San Diego Chiropractic Blog

Like many across the United States my Chiropractic Office in San Diego provides treatment for neck pain and back pain. Although chiropractic care helps many different conditions, it is often viewed as treatment for just back pain and neck pain.

When dealing with back pain and neck pain, it is important to have your pain evaluated by a healthcare professional. Dismissing back pain and neck pain as insignificant can lead to more significant health issues.

Many conditions can cause back pain and neck pain, ranging from injury and infection too twisting or turning “the wrong way”. Injuries such as those sustained in an automobile or other accident can damage muscles, joints, ligaments, and vertebrae.

Overuse or under use of the back muscles is by far the most common cause of back pain that manifests as tightening or spasm of the muscles that connect to the spine. Inflammation and swelling often occur in the joints and ligaments, especially in the cervical and lumbar regions, as people age.

A herniated disc occurs when the nuclear pulposus, the inner material of the disc, pushes through a tear in the annulus fibrosis, the outer material of the disc causing nerve root compression. The cervical and lumbar regions of the spine have the most mobility and the discs there are more likely to wear down or be injured. Ninety percent of disc herniations occur in the lower two lumbar vertebrae.

Spinal stenosis, the narrowing of the spinal canal, can cause spinal cord irritation and injury. Conditions that cause spinal stenosis include infection, tumors, trauma, herniated disc, arthritis, thickening of ligaments, growth of bone spurs, and disc degeneration. Spinal stenosis most commonly occurs in older individuals as a result of vertebral degeneration.

A pinched nerve, or radiculopathy, occurs when something rubs or presses against a nerve, creating irritation or inflammation. Radiculopathy can result from a herniated disc, bone spur, tumor growing into the nerves, and vertebral fracture, and many other conditions.

Sciatica is a certain type of radiculopathy that involves inflammation of the sciatic nerve. Pain is experienced along the large sciatic nerve, from the lower back down through the buttocks and along the back of the leg.

A spinal tumor that originates in the spine (primary tumor) or spreads to the spine from another part of the body (metastatic tumor) can compress the spine or nerve roots and cause significant pain.

Infections of the vertebrae (e.g., vertebral osteomyelitis), the discs, the meninges (e.g., spinal meningitis), or the cerebrospinal fluid can compress the spinal cord and result in serious neurological deterioration, if it is not diagnosed and treated immediately.

Arthritis often affects the facet joints which are formed by two adjacent vertebra and direct or guide movement of the spine. As the joints degenerate, they loose their normal alignment, and the cartilage and fluid that lubricates the joints may deteriorate. Bone then rubs against bone, which can be very painful.

These are just a few of the conditions that can cause back pain and neck pain. Most cases of back and neck pains are due to mechanical causes and can be readily addressed by a chiropractor. The point is, however, neck pain and back pain is a warning signal that should not be ignored.

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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I have been practicing chiropractic care in San Diego for the last 15 years. In that time I have seen many different types of lower back injuries that all generate some level of back pain or disability. Back pain severity can range anywhere from a mild ache to an intense, severe bout that can cause total disability.

For most of these people, the joint most likely to be involved is the sacroiliac joint. We have two sacroiliac joints. They are located just to the left and right sides of the spine at your beltline. These joints are both the largest and the strongest joints in your spine. They have the largest muscles and the strongest ligaments to provide for their movement and support. These joints also have a close relationship with the bottom two vertebra of your lumbar spine. The sacroiliac joints are attached to the L4 L5 vertebra with ligaments that essentially create a situation in which the health of each of these joints is dependent on the health of the other adjacent joints.

The L4 L5 S1 and sacroiliac joint complex is very durable while allowing a great range of motion. This joint complex, however, is also subjected to incredible levels of stress as a result of poor posture, sitting, sports injuries and improper lifting techniques. Patients who sustain injuries in this area are dumbfounded that they cannot recall any particular injury that “threw their back out”.

