Duncan Blog

Dr. Eric Duncan Blog

Duncan Chiropractic Group P.C.

http://www.doctorofbrighton.com

Monday, February 22, 2010

Low Back Pain - Seasonal Injuries

Every season brings unique activities that require us to perform some physical activity we may not want to do but have no choice. In the winter, shoveling snow comes to mind (at least in some parts of the country) while spring, summer and fall may include yard clean up, mowing, and raking. All of these seasonal activities are, "...I have to.." activities of daily living (ADLs), rather than ADLs we want to do. Therefore, let's talk about shoveling snow since that time of year is upon some of us, though hopefully on its way out! Of course, if snow is not an issue based on where you live, this information can also be applied to gardening, digging a hole or some other yard related shoveling activity.

First, a few facts that help us appreciate why back pain is so common when we shovel: 1. When we bend over, approximately 2/3rds of our body weight is being lifted in addition to what we're lifting. Hence, a 180# person has to lift 120# of body weight every time he or she bends over. 2. A 5# weight equals 50# to our back when it is held out in front of us - consider the 10-20# weight on the end of a shovel! 3) Our legs are much stronger than our back and arms. If a person can bench press 300#, they can usually leg press 500# - almost 2x more weight. Yet, most of us use our arms, not our legs, when shoveling. 4) Most of us bend over using poor technique, lift the shovel with the arms and back (not the legs), and rapidly extend and twist the back when we throw the substance from the shovel - 3 bad things! 5) Then, this faulty action is repeated many, many times, and on top of that, it is not something we're used to doing and hence, we're not physically adapted or "in shape" for shoveling. With all of these "truths," it's no wonder why we often can barely move after an hour of shoveling! So what can we do about it?
I suppose hiring the neighborhood kid to do our shoveling makes the most sense but we're not that smart! We can't change the fact that most of our body's weight lies above our waist so that one we're stuck with and, we're not going to lose weight in time for shoveling. But, we can certainly put less material on the shovel so the load on our back is less. It's important to squat down using our strong leg muscles while keeping our back as vertical/straight as possible- DO NOT BEND OVER. Try sticking out your fanny (to keep an inward curve in your back), lift the shovel / load of material straight up with your legs, maintaining that arched back / butt out position. Keep your arms / elbows straight and walk the shovel load over to the dumping location - DON'T try and throw the load a distance by twisting your body. Take multiple breaks and switch sides so you don't "beat up" the same muscle groups repeatedly.
If you do hurt your back - using an analogy of a cut on your skin -avoid picking at the cut so it can heal. If your back hurts after shoveling, use ice/rest followed by gentle stretching and modified activities - DON'T go back out and shovel (ie, don't pick at your cut!). Some wise considerations for shoveling include warming up before starting, staying "in shape" by regular exercise throughout the year, maintaining a good nutritional diet and getting enough sleep.
If you, a family member or a friend require care, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Friday, January 15, 2010

Benefits of Laughter

Sometimes we like to post health related articles that have nothing to do with Chiropractic.

Laughter increases secretion of catecholamines & endorphines, which increases oxygenation of the blood, relaxes arteries, increases heart rate, decreases blood pressure - - all have a positive effect on all cardiovascular & respiratory ailments, as well as an increased immune system response. American Journal of Medicine, 1995

Wednesday, January 13, 2010

Retail Prescriptions Out Of Control!

Total Prescriptions = 3.9 billion; Sales = $270.2 billion; Prescriptions per capita = 12.8. The number of people with at least one prescription increased from 67% in 2000 to 74% in 2006. National Association of Chain Drug Stores, 2009 & Express Scripts, 2008

