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Chiropractic or Physical Therapy?

Chiropractic or Physical Therapy? This is a question that many people seem to have when they are experiencing either acute or chronic pain. I was actually amazed at how many people do not really understand what either do exactly. This makes it kind of difficult to make an educated decision, right?

Lets start with a brief breakdown of both professions: Physical Therapists (Physiotherapists or PT’s) focus on conservative treatment of musculoskeletal conditions mainly through exercises, stretching, and mobilizations. With a physical therapist the patient will be taking an active role. You can expect to exercise, stretch, and mobilize different muscles during your appointment’s. The end goal is to not only eliminate or reduce pain, but allow the patient to develop the strength necessary to return work, sport, etc.

Chiropractic is a profession that focuses on diagnosing and treating musculoskeletal condition’s related to joints and muscles of the spine and extremities. Chiropractic Physician’s often do more manual therapy in the form of soft-tissue manipulation, joint manipulation (adjustment), and passive modalities. Patients assume more of a passive role making chiropractic care ideal for patients in acute pain (sprain/strain, disc herniation, whiplash, muscle strain/tear, etc.) Chiropractic Physicians focus more on “foundation” or joint movement than physical therapists, which tend to focus more on the muscle movement.

So which is right for you? BOTH! Depending on your stage of healing, you should be seeing both a chiropractor and a physical therapist. Typically, I will see a patient first, then once the joints and muscles are moving well enough they will be referred to PT in order to strengthen the muscles. A good therapist will recommend both therapies, as addressing both the muscles and the joints is the only way to completely correct a musculoskeletal problem.

Our office routinely works with medical doctors and physical therapists for the better patient outcomes. Our mission is to provide the best in evidence based chiropractic care. This often means working with orthopedists, medical doctors, and physical therapists to accomplish better, more permanent results. Most importantly, keeping patients doing what they love to do, and out of surgery!

If you are experiencing muscle or joint pain we can help! Call or schedule online: (781) 460-0939

Keep Moving.

3 Surprising Condition’s Chiropractic Physicians Treat

I hear it every day; ” I thought all you guys work on is backs.” It is a very common misconception that all chiropractic is good for is back pain. While we are now the recommended treatment for chronic back pain by the AMA, chiropractic is effective in treating many other musculoskeletal disorders. Chiropractors are musculoskeletal specialists, trained in the diagnosis and treatment of musculoskeletal and nervous system disorders. Unlike medical doctors whom have a variety of different training, Chiropractic Physicians undergo 4 years of specific training in the anatomy of joints, muscles, and body biomechanics.

That being said, we have a plethora of knowledge on more that just the spine! Check out these 3 very common conditions below that Chiropractic commonly treats:

Headaches- Much research has been done on chiropractic care’s (spinal manipulation in particular) effect on headaches. Headaches can occur for many reasons, your Chiropractic Physician will complete an examination and determine the cause of your headaches before recommending treatment. Chiropractic care is specifically touted in the treatment ofTension (Cervicogenic) Headaches.It has been estimated that as many as 80% of common head aches are Tension (Cervicogenic) Headaches. These headaches are characterized by tightness in the neck, upper back, and head.Characteristically settling on the sides and front of the head after a long day.

Carpal Tunnel- Carpal Tunnel is a common condition that affects nerves in the neck, hands and wrist. In particular the median nerve is effected, which originates from the cervical spine. Often times, tight muscles, known as trigger points can be the cause of the characteristic hand and wrist pain. By freeing the joints and muscles around the nerve this may serve to lessen the pain and improve function.

Vertigo and Balance- Chiropractic Physicians are experts of the muscles and joints. Inside and around your joints aremechanoreceptors. These sensory receptors respond mechanical pressure (touch, vibration, etc.) and they are responsible for regulating proprioception. Proprioception allows you to know where your body is in space (balance!) There is much research that shows positive effects with spinal manipulation and increased proprioception and balance.

Call or schedule online today: (781) 460-0939

Keep Moving.

Dr. James Ellis

www.evolvedhealthchiropractic.com

 

Chiropractic & Sports Injury Prevention

How many of you have a nagging injury that seems to flare-up from time to time but has not been bad enough to actually do something about it?

Statistically, many people are injured being active every year. Many of you likely have desk jobs, or jobs that cause you to be seated most of the day. You may of even noticed that after you began your post-college career you began to experience discomfort in your neck, back, or shoulders. If you thought there might be a correlation you are most likely correct, your job could actually be bad for your health!

It turns out, many people have postural issues that predispose them to sports injuries. In fact, while sports are often blamed for injuries, many times it is something that we are doing everyday that has likely triggered a problem allowing the injury to happen. If all of the muscles and joints were functioning properly this injury would of been much less likely to occur.

Chiropractic Physicians are experts of the musculoskeletal system. Much of what we do is try to restore “normalcy” to the body. With chronic postural changes impingments, tendonitis, and tears are more likely to occur. The longer these muscle and joint imbalances are left untreated, the more likely they are to lead to injury. If you are experiencing discomfort, don’t wait. Make the change now, prevent the likelihood of an injury. Your body will thank you!

Keep Moving.

Dr. James Ellis

(781) 460-0939

www.evolvedhealthchiropractic.com

Back Pain? See a Chiropractor First

It’s no secret that low back pain is the leading cause of disability. Keeping a lot of us not only out of work, but on the side lines of life as well. In fact, it is one of the most common reasons for missed work. Statistically, it has been estimated that more that 30 million people are effected by back pain at any given time. Low back pain is also one of the most common reasons for a visit to a doctor’s office. Many patients however are frustrated when their PCP seems unsure. The truth is, most primary care medical doctors have little training in the diagnosis and treatment of musculoskeletal conditions (admittedly). This leaves many patients dissatisfied with the outcome.

