C2 Vertebral Level and Chiropractic http://bit.ly/cVFc8r

How To Get Better Sleep?

Every time I wake up, I always have a stiff neck. I have tried to lessen the amount of pillows…same result, even if I sleep with 10 pillows it is still stiff in the morning. I have also tried icing it down while I sleep. Please help. Thanks a lot!

Answer:

This is an advice that I usually give to my patients who have similar problem. Your pillow width must match the width of your shoulder base. In plain English – junction of your neck and shoulder and junction of your upper extremity and a shoulder. The width of your of a shoulder base must match the width of the pillow width after you place your head on it. This will insure that your cervical spine is in neutral position all night long. Neutral position of the cervical spine will insure that you don’t have a sore neck in the morning or during a sleep. It would be a great idea if you could go see a local CMT for your strained muscles

How to get rid of constipation?

I am always constipated and its really annoying because I always feel like I need to go but can’t 🙁 I’m fed up of it now…I spoke to my doctor about it recently and she said that it is because of the pills I have taken but basically she didn’t care & just told me take a laxative. but I don’t really want to take them anymore because I was constipated for about a month not long ago and I took them everyday for about 1-2 weeks and they didn’t even work as well as they should have. It’s really embarrassing as well because every time I go my belly makes these really loud rumbling sounds *sighs. I eat so healthy I could never squeeze in anymore salad & veg but I also eat a lot of take always help?
Oh and I heard that drinking water helps is that true because barley drink more than a can of diet coke a day.

Answer:

First of all you need to stop drinking diet coke. Diet coke contains Aspartate (Artificial Sugar) which is known as damaging neurotransmitters in your central and peripheral nervous system. Plain water is the best way to go.

You must go see you local chiropractor and have your L1 Vertebral Level Checked. When the peripheral nerve at this vertebral level is not functioning properly one of the symptoms is constipation. Just remember there is a cause to every problem. Laxative is not a solution. Please read this post for better understanding of your problem –

Relationship of The Nervous System And Spine To Organs … read more

What is wrong with my ankle?

Ever since Saturday (it is now Wednesday) my ankle has been really swollen. I’m a runner and run anywhere from 3-5 miles daily. It also feels creaky when I try to roll it around, what is wrong? I’ve had lactic acid build up in the past, but it wasn’t like this, could it be the lactic acid again? Should I stop running on it? Because I was told that you should keep exercising when you have lactic acid build up…

Answer:

Swollen ankle usually indicates that there is sprain or strain of the soft tissue in your ankle. It usually happens to runners. I would suggest that you go see a local Chiropractor who has Physical Therapy modalities and Certified Massage Therapist as a staff member.

Please read this post – Ankle Injury and Rehabilitation Options …read more

Patient’s Questions Dr. Burt’s Answers #6-#13

September 13, 2010 by drburt

Does sitting up straight really help you?

If you sit straight (back straight, legs in front of you, shoulders back) does it help you in later life? Or will you get a hunch back?

Answer:

Please read these articles. These two posts describe everything you need to know about the posture.

Why is Posture So Important and 96 Tips for a Perfect Posture

Back Pain/Lower back joint grinding?

Hello, I have a curve in my spine, and also have arthritis in my lower spine. For the last year or so I have been having really bad grinding noises in my lower back when I move my hips back and forth—if I lay on my side and stretch and move you can feel this as well. It’s kind of painful with a lot of grinding and popping. I have posted this before with no success only scams–so please any help would be great as I don’t have any medical insurance and I don’t want to go to M.D. if this is something everyone feels?!

Answer:

The symptoms you are experiencing correlate with symptoms of someone having osteoarthritis in the spine. The presence of scoliosis (curve in my spine) is most likely a contributing factor over a long period of time. I don’t know your age but is sounds that you have had it for a very long time. Lack of proper biomechanics in your lower back (lumbar spine) took its toll on your vertebral joints and proper articulations of each vertebrae. I would suggest for you to go see a specialist in your area ASAP. Doctor of Chiropractic would be the first choice – he/she has X Ray machine in the office and will be able to determine how advanced is the stage of osteoarthritis. If things went beyond the point where chiropractor can’t help your next choice should be an Orthopedist. My advise was given on a description of the problem that was provided in your question. I hope you feel better.

Leg pain after soccer practice?

My friend has bad leg pains. In her soccer practice she kicked the soccer ball full power at the same time as someone else did (and they are the best on the team btw…) and now when she steps with it she feels a rush of pain. But when she stretches like by pulling it towards her it does not hurt as much. Do you know what the problem is??? Is it serious?!?!?

