Dynamic Family Chiropractic
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Dynamic Family Chiropractic
4739 South Highway 101 . Minnetonka, Minnesota . 55345
Phone: 952-933-2695 . Fax: 952-933-2763 . E-Mail: info@dynamicfamilychiropractic.com
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Shoulders and Shoulder Injury

You have probably heard "Put your shoulder into it!" and "Shoulder your responsibilities!" But how often do you really think about your shoulders? Doctors of chiropractic encourage patients to get to know their shoulders, particularly the muscles, ligaments and your rotator cuff. Your natural health care providers will educate you on how to keep the area healthy and strong and prevent disease and injury.

What is the rotator cuff?

This is an area of soft tissue (muscle, ligament, cartilage) that surrounds the ball and socket joint at the shoulder, attaching the arm to the trunk of the body.

The cuff is created by four short muscles: supraspinatus, infraspinatus, teres minor and subscapularis (abbreviated by SITS). Originating at the shoulder blade, these muscles wrap around the shoulder and their tendons fuse into a ‘cuff’ of tissue, connecting the shoulder blade to the upper arm bone. Rotation of the shoulder is controlled by the contraction and relaxation of the SITS muscles.

Just like the spokes on a wheel, the rotator is often taken for granted when it works properly and difficult to ignore when it is not functioning properly. Rotator cuffs are particularly vulnerable to repetitive injury and overuse. Tendonitis, a painful inflammation of a tendon, is the most common ailment of the shoulder.

How do injuries occur?

Any sports activities like baseball, tennis, or swimming are particularly susceptible because they require repetition of rotation of the shoulder or reaching upward and forward. Individuals whose work requires constant arm rising or keeping shoulders in an elevated position are also at high risk for shoulder injury.

"Construction workers exposed to routine overhead work have high rates of shoulder pain that frequently progresses to functional loss and disability," reported one study (Occup Environ Med 2003;60:841-9).

Ignoring the inflammation and pain and continuing to use the arm (for elevating) may cause the tendons to tear. This also happens if a sudden severe strain is placed on the rotator cuff tendon. The most likely tendon to tear is the supraspinatus, or the tendon at the top of the rotator cuff. In extreme trauma, the infraspinatus and teres minor are susceptible to tears as well. A possible, but less likely, strain may occur to an individual tendon as well.

Repetitive stain leads to degeneration of the shoulder joint, a leading cause of rotator cuff dysfunction (Eur J Radiol 2003;35:88-102). Continual stretching of the rotator cuff will cause the shoulders to go out of balance. In addition to pain, the shoulder joint will become weakened and the muscles will lose the ability to function smoothly and fluidly. (J Shoulder Elbow Surg 2003;12:422-6).

Shoulder Conditions

A vulnerable shoulder joint can lead to injury. The cause can also be the shoulder structure itself.

The supraspinatus tendon is located directly under the acromion bone (located at the top of the shoulder blade. If the bone and tendon are too close, or sometimes the bone has a rough spot (bone spur) on the front edge, the muscle may be pinched whenever the arm is raised. Frequent repetition of the pinching can cause chronic inflammation known as chronic impingement syndrome. Symptoms include shoulder pain and pain that can sometimes cause neck symptoms as well.

Untreated chronic impingement syndrome can result in the tendons separating from the bone. The shoulder will be weak, numb and lack its former power and range of motion. This condition is called rotator cuff disease, even though it is actually an injury instead of a disease. This serious condition may leave it’s sufferers with permanent shoulder damage. Traditionally, it was repaired with surgery. Surgery is not always effective; many suffer post-surgery pain and never again recover their full range of motion.

The advantage of chiropractic care for a rotator cuff injury or pain is that it does not require risky multiple surgeries and it is a natural, multi-faceted approach. Non-invasive procedures called chiropractic adjustments combined with specific exercises, nutritional counseling and physiotherapy have proved effective in alleviating shoulder pain (J Manipulative Physiol Ther 1994;17:43-53). Chiropractic care often ends the vicious surgery-relapse-surgery-relapse cycle, according to research (J Manipulative Physiol Ther 2001;24:425-30).

