Better Health

Since the premiss of chiropractic care is better health, I am surprised that over the last 20 years of practicing that most of my new patients in my San Diego Chiropractic clinic are coming for treatment of pain.  While chiropractic care is an extremely effective and natural treatment for pain but it’s roots lie in health maintenance.

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Treating Plantar Fasciitis

Do you suffer from pain on the bottom of your foot that causes agony with every step?  Treating plantar fasciitis with chiropractic care is becoming more and more common as we see more cases each year in my San Diego Chiropractic clinic.

Plantar fasciitis is one diagnosis among many that refer to pain in the bottom of the foot. In typical cases, plantar fasciitis can cause pain in one or all of the following areas: in the arch of the foot, in the heal of the foot and in the knees. The duration of pain can be as short as to only involve pain with your first few steps of the day to pain with every step you take throughout your day.

The plantar surface of the foot (the bottom) has four layers of muscles that act to move and stabilize the joints of the foot and the toes.Covering the surface of these four layers is the plantar fascia which wraps around the bottom and sides of the foot and lies between the skin and the first layer of muscle.These fascial planes also separate the four layers of muscle as well as individual muscles at each level.

Plantar fasciitis is an inflammation of the fascia on the bottom of the foot. In many cases the fascia becomes irritated and inflamed by some kind of repetitive stress (over use) such as running and professions that require excessive time walking or standing. Another common symptom with plantar fasciitis is pain when moving the foot and toes toward your shin, also know as dorsiflexion of the ankle. Plantar fasciitis is more common in athletes it is also more common in those with a higher body mass index. Plantar fasciitis can become so painful that those who suffer with it have to implement severe restrictions in their activities of daily living in order to limit the pain that they experience.

The mechanisms involved in plantar fasciitis are no different than the mechanisms that affect the joints and muscles in other areas of the body. The condition begins with irritation of the local tissues. This irritation leads to inflammation which causes pain and spasms. With time, the inflammation causes scar tissue formation which in turn leads to more pain and restrictions in flexibility. One of the problems with scar tissue is that it tends to infiltrate through adjacent fascia planes resulting in pain when the muscles separated by the fat planes try to move independent of one another.

When plantar fasciitis is untreated the changes that take place can become more degenerative than inflammatory and begin to affect the tendons and ligaments of the foot.

Plantar fasciitis affects two million Americans each year and will be experienced by 10% of the population over the course of their lives.

In my San Diego Chiropractic clinic we treat plantar fasciitis with a combination of myofascial release techniques, chiropractic adjustments, ultrasound, nutritional recommendations and therapies that patients do at home.  Treatment is effective when the patient is committed to getting better.  If you are suffering with plantar fasciitis and need help – don’t hesitate to call us, we would be happy to consult with you to see if chiropractic care would be of help in your case.


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Whiplash Treatment

Patients come to my office for whiplash treatment as frequently as they do for other complaints. One of the most common complaints that I see in my San Diego Chiropractic Clinic is chronic neck pain.  More often than not, the patients who complain of chronic neck pain were involved in a whiplash car accident in the past and either didn’t receive the appropriate treatment or didn’t received any treatment at all.

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Neck | Shoulder Pain

Neck | shoulder pain are common complaints for new patients of my San Diego Chiropractic center. Shoulder pain and neck pain go hand in hand. Chances are that if you have neck pain for long enough that at some point it will develop into shoulder pain and vice versa.

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Reducing Sodium

Reducing sodium in your diet is a simple way to improve your health now.  Reducing sodium will improve your energy and eliminate excess water weight which both conspire to make you feel sick and tired.

When the topic of excess sodium comes up with the patients of my San Diego Chiropractic clinic I often get responses like “I never add salt to my food”. As a side note, especially since it has relevance to reducing sodium, I often ask to check my patients’ blood pressure and hear responses similar to “my blood pressure is perfect – I take blood pressure medication”. Obviously when blood pressure is controlled by medication it is far from perfect.

Reducing Sodium is Easy

Anyway – getting back on track, most of the sodium that we get is already in the store bought foods that we eat. Sodium is added to foods as a preservative, it magnifies the sweetness of cakes and cookies, it helps disguise metallic or chemical tastes in soft drinks and it helps reduces the perceived dryness in snack foods such as crackers and pretzels. Of course all of this sodium makes us retain water and causes high blood pressure.

Estimates indicate that over 70% of the sodium in American diets comes from processed foods. Processed foods exist because they are convenient and sometimes for health safety reasons. Below is a partial list of processed foods that cause elevations in blood pressure.  Reducing sodium is simply a matter of making healthier dietary choices.

  • canned foods with large amounts of sodium, trans-fats or fat
  • breads and pastas made with refined white flour instead of whole grains
  • packaged snack foods such as chips and candies
  • frozen fish sticks and frozen dinners are high in sodium
  • packaged cakes, cookies and other sweets
  • boxed meal mixes
  • sugary breakfast cereals
  • processed meats

The label below is from a processed food package. It is important to note the amount of sodium per serving as well as the number of servings per can. In this example, one serving contains 440mg of sodium which is fine but if you eat the entire contents of the container you will be taking in 1760mg of sodium which is entirely too much in one meal to be compatible with normal blood pressure.

Reducing SodiumThe point is this – in order to reduce your sodium intake and subsequently your blood pressure, you have to substitute processed foods for fresh, organic foods. When you do eat processed foods, make sure that they have less than 300 mg sodium per serving. This sodium lowering strategy will lower your blood pressure and make you healthier.


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Improving Sleep

Decreasing chronic muscle tension is necessary for improving sleep.   This seems obvious but we never seem to apply the obvious to our own situation.  If you toss and turn looking for a comfortable sleeping position but never seem to find it and lie in bed trying to fall asleep with little success you are not alone.

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Rotator Cuff Injuries

Rotator cuff injuries are among the worst type of shoulder injuries. At my San Diego Chiropractic Center we diagnose and treat rotator cuff injuries on a regular basis.

Rotator Cuff InjuriesThe rotator cuff muscle group is responsible for coordinating rotational movements of the shoulder – especially for activities like throwing a ball – hence the name; rotator cuff.

This group of shoulder muscles is made up of the following as listed below:

1) Supraspinatus

2) Infraspinatus

3) Teres Minor

4) Subscapularis

Common Rotator Cuff Injuries

The most frequently injured / torn rotator cuff muscle is the supraspinatus. This muscle is about the size of your index finger and has a tendon that is about as long as the muscle itself. This muscle can be injured through trauma related to sports, work and automobile accident injuries. It can also atrophy and tear from being under used – this under use also known as “senile degeneration” is often found in older or sedentary patients.

Rotator cuff injuries must be taken seriously. If left untreated they can not only cause chronic shoulder pain and disability but they can also lead to neck pain / stiffness and pain between your shoulder blades. While pain is a motivation for most patients to seek care, the resulting disability can restrict a host of activities of daily living ranging from loss of ability to perform work duties to being unable to throw a ball and in many cases making getting a decent night sleep impossible and should be of great concern as well.

Rotator cuff injuries aren’t the only source of shoulder pain but they are one of the more serious causes of shoulder pain. If you suspect that you have injured your shoulder and need professional help please feel free to contact us – we would be happy to help diagnose and treat the source of your shoulder pain.


Related Articles:

More on Shoulder Pain

About Shoulder Pain Treatment

More on Rotator Cuff Injuries

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