San Diego Chiropractic Blog

Have you ever had chiropractic care for injuries from an auto accident?

At my San Diego based Chiropractic Clinic I provide treatment for many patients with neck pain, back pain and headaches. In many cases, the cause of these aches and pains are related to auto accidents or other types of personal injury.

More often than not, the accident in question occurred years earlier and the initial symptoms were not taken seriously by the patient. Most people don’t take the time to seek treatment for themselves yet they scramble to get their cars fixed. This thought process extends into other injury / treatment scenarios as well. I once had an acquaintance who smoked but proudly proclaimed that she didn’t smoke inside her car because she didn’t want to ruin the interior!

I don’t know why so many of us carry these kinds of thought processes. In the case of auto accident injuries, the little bit of neck pain or the slight headache or the lower back pain is often overlooked or dismissed and minimized as being un-important. This is flawed thinking. Imagine if we treated other health conditions with such disregard.

The injury mechanisms in whiplash type accidents are complex. Muscles are stretched and torn, ligaments can sometimes partially tear or rupture, intervertebral discs can become herniated and spinal fractures can occur. These injuries can lead to a vast number of symptoms that can cause anything from slight irritation all the way to severe disability.

While the mechanism of injury in whiplash cases is complex, the typical resulting spinal injuries follow a well established path. Initially, the muscles and ligaments in the injured area are irritated. This irritation leads to inflammation. Inflammation is not only responsible for many of the initial symptoms that you experience but it is also responsible for scar tissue formation which can make your symptoms permanent or chronic.

Statistically, 25% of all auto accident / injury victims will suffer from some ongoing symptom related to their accident. Chiropractors are experts in dealing with the types of injuries that occur as a result of auto accidents. The best way to insure that you are not a member of this group of 25% is to get an examination and possibly treatment, if recommended by your chiropractor.

Yours In Good Health

Dr. Jones

San Diego Chiropractic Care
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Types of Headaches

Headaches is one of the major afflictions for which new patients visit my chiropractic office in San Diego. This condition may seem like a minor health issue to those of us who do not suffer from chronic or severe headaches. But they can have a major role as to how the patient and the population are generally affected. Over ten million visits to the doctor in the United States were caused by headaches in 2007 alone, while being a popular excuse for calling out of work and school.

Medications from the doctor offer relief for a little while, but don’t do anything to help the origin. Chiropractic care, on the other hand, works directly at righting the root causes that trigger a multitude of headaches. This piece will delineate the five basic kinds of headaches — tension, toxic, sinus, cluster and migraine — so you may have a better understanding of which kind of headache you might be experiencing.

Tension Headaches

The most common type of headache, by far, is tension headaches. Roughly 4 out of 5 people are subject to tension headaches from time to time, while five percent are subject to tension headaches every day. Tension headaches affect women twice as much as men.

The duration of anywhere from 30 minutes to several days is average for tension headaches. Band-like pain, pressure, or throbbing of the head are the most common symptoms related to this type of headache.

There can be a significant increase in severity with the frequency of the headaches. Emotional stress, depression, not enough rest, poor posture, and/or chiropractic subluxation causing pressure on the nerves are some of the multiple causes for tension headaches. More frequently than otherwise, this kind of headache normally happens due to a mixture of the above mentioned causes.

Toxic Headaches

This is a rare occurrence of a headache in the medical community. Despite this fact, it is often straightforward to identify this category of headache, when occurring as a result to toxin exposure.

Sinus Headaches

Sinus headaches are not unusual, and the pain is localized to sinus cavities around the forehead, eyes, nose, and cheeks. Rather than relieving sinus headaches long term, many medications used for this purpose ironically may exacerbate and prolong sinus conditions.

Cluster Headaches

Cluster headaches are one of the most intense sort of headaches and are normally one-sided. Luckily, though, they are quite unusual and less than 0.1% of people suffer from them. They generally begin prior to age 30 and happen in time periods ranging from 14 days to three months.

These headaches usually occur one to three times per day, lasting for 30-90 minutes. The patient usually awakens from them one to two hours after retiring.

When the cluster period is over, these headaches may disappear for months or years, but the headaches reappear later on. These attacks are considered to be tied to circadian rhythms in the pineal gland and hypothalamus, which controls the resting and awake cycles. This type of headache often occur with spring or fall changes in season.

