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Chiropractic Rehabilitation and 4 Stages of Soft Tissue Healing

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The healing process is divided into four broad stages which are not mutually exclusive and overlap considerably.

1. Initial vascular reaction – Active Swelling

2. Inflammatory response – Passive Congestion

3. Proliferative phase – Repair

4. Remodeling 

Wound healing refers to the body’s replacement of destroyed tissue by living tissue (Walter & Israel 1987). It comprises of two essential components whose differentiation is based on resultant tissue: Regeneration and Repair.

TISSUE INJURY CAUSES RESTRICTION OF MOTION DUE TO:

  1. Inflammation & Swelling
  2. Pain
  3. Muscle Spasm 

THE MAJOR GOALS OF CHIROPRACTIC CARE:

  1. Relieve Pain
  2. Promote Full Healing
  3. Restore & Maintain Full Function
  4. Reduce the Likelihood of Re-Injury
  5. Prevent Accelerated Degeneration 

Chiropractic Care Should Continue Throughout the Repair Stage. It Take Longer For Tissues to Heal & Normal Function to be Restored Than it Takes for Pain Relief. Pain Relief is not the Only Goal.  Chiropractic Helps:

  1. Restore Normal Motion, Function & Biomechanics
  2. Improve Alignment of New Connective Tissue
  3. Prevent Shortening of Scar Tissue & Chronic Stiffness
  4. Restore & Maintain Flexibility of Ligaments & Muscles
  5.  Restore Normal Muscle Tone
  6. Promote Quicker, More Effective Healing
  7. Restore & Maintain Normal Sensation
  8. Reduce the Risk of Re-Injury and Degeneration 

STAGES OF SOFT TISSUE HEALING

 

STAGE I: ACTIVE SWELLING

  1. Swelling Occurs for 12 to 72 hours
  2. Motion is lost and pain increases 

Goals of Care: Minimize pain and swelling

Care:

  1. Rest & Support of Injured Area
  2. Ice to Block Swelling, Pain, and Spasm 

STAGE II: PASSIVE CONGESTION   

Fluid trapped in tissues restricts motion, causes pain, & delays healing. Begins by second to fourth day

Goals of Care for Passive Congestion:

  1. Remove fluid
  2. Pain Relief
  3. Begin to restore range of motion 

Care:

  1. Chiropractic Adjustments Help
  • restore motion
  • block pain
  • restore normal sensation
  • relax tight muscles
  • remove swelling
  • accelerate healing
  1. Heat and Cold to Remove Fluid
  2. Controlled Motion Exercises
  3. Physical Therapy helps in Some Cases
  4. Acupuncture Can Help With Pain Control 

STAGE III: REPAIR

Beginning 5 days after injury, scar tissue is made for up to 6 weeks. 

Lack of motion causes excess scar tissue in dense patterns disrupting normal function causing:

  1. Excess Scarring
  2. Chronic Stiffness
  3. Limited Range of Motion
  4. Poor Biomechanics
  5. Chronic Pain
  6. Weak Muscles & Ligaments
  7. Loss of Normal Sensation
  8. Poor Nutrition
  9. Increased risk of Re-Injury
  10. Accelerated Degeneration 

If Motion is Restored & Maintained, Tissues Heal in a Much More Functional Way.

Coals of Repair Stage:

  1. Restore Normal Range of Motion
  2. Restore Sensation
  3. Promote Full Healing
  4. Relieve Pain 

STAGE IV: REMODELING 

Connective tissue remodels for better strength & flexibility. This often takes 3 to 14 week but may take up to 1 year with severe injury. 

Chiropractic Helps Achieve these Goals:

  1. Improve & Maintain Motion & Flexibility
  2. Restore & Maintain Function
  3. Reduce Chronic Pain
  4. Reduce Risk of Re-Injury & Degeneration

This Post was based on Dr. Malik Slosberg’s Research.

13 Facts for Chiropractic and Wellness Care

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In medicine, there are different ways to treat a patient. Some go for a surgery and this is usually the case when the patient’s problem cannot be resolved by other means. Surgery is the last resort with any injury or chronic pain. Some go for physical therapy while others prefer the chiropractic treatment. Many people utilize chiropractic services on a daily bases. However, how many people understand the theory scientific explanation behind chiropractic treatments. The philosophy in chiropractic care is that our body has the ability to heal itself without any medications. Our body naturally has the capacity to heal. It is also said that every few years, we get a completely new body. Our skin shed to make way for new skin and so do our organs but it does take awhile and with this knowledge we know that our body can really heal itself. It is the human spine that forms the foundation of our body and when it’s in the right position and there are no hindrances to it, we are at our best shape both in mind and body. The goal of chiropractic treatment is to achieve healing by regulating and maintaining a stable condition for our body.