Shoulder Injury Prevention

  • Schedule regular chiropractic checkups.
  • Plan frequent breaks, warm up and cool down properly if you play sports that involve repetitive throwing or arm rotation or work requires frequent lifting (like placing things on high shelves).
  • Ask your chiropractor to recommend exercises specifically tailored to your diagnosis
  • Apply ice in covered packs at 10 minute intervals if your shoulder feels sore after extended use
  • If you are having discomfort or pain, schedule a chiropractic check up.
  • Beware! If you neglect shoulder pain at the onset of symptoms, the pain may lessen or go away. This does not mean that the problem has gone away; you still need a check up.
  • While a torn tendon may "patch" itself, and the pain decreases over time, it does not reverse the damage and is not cured.
  • Listen to your doctor. Your chiropractor will listen and consider your activities and physical condition when planning a rehabilitation program.
  • If you have suffered a rotator cuff injury an regularly participate in sports or other strenuous activity which uses your shoulders heavily, ask your chiropractor when it is safe to return to your activities.

 

Home Neck Tips:
  1. If your pain/injury is less than 72 hours old always use ice, never heat.
  2. If your pain is chronic use moist heat packs, not heating pads
  3. If it hurts to turn your head use PNF type of stretching to release muscle spasms.
 
*Nutrition Neck Tips:
  1. If your pain/injury is less than 72 hours old use Intenzyme Forte as an alternative to OTC pain medications.
  2. If your pain is chronic use 1-2 grams of Bio-Omega 3‚s daily.
*Consult a chiropractor or medical doctor before beginning any nutritional program. Please fill out our online nutritional analysis for greater details of your individual case.

Neck Pain

Your neck is packed with all kinds of things: bones (vertebrae), your spinal cord, cranial and spinal nerves, nerve ganglions, blood vessels, glands such as the thyroid, your larynx (voicebox), esophagus (food tube), trachea (wind pipe) and muscles, ligaments, tendons and other structures. Your amazing neck balances your heavy head and turns, lifts, tilts and bends without damaging its vital occupants.

Your neck is referred to as the Cervical vertebrae. You have seven small neck bones, numbering C-1 to C-7 down your neck. The top two bones called the atlas (it balances the globe or head in this case) and axis which permits neck movement in many different directions. The seven neck bones work together to balance your head and to protect your brain stem and spinal cord. Your vertebrae are connected by muscles, ligament, tendons and the gel-like discs between the bones which give the cervical vertebrae a reverse C-shaped curve.

Pinched Nerves (subset of neck pain)

Cervical nerves can become irritated, inflamed or „pinched‰ causing head, neck, facial, or upper extremity pain in the shoulders, arm, elbow, wrist, and hand. The symptoms of an irritated nerve can be sharp or dull pain and commonly pins and needles type sensation or an increased or decreased sensitivity. Cervical nerve pressure usually occurs at the intervertebral foramen, or hole between each cervical bone. This commonly comes from a slightly misaligned bone in the neck which is referred to as a subluxation.

 

Subluxations (subset of neck pain)

Subluxations can be caused by physical stress such as an accident or injury but also from working in one position for too long, or sleeping in a poor position. Emotional stress can cause subluxations and even the birthing process! We make it a point to check each family member for subluxation before symptoms occur.

Chiropractic care corrects nerve problems known as vertebral subluxations. It also restores proper movement to the seven intricate spinal bones which protect your spinal cord. This allows proper energy and information to flow through your bodies own information superhighway to correct your pain or problem at its cause. Correction of the spine occurs by adjusting or realigning the vertebrae, and rebalancing the muscular system through the use of targeted hands on soft tissue therapy as well as PNF(proprio-neural facilitation) stretching. Once you are feeling better AND functioning optimally, periodic spinal check-ups can ensure a nervous system free of interference.

 
Home Headache Tips:
  1. Roll a bath towel into a log and place an ice pack on it. Then lie on your back with the ice pack and towel as a pillow at the base of your neck forcing a normal reverse C-shape curve. Lie like this daily for 10 mins.
  2. Stretch you upper neck by tucking your chin straight in, and then gently flexing your neck forward using your hands on top of your head. Hold for 3 deep breaths while focusing your breathing on relaxing the tiny muscles which attach the neck to the head.
 