Migraine Headaches

Migraine headaches, vascular in nature, are caused by variations in the arteries inside and outside the brain. Approximately 28 million Americans suffer with migraines, however approximately 13 million Americans don’t have a diagnosis now. Migraines affect more women than men. Of the ones who have been diagnosed, 25 percent experience at least four episodes per month; 35 percent endure 1-4 attacks per month, and the final 40 percent go through one attack per month or less. Migraines can commonly last from four hours to three days.

There is a family history of migraines in four out of five sufferers from migraines. Children who have one parent who gets migraines have a 50 percent chance of getting them, and if both parents get them, they have a 75 percent chance.

Understanding migraine headache triggers may help avoid future headaches; common trigger factors include weather changes, caffeine, chemical exposure, fatigue or insomnia, and missed meals. Signs may include an aura in the form of light, noise or odor sensitivity; nausea or vomiting; and stomach distress or pain. Additional symptoms of paleness, dizziness, a mild fever, or an upset stomach may manifest in a child with a migraine.

Written by the best San Diego Chiropractor

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Do you know what and what not to do after an auto accident?

It is that time of the year again. You know, when the roads are wet with rain and half the people on the road drive like it is dry (FAST) and the other half slow down to half the posted limit. People who live in San Diego only see an average of 11 rainy days per year. That is about 3 percent of the time. Until your car loses traction and you hit another vehicle, most don’t realize how quickly and easily it can happen. While an accident usually starts and ends in matter of seconds, the neck pain, headaches, back pain, etc. can continue for weeks, months or sometimes, years.

In addition to the typical physical aches and pains associated with auto accident injuries, there are legalities to consider as well. Sometimes there are disputes as to who is the guilty party that is responsible for the accident. Many people will deny their responsibility even though their role in the accident is obvious. If you have been involved in an automobile accident, there are a number of things you can do to preserve your legal rights.

The following is a summary of some of the most important things you can do to protect your legal rights after an automobile accident:
1. Do not leave the scene. If you leave the scene of an auto accident, you may be criminally prosecuted. You are required to provide your name, address, driver’s license and auto insurance information to the other driver.
2. Assess yourself for injuries and then, if you are able, help the injured if there are any. If someone has been injured in the accident, you should call for an ambulance / paramedics and assist them to the extent you are qualified. Before calling for the ambulance, be prepared to give an accurate location of the accident and a count of the number of individuals injured.
3. Avoid additional collisions. Make sure your vehicle is not presenting a safety hazard to other motorists. If possible, it should be moved so that it is not obstructing traffic. You can further warn oncoming traffic to proceed with caution by setting flares, turning on your hazard lights, and raising the hood and trunk of your vehicle.
4. Notify the police. Typically the police will prepare a report that contains specific information regarding the accident and the parties involved. While you may not be required to call the police, the accident reports they produce could be helpful to you later.
5. Do not admit liability. You should not admit responsibility for the accident to the other drivers, passengers, or to the police for that matter. You may convey facts concerning how the incident occurred; however, it is best not to comment on your responsibility (or liability) for the accident. This is a legal matter that is not always readily and easily ascertainable.
6. You should get the names, addresses, and telephone numbers of any individuals involved in the accident, as well as any witnesses to the accident. You should also obtain the name of the insurance company and policy number of the other drivers involved. If possible, you may take photographs to document the accident scene including skid marks, road obstructions, and damage to the vehicles.
7. Notify your insurance company. If you do not give your insurance company prompt notice, your policy may provide that the insurance company may deny coverage for your claim. Accordingly, you should give your insurance company notice by way of telephone and by written notice that provides you a means of proving such notice was given, such as by facsimile or by certified mail. You should provide your insurance company with all information they request concerning the facts of the accident.
8. Consult a chiropractic doctor to evaluate your neck and back for injuries. Some injuries may not manifest themselves until some period of time after the accident; the fact that you do not immediately feel as though you have been injured does not necessarily mean that no injury has occurred. You should consult your insurance agent to see if the cost of seeing a doctor in connection with the accident is covered by your insurance policy. You should not settle your claims for injuries arising from the accident until you have been advised by your chiropractic doctor as to the full extent of your injuries.

I hope that you find this information helpful. Drive safe!