Monday, January 11, 2010

Chiropractic: New Study about Headaches

Headaches are a common complaint in patients presenting for professional care, including chiropractic management. Patients with headaches seek chiropractic care because they find manipulation or adjustments applied to the cervical spine and upper back region are highly effective in reducing the intensity, frequency and duration of the headache pain. This is because the cervical spine / neck, is often the origin of the headache as the three nerves in the upper neck (C1, 2 and 3) pass through the thick, overly taught neck muscles in route to the scalp / head. When the muscles of the neck are in spasm, the nerves get “pinched” or squeezed by the overly tight muscles resulting in headache pain. Each nerve runs to a different part of the head and therefore, pain may be described as “…radiating over the top of head (sometimes into the forehead and eyes),” or, into the head and over the ear, sometimes reaching the temple. Also, an area located in the back and side of the head is the area where the C1 nerve innervates, so pain may also be reported in that location. When more than one of the C1-3 nerves is pinched, the whole side to the top of the head may be involved.

In the October 2009 issue of The Spine Journal, Western States Chiropractic College, Center for Outcomes Studies, reported benefits are obtained with the utilization of spinal manipulation in the treatment of chronic cervicogenic headaches. The word “chronic” means at least 3 months of headache pain has been present. This new study compared 2 different doses of therapy using several outcome measures including the pain grade, the number of headaches in the last 4 weeks and the amount of medication utilized. Data was collected every 4 weeks for a 24 week period and patients were treated 1-2 times/week and separated into either an 8 or a 16 treatment session with half the group receiving either spinal manipulative therapy or a minimal light massage (LM) control group.

The results of the study revealed the spinal manipulation group obtained better results than the control group at all time intervals. There was a small benefit in the group that received the greater number of treatments with the mean number of cervicogenic headaches reduced by 50% in both pain intensity and headache frequency.

The importance of this study is significant as there are many side effects to medications frequently utilized in the treatment of headaches. Many patients prefer not taking medications for this reason and spinal manipulation therapy (SMT) offers a perfect remedy for these patients. Couple SMT with dietary management, lifestyle modifications, stress management, and a natural, vitamin/herbal anti-inflammatory (such as ginger, turmeric, boswellia) when needed, a natural, holistic approach to the management of chronic headaches is accomplished.

We are proud that chiropractic care has consistently scored the highest level of satisfaction when compared to other forms of health care provision and look forward in serving you and your family presently and in the future.

Wednesday, December 30, 2009

Carpal Tunnel Syndrome (CTS) – What, Why, How?

WHAT? Carpal Tunnel Syndrome or CTS, is the most common of the peripheral nerve conditions where the median nerve is compressed or pinched at the wrist. The resulting symptoms include numbness/pain in the wrist, fingers (index, third, and forth), multiple sleep interruptions due to hand/finger numbness requiring frequent shaking and flicking, difficulty in gripping or pinching such as buttoning a shirt, threading a needle, lifting a coffee cup, frequent dropping of objects, and the inability to perform work duties. Pain can even shoot up the arm towards the shoulder and into the neck. Because there are 9 tendons over which lies the median nerve that pass through the rather tight tunnel made up of the 8 carpal bones of the wrist, even a little swelling can create CTS.

WHY? There are many possible causes but in general, whether its swelling, a spur, or a metabolic condition, the common denominator is median nerve pinch in the confined space within the carpal tunnel. A common cause of swelling can occur with performing repetitive motion work such as line assembly, meat packing, carpentry, and so on, and over time, the tendons inside the tunnel inflame or swell and the median nerve is pressed into the ligament that crosses over the roof of the tunnel on the palm side of the wrist. Once the contents inside the tunnel swell, all positions of the wrist other than neutral or, holding the wrist in line with the forearm further increases the pressure inside the tunnel. That is why sleeping with the wrist cocked in any direction often wakes up CTS patients. Those most at risk are women over 50 years of age. CTS can also be associated with other health conditions including (but not limited to) Lymes Disease, inflammatory arthritis, and hormone-related conditions including pregnancy, taking birth control pills (BCPs), hypothyroidism, diabetes, and menopause. Lifestyle issues that affect CTS may include high caffeine intake, smoking, alcohol consumption, as well as obesity.