*Nutrition Headache Tips:
  1. Did you know that food sensitivities often trigger headaches. Some common food sensitivities for headache are artificial sweeteners, corn and corn sweeteners, dairy, wheat, peanuts, and citrus fruits to name a few.  Food elimination diets can help determine if this is a factor in your headaches.
  2. 3 Mg-zyme tablets 30 minutes before bed works well for tension headaches.
  3. Accumulations of toxins is a common contributing factor for headaches. A detox program using Nutriclear or Ultraclear for 7 days is recommended quarterly.
  4. It may be simple, but that doesn‚t mean it is not effective, drink at least 8 glasses of pure or filtered drinking water every day.
*Consult a chiropractor or medical doctor before beginning any nutritional program. Please fill out our online nutritional analysis for greater details of your individual case.

Headaches

Did you know that the ache in headaches do not come from your brain? Your brain does not feel pain, in fact during brain surgery you can be wide awake and feel nothing! So what aches in „headaches‰? It is the blood vessels, membranes, cranial and spinal nerves in the brain and skull. When these structures are compressed, irritated, or inflamed a headache often results.

Chiropractors look to these structures for the cause of your headaches. Irritated or inflamed nerves cause tissue inflammation, cause muscles to tighten and knot, cause fatigue, weakness and sets the stage for illness. Just as you may have a cavity in your teeth and not know it, you may be unaware of vertebral subluxation which can be causing damage to your body. Vertebral subluxation is a small misalignment of your spinal bones which causes a distortion to your nervous system and leads to abnormal signals to your body.

Dozens of studies support the fact that Chiropractic care works great for headaches. In a study performed at the University of Odense, Denmark, there was a dramatic improvement in the number of headache hours per day which decreased by 69% after receiving chiropractic care. In another landmark study of 6,000 long term headache sufferers it was determined that the single most important factor in the cause of headaches was neck injury. When the neck is out of alignment due to a past injury it creates pressure on the delicate structures of the neck causing headaches.

 

Whiplash & Neck Injuries

To Millions of people who have sought out care for their neck and whiplash injuries the chiropractic approach has been a blessing.

 
Home Whiplash Tips:
  1. Ice the area of pain as soon as possible after an accident or injury. Generally, it is a good idea to ice 15 minutes of every hour until your symptoms become manageable.
  2. Do not use neck braces unless prescribed by a qualified physician. Studies show that your results are better when you get back to normal motion and activities as quick as possible.
  3. Use a neck roll and sleep on your back with your lower legs elevated with pillows.
 
*Nutrition Whiplash Tips:
  1. Use Intenzyme Forte 5 tablets 2-3 times daily without food until your inflammation subsides.
  2. Black Currant Seed Oil or Bio-Omega 3’s One capsule three times daily with food.
  3. Bio-C Plus 1000 take 1 tablet three times daily with meals.
  4. Bioprotect antioxidants 1 capsule three times daily with food.
*Consult a chiropractor or medical doctor before beginning any nutritional program. Please fill out our online nutritional analysis for greater details of your individual case.

What is Whiplash?

Whiplash does not describe a disease, but it is a description of how an injury occurred. In a whiplash injury the head and neck portion of the spine are thrown very quickly in one direction and then rebounded in the opposite direction. The head is usually “whipped” back to front, but can also be injured in a side to side motion. [1] In whiplash injury, the majority suffer misaligned spinal bones and nerve, joint, ligament, tendon, muscle and disc stress, irritation, or damage. Vertebral subluxations (misaligned bones) are the most common source of pain and discomfort from whiplash injuries. [2] Chiropractors are the only professionals trained to correct subluxations. Vertebral subluxations are often caused by an accident or trauma, such as whiplash, but can also be caused by micro-trauma such as the build up of daily stress. Other causes include poor posture, weak muscles, poor diet, bad sleeping positions and dental work. [3]  A chiropractic exam always includes a discussion of your past accidents, injuries and falls in addition to your personal habits and other situations which may contribute to subluxations.

Your neck is referred to as the Cervical vertebrae. You have seven small neck bones, numbering C-1 to C-7 down your neck. The top two bones called the atlas (it balances the globe or head in this case) and axis which permits neck movement in many different directions. The seven neck bones work together to balance your head and to protect your brain stem and spinal cord. Your vertebrae are connected by muscles, ligament, tendons and the gel-like discs between the bones which give the cervical vertebrae a reverse C-shaped curve.