Yours In Good Health

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Dr. Jones

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For the most part, San Diego is a city of fairly fit and active people. Since I am a chiropractor in San Diego, I can’t help but notice that a fairly large portion of my patients are trying to lose weight.

Losing weight is not only a noble endeavor but a difficult one.

Losing weight is not only good for your cardiovascular health but also for your health in general. Losing extra weight is very important to your skeletal health as well. Every extra pound that you carry puts a little more stress through your spinal joints causing excessive wear and tear.

Excessive wear and tear results in arthritis, neck pain, back pain, headaches, sciatic pain, hip pain, knee pain etc. I am of the opinion that less pain is better.

Chiropractic care is an important part of your efforts to maintain your spinal health. That being said, you should not dismiss the importance of keeping fit as it directly relates to your spines’ ability to withstand the stresses of a long life.

Since I am sure that at least some of my patients’ problems are due to the fact that they carry excess weight, I thought I would give a few suggestions for successful weight loss.

1) Remember that weight control is your responsibility. Having a weight loss partner who agrees to “watch out for you” will only inspire you to cheat while they are not watching.

2) Don’t let a single failure in your diet degrade into a whole day of poor diet choices. If you blow a part of your diet, don’t view your entire day of eating as a failure and consume junk all day. Pick up your good diet choices the next time you have a meal.

3) Don’t start dieting prior to holidays or vacations where you will be tempted by overindulging making it difficult to lose weight.

4) Don’t weigh your self more than a few times each month. Losing weight takes time which isn’t compatible with Americans desire for instant results.

5) Cut back on salts, caffeinated drinks and soda. Even diet soda!

6) Drink plenty of water and try eating soup before meals to help reduce the number of calories you consume.

These are just a few simple ways to start trimming those extra pounds.

Both you and your spine will be better for it.

Yours In Good Health

Dr. Jones

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Which is worse - neck pain or back pain?

I hear this question often in my San Diego chiropractic office. Of course the answer is easy - if you have back pain, back pain is definitely worse than neck pain. If you have neck pain, neck pain is definitely worse than back pain.

Another common question that I hear regarding low back pain is why sitting makes it hurt more than standing.

This is a good question, which can be answered through physics. I remember seeing a diagram in one of my office ergonomic books that exposed the different stress levels on the spinal disks with various body positions.

The diagram had drawings of a person standing, lying down, sitting and then sitting while hunched forward with very poor posture. The disk pressure differences with these different postures was given as follows:

1) Standing upright 100%

2) Lying down 24%

3) Sitting upright 140%

4) Sitting hunched 190%

The explanation of the much higher disk pressures while sitting is explained by examining the structural changes that occur when we change from a standing to a seated position.

Our spines are supposed to have curves when viewed from the side. The neck should have a nice sweeping forward curve, the mid-back should carry a backward curve and the low back should have a sweeping forward curve. When these curves are present, the weight of your body is carried evenly across several different structures of the spine. These curves help provide stability for your spine.

Once we assume a seated position, the natural forward curve in our low backs reverses which increases the pressure on the disks and either increases back pain or causes back pain. If we stay in that seated position but flex our bodies forward at the waist (think bad posture - slumping over your keyboard or desk) the pressure in the disks elevates causing more damage and more pain.

Limiting the time that you sit will help your back pain in most instances. This is advice that I hand out to my San Diego chiropractic patients everyday of the week. I hope that it helps you as well.

Yours In Good Health

Dr. Jones

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Have you been to a chiropractor lately? Have you ever been to a chiropractor?

Regardless of your answer to these questions, do you know what a chiropractor does?

I have been a practicing chiropractor in San Diego for the last 16 years. Helping people with neck pain, back pain, sciatica and headaches with chiropractic care is rewarding. As a profession, chiropractors only provide care to somewhere around 10% of our population. I have always wondered why this number is so low since patient satisfaction with chiropractic treatment is so much higher than it is with traditional medical care and that most independent research indicates that chiropractic care is more effective than western medicine for back pain.

Chiropractic care is an excellent , conservative treatment for many types of back injuries including those caused by auto accidents and various work injuries. That being the case, I have always thought that more people don’t seek out chiropractic care for their back and neck injuries because they don’t know what to expect with a chiropractic visit.