1. Chiropractic Care Focuses on Health and Optimal Function

  1. Chiropractic offers a holistic approach
  2. The patient is the center of care, not a disease or symptoms
  3. The goal of care is to achieve a more effective life, to restore & maintain full function & well being

The Continuum of Health:

       ↑      Optimal Health                                                                                    

↑      Fitness           

↑      Good Function      

●      No Symptoms  

↓      Minor Symptoms/Dysfunction

↓      Moderate Symptoms/Dysfunction/Pathology

↓      Sever Symptoms/Pathology/Disease

↓      Death

2. Health  is More Than the Absence of Symptoms, Health is Viewed in Positive Terms of

  1. Human Potential
  2. Quality of life
  3. Optimal Function
  4. Resistance to disease
  5. Vitality
  6. Strenght
  7. Endurance
  8. Balance
  9. Coordination 

3. Patients and Chiropractors Work Actively Together to Maintain Health

  1. Health care is a dynamic process & a cooperative effort
  2. Patient education & self-care are important goals
  3. Patients are empowered to take responsibility & control of their own health

4. Symptoms Don’t Tell the Whole Story:

  1. Many problems arise gradually & symptoms appear only when problems are advanced
  2. Wellness care helps detect & correct problems at an early stage by restoring & maintaining normal function & biomechanics
  3. Good functioning muscles & joints are healthier & more resistant to injury, illness or degeneration. 

5. Chiropractic Care Focuses on a Natural Approach

  1. Chiropractic uses natural & conservative methods to promote the body’s own healing capacity
  2. It encourages healthful living: good nutrition, exercise, stress management & posture. 

6. Regular Chiropractic Care Helps

  1. Restore & Maintain full range of motion
  2. Promote full function
  3. Improve biomechanics
  4. Optimize performance & coordination
  5. Maintain joint stability
  6. Induce a sense of well-being & relaxation
  7. Improve nutrition to discs & other joints
  8. Reduce the risk of injury & degeneration 

7. Motion and Nutrition of Discs and Joints

  1. Chiropractors check the spine regularly to evaluate the motion of joints
  2. Good motion is essential for the health & nutrition of discs & joints because it permits the exchange of nutrients, fluid & waste
  3. Without movements, discs & joints may degenerate quickly
  4. Motion also reduces the formation of fibrosis (scar tissue)
  5. Fibrosis occurs in motionless joints & can lead to stiffness & degeneration 

8. Loss of Motion Can Occur Without Pain or Symptoms

  1. A chiropractic exam can detect disturbed motion & mechanics whether there are symptoms or not
  2. Through adjustments & exercises, motion and nutrition can be restored & maintained 

9. Coordination and Control of Muscle Tone, Balance and Joint Stability

  1. Restricted, painful injured or degenerated joints transmit information to the nervous system which is not harmonious with input from other muscles & joints
  2. This disturbs coordination, fine motor control & joint stability
  3. Chiropractors identify such joints and use adjustments & exercises to help normalize sensory input, function & motion
  4. This improves agility, balance, coordination, stability & fine motor control 

10. Joints Can Have Disturbed Biomechanics Without Pain or Other Symptoms

  1. Disturbed biomechanics can:   a) Alter load distribution, Increase risk of injury, b) Accelerate degeneration, c) Reduce optimal performance
  2. Chiropractors identify such joints & by adjustments, help restore normal biomechanics and load distribution
  3. This helps optimize function & may reduce the risk of future problems or injuries 

11. Well-Being and Relaxation

  1. In daily life we are exposed to many stresses that can make us tense
  2. This tension can be stored in our bodies
  3. Chiropractors check for signs of tension & by adjustments, help relax muscles, restore motion, & reduce stress
  4. Relaxation & a sense of well- being are very common results of chiropractic care 

12. As a partner with Exercise and Sports

  1. Chiropractic care isn’t a substitute for exercise but a valuable partner that can help enhance its benefits
  2. Joints with good biomechanics, relaxed muscle tone & stability will benefit the most from exercise & be the least likely to be injured 

13. Chiropractic and Athletic Performance

  1. Many athletes seek regular chiropractic care because  they find it improves their performance & reduces the risk of injury
  2. Some studies suggest chiropractic can improve athletic  ability, agility, balance, kinesthetic awareness, power & speed reaction time.

 This post was based on Dr. Malik Slosberg’s research.

Question: What is Your Opinion About Wellness?  What is Your Definition of  Wellness?

 

 

 

 

9 Reasons why Erchonia Cold Laser PL 5000 will enhance your Chiropractic experience.

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Every living cell in a human body that makes up muscles, organs, bone, nerve cell and other tissues, functions at a specific frequency, or environment that it knows as its “normal”. Cells may change its frequency when exposed to emotional and physical stresses, chemical toxins, surgeries and even injuries. During this process cells stop send messages to neighboring cells and communication between brain and cells being interrupted. Erchonia is the only cold laser,  that will help to activate the communication between the brain and the damaged cells. Thus, flawless performance can be achieved.

