San Diego Chiropractic Blog

Do you suffer with neck pain and shoulder blade pain? If so, you are not alone.  My San Diego chiropractic clinic seems to have a deep supply of new patients with these complaints.  The good news is that with a little care the pain usually goes away!

There is a muscle that runs from the upper and middle vertebra in your neck down to the angle of the medial part of your scapula on each side that is usually responsible for this pain. This muscle is called the Levator Scapula and it is highlighted in red in the drawing below.

The Levator Scapula can be aggravated by a number of different things. In most cases postural stress from things like slouching over your computer or smart phone will pull that muscle causing stress on the joints and eventually irritation, inflammation, pain and spasm. In other cases, one of the joints has been irritated and the levator scapula has spasmed in an effort to protect the joint - this is common after auto accident injuries or sports injuries. Sometimes if the muscle is tight enough it will compress the nerves that feed your arms resulting in numbness, tingling and other symptoms.

Treatment for neck pain and shoulder blade pain can be difficult – especially if the pain is chronic. The first step is to get your pain evaluated by your chiropractor. Chiropractors specialize in conditions that affect your muscles and joints and are the best qualified professionals to guide your care. Treatment will most likely involve joint adjustments of the neck and upper back, various types of therapy to relax the muscle and some specific therapies for you to do at home.

If you are new to chiropractic and have a neck pain and shoulder blade pain we can help find a solution.

Yours in Good Health,

Dr. Steve Jones

Click Here For Your San Diego Chiropractor

(619) 280-0554

I had a new patient that was visiting San Diego from Hawaii the other day. She was in her mid forties and had severe neck pain. She was referred to my chiropractic office in San Diego for treatment of neck pain that began after sleeping funny on the airplane.

The first thing out of her mouth when she walked into my office was “I need to tell you that I have never been to a chiropractor before and I am really nervous!”

I found out later on that she also told my assistant the same thing when she called for an appointment only at that time she used the word “scared”.

Of course my response was “why in the world are you in my office?” After all, she was on vacation, in pain and in a type of doctors’ office that she had never been to before and really wasn’t comfortable with.

It turns out the people that she was visiting were patients of mine and they thought that I could help her and she followed their lead. I also promised her that I would not recommend treatment if I wasn’t sure that I could help relieve her neck pain. I also promised her that I would keep every portion of my treatment within her comfort zone.

I examined her and found that she had the typical, “slept wrong” kind of neck pain. She couldn’t tilt her head backwards or turn it to the right side without wincing in pain. She definitely had a classic pinched nerve.

I asked her if she had done anything for it since it started hurting and she said that she had been using heat to help sooth it. I hear this often. People use heat because it is soothing. I explained to her that heat actually causes more inflammation and that she should switch to ice packs right away.

I could tell that she was getting more and more comfortable with me and she was getting more comfortable with being at the chiropractor.

I told her that getting a chiropractic adjustment would help restore her range of motion, that it probably wouldn’t hurt and that I would not need to see her more than 5 to 6 times based on what I saw in the examination.

With nervous anticipation, she let me adjust her neck. She let out a little yelp when I adjusted the joints on the right side of her neck and then immediately said “THAT FELT GOOD - IT FELT LIKE EXACTLY WHAT I NEEDED”.

I ended up treating her three times - Monday, Tuesday and Thursday. She told me that she was completely healed after Tuesdays’ treatment but she wanted to get treated one more time “just to make sure”.

She told me that she gets the stiff neck five or six times a year and normally it takes about ten days to totally resolve. She was elated that it only took two days this time and she said that she was so happy that she tried chiropractic care.

The patient also said that she was going to find a chiropractor in Hawaii to begin maintenance treatments. I thought that was an excellent idea.

More Coming Soon

Here’s To Your Health

Call (619) 280-0554 for an appointment

San Diego Chiropractic

Dr. Jones Your Mission Valley Doctor for :

• Whiplash Doctor
• Treating Whiplash Mission Valley SD
• Whiplash Treatment San Diego
• Whiplash Personal Injury Claims
• Work Related Injury
• Sport Injury Pain Relief

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
Chiropractor San Diego Blog

Here’s To Your Health

Call (619) 280-0554 for an appointment
San Diego Chiropractic
Dr. Jones Your Mission Valley Doctor for :

• Whiplash Doctor
• Treating Whiplash Mission Valley SD
• Whiplash Treatment San Diego
• Whiplash Personal Injury Claims
• Work Related Injury
• Sport Injury Pain Relief

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

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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Many problems with the neck and upper back affect the shoulder and visa versa. There is a good reason for why this happens and I will use this post to explain it.