In this post, I am going to tell you exactly what procedures that our new patients go through at the time of their first visit.

Once a new patient comes to our office they are asked to fill out a brief informational health history that covers both past and current problems. After they are done with this form, I review the history to acquaint myself with current and past complaints that are relevant to the reason for the appointment.

With the history form reviewed, I take the patient to one of my exam / treatment rooms where I ask the patient to tell me more about their pain. During this time I also ask additional questions to help me get a good understanding of the patients’ concerns.

After I am satisfied with my understanding of the patients’ concerns and they have nothing else to add to the history, I perform an examination on the involved areas that includes range of motion tests, necessary orthopedic tests and neurological tests. Usually the information that I obtain from these tests is sufficient to allow me to make a decision regarding treatment.

If treatment is indicated, care usually involves therapy to relax the muscles followed by chiropractic adjustments to relieve the pain / dysfunction of the involved joints. Since many of our new patients have never been to a chiropractor before, I always ask the patients to help me keep all of our procedures within their “comfort zone”. I have always thought that this is very important since so many Americans are unfamiliar with manual type therapies.

The number of chiropractic visits varies person to person depending on the severity of the injury and each persons response to care.

Your’s In Good Health

Dr. Jones

www.JonesPainRelief.com

Dehydration is a common problem among adults. I have read studies that indicate that at any one time approximately 75% of American adults are suffering with mild symptoms that result from being dehydrated. Being a chiropractor in San Diego, a desert community, we see many people suffering from ailments ranging from neck pain and headaches to lower back pain with sciatica that all carry some link to dehydration.

The human body is approximately 65% water. By definition, dehydration occurs as the result of excessive loss of water from the body. This occurs as a direct result of not taking in enough water. That is a very superficial explanation of dehydration. In reality, it’s a bit more complicated than that since the body loses electrolytes as well as fluids.

Dehydration is a major issue with our health. A common scene in professional sports is that of the athletes becoming dehydrated and “cramping up”. This cramping of muscles affects us normal people as well. We suffer from back spasms and similar symptoms as a result of dehydration.

Another common symptom of dehydration is headaches. Dehydration has long been known to be a trigger of Migraine type headaches. Many people mistakenly think it occurs only in hot weather and that you’re not dehydrated if you’re not thirsty.

Dehydration Facts:

” It takes an average of 64 to 80 ounces to replace the water our bodies lose in 24 hours.

” Under normal circumstances, how much water we need depends a great deal on the volume of our perspiration and urine output.

” Our bodies’ need for water increases under circumstances such as:

” warmer weather or climate

” living at high altitudes

” increased physical activity

” when experiencing vomiting or diarrhea

” when fevered

” when you have a cold or the flu

” if you have a chronic disease such as uncontrolled or untreated diabetes, kidney disease, alcoholism, cystic fibrosis, or adrenal disorders,

” if you are taking some medications. Always check your prescription information.

” during long air flights

” Losing as little as 1 to 2% of body weight can result in dehydration.

” Losing 3 to 5% can negatively impact reaction time, concentration and judgment

” Losing 9 - 15% results in severe dehydration and is life-threatening.

Dehydration Symptoms:

” Excessive thirst

” Fatigue

” Muscle weakness

” Headache (or, in the case of Migraineurs, Migraine)

” Dizziness

” Less frequent need to urinate and decreased output

” Darker colored urine (should be nearly clear to pale yellow)

” Confusion

” Increased heart rate and respirations

” Skin that doesn’t snap back when pinched and released

” Children may exhibit additional symptoms:

” Absence of tears when crying

” No wet diaper for three hours or longer

” Irritability

” Lethargy

” Fever

When caught early, dehydration can usually be treated at home. Common treatments include:

” Mild dehydration: rehydration by drinking fluids including sports drinks, which rehydrate by providing not only fluid, but also electrolytes and salt. In children, products such as Pedialyte may be recommended as it also contains carbohydrates to help absorption in the intestinal tract. Coffee, tea, and soda should not be used for dehydration as the caffeine in them can actually be dehydrating.

” Moderate dehydration: rehydration may suffice, but IV fluids may be required.

” Severe dehydration: Immediate action must be taken, treating the situation as a medical emergency. Hospital treatment is necessary for IV fluids to rehydrate more quickly and efficiently and to allow observation.

