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Chiropractic Questions and Chiropractor Answers

September 19, 2011 by drburt

 

CHIROPRACTIC QUESTIONS ANSWERSChiropractic Questions and Chiropractor Answers

Question #25 

Lower back pains !!!? 

I work an eight hour shift almost every day and stand on my feet constantly. My work duties require me lifting heavy objects. I always try to lift with my legs and not my back. However, lately the lower right side of my back has been killing me. It is very painful to sit, so I stand more or lay down when I get the chance. What can I do to lessen the pain?

Answer: 

From my professional standpoint it appears that you might have an overuse or repetitive soft tissue injury. That might involve sprained tendons and strained musculature around the lumbar spine. Also herniated disc and subluxated lumbar vertebral level can also be contributing factors for the pain. I would suggest that you take some time off of work and see your local chiropractor who has physical therapy equipment and massage therapist in the office. The time off of work will allow your body to avoid farther soft tissue damage and proper rehabilitation will expedite the healing process. Hope it answered your question

 

Question #26 

What’s wrong with my ankle(s)? 

Last year during volleyball practice, I dove and twisted my ankle. Ever since it has been weird. I’ve had really flat feet since I was a little kid, and my ankles always hurt because of that. i don’t wear very supportive shoes, but even when I do it doesn’t help. I went to a podiatrist a few months ago, and he diagnosed me with an excessively flexible flat foot. Strange. I use an ace bandage on my ankle, but to no avail. Nothing has made it feel better. It hurts off and on, though, and when it hurts it hurts a lot. I think I sprained it that day, and since I have bad feet, it just never healed. Do you think that’d what happened? Also, do you recommend for me to get those sport supports you put on your ankles with your shoes while playing? Thanks in advance. Also, I’m kind of an injury magnet 😀 never broken anything, but I always seem to be hurting myself

Answer: 

You are correct about sprain injury to your ankle. When this happens the soft tissue needs a proper rehabilitation in order to prevent scar tissue formation. Most likely you did not have any rehabilitation at all thus is the reason for the pain. At this point it is in chronic stage and will require some time to fix it. Deep tissue massage and active/passive ROM will help. As to your second question about ankle support – you can use it if it does not interfere with your game and running pattern. The most important thing is keeping your gate normal.

 

Question #27

Tingling in my left leg, please help?

 

It started with lower back problem where i could sit down for a period of time, couldnt bend over or put on my socks. This happened overnight. This lasted for 5 months then I woke up with tingling and pain on my left butt cheek all the way down my leg. All of this has lasted for 8 months now and wont go away. Have been through 3 X-rays, and 3 Physical Therapist and nothing. They refuse to give me an MRI. They keep saying it’s a weak core but I know it’s not because I can do advanced core exercises with not problem. I believe my muscle is pinching my sciatic nerve. Can someone please shed some light on this for me?

Answer:

X-Rays will not show soft tissue problem. What you need is an MRI, but it looks like your ignorant doctors refuse to authorize it. Sounds like a Kaiser type of therapy. Physical therapy will not help either at this point and time as strengthening injured musculature and soft tissue is only going to make things worse. Get a second opinion about your problem. I am afraid if you are attached to a particular treatment facility your only option would be paying out of your own pocket and figure out what is going on. I think finding a local neurologist or a chiropractor would be my first step. It all depends on what kind of treatment you would prefer for this kind of problem. It could be Sciatica but it could also be Sacroilliac Joint misalignment.

If you have anything to add to this post, please feel free to Post a comment or share your thoughts through Facebook, Twitter, Google+ or comment section below to join the conversation.

Filed Under: Questions/Answers Tagged With: alternative medicine, answering, answers, chiropractic, chiropractor, flat feet, injuries, low back pain, manipulative therapy, massage, medicine, neurology, orthopedic surgery, physical therapy, question answer, questions, san leandro chiropractor, soft tissue, soft tissue injury, spinal disc herniation, sprain, symptoms

Plantar Fasciitis and Chiropractic Care

February 16, 2011 by drburt

PLANTAR FASCIITISPlantar fasciitis is a condition that refers to a lingering pain on the bottom of the foot. It is a condition that normally does not respond well to traditional methods of treatment. This condition causes muscular dysfunction and pain that can cause serious drop in a patient’s movement especially with their physical activities.

There are many ways for a person to suffer from plantar fasciitis such as over pronation, walking with a flat foot, developing tight Achilles tendon, sudden increase in mileage when running and a high arched foot all adding for to a cause this condition. A patient who suffers from plantar fasciitis normally complains about experiencing pain localized at the bottom of their foot deploying to the inside of the heel. In a typical injury a pain from plantar fasciitis will make for a patient very difficult to place the weight on the foot due to the intense throbbing pain. Walking a few steps in the morning proves to be painful as well as doing other physical activities like running and jumping.

What Causes Plantar Fasciitis?