HOW? So the key question is how are we going to help those with CTS? First, we must identify all the possible reasons why CTS developed in the first place and manage those issues. Therefore, an ergonomic (work place) assessment or, discussing and possibly observing the patient at work can be very helpful. Sometimes, a few simple changes to a work station such as moving the monitor of a computer in line with the keyboard/mouse or adjusting the height of the computer can really help. Changing a tool handle type (pistol vs. straight grip), propping up a part that is frequently worked on, moving the product closer to where it is being assembled, eliminate overhead reach requirements, standing on a raised platform, and so on, may be most important in long term results. Identifying and treating any condition that may be participating in the cause like thyroid disease, diabetes, medication (like BCPs), and weight management, is very important. Wearing a night splint is also very productive. Unique to chiropractic, treatments include manipulation of the neck, shoulder, elbow, forearm, wrist and fingers, soft-tissue therapy including massage, mobilizing the forearm muscles and tendons, teaching carpal stretch and other upper extremity exercises, and nutritional counseling. Strategies here can include eliminating any suspected food allergy related products including dairy, glutens (wheat, oats, barley, rye), soy, corn, transfats, preservatives and some chemical additives. Increasing B-vitamins (especially B6), by increasing dark leafy vegetables and, increasing antioxidants including fruits and veggies. An anti-inflammatory vitamin program of fish oil, Vit. D3, magnesium, CoQ10, and a multiple vit./mineral may facilitate as well. Once CTS is controlled, preventing a recurrence is important by promoting good posture, exercise, and sticking with the life style adjustments described above. If you, a friend or family member requires care for CTS, we would be honored to render our services.


YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR CARPAL TUNNEL SYNDROME! FOR A FREE NO-OBLIGATION CONSULTATION CALL 810-225-2288

Monday, December 28, 2009

How to Start an Exercise Program.

Start Slowly. Most people do too much when they start exercising. It's OK to break up your exercise into segments. Even small quantities of exercise add up to big benefits. Begin with 10-15 minute chunks of activity, several times daily.

Wednesday, December 23, 2009

Great Information About Getting Fit And Eating Healthy Starting RIGHT NOW… From Your Local Fitness Focused Doctor!

Dr. Duncan here. The New Year is upon us and if you are like most, you could be eating a little better and exercising a little more – and smarter! Who hasn’t been a little lazy and eaten a few things they shouldn’t over the holidays? Not me – HA! Or maybe you’d like to start eating right and exercising for the first time – and want to do it right…injury free. Either way, this free information will be very helpful and valuable to you. Here is a list of 10 great websites you can go to for FREE!... all kinds of information about exercise, eating right, staying healthy naturally and more. Isn’t it great to have good, free information right at your finger-tips to make things so much easier? And whether you are a rookie beginner or a seasoned pro, it is always a good idea to get a pre-injury evaluation with us. This helps detect any minor problems you may have that can become major issues if an exercise program is started or escalated. To get your pre-injury evaluation simply call my office at 810-225-2288 and we will schedule the time that works best for both of us.

1. Workoutz.com

Tons of great free workout videos – with new videos and advice added all the time.

2. Fitnessonline.com

Free topics include: Lose weight, build muscle, eat healthy, pregnancy fitness, fitness calculators and free newsletters.

3. Wellness.com

General Wellness, Wellness for Women, Wellness for Men, Family & Parenting, Exercise & Fitness, Diet & Nutrition, Relationships & Sex, Environmental Wellness, Personal Development, Pet Wellness

4. Mercola.com

One of the most visited natural health sites on the internet.

5. Fitnessmagazine.com

Healthy recipes, weight loss, health, beauty.

6. Crossfit.com

Effective and fun training for beginners up to professional athletes.

7. Bodyrock.tv

Videos for women interested in having a serious beach body by summer!

8. Menshealth.com

Provides information and tips on fitness, health, career, relationships, nutrition, recipes, weight-loss and muscle building.

9. Nutritiondata.com

Tons of free nutrition tools and information.

10. Videofiness.com

Fitness video reviews, forums to discuss and meet like-minded people, video exchange.