As with most ailments, it’s better to prevent dehydration than to treat it. Here are some preventative steps you can take:

” Drink plenty of fluids and eat foods high in water. Fruit contains the most water, followed by vegetables, meat, then grains with the least.

” Choose your beverages wisely. Caffeine and alcohol can be dehydrating. For some people, too much fruit juice can cause diarrhea, which can be dehydrating.

” If you’re planning a day with more significantly exercise than usual, begin hydrating the day before.

” Sports drinks can help maintain electrolyte balance, but be aware of the sugars in them.

” Plan outdoor activities for cooler parts of the day.

” If you’re organizing outdoor activities, provide shaded areas.

” When you’re ill, be sure to continue drinking fluids, and get additional fluids if you have a fever or are vomiting or have diarrhea. Call your doctor for help with vomiting or diarrhea if necessary.

Yours In Good Health

Dr. Jones

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Over the years, my San Diego Chiropractic Center has provided treatment for hundreds of people suffering from back pain, neck pain and leg pain that is easily attributed to their running habits.

I have read countless times in various journal articles that running becomes detrimental if your distance is greater than 15 miles per week or further than 3 miles per run. The conclusions that these articles drew to is that running beyond the guidelines previously mentioned does the joints more harm than the aerobic benefit of the exercise does your body good. It seems that these studies indict long distance running as an exercise of diminishing returns.

That being said, for those of you who do run, there is good news concerning the health benefits of running. Researchers reported in the July 2001 issue of American Journal of Public Health that men in their 30s who jog a minimum of ten times monthly develop a bone density that is at least 5 percent higher than that of men who jog less frequently.

The study analyzed answers to questions in a health survey of over 4,000 men, including 954 joggers and 3,300 who did not jog at all. The study included results of hip joint X-rays taken of each man to determine bone density. The researchers then compared the findings from joggers with results from non-joggers.

Dr. Michael E. Mussolino, a researcher at the National Center for Health Statistics, part of the Centers for Disease Control and Prevention office said the results showed that, “The men who were jogging nine times a month were doing much better than those who were jogging only one to eight times a month. Even those who jogged eight or fewer times a month had a higher bone density than those who did not jog at all.” He also noted that the study showed that it does not require marathon-like running to build strong bones.

The National Institutes of Health estimates that 10 million Americans have osteoporosis and another 18 million are at risk of the disease. Eighty percent of these people are women. The NIH estimates that one out of every two women and one in eight men will break a bone as the result of osteoporosis within their lifetime. The report states that building dense strong bones in young adulthood is considered by experts to be an important factor in preventing osteoporosis.

Yours In Good Health

Dr. Jones

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What if I told you that I sold a vitamin that would fix all that ails you?

This vitamin would do everything from grow hair on your head to clearing your heart of plaque build-up to restore your joints to those of a 20 year old!

As a chiropractor in San Diego, I am exposed to many myths regarding our nutrition and our health and the things that we can do to preserve it. Indeed we treat many patients for neck pain, back pain, headaches, and sciatica. That being stated, our patients’ nutritional needs are never overlooked.

The problem that we encounter when discussing nutrition involves patient participation. I have found that our patients have good intentions when it comes to nutrition but those good intentions are often negated by poor planning.

I found a list of the top ten nutrition myths on Healthcastle.com that I thought was both interesting and relevant.

I have heard all of these myths from my patients over the years. Good nutrition has to start with good information. This is a start.

1. Sugar Causes Diabetes. The most common nutrition myth is probably that sugar causes diabetes. However, if you do not have diabetes, sugar intake will not cause you to develop the disease. The main risk factors for Type 2 diabetes are a diet high in calories, being overweight, and an inactive lifestyle.

2. All Fats are bad. It’s a long-held nutrition myth that all fats are bad. But the fact is, we all need fat. Fats aid nutrient absorption and nerve transmission, and they help to maintain cell membrane integrity - to name just a few of their useful purposes. However, when consumed in excessive amounts, fats contribute to weight gain, heart disease and certain types of cancers.

3. Brown Sugar is better than White Sugar. The brown sugar sold at grocery stores is actually white granulated sugar with added molasses. Yes, brown sugar contains minute amounts of minerals. But unless you eat a gigantic portion of brown sugar every day, the mineral content difference between brown sugar and white sugar is absolutely insignificant.