Like any other joint in your body, the sacroiliac joints weaken and eventually are injured by ongoing low levels of stress. We often see people who have suffered a severe back injury involving the sacroiliac joints following an activity such as picking a sock up off the floor or some other mundane task. An injury following a task such as this indicates a long standing problem that should be addressed by a competent chiropractor.

Low back injuries that are not promptly addressed with formal therapy can easily become chronic leading to more severe aggravations in the future.

Yours In Good Health

Dr. Jones

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Being a practicing chiropractor in San Diego for the last 15 plus years has given me the opportunity to manage hundreds of cases of lower back pain. I would say that of these cases of low back pain, at least 75% of them are the result of a sedentary lifestyle and lack of core strength.

Our spines are essentially a stack of bones that give use the ability to flex, bend and twist while at the same time provide protection for our spinal cord. Ligaments, which are tough fibrous bands of tissue help provide stability of the joints. Another major contributor of stability for our spines comes from the muscles. The muscles in our bodies, regardless of where they are located should be strong and flexible. Strong flexible muscles in our core help prevent injuries.

The trend in America is that we are becoming heavier and exercising less. In addition to this trend, or perhaps a contributor to this trend is the fact that so many people have work that revolves around the computer. I know that some of my patients sit at a computer station all day long - every day of the week.

Sitting at a computer has multiple ill effects on the health of our spines. The postural stress of sitting puts stress on the discs that separate our vertebrae. When we sit, the normal forward sweeping curve of our low backs round backward which displaces the weight of our bodies forward putting increased pressure on the discs. This posture also stretches the muscles that run down the back of the spine eventually causing what is known as a “stretch weakness”.

It is the loss of core strength combined with the postural stress of sitting at work for hours and days on end that leads to most of the back problems that I see at work. I always find it ironic that office workers who are in for treatment make comments about how I must see so many heavy laborers for back pain while my office is filled with computer jockeys.

The solutions to the problems described above are simple but require diligence. First of all, you have to take breaks if you sit all day. I had a seminar years ago where one of the speakers gave a simple solution to get you up and moving during the day. He suggested that you have a small, 8 oz glass of water on your desk that you drink from all day. With this plan, every twenty minutes or so you will have to get up to get more water or get up to go to the bathroom. These mini breaks in your day help relieve postural stress.

The second part of taking care of your back involves building strength in your core. This involves exercise. Walking, jogging, bicycle riding, crunches and various exercises on a Swiss Ball will all go a long way towards building core strength and reducing your chances of lower back injury.

Your’s In Good Health

Dr. Jones

www.JonesPainRelief.com

Does acute or chronic back pain have you down? Looking for alternatives to what your current back pain management plan is? Read on!

Practicing chiropractic in San Diego has exposed me to a patient base that is more interested in their health then in other areas of the country. In addition to traditional chiropractic treatment for neck pain and back pain our office offers our patients a host of recommendations for self care of their pain that can become part of a healthy lifestyle.

In order to help control episodes of back or neck pain, immediately drink several glasses of water. In some cases, dehydration will cause muscular aches and back pain. The rule of thumb of drinking eight, eight ounce glasses of water per day is healthy in general. Incidentally, headaches can be caused by dehydration as well. If you have headaches on a regular basis, increasing your water consumption may give you relief.

Ice applications to the area of pain can also be beneficial. Ice helps reduce inflammation which not only causes pain but can trigger local muscle spasms that lead to functional losses. There used to be an old rule concerning icing that suggested ice for the first 48 hours and then apply heat after that. Modern clinical studies indicate that as long as you have pain, you have inflammation. Inflammation always responds better to ice than it does to heat. We recommend that our patients ice their back pain or neck pain 20 minutes at a time at least two times per day with at least a 20 minute break in between sessions. Ice with a soft gel pack through a thin piece of clothing. Lastly, watch for frostbite - if the skin over the area that you are icing turns red or brown and scabs over you did too much.