Board Certified Chiropractic Physicians are portal of entry providers that have undergone 4 years of musculoskeletal specific medical training in order to diagnose, treat, and manage conditions of the muscles and joints. A Chiropractor will be able to diagnose, make recommendations, and treat the specific cause of your problem, instead of masking it with medications. Majority of low back pain is mechanical in nature, meaning it is caused by tight muscles and joints. A Chiropractor will mobilize the joints, stretch the muscles, and correct the movement. You will quickly notice relief that will last. The leads to improved over-all outcomes, higher patient satisfaction, and most importantly keeps you moving!

If you or someone you know is experiencing back pain, don’t wait call or schedule online today! (781) 460-0939

Keep Moving.

Dr. James Ellis

www.evolvedhealthchiropractic.com

Chiropractic Care: A Non-Invasive Treatment for Disc Herniations

Each year many people will undergo back or neck surgery to repair a herniated disc. Majority of these surgeries will be a Microdissectomy due to a disc herniation. While some cases of herniated discs may require surgery, many cases will respond to less-invasive treatments such as chiropractic care.

What is a disc herniation? Between each vertebrae in your spine there is an Intervertebral Disc (with the exception of the first 2 cervical vertebrae.) These discs act as shock absorbers between the vertebrae, providing cushioning and flexibility during your daily activities. Think of your discs as shocks on your car, without them your spine would have no give or flexibility feeling every bump.

Statistically, many people have disc herniation’s but not all show symptoms. Typically, the pain will begin locally in the back or neck. If the herniation becomes bad enough to compress a nerve, the pain may progress to the leg or arm. Statistically, many cases will begin locally and progress slowly over-time. There are many different causes for a disc herniation. Contrary to popular belief, many people cannot pin point the exact mechanism of the injury. This is because much of the issue is often related to lifestyle, allowing symptoms to build slowly over-time. It is often poor posture, weight gain, or in-activity that allows the injury to progress. For example, when you have poor posture it places abnormal stress on the muscles which clamp down on the discs limiting motion in the joints. The intervertebral discs rely on motion for nutrition. It is important to note that since they are made mostly of cartilage there is no blood supply. This makes prevention key! Chiropractic helps by addressing the cause of the problem: Immobile joints and tight muscles compressing the disc. By releasing the pressure through gentle, non-invasive adjustments, therapeutic exercise, myofascial release we can serve to relieve the pressure in the disc and establish more normal range of motion reducing inflammation and nerve irritation.

If you are experiencing back or neck pain don’t wait, Click Here and make an appointment today and start healing!

 

Keep Moving.

Dr. James Ellis

(781) 460-0939

www.evolvedhealthchiropractic.com

The Top 3 Exercise’s for Sciatica

Sciatic nerve pain or “sciatica” is characterized by burning, tingling, or numbness in one side of the buttock or leg which is relatively constant. The cause is related to compression of spinal nerves as they exit the spine. ” Sciatica” is not a specific diagnosis but a collection of symptoms. The cause of sciatica is commonly due to other medical conditions such as a disc herniation, or degenerative changes of the lumbar spine which decreases the space impinging the nerves. Below are some common symptoms that people note during “sciatica”:

  • Relatively constant pain on one side of the buttocks and/or hamstring.
  • Hamstring or calve pain that is described as burning, tingling, or numb.
  • Pain that is worse when walking or sitting
  •  Possible progressive weakness or “dead leg.”

When dealing with sciatica it is important to first visit a Chiropractic Physician or other spine specialist in order to obtain an accurate diagnosis. Contrary to past beliefs, “resting” the area more than a few days is not recommended. Resting more than a few days may lead to deconditioning of the surrounding muscles which may increase pressure on the irritated nerve(s) making symptoms worse. Additionally, the intervertebral discs in your spine serve as shock absorbers. There is no blood supply to the discs since they consist of cartilage. They rely on movement in order to imbibe water keeping the discs full, healthy, and nourished preventing desiccation and degenerative change. By incorporating the appropriate exercises (and eliminating some bad ones), you can strengthen the surrounding muscles, effectively decreasing pressure on the spine and preventing further occurrence’s or exacerbations. Below are 3 of my personal favorites for bracing the abdomen:

1.)Cat-Cow-

  • Begin on all four’s.
  •  Take a deep breathe in through your nose slowly filling your belly with air.
  •  Arch your back dropping your belly to the ground slowly; head up.
  •  Begin to exhale slowly drawing your hips under your body by contracting your abdomen; hold 2-3 seconds.
  • Repeat cycle (1 cycle = 1 rep)

2.) Press-Up’s-

  • Begin by lying face down on a soft surface
  • Place your palms down as if in push-up position.
  • Leaving your thighs on the ground, begin to slowly press-up, lifting your upper torso off the ground; hold 2-3 seconds, then repeat.

3.) Pelvic Tilts-

  • Begin lying on your back face-up, knees bent.
  • Take a deep breathe in through your nose, arching your back slightly pushing your stomach out.
  • Exhale slowly, pushing your belly button through the floor by contracting your abdomen; hold 2-3 seconds, then repeat cycle (1 cycle = 1 rep).

As always, please consult a health professional before attempting to self-treat.

If you are currently experiencing sciatica pain, Click Here to schedule an appointment and start healing today!

Keep Moving.

Dr. James Ellis

www.evolvedhealthchiropractic.com