4. Brown Eggs are more nutritious than White Eggs
Contrary to a widely believed nutrition myth, eggshell color has nothing to do with the quality, flavor, nutritive value, cooking characteristics, or shell thickness of an egg. The eggshell color only depends upon the breed of the hen.

5. Avoid seafood to lower blood cholesterol. I still can’t believe it, but I heard this nutrition myth from my own doctor! In fact, the dietary cholesterol found in seafood and other meats has little effect on blood cholesterol in most people. Saturated fats and trans fatty acids are the most important factors that raise blood cholesterol.

6. Avoid carbohydrate to lose weight. The key message that many low-carb diets convey is that carbohydrates promote insulin production, which in turn results in weight gain. Therefore by reducing carbohydrate intake, you can lose weight. Unfortunately, this is just another nutrition myth.

The truth is that low-carb diets are also often calorie-restricted! Followers only eat an average of 1000 - 1400 calories daily, compared to an average intake of 1800 - 2200 calories for most people. To lose one pound a week, you only need to eat 500 fewer calories per day in your normal diet. Therefore, it doesn’t matter if you eat a high- or low-carb diet, you will lose weight if you decrease your caloric intake to less than needed to maintain your weight.

7. Avoid nuts as they are fattening. Yes, it’s true that nuts are quite calorically dense. But if you can restrain yourself from overeating them, nuts can be a part of a healthy diet.

It’s a nutrition myth that nuts should be avoided. In fact, nuts are high in monounsaturated and polyunsaturated fats (the good fats) as well as plant sterols, all of which have been shown to lower LDL cholesterol.

8. Eating for 2 is necessary during pregnancy. Energy requirements vary among individuals. Unfortunately, the idea that pregnancy is an ice cream free-for-all is a nutrition myth. An extra snack before bedtime is often enough.

9. Skipping meals can help lose weight. Many people think that by skipping a meal, they will be eating less food and therefore lose weight. As we now know, this is a nutrition myth. People who think skipping meals means weight loss do not understand how our bodies work.

If you skip a meal, your body will think that you are in starvation mode and therefore slow down the metabolism to compensate. You then tend to overeat at the next meal.

10. Red meat is bad for health. I often hear people saying that they do not eat red meat. When I ask why they don’t, or even what they consider to be red meat, the answers vary dramatically.

It is true that some studies have linked red meat with increased risk of heart disease, partly due to the saturated fat content. In fact, even chicken can contain as much saturated fat as lean cuts of beef or pork. For instance, a serving of sirloin beef or pork tenderloin has less saturated fats than the same serving size of chicken thigh with skin. It is true that poultry like chicken and turkey is naturally lower in saturated fats. But it is only true if you don’t eat the skin.

Yours In Good Health

Dr. Jones

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Lower back pain is one of the most frustrating things for patients to deal with. I have had what I consider bad lower back pain, bad neck pain and other injuries that get my full attention. Of all of these conditions, I think that lower back pain has been the worst spine complaint that I have had. Since I became a chiropractor in San Diego, I have taken informal surveys of my patients regarding the area of their backs that create the greatest level of disability when aggravated and more often than not the answer is lower back pain.

Chiropractic care for lower back pain is pretty straight forward. Usually low back pain is accompanied by muscle spasms which have to be addressed first. Most low back pain patients do very well with treatment that begins with the application of hot packs and electrical muscle stimulation. Electrical muscle stimulation sounds intimidating to some people but it is a very comfortable, relaxing form of therapy that is excellent at soothing muscle spasms.

Once the muscles have been relaxed as much as possible, the affected joints of the lower back can be adjusted. Much like the sound of electrical muscle stimulation, some people find the sound of having their joints manipulated intimidating. In fact, the overwhelming majority of even first time chiropractic patients find the joint manipulations to be comfortable and soothing to their back pain.

Chiropractic care is delivered as a series of treatments rather than a single session. That is not to say that you may not attain 100% relief with one session, but you shouldn’t count on it. The rule of thumb in regards to how much care you may need for a low back issue is that you must allow for one week of active care (2 to 3 visits per week) for each month that you have had a particular problem. This level of frequency and consistency will ensure the greatest level of recovery with chiropractic care.

Yours In Good Health

Dr. Jones

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