  1. Too much standing
  2. Unpadded shoes on hard ground
  3. Poor shoes
  4. Repetitive stress
  5. Diets low in vitamin C
  6. A change or increase in activities
  7. Being overweight
  8. An injury.

Affected Muscles

The plantar fascia is a band of fibers which runs from the heel bone to the base of the toes. Plantar Fascitis occurs when these tissues are irritated and inflamed. Bone spurs often form on the heel if this condition is not correctly treated.

Biomechanical or training flaws such as over-pronation, flat feet, a tight Achilles tendon, a high-arched foot, or a sudden increase in training mileage often cause plantar fascitis.

The actual plantar fascia is not the common cause of pain on the bottom of the foot. The Plantar Aponeurosis, a long tendon in the bottom of your foot, is often involved. Two muscles, the Quadratus plantae and the Flexor digitorum brevis, frequently contribute to the problem.

Long distance walking, running cycling, or just standing can overwork these muscles. As they are chronically over-worked, they start to shorten. When a muscle shortens, it is less resilient and is more easily damaged. As the Plantar aponeurosis and the muscles shorten, they produce pain in the bottom of the foot.

With the lack of success in traditional healing, chiropractic care has become one of the leading choice of treatment for patients suffering from this condition. Plantar fasciitis and chiropractic care go hand in hand with the administering of Active Release Techniques (A.R.T.), this method of chiropractic allows therapy to target the soft tissues in the feet. Its aim is to make the different parts of the foot and ankle to move through a typical full range and keep the stress located on the plantar fascia to a minimum.

Chiropractic care treatment done by a chiropractic practitioner often gets the job done in limiting the pain caused by plantar fasciitis. It helps bring the treatment into the root of the problem by getting rid of restrictions along the joints, muscles and other parts of the foot. The chiropractor will also help increase the work and movement range flexibility of the calf muscles by using special treatment protocols that help correct other functional risk factors such as tightness and weakening of the intrinsic muscles of the foot.

If a patient sees a chiropractor earlier than most, the more chances they will have in preventing further injury and the higher chances they will have at a full recovery. A successful chiropractic treatment will also avoid any further reoccurrences of plantar fasciitis.

Chiropractic helps in treating individuals with plantar fasciitis and coupled with the right kind of lifestyle that involves exercising regularly and a proper diet and nutrition it is not fat fetched that the therapy and chiropractic healing methods will do the trick. Manipulation, stretching, soft tissue work, ultrasound and home exercises are just some of the chiropractic therapies administered for patients suffering with this condition.

Do not risk your feet and your ability to gain strength and perform physical activities. Consult a doctor of chiropractic at the onset of feeling pain under your feet, as it might be the initial stage of a plantar fasciitis and let the wonders of chiropractic treatment help you achieve great health and body condition that is always in tip top shape.

If you have anything to add to this post, please feel free to Post a comment or share your thoughts through Facebook, Twitter or comment section below to join the conversation.

Filed Under: Chiropractic Tagged With: achilles tendons, anatomy, biology, causes plantar fasciitis, chiropractic, Chiropractic Care, fascia, fasciitis, flat feet, Foot, foot diseases, medicine, orthopedic surgery, plantar, plantar fascia, plantar fasciitis, plantar fascitis

Patient Asks and Dr. Burt Answers the Question #19-#24

January 10, 2011 by drburt

PATIENT QUESTIONS AND DR BURT'S ANSWERSQuestion: Are there cures for plantar fasciitis?

Answer: There is a great treatment protocol that I have used on my patients with great success. It takes somewhere between 10-12 sessions in order to get a desirable results. An object with a round edge would be a perfect tool for this task and also a good massage lotion. I direct gliding force is applied along the plantar musculature. Most likely you will feel a lot of pain during the procedure. About 5 minutes would be more than enough. After the procedure your plantar musculature will be very swollen – which is what we want. During this inflammation process macrophage will destroy the calcified particles that were accumulated during the treatment. An ultrasound therapy would be a plus. It is important that you get this done every other day of the week for the best results.

Question: What are the symptoms and treatments for the sciatica nerve?

Answer: Hi, You would probably want to read this post: “Sciatica Pain Relief and Chiropractic Treatment.”

Question: Whiplash injury questions please? I was in a car accident back about 8 years ago and I was wondering what is the proper treatment after the whiplash? Is it possible for the pain to increase many years later like a flare up? I’m experiencing horrible pain and I looked up whiplash injury and those are some of my symptoms

Any advice?

Thank you

Answer: All of your answers are in this post: “What is Whiplash?” Please read related posts below as well as they will provide all of the answers to you question. I hope you find a local doctor who will help you to resolve the complaints after your whiplash injury.

Question: Do the home ultrasound machines really work on torn MCL?

Additional Details: Doctor told me there was nothing he could do for me. I just have to let it heal. He said I should be back to “my normal” around spring time but I have to take care of two puppies and laundry downstairs so I’m looking for something that will help.