Those who have suffered whiplash in an accident may feel neck pain and stiffness, even headaches. This may develop into more pain and/or tingling, numbness, or a pins-and-needles feeling in the arm, between the shoulder blades, in the fingers or hands. Other symptoms may include ear ringing, dizziness, hearing loss, eye pain, blurred vision, nasal problems, low back pain, sensitivity to light or other internal organ problems depending upon which nerves have been affected. Research has shown that a subluxation in your neck can cause decreased blood flow to your brain. [4] The result is sometimes whiplash sufferers have memory, vision, thinking, and psychological problems [5] despite the fact that they do not have any head or brain injury. They may, however, have a concussion, a condition in which the brain is thrown around inside the skull, just like scrambling an egg without breaking the shell. If you have had a concussion your symptoms may be insominia, headache, restlessness, moodiness, emotional jitters, irritability and depression. These may last for hours, days or months after the accident. [6]

 

After an Accident

After an accident, emergency medical specialists check for broken bones, bleeding, abrasions, internal organ damage or shock.  Patients are often released after an injury even if they are not yet well. Even though an X-ray, MRI or CT scan has found nothing, the spine still has not been analyzed for subluxations. Since a chiropractor is the only medical professional trained to find and correct subluxations, it is essential for the accident victim to be examined by a chiropractor once their condition has stabilized.

[1] Cailliet R.  Neck and Arm Pain.   Philadelphia, PA: F.A. Davis Co. 1997:64.

[2] Lord WM, Barnsley L, Wallis BJ, Bogduk N. Chronic cervical zygopaphysial joint pain after whiplash: a placebo-controlled prevalence study.   Spine.  1996;21:1737-1745.

[3] Smith GH.  Headaches Aren’t Forever: How Incurable Headaches Can Be Cured. Newtown, PA: Int’l Ctr for Nutrientional Research. 1986:96.

[4] Otte A, Ettlin TM, Nitzsche, EU et al. PET and SPECT in whiplash syndrome: a new approach to a forgotten brain?  J Neurol Neurosurg Psychiatry.  1997;63368-372

[5] Di Stefano g, Radanov BP. Course of attention and memory after common whiplash. Acta Neurol Scand.  1995;91:346-352.

[6] Bohnen N, et al. Late outcome of mild head injury: results from a controlled postal survey.  Brain Injury. 1994;8(8):701-708.

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Neck Pain

Your neck is packed with all kinds of things: bones (vertebrae), your spinal cord, cranial and spinal nerves, nerve ganglions, blood vessels, glands such as the thyroid, your larynx (voicebox), esophagus (food tube), trachea (wind pipe) and muscles, ligaments, tendons and other structures. Your amazing neck balances your heavy head and turns, lifts, tilts and bends without damaging its vital occupants.

Your neck is referred to as the Cervical vertebrae. You have seven small neck bones, numbering C-1 to C-7 down your neck. The top two bones called the atlas (it balances the globe or head in this case) and axis which permits neck movement in many different directions. The seven neck bones work together to balance your head and to protect your brain stem and spinal cord. Your vertebrae are connected by muscles, ligament, tendons and the gel-like discs between the bones which give the cervical vertebrae a reverse C-shaped curve.

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Pinched Nerves (subset of neck pain)

Cervical nerves can become irritated, inflamed or „pinched‰ causing head, neck, facial, or upper extremity pain in the shoulders, arm, elbow, wrist, and hand. The symptoms of an irritated nerve can be sharp or dull pain and commonly pins and needles type sensation or an increased or decreased sensitivity. Cervical nerve pressure usually occurs at the intervertebral foramen, or hole between each cervical bone. This commonly comes from a slightly misaligned bone in the neck which is referred to as a subluxation.

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Home Subluxation Tips:
  1. If your pain/injury is less than 72 hours old always use ice, never heat.
  2. If your pain is chronic use moist heat packs, not heating pads
  3. If it hurts to turn your head use PNF type of stretching to release muscle spasms.
 
*Nutrition Subluxation Tips:
  1. If your pain/injury is less than 72 hours old use Intenzyme Forte as an alternative to OTC pain medications.
  2. If your pain is chronic use 1-2 grams of Bio-Omega 3‚s daily.

*Consult a chiropractor or medical doctor before beginning any nutritional program. Please fill out our online nutritional analysis for greater details of your individual case.

Subluxations (subset of neck pain)

Subluxations can be caused by physical stress such as an accident or injury but also from working in one position for too long, or sleeping in a poor position. Emotional stress can cause subluxations and even the birthing process! We make it a point to check each family member for subluxation before symptoms occur.