Try to not sleep on your stomach. Stomach sleeping puts your back into extension which compresses the joints that run down the back of your spine. You should either sleep on your back with your knees supported with a pillow or sleep on your side in the fetal position. Either of these two positions may be comfortable for you and allow for a better nights sleep.

Do not try to exercise out of the pain. Exercise is vital to strengthening your back and providing stability but it needs to begin when your original pain has subsided and or is no longer aggravated by physical activity. The joints in our spines are supported by the ligaments and muscles. Once injured, ligaments heal slowly and may never provide the support that they did before the injury. We can improve our muscle tone, however, through exercise to regain pre-injury stability.

One last bit of advice that I will mention in this article is nutritional supplementation. Nutritional supplements can not only help you heal faster but can help control pain and inflammation as well. Among the common supplements that we recommend are essential fatty acids, Glucosamine, Chondroitin, SAMe and vitamin C.

Yours In Good Health

Dr. Jones

San Diego Chiropractic Care
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Several years ago, Florida Sate University was selected as a site for the newest Palmer Chiropractic College. While this blog post revolves around a story that takes place thousands of miles away from my San Diego Chiropractic Office, it is relevant because it would initiate a study that would explore current beliefs and opinions regarding chiropractic care. After all, this would be the first general studies university to have a chiropractic college integrated into its campus. As with most changes, there were both accolades and anger. As a result of the divide between those in favor and those against the addition of Palmer College (my school by the way), an intensive study of chiropractic was launched by the Florida State University to find out exactly what chiropractic care was and why so many people seek out chiropractic treatment.

The following findings are taken directly from the overview found on the first few pages of the FSU report.

Reasons and Conditions for Patients Seeking Chiropractic Care

The primary reasons that patients seek chiropractic care are for illness related to back pain, headaches, and neck pains. Other types of illnesses for which chiropractic treatments are sought include lower and upper extremity pains, chest pains, and abdominal pains.

The primary causes of patient conditions for which chiropractic care is sought are activities of daily living, motor vehicle accidents, overuse/repetitive stress, work and sports/exercise/recreation.

Almost 10 percent of the patients seeking chiropractic care do so for wellness and preventive care reasons.

Consumer Use and Satisfaction with Chiropractic Care

Consumers of chiropractic care have expressed overwhelming satisfaction with the services. A survey of Floridians revealed that over 90 percent of those who have used chiropractic care during the past three years were satisfied with those services.

Nationally, the percentage of the U.S. population who has used chiropractic services has increased from 5 percent in 1980 to over 45 percent in the late 1990s.

A 2000 Florida survey revealed that over 29 percent of Floridians have used chiropractic care just within the past three years.

The survey also revealed that 92.3 percent of those who previously used chiropractic care would do so again if they had illnesses that chiropractors treat.

Research Proves Effectiveness of Chiropractic Care for Selected Conditions

During the past 20 years, over 100 studies of the effectiveness of chiropractic care, both alone and in combination with other treatments, have been conducted by reputable researchers. The studies have included clinical trials, research of medical records, consumer surveys, and chiropractic surveys. Very little research has been conducted on the wellness/preventive effectiveness of chiropractic care. Thus, no evidence currently exists either supporting or denying the hypothesis that chiropractic care improves the overall health of an individual.

The research has shown that chiropractic care is either more effective or as effective as comparable pharmaceutical and surgical treatments for back and neck pains and for certain types of headaches.

Perhaps of even more importance, the research has shown that chiropractic care is significantly safer than comparable pharmaceutical and surgery treatments, producing far fewer (about 4,000 times fewer, according to one study) negative side effects such as chronic pain, disability, or death.

This is just a small piece of the FSU study on chiropractic care. In future posts I will provide more details from this document. I hope you enjoyed it!

Yours In Good Health

Dr. Jones

San Diego Chiropractic Care
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As a chiropractor, I am always asked “Does chiropractic really work?” This is an unfair and a loaded question. Chiropractic care is a very effective form of treatment for some things and not for others.