Answer: It is better to have Home Ultrasound units and apply it to your injured MCL than not having any therapy at all. The outcome will greatly depend on the severity of the tear. Your doctor should have sent you for MRI and at least physical therapy, instead of just letting it heal on its own till spring. I would highly recommend for you to get a second opinion ASAP.

Question: Do I have a herniated disk? I bent over yesterday and I got sudden pain in my lower back. It continues to hurt today. This has happened to me a couple other times, but over a year ago. I’m only 19 so it’s not like it’s an old age thing. My mom has had the same problem and she called it a slipped disk, or herniated disk. Is that what’s wrong? Why is it happening at my age?

Answer: Pain in your low back does not necessary mean that you have herniated disk. You could simply have a vertebral subluxation in your lumbar spine and that could be the cause of your problems.  Pick up the phone and have your mother pick up the phone have her call your local chiropractor. You can also read this post – “Low Back Pain and the Wonders of Chiropractic.” This article will help you to understand of what is going to happen when you go see your local chiropractor.

Question: What’s wrong with my ankle? I hurt it last night during my basketball game but I do not know exactly what happened. There is little to no swelling and slight bruising. The pain is mostly targeted on the outside top of my ankle. I can slightly put my weight on it.

Answer: If you cannot bear weight on that leg, it could be a significant injury.
You need immediate medical attention. Could be any number of problems, hairline fracture is a possibility. You MUST get X-RAY of your ankle ASAP.

Good Luck.

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Filed Under: Questions/Answers Tagged With: burt, chiropractic, human interest, low back pain, medicine, neurology, orthopedic surgery, pain, plantar fasciitis, san leandro chiropractor, sciatica, spinal disc herniation, symptoms, whiplash

Heart Attack or Thoracic Outlet Syndrome ?

January 3, 2011 by drburt

TOSToday’s post is about real case that have treated on Friday. I saw this patient over a year ago for severe neck pain and headaches. Patient’s problem was resolved with very good results. This morning patient’s husband calls and asks me to see his wife today as an emergency visit because she has numbness in her left upper extremity, loss of temperature in that extremity, and shooting pain. Over the phone he explained to me what has happened couple of days ago.

He took his wife to a near by Hospital Emergency Room suspecting that she had a heart attack. She had severe shooting pain in her left upper chest and shooting pain down her arm. In a Hospital medical Doctors performed a complete check up, including laboratory test and fancy CT- Scan diagnostic. After numerous hours they found nothing wrong with his wife and discharge her home with some pain medications. She was not very happy with an outcome since the symptoms were still there even with pain medications.

This morning I performed my examination and was trying to figure out what was wrong with this lady. First off all she always carries her heavy bag on her left shoulder with her belongings and belongings for her two young kids. That was a first sign that the problem was mechanical in nature and something was compressing her arteries and nerves. Her intercostal muscles between first and second ribs were extremely painful. Her left clavicle (look at the picture on a left) was out of alignment and did not have any movements during passive and active range of motion. Both of her rhomboid major and rhomboid minor muscles were very sore as well.

My Solution to This Problem:

I have diagnosed this lady with TOS. The first procedure was the electrical stimulation and moist heat. I used electrical stimulation on PAIN and CONSTANT settings for 15 minutes. Two pads were placed on her first and seconds intercostal spaces and two pads were placed around rhomboid major and minor muscles. Moist heat pack was placed in the same area for 15 minutes as well. Next, my massage therapist worked on her tight muscles for about 20 minutes or so. My CMT has informed that her entire left side is completely out of balance. Muscles were tight and patient was guarding during the massage which made her job a bit more difficult. But she got it done. After the massage I have performed full spine Chiropractic Adjustment ( that included cervical, thoracic and lumbar spine) and I have adjusted her first rib and clavicle on the left side.

I have called later on today to follow with this patient. Patient has informed me that she did not feel any pain since I saw her this morning. She has also informed me that she felt wave of heat coming into the left side of her body and left upper extremity.

The moral of this case: – please carry your heavy bags on both shoulders if you have too. Make sure that your kids’ backpacks are not too heavy and they carry them on both shoulders as well. Let’s start 2011 with a healthy habit.

Happy New Year !!!

Post a comment below or share your thoughts through Facebook, Twitter or comment section below to join the conversation. Feel free to add any additional tips.

Filed Under: Chiropractic, TOS Tagged With: back, biology, chest, chiropractic, Diagnose, heart attack, massage, medicine, neurology, orthopedic surgery, pain, pain medication, patient, possibilities, rhomboid major muscle, severe neck pain, shoulder, syndromes, thoracic outlet syndrome, tos, upper extremity

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15200 Hesperian Blvd #104

San Leandro, CA. 94578

(510) 481-2225

drburt@burtchiropractic.com

 

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