There is that old saying regarding the human body that goes something like “everything is connected”, of course in this instance we are talking about anatomy - specifically a kinematic chain.

In a kinematic chain, the function / health of adjacent joints are dependant on each other. A simple example of a breakdown among joints in a kinematic chain and the resulting consequences would be a person who sprains their ankle, limps on that ankle for several days and then develops knee pain secondary to the limp caused by the injured ankle. If the limping or gait impairment continues for any period of time, the irritation can involve the hip and eventually the low back. The ankle, knee, hip, sacroiliac joints and the joints of low back all form a kinematic chain.

In a similar yet more complicated arrangement, the vertebra of the cervical and thoracic spine are intertwined with the shoulder joints. The shoulder is made up of a series joints that allows for a tremendous amount of movement in a number of planes. Compared to the knee, for example, that only allows for about 120 degrees of flexion and very little rotation and translation, the shoulder is incredibly mobile. While, like the shoulder joint has ligaments and a joint capsule that tie the humorous to the scapula and the clavicle, the primary source of stability of the shoulder joint is the muscles, many of which attach into the cervical and thoracic vertebra.

Regarding the spine - in particular the cervical and thoracic spine - the joints found in the spinal column have considerably less motion than do most other joints in the body. That being said, the cervical spine displays the greatest amount of motion found in the spine while the thoracic spine is the most limited in its flexibility. Many of the big muscles of the neck and upper back insert onto the scapula and the clavicle links these two joint complexes together.

In many cases, shoulder pain or dysfunction can result in spasms of the larger muscles that help stabilize the shoulder - most of these muscles originate from the vertebra of the neck and upper back. The stress of this spasm can cause pain or dysfunction in the neck and upper back. Because of the shared muscles between the neck, upper back and shoulder girdle, the exact opposite scenario can occur with a primary spinal problem causing muscle spasms that have a negative effect on the shoulder.

Both the shoulder and the neck joints display complex, compound movements. Adjacent joint complexes like these that share major muscle groups make for an increased likelihood of pain / dysfunction spreading to include the second joint or in this case, joints.

Your’s In Good Health

Dr. Jones

www.JonesPainRelief.com

Have you ever noticed how tight your neck, upper back and shoulders are after a long day of sitting at the computer?

There are a number of factors that contribute to this tightness. Simply the stress of deadlines, an overbearing boss or an annoying co-worker can make your shoulders rise up and your head push forward. And this stress is the result of just the emotional stress of work. When you add the real physical strains of a poorly designed work station on top of the emotional stresses that already exist you have a perfect recipe for a repetitive stress injury.

A large part of designing an ergonomically friendly workstation revolves around limiting the “reach” for items that are frequently accessed.

The distance that you have to reach for any object in your workspace can have major implications on your health. In general, workers should have the items that they use on a regular basis through the day such as the mouse and keyboard for computer users or the telephone for a receptionist or a sales person, positioned close to their bodies so as to avoid awkward or overreaching.

As a general rule, the best positioning for your keyboard and mouse allows you to operate them while your shoulders hang straight down at your sides and elbows are slightly extended. This position reduces the stress of overreaching and allows for completion of your tasks with less muscular effort.

There are many ergonomic apparatus that allow for proper placement of your computer input devices. Pull out keyboard trays, split keyboards, mouse platforms and even foot controls help reduce the ongoing stresses of computer input.

Even with these devices, it takes awareness to maintain an ergonomically friendly work environment.

For a nice selection of high quality ergonomic office products you can visit www.comfortkeyboard.com.

Your’s In Good Health

Dr. Jones

www.JonesPainRelief.com

Approximately 25% of all people injured in whiplash accidents never make a complete recovery. Residual problems such as headaches, neck pain, back pain, numbness and tingling sensations are common ongoing complaints.

My Chiropractic office in San Diego treats patients for whiplash injuries throughout the year. During the rainy season, however, these injuries are much more common.

Whiplash injuries primarily do damage to the soft tissues that move and support the spine. During the whiplash accident, muscles and ligaments are stretched and torn. Muscles and ligaments that are damaged by whiplash accidents go through a process that involves irritation, inflammation and scar tissue formation. Our bodies tend to over produce scar tissue which causes problems in the future. Excessive scar tissue formation causes restrictions in range of motion, impingement of nerves and pain with cold weather.

Because of the nature of this healing process, chiropractic treatment is especially effective in treating whiplash injuries. Scar tissue builds up in a disorganized web of fibers and often hampers the range of motion of the joints of the spine. Chiropractic adjustments improve range of motion by breaking down scar tissue that is not needed and would only serve to limit normal motions of the spine.

The spine is like any other mechanical structure in that the closer that it moves to the way it was designed to move the fewer problems you will encounter with it. For us, this means a reduced chance of experiencing the symptoms that I referred to in the opening paragraph of this post.