Chiropractic care utilizes equipment that can help speed up the effectiveness of each rehabilitation session. One of these equipments is the Erchonia Cold PL 5000 Laser. This is a lightweight and low level laser that is used to inhibit or stimulate the cellular functions.  Depending on the case, one might need a laser therapy and the Erchonia Cold PL 5000 is the one gadget used for therapy by many chiropractors and other health care providers.  This unit provides a low frequency bandwidth that is specifically ranges in between of 630-640 nanometers and a power delivery of less than one (1) mili-watt is optimal for healing. Depending on the purpose of the treatment, a health care provider will program the laser to help to treat different musculoskeletal conditions:

  • 1. Pain relief– documented that pain is decreased up to 59%
  • 2. Increases Range of Motion– extremely important to prevent progressive, degenerative joint and disc disease
  • 3. Strengthens immune system by increasing lymphocyte activity
  • 4. Speeds up healing and recovery time by 30-50%
  • 5. Regenerates damaged nerve tissue
  • 6. Releases Myofascial restriction
  • 7. Restores Muscle strength
  • 8. Increases ATP production
  • 9. Decreases Edema & Inflammation

The Erchonia laser emits a visible coherent light that stimulates the body’s ability to produce ATP, which allows a natural healing of the body in decreased time. Through this process pain and inflammation decrease, the natural range of motion of the joints return and optimal function of cellular physiology occurs on a more permanent basis.

In one double blind study prepared for original FDA approval, it was documented that the Erchonia Laser decreased by an average of 59% while concomitantly increasing range of motion – both actively and passively.

Wound healing using the patented Erchonia Laser, compared to six other Lasers, was minimum of 6-14% faster in therapeutic results. Additional unique findings of the Erchonia Laser show proliferation of fibrobalsts and keratinocytes while increasing microcirculation of the skin. Peripheral neuropathies from injuries have been dramatically affected. This includes both intact neurological function as well as severed nerves. Wound healing acceleration has been demonstrated as well as scar tissue  diminishment using Erchonia Laser. In all, this is very powerful healing tool that when used correctly by the practitioner, can result in miraculous changes to increase the humanality of patients that may have otherwise been considered unassisteble.

Erchonia is the only company to receive FDA clearance for the use of  Theraputic Laser Application for injury and management of Peripheral-Central Nervous System. The use of  Erchonia laser is the perfect complement to chiropractic spinal adjustments for enabling the body to restore its natural state of balance and health. Join the wave of the future and tell us that you  want  to experience the benefits of the Erchonia lasers in your care.

Enjoy living a healthy life!

Question: What other therapeutic Cold Lasers have you experienced at Doctor’s office?

Soft Tissue Injury and San Leandro Chiropractic Rehabilitation Process

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SOFT TISSUE HEALINGA Soft Tissue Injury (STI)happens when your muscles, tendons and ligaments get damaged because of a sprain or strain. It happens when one overuses or put too much stress on a particular joint. As a result the pain accompanied by bruising or swelling. STI is a very common problem and it can easily be remedied as long as the pain that accompanies it is not severe.

When STI occurrs, an immediate response applying the principle of “PRICE” would make a big difference. PRICE means Protection, Rest, Ice, Compression and Elevation. After an injury, the patient should be prevented from making any movements as it allows to prevent further damage.  If the patient feels the pain, when he/she bends or walks then he/she should avoid these movements. If absolutely necessary, crutches may be used. Icing minimizes the pain and the swelling especially during the first 3 days after the injury has occurred. Ice is placed on the affected area for 15-20 minutes at a time every waking hour. Take a note that if you have diabetes or poor blood circulation, you must consult your doctor first before applying a cold pack.  Pressure is applied to compress the injured area to control bleeding and swelling. Elevation of the affected area also minimizes the bleeding and swelling. Raise the affected area above the heart level for the first 72 hours or until the swelling would subside.

The “PRICE” management is effective but other treatments may be necessary if the patient experiences extreme pain that lasts for more than 24 hours. A health care professional would be able to make a diagnosis and recommend treatments. Treatments include chiropractic, physical therapy and massage therapy. If a patient suffers from severe pain, prescription medications might be necessary along with a rehabilitation program.

Chiropractic rehabilitation helps to rapidly solve the problem of injuried muscles, tendons and ligaments. One of the chiropractic specialties for such treatments is called ART or Active Release Techniques. Patient would be amazed at how fast your recovery would be if you go for a chiropractic adjustment, ART and Physical Therapy Modalities. It is a hands-on approach that locates then eliminates the scar tissues. The Graston Technique is a treatment using different stainless steel tools and it can be even more effective than ART. The Graston Technique uses instruments to treat the affected areas suffering from chronic inflammation or fibrosis of the soft tissues. SASTM is another chiropractic tool used that is made of acrylic instead of stainless steel as used on the Graston Technique. But, in some cases, in order to get the best result in treatment, both set of tools may be used on the patient as well as different modalities.

Question: What Kind of Therapy Have You Had For Your Soft Tissiue Injury?  What was an outcome like?