Being a Chiropractor in San Diego, I see sports related injuries all year round. Running injuries, falls from bicycles or rollerblades, golf injuries, basketball injuries - you name it and most likely we have seen it. More often than not these injuries result in typical sprain / strains that result in neck pain, back pain, sciatica etc.

The types of injuries that I just listed are a few of many joint injuries / symptoms that chiropractic care is very effective in treating. You might say that chiropractic care was made for such injuries. The reason that I say this is because of the nature of these types of injuries.

The typical sprain / strain injury usually results when a fall or an accident forces a joint through an excessive or abnormal range of motion. This type of injury stretches the ligaments and muscles that move and support the spine. The result of this type of injury is irritation and inflammation of the joint and scar tissue formation.

Without chiropractic treatment, the scar tissue from sprain / strain injuries restricts and or alters normal joint motion which can cause pain and stiffness. Chiropractic manipulations help to restore full, normal joint motion by breaking down scar tissue that would otherwise cause stiffness and pain.

Chiropractic care is an excellent form of therapy for reducing the effects of postural stress from sitting at a computer, poor lifting habits, poor posture and a variety of other stresses that we expose ourselves to on a daily basis.

So, does chiropractic work? The only way to know is go visit one and see. Chiropractors want their treatment to work and are reluctant to take on cases that may not properly respond to their therapy. No doctor that I know wants to have unsuccessful treatment sessions during the course of their work day. A good chiropractor can look at your history, perform an examination and make a sound determination on how well you will respond to care.

Yours In Good Health

Dr. Jones

San Diego Chiropractic Care
Chiropractor San Diego Blog
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Web Design Hillcrest - San Diego - California
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Does acute or chronic back pain have you down? Looking for alternatives to what your current back pain management plan is? Read on!

Practicing chiropractic in San Diego has exposed me to a patient base that is more interested in their health then in other areas of the country. In addition to traditional chiropractic treatment for neck pain and back pain our office offers our patients a host of recommendations for self care of their pain that can become part of a healthy lifestyle.

In order to help control episodes of back or neck pain, immediately drink several glasses of water. In some cases, dehydration will cause muscular aches and back pain. The rule of thumb of drinking eight, eight ounce glasses of water per day is healthy in general. Incidentally, headaches can be caused by dehydration as well. If you have headaches on a regular basis, increasing your water consumption may give you relief.

Ice applications to the area of pain can also be beneficial. Ice helps reduce inflammation which not only causes pain but can trigger local muscle spasms that lead to functional losses. There used to be an old rule concerning icing that suggested ice for the first 48 hours and then apply heat after that. Modern clinical studies indicate that as long as you have pain, you have inflammation. Inflammation always responds better to ice than it does to heat. We recommend that our patients ice their back pain or neck pain 20 minutes at a time at least two times per day with at least a 20 minute break in between sessions. Ice with a soft gel pack through a thin piece of clothing. Lastly, watch for frostbite - if the skin over the area that you are icing turns red or brown and scabs over you did too much.

Try to not sleep on your stomach. Stomach sleeping puts your back into extension which compresses the joints that run down the back of your spine. You should either sleep on your back with your knees supported with a pillow or sleep on your side in the fetal position. Either of these two positions may be comfortable for you and allow for a better nights sleep.

Do not try to exercise out of the pain. Exercise is vital to strengthening your back and providing stability but it needs to begin when your original pain has subsided and or is no longer aggravated by physical activity. The joints in our spines are supported by the ligaments and muscles. Once injured, ligaments heal slowly and may never provide the support that they did before the injury. We can improve our muscle tone, however, through exercise to regain pre-injury stability.

One last bit of advice that I will mention in this article is nutritional supplementation. Nutritional supplements can not only help you heal faster but can help control pain and inflammation as well. Among the common supplements that we recommend are essential fatty acids, Glucosamine, Chondroitin, SAMe and vitamin C.

