San Diego Chiropractic Blog

The study of workstation ergonomics tells us that the objects that we use most often should be located closest to your body and accessed easily, without awkward body positions or movements. Repeated reaching or prolonged fixed postures that involve leaning forward from your chair are stressful and fatiguing.

Some people are aware of computer ergonomics and have purchased various ergonomic devices. These devices, such as keyboard trays, gel mouse pads, and ergonomic keyboards rarely provide solutions to the big picture of computer ergonomics. These items must work with each other in order to produce a significant reduction in postural stress. For example, an ergonomic mouse is of little use if it is positioned in an area that requires reaching and stretching in order to operate it. Limiting reaching and stretching for desk items is essential to maintaining a healthy ergonomic environment.

The most frequent complaint that I have seen in my office is due to computer work is the combination of mousing and reaching to the desk for the mouse.

Most computer stations are designed in a way that involves the worker operating the computer mouse on a pad on the desk. Reaching to the desk for the mouse places direct stress on the joints and soft tissues of the neck, shoulder, elbow, wrist and hand. Additionally, reaching forward for the mouse stresses the lower and middle back.

So How Does Reaching for the Mouse Set the Stage for Injury?

Reaching for the mouse causes you to lean forward in your chair, extend your arm and support the weight of your body through your extended arm.

The stresses placed on the human frame when reaching for the mouse are easily identified. Contrary to popular belief, sitting, which most people believe is relaxing, is hard on the back. Sitting for long periods of time can cause increased pressure on the discs of the spine.

In recent years, studies on postural stress have indicated that we should be sitting upright with our hips flexed at 90 degrees. As it turns out, the most up to date studies show that a slightly reclined sitting posture with the hips flexed at 100 to 115 degrees is ideal if you have to sit at a desk. If your mouse is not positioned close enough to your body, you will have to reach for it. Reaching for your mouse stresses your back by reducing the angle of your hips.

Next, we have to look at the effects of reaching on the neck and shoulder. When the mouse is being operated at a distance that makes the operator reach, the shoulder extends forward and the shoulder blade abducts (rotates forward). This position stretches the muscle groups that connect the medial portion of your shoulder blade to your spine and the superior portion of your shoulder blade to your neck. In the short term, this stretch aggravates the affected muscle groups causing spasm, fatigue, headaches and stiffness in the neck and shoulder. In the long term, this position creates a condition called a “stretch weakness” resulting in muscular imbalance, trigger points and chronic variations of the conditions listed in the prior sentence.

Lastly, placing the mouse too far away, too low, or too much on one side can cause shoulder, wrist, elbow, and forearm discomfort. When the operator is forced to reach for the mouse, his / her body weight shifts forward and ultimately results in weight bearing stress on the extended arm. Spending prolonged periods of time leaning on an extended arm is an unnatural and destructive posture that will eventually lead to the development of a repetitive stress syndrome; likely resulting disorders would include tendonitis of the wrist, elbow or shoulder.

Yours In Good Health

Dr. Jones

San Diego Chiropractic Care
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In addition to neck pain, back pain and headaches, my San Diego chiropractic office provides treatment for many patients with various types of repetitive stress injuries. This post will continue from where the last one left off and will describe what repetitive stress injuries are.

A Repetitive Stress Injury is a kind of catch all phrase for many conditions. Carpal Tunnel Syndrome, Tenosynovitis / DeQuervain’s Syndrome, Tendonitis, Thoracic Outlet Syndrome, Trigger Finger, Myofascial Pain Syndrome and Chronic Sprain / Strain are some of the actual diagnosis that are rendered in my office. All of these conditions are serious and in many cases can cause great pain, permanent disability and sometimes loss of employment.

Repetitive Stress Injuries occur from repetitive movements involving a specific set of muscles and joints. RSI injuries are the result of an accumulation of stress and strain that causes irritation, inflammation, and eventually pain or other disability. A good analogy used to characterize the onset of RSI would be the “straws on the camels back” saying.
Initially, RSI affects the soft tissues of the involved joint(s). Soft tissues include muscles, nerves, ligaments and tendons. However, if left untreated for long periods of time, the involved joint can become arthritic and form bone spurs resulting in permanent damage to the joint.

While various occupations ranging from meat cutters to construction workers develop RSIs that result from the typical duties of their professions, the most frequent cause of these injuries involve computer work. The constant muscular demands of keyboarding and mousing combined with the postural stress of confinement in an office chair with one’s neck and back held in prolonged fixed positions has resulted in an epidemic of injuries that includes hand pain, wrist pain, arm pain, neck pain, back pain and shoulder pain.

I hope that you are finding this information helpful. My next post will continue this series and will describe the basics of workstation ergonomic set-ups.

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
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Prenatal Health & Pain Relief

Does computer work seem much more difficult (physically) than it should be?

The patients in my San Diego chiropractic practice often seem perplexed by the fact that they can be injured doing such sedentary work as computer work. Most are of the opinion that it takes a forceful and traumatic incident to result in injury.