Answer:

It sounds like your friend has sprain/strain in her leg. Since you do not provides specific region of the leg I will use general terms. When she applied a weight load on her leg injured muscles and tendons react to the load by sending painful signals to the brain. Basically pain is the way your body communicates with your brain by letting you know that something is wrong and you should do something about it. When your friend is stretching she does not feel as much pain and probably she feels better after the stretch. I would have your friend to see a local Certified Massage Therapist and get several session of deep tissue massage around painful area. Massage will help to repair soft tissue fibrosis and will enhance the healing process. The sooner she does it the easier it is going to be to fix the problem. Hope your friend feels better.

Is my sprained ankle good to go?

I sprained my ankle a little over a month ago and it has been starting to feel better. It now has a full range of motion and everything but when I run and jump around on it, it still feels a little sore. The pain is definitely tolerable but I’m worried I could be making things worse. Is this normal or do I still need to give it more time?

Answer:

Hello. The last sentence of your question tells me that you did not have any rehabilitation done to your ankle after you have injured it. That is basically the cause of your pain. During sprain injury your ligaments and tendons are being over stretched. During the passive healing process the soft tissue fibrosis is forming. In basic English that means that scar tissues around injured ligaments and tendons are being formed. These fibrotic tissue is very painful and will not go away on its own without proper rehabilitation. You could see your local Chiropractor, Massage Therapist or Acupuncturist with combination of Physical Therapy modalities. Please read more here

My ankle has been swollen for months?

I suffered an inversion sprain in March and it is now 5 months later but it still looks fat. I can run, sprint, jump and all that good stuff no problem, its just the physical appearance of the ankle that confuses me. Why is it still fat?? What can I do to get rid of it?

Answer:

Most likely you have fluid retention or there is still an inflammation after your injury. I would suggest for you to go see your Family Doctor and have him/her order X Rays and MRI of your ankle. This will help to figure what is going on with your ankle.

Another option is to try rehabilitation process. Please see an answer above with some additional information. I hope this helped to answer your question. Have a great day.

Is my hand fractured?

So earlier today I was taking my curtain down and I guess my hand came to close to my ceiling fan and the back of it got hit. It hurt so bad and now I am left with a few scars, a swollen hand and moving my fingers isn’t to easy. The one that hurts the most to bend is the middle finger. Should I go to the doctor or just keep icing it?

Answer:

Most definitely please go see a Doctor ASAP. The fact that you have difficulties moving your fingers is not a very good sign. The presence of a fracture is possible. Please see your PCP and have hand X Rayed. If you have a fracture your doc will cast it for however long is necessary. If it is not fractured please get some rehabilitation of your hand from a Certified Massage Therapist, Chiropractor or Acupunturist.

Hip pain/Lower back pain after running, playing basketball, weight training?

So last year I was playing basketball, and another teammate jumped and his butt landed on my hip/lower back. After that I could barely play. Pain went away after a few days. So I kept playing all last year and pain would come and go.

This year in another basketball tournament, after not playing for months, I played and pain was killing me, I played through pain for a game but I couldn’t handle it anymore.

Now every time I run at gym or lift some heavy weights, hip/lower back starts hurting for a couple of days. Went to Back to a Doctor. He gave me none inflammatory pills but didn’t really help.

I constantly feel a pinch in right hip after seating at work for 8 hours.

What could it be? I will be starting Police Academy in the next 6 months or so. I don’t want this to be a problem.

Answer:

Sorry about your agonizing pain. I am pretty sure you are tired of taking anti inflammatory pills as by now most likely they stopped working anyway and your pain level has gone up. It is very common to have lower back and Sacroilliac Joint being injured during sport acitivies. The fact that you teammate landed on your hip tells me that excessive force was used to misaligned your Lumbosacral and Sacroilliac Joints. You MUST go see your local Chiropractor ASAP. Have him/her adjust your entire spine, use some PT modalities and get deep tissue massage. Make sure that Chiropractor that you choose has everything in the office – I mean PT modalities and Certified Massage Therapist. Please read more about lower back pain here.

Questions/Answers #1-#5

August 17, 2010 by drburt

#1 Falling asleep on arm numbness?

Lately I have been waking up just about every night with a tingling, numb arm because I have been falling asleep on it. I figure it becomes like this because the circulation is cut off. Can this be potentially dangerous or hint toward something of greater significance and severity?