Yours In Good Health

More Coming Soon Here’s To Your Health Yours In Good Health
Dr. Jones

San Diego Chiropractic Care
Chiropractor San Diego Blog
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Prenatal Health & Pain Relief

Have you ever wondered what it takes to build a healthy and strong spine?

Being a Chiropractor in San Diego, I see many types of injuries. These injuries result in symptoms such as neck pain, back pain, chronic headaches, etc. The cause of these injuries ranges from car accidents and work or sports injuries to injuries caused by more domestic duties that result from around the house chores and sometimes things as simple as sleeping in an awkward position.

Of these injured patients, I would say that at least for the moment, while they are in pain, at least 75% of them ask “what can I do for myself to make sure that this doesn’t happen again?” This question served as the inspiration for this article and I will address in this post.

To begin with, pain is a great motivator. When people are in pain they take a proactive approach to their health. People often inquire about what kind of stretch or exercising that they can start right away. Unfortunately, the best thing that you can do while your injury is new is to apply ice packs to the injured area and rest. More often than not, over my 15 plus years in practice I have seen enthusiastic patients ignore this advice and end up giving their conditions major set backs. The time to start exercising and stretching your back for most of us is when it is out of its acute stage of pain.

My biggest struggles in practice have been dealing with my patients exercise and diet habits. Exercise is one of the few things that a patient can do at home, outside of chiropractic care, to help prevent or diminish the chances of developing back pain.

After an injury, you should approach exercise cautiously - almost to a point where the exercise that you are performing feels like it is doing nothing. If you can get through a few low intensity exercise sessions like this without aggravating your condition, you should slowly add resistance which allows you to build confidence and strength at the same time.

This is a sensible approach to exercising after a back injury. Slow and cautious - and under the advise of a health care professional. Strong muscles add strength and support to your spine and can only serve you in a beneficial way.

Yours In Good Health

More Coming Soon Here’s To Your Health Yours In Good Health
Dr. Jones

San Diego Chiropractic Care
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Prenatal Health & Pain Relief

Have you ever had an episode of low back pain? How about low back pain with sciatica? Neither of these is good.

Many patients are seeking back pain relief when they visit my San Diego based chiropractic clinic.

That is not unusual since most people consider chiropractors as back pain specialists. That being said, we treat patients for a variety of ailments including neck pain, headaches, sciatic pain, carpal tunnel syndrome, etc. While all of these conditions sound like very different conditions, they are actually very similar.

Most of my patients that suffer with headaches also complain of neck pain or stiffness. In fact, many headaches are related to muscle tension that originates in the neck. The muscle tension or spasm in the neck triggers the headache. Therefore, by treating the neck with a combination of chiropractic adjustments, hot packs, ice packs, muscle stimulation and ultrasound; the muscle tension in the neck can be resolved preventing the headache.

This is just an example of how one problem in a specific region of the body can be responsible for symptoms in a separate area. Likewise, sciatica is most often related to irritation of joints and muscle spasms in the lower back. Similarly, carpal tunnel syndrome results from a process involving joints in the wrist and the surrounding muscles and ligaments.

All of the conditions that I listed above as well as many unlisted conditions follow the same path to becoming symptomatic. Either through some specific injury or ongoing trauma (such as keyboarding, mousing or improper lifting techniques), the joint becomes irritated and inflamed causing pain and muscle spasm. If the pain and spasm affects a specific nerve, the patient may experience additional symptoms such as sciatica or arm / hand pain.

Any pain that travels from the back or down down an arm or leg is an indication of a more advanced problem that requires immediate evaluation and treatment.

Yours In Good Health

More Coming Soon Here’s To Your Health Yours In Good Health
Dr. Jones

San Diego Chiropractic Care
Chiropractor San Diego Blog
Pain Relief San Diego Chiropractor
Car Accident Whiplash Injuries Pain Relief
Back Pain Relief & Treatment
Work Injury & Workplace Safety Advice
Web Design Hillcrest - San Diego - California
Prenatal Health & Pain Relief