Unfortunately, this is not the case. National statistics point to the computer as a major contributor to lost days at work due to injury. I see the same thing in my San Diego Chiropractic office. Neck pain, shoulder pain, wrist pain, hand pain and back pain are common among those who don’t have the proper ergonomic set-up of their computer stations. That being said, some people get these symptoms regardless of their ergonomic set-up and must evaluate many other contributing factors in order to relieve the stress.

Computer ergonomics is the study and / or implementation of workstation design with the purpose of reducing or eliminating physical stress.

My interest in repetitive stress syndromes began approximately 10 years ago when my practice started seeing a much greater number of people suffering from the effects of computer / keyboard work. Despite all of my training and continuing education related to these types of injuries, I quickly realized that traditional treatment for this type of injury was marginally successful at best.

Any type of therapy was going to have to include the application of basic ergonomic principals to the patient’s work environment.

I am of the opinion that treatment alone or application of ergonomic principals by themselves is not going to resolve a repetitive stress injury.

Over the next several weeks I will write a series of articles that will address the implication of workstation ergonomics and injury resulting from postural stress secondary to use of the computer mouse.

Specifically, the following will be addressed:

1) What repetitive stress injuries are

2) What role do work station ergonomics play in injury

3) How reaching for the mouse sets the stage for injury

4) What are the symptoms of repetitive stress injury

5) How you can avoid mouse reaching injuries

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
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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
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

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

Have you ever slept on your arm and had it fall asleep? Imagine if it just felt like that all the time.

A few months ago I had a young lady come to my San Diego Chiropractic office with these complaints. In addition to numbness and tingling, she had neck pain, shoulder pain, arm pain, wrist pain and hand pain. She also complained of weakness in her left hand, which was resulting in clumsiness and was affecting her work as an executive secretary.

These complaints are seen with regular frequency in my office. The process is a familiar one and common with many musculoskeletal conditions that involve the nervous system.

Usually, postural stresses such as leaning over a desk or computer will eventually irritate a specific joint in the spine. The irritation of the joint causes inflammation of the muscles and ligaments that surround that joint. This inflammation will cause compression of the local nerves resulting in pain and muscle spasm. If the nerve compression persists, numbness, tingling and weakness of the related muscles will follow.

This patient was displaying signs and symptoms of long-term nerve root compression that involved her left arm and hand.

We treated her with chiropractic manipulations that were delivered with the specific goal of eliminating the nerve root compression. She was also treated with ice packs, hot packs, electrical muscle stimulation and ultrasound in order to address the soft tissue inflammation. In addition to in office care she was given a set of stretches and exercises for at home therapy and advised to use ice packs daily for twenty minutes per session.

It took approximately eight weeks of active care, which is three treatment visits per week, to relieve 90% of her pain and 90% of her left arm weakness. The rest of her symptoms will resolve with at home therapy and chiropractic care delivered on an as needed basis for flair-ups that will occur in the future.

This is just one example of the many different types of cases that resolve with chiropractic care in my office.

Your’s In Good Health

Dr. Jones

San Diego Chiropractic Care
Chiropractor San Diego Blog

So you’ve had a Birthday and you’re thinking about your youth that’s slipping away. I would like to go back to 30 myself. Of course there are some things we can do to help feel more youthful and have more energy. Proper nutrition is one thing that you can start today to make you feel better tomorrow.

Some San Diego Chiropractic offices include nutrition in their practices. Nutrition is a logical component of helping patients regain and maintain their health. That being said, I don’t have a good grasp of some of the concepts employed by chiropractors and other doctors regarding testing for nutritional deficiencies. Many doctors that sell nutritional products decide that you need them based on their need to sell them to you.

I have always liked measured outcomes. Granted, in health care, many times “improvement” in a patients’ condition is driven by the patients’ symptoms.

In other words, when the patient is out of pain, they are done with care!

This is seldom a good call, most of the time it isn’t. Even doctors are advised against making judgments regarding delivery of care for their own illnesses. After all, many patients are riddled with cancer or have major blockage in their hearts’ arteries yet the patient has no symptoms. Like any of these conditions, treatment for even seemingly minor symptoms is best when delivered until the illness is completely resolved.

Our state of wellness is fleeting and worsened when we ignore signals that we are losing our health.

We can develop mild symptoms like insomnia or anxiety or fatigue for example and attribute them to something other than some internal issue. Often our symptoms are attributed to things such as work stress or relationship problems. While those stresses are contributors to our symptoms, diet and ultimately nutrition take the lead role in producing symptoms of ill health.

I recently made the decision to have a hair analysis performed for mineral content. The lab that we are now using for hair analysis uses state of the art equipment to analyze the hair sample then they generate a report containing specifics regarding their findings. They also include recommended supplements and gobs of information regarding the consequences of their findings.

Having considered myself above the average as far as my health goes, I was shocked by the reports findings.

This report is exactly what I need to drive my nutritional supplement schedule. It provides a measure of where I am and what I should take to get where I need to be.

For those of you who have dismissed the findings of a hair analysis as inaccurate, advances in this procedure over the last ten years have made the results as accurate as blood tests.

So get serious about getting healthy, do yourself a favor and get a hair analysis. It will do wonders with guiding your nutritional plan and it will keep you on track toward better health!

Your’s In Good Health

Dr. Jones

San Diego Chiropractic Care
Chiropractor San Diego Blog