Answer:

Thank you for visiting and asking a question. Sleeping for a prolonged period of time on your arm will cut-off a blood circulation to your upper extremity. As a result you will experience symptoms such as: tingling, numbness and loss of sensation. Central Nervous System (CNS – Brain) has a unique defense mechanism. When it senses that your body is in danger it will alarm you automatically. In your particular case your CNS sent you a wake up message. This is not dangerous if it happens only because of the sleeping position. You have to try to change sleeping positions and patterns and the problem should go away on its own. However, if you have something like TOS (Thoracic Outlet Syndrome) misaligned Clavicle and even Subluxated Vertebrae in the early stage, the symptoms you experience could be because of these conditions. Please have yourself checked by a local chiropractor when you get chance. Hope you feel better.

#2 My ankle is the size of a softball. Help?

Today at camp I rolled my ankle pretty bad in one of my games. It hurts so bad when I stand on it for even a second :/ What are some tips and pointers you can give me to ensure a speedy recovery? And have you ever sprained an ankle really bad before??? Your help will be greatly appreciated thank you!! 🙂

Answer:

Hello, The severity of your injury depends on how badly you have hurt the soft tissue that supports your ankle. From you description it sounds like it is pretty severe due to the size of the swelling you have described. At this point and time I would use ice – 15 minutes on and 45 minutes off every waking hour. This will help to keep inflammation under control. Pick up your phone and make an appointment with your orthopedist or local chiropractor. Most likely your doctor of choice will have XRAYS done on your ankle and order MRI. XRAY will help to rull out a potential fracture and MRI will help to see how sever is the sprain/strain of your ankle. When diagnosis is established you should start rehabilitation process. Assuming you did not rapture your ligaments or tendons I would recommend the following – PT modalities such as Erchonia Cold Laser PL 5000, Ultrasound, and Electric Muscle Stimulation followed by deep tissue massage from CMT.

If your tendon or ligament has severe tear arthroscopic surgery is inevitable.

#3 I thought I pulled a muscle but….?

A couple of weeks ago I was at the gym as usual running on the treadmill, towards the end of my session, I started to feel a pain which is centered on my left buttock. Since then I have not been able to run at all as it is too painful & sometimes I can feel a discomfort just walking around normal or sitting.
At first I thought i pulled a muscle but since it’s now been two weeks… I think it is probably something else.
Thanks

Answer:

From your description it sounds that you have Sacroilliac Joint (SI) misalignment. When SI joint is subluxated symptoms will get worse upon walking. The reason why pain level goes up is because SI joint plays a very important and active biomechanical role in a walking process.

You can self diagnose if your SI joint is misaligned. Stay in front of the mirror with your eyes closed and march in one place for 5 seconds. When you are done marching open your eyes and look at your – 1) ear level, 2) shoulder level, 3) hip level. If one side of your hip is higher than the other your SI joint is misaligned. An even better way is to have someone else take a digital photo of yourself with your eyes closed. You will be able to see it for yourself how the shoulders and neck compensate for your SI joint problem. I would suggest to see your local D.C. and fix the problem in a couple of sessions.

#4 A Fourth Sprained Ankle?

I sprained my ankle twice in the past year. One time I slid on ice and sprained on side in late February and then in March sprained the other side as well as the first side. During June I wore an ankle stabilizer so I would not injure it again in PE but in July the pain came back and went away in a few days. Now I can’t really walk that great on it. I told my Mom but she says it’s fine. After injuring it in Feb and March I was prescribed physical therapy but it isn’t covered by insurance unless it follows a surgery. Does anyone think I may have injured it for a fourth time??
~~~Sorry for the long description.~~~

Answer:

Most likely you have a flare up of an old injury that has never been properly rehabilitated. Weak ligaments and tendons are very easy to injure again. Post traumatic soft tissue fibrosis makes your soft tissue less elastic. Since you do not have insurance I would suggest to find local CMT get some deep tissue done on your ankle. MRI of your ankle would tell the entire story, but it is very expensive. Also Cold Laser therapy by Erchonia PL 5000 and Ultrasound will be able to get some good results. Those modalities should be available in your local D.C. office.

#5 Should I still work if I have a herniated Disc in my back?

I just had an MRI done and found out not only do i have a disc protrusion in the lumbar section of my lower back, I also have chronic arthritis in my spine and degenerative disc disease. Is it good for me to continue at a job that I have to lift heavy objects repeatedly?

Answer:

Repetitive heavy lifting will accelerate the degeneration of your lumbar disc and osteoarthritis. As a result it will cause more pain and your ability to perform Activities of Daily Living. It would be great if you could find a different place of employment that does not require repetitive lifting. You can also ask your employer to provide a modified duty for you if such is available.