Chiropractic care corrects nerve problems known as vertebral subluxations. It also restores proper movement to the seven intricate spinal bones which protect your spinal cord. This allows proper energy and information to flow through your bodies own information superhighway to correct your pain or problem at its cause. Correction of the spine occurs by adjusting or realigning the vertebrae, and rebalancing the muscular system through the use of targeted hands on soft tissue therapy as well as PNF(proprio-neural facilitation) stretching. Once you are feeling better AND functioning optimally, periodic spinal check-ups can ensure a nervous system free of interference.

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Neck Range of Motion Increased with Chiropractic

The results of a recently published study in the November/December 2001 issue of the Journal of Manipulative and Physiological Therapeutics showed that cervical range of motion was significantly improved with chiropractic adjustments.  The study was a  double-blind randomized controlled trial performed at the outpatient clinic at Phillip Chiropractic Research Centre, RMIT University, Melbourne, Australia. 

The initial study involved 105 subjects who were randomly separated into two groups. One group received chiropractic adjustments while the other group received a "sham", or fake adjustment. Range of motion testing was performed every few weeks over the course of the 12 week study. Active range of motion was measured with a strap-on head goniometer consisting of an inclinometer dial for measuring lateral flexion and a compass dial for measuring rotation. These motions were chosen because gravity would play less of a role and therefore the results were more accurate.

According to the researchers, in the group that got the real adjustments, "active range of motion in the cervical spine increased significantly."  Their conclusion was, "Spinal manipulation of the cervical spine increases active range of motion."

As obvious as this may seem, the results are profound for a large portion of the population. Not only does restricted range of motion play a large part in many health problems, but one of the largest areas of concern for the aging population is mobility.

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Severe Neck Problems After Unsuccessful Spinal Surgery
Helped With Chiropractic

In the September 2001 issue of the peer reviewed, "Journal of Manipulative and Physiological Therapeutics" comes a case report study titled,"Chiropractic care of a patient with vertebral subluxations and unsuccessful surgery of the cervical spine".  This was a report of a 55-year-old man who had neck pain along with radiating pain down both arms after unsuccessful cervical (neck) spine surgery.

The man's history was similar to many seen in chiropractic offices. While responding to an auto accident during an ice storm, the 55 year old highway patrolman slipped getting out of his car and fell backward, landing on his upper back and neck  After a few days he began to experience pain in his neck. Two months later he consulted a medical doctor, who referred him to a neurologist. During the neurological examination, the patient experienced a seizure that eventually led to a diagnosis of a tumor of the adrenal gland. Several weeks later, the patient had surgery to excise the tumor which resulted in temporary relief of the neck pain.

He returned to work, and 6 weeks after surgery he began to experience neck pain again, which he described as “sharp,” along with pain, numbness, and tingling in both arms. His condition worsened, for about 6 to 7 months, and he was was referred to a neurosurgeon.  The patient eventually consented to neck surgery, and an anterior cervical diskectomy (disc removal) was performed.

When he returned to the surgeon for a postsurgery check-up and had continuing complaints, he then asked when the surgeon wanted to see him again. The reply was, “I never want to see you again.” This answer was devastating for the patient, and he assumed that he was destined to live with these problems for life.

Approximately 312 years after surgery, the patient started chiropractic care. The chiropractic care began and after receiving the first set of adjustments, the patient indicated that his ability to raise his left arm had increased by 50% and that his neck pain and arm complaints were also relieved.  He was astonished and excited by the results of the care he received. Within 2 weeks of starting care he was able to fully abduct his left arm and to loop his belt to his pants.  A year after the onset of chiropractic care, the patient was working on his small ranch performing various odd jobs and has, on occasion, had some problems because of over activity.

This documented and published case is not unfamiliar to chiropractors world wide.  The unique aspect of this case is the fact that it was published in a peer reviewed scientific journal.  The authors of the study summed this situation up with the following;  "This is the first description in the indexed literature of the chiropractic care of a patient with vertebral and sacroiliac subluxations with a history of unsuccessful cervical diskectomy of the cervical spine. In our experience, allopathic (medical) practitioners usually do not offer patients the option of chiropractic care before surgery. Perhaps more rarely is chiropractic care considered a viable option in instances of unsuccessful surgical care."  It is obvious from this study that chiropractic should have been considered first. 

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