The bottom line is that residual symptoms are common after whiplash injuries and they can range from being a slight annoyance to a source of significant disability.

Chiropractic adjustments combined with therapies such as electrical muscle stimulation, hot packs and ultrasound are very effective in treating those suffering from whiplash injuries.

If you have been involved in an auto accident be sure to have your injuries evaluated and treated by a chiropractor. You will experience the immediate benefit of pain relief and the long range benefits of a healthy spine.

Here’s To Your Health

Dr. Jones

www.JonesPainRelief.com

Do you pay attention to your nutritional intake?

While most of us think that what we eat and the supplements that we take are important, most of us are hit and miss at best. I know that personally I have to dig deep within myself to avoid fattening and sugary foods. I also have to keep my supplements in plain sight or I will forget to take them.

Supplements are important for those who suffer from neck pain, back pain or any other type of joint pain. They are especially important for those who are recovering from injuries such as car accidents, work injuries and sports injuries. Nutritional support for injured muscles and ligaments is important during the various healing stages.

The following recommendations cover nutritional support for bone and joint health as it relates to sprain / strain injuries. That being said, these recommendations will also help you maintain your spinal health.

Nutritional support is a valuable asset to your chiropractic care.

The following supplements are considered very important.

Chondroitin Sulfate: 500 - 1000 mg daily - Nutritional support for strengthening joints, ligaments and tendons

Glucosamine Sulfate: Take as directed. - Very important for the formation of bone, tendons, ligaments, cartilage and synovial (joint) fluid

MSM: 500 - 1000 mg 3 X daily - This is a sulfer compound that reduces pain and inflammation. MSM is also important for joint and tissue repair

Calcium: 1500 - 2000 mg daily - Needed for repair of connective tissue. You should use two forms of calcium - calcium chelate and calcium gluconate. Very important for skeletal strength (especially for women but men should supplement as well.)

Magnesium: 750 - 1000 mg daily - Works in conjunction with calcium

Essential Fatty Acids: Take as directed - Promotes cardiovascular and cellular health.

Grape Seed Extract: Take as directed - A powerful anti-inflammatory

Manganese: 15 mg daily - Strengthens wounded ligaments and tendons

Your’s In Good Health

Dr. Jones

www.JonesPainRelief.com

Being a Chiropractor in San Diego, my office provides treatment for many whiplash accident victims. One of the reasons for these accidents is wet weather driving. Since we don’t have rain throughout the year in this desert community, when it does rain, oil and debris that has been sting on the road all year long loosens resulting in a very slick driving surface.

Auto accidents are serious! You may not be aware that approximately 25% of all auto accident victims never make a full recovery. That could mean a lifetime of neck pain, low back pain, headaches, etc.

The best defense for accident prevention in wet weather is defensive driving. The following paragraphs were found on the National Safety Council website and specifically target safe wet weather driving techniques.

“Losing control of your car on wet pavement is a frightening experience. You can prevent skids by driving slowly and carefully, especially on curves. Steer and brake with a light touch. When you need to stop or slow, do not brake hard or lock the wheels and risk a skid. Maintain mild pressure on the brake pedal.

If you do find yourself in a skid, remain calm, ease your foot off the gas, and carefully steer in the direction you want the front of the car to go. For cars without anti-lock brakes, avoid using your brakes. This procedure, known as “steering into the skid,” will bring the back end of your car in line with the front. If your car has ABS, brake firmly as you steer into the skid.

While skids on wet pavement may be frightening, hydroplaning is completely nerve-wracking. Hydroplaning happens when the water in front of your tires builds up faster than your car’s weight can push it out of the way. The water pressure causes your car to rise up and slide on a thin layer of water between your tires and the road. At this point, your car can be completely out of contact with the road, and you are in danger of skidding or drifting out of your lane, or even off the road.

To avoid hydroplaning, keep your tires properly inflated, maintain good tread on your tires and replace them when necessary, slow down when roads are wet, and stay away from puddles. Try to drive in the tire tracks left by the cars in front of you.

If you find yourself hydroplaning, do not brake or turn suddenly. This could throw your car into a skid. Ease your foot off the gas until the car slows and you can feel the road again.

If you need to brake, do it gently with light pumping actions. If your car has anti-lock brakes, then brake normally; the car’s computer will mimic a pumping action, when necessary.

A defensive driver adjusts his or her speed to the wet road conditions in time to avoid having to use any of these measures. Reprinted with permission from the National Safety Council”

If you do happen to get into a fender bender, get to the chiropractor ASAP. From a statistical standpoint, the best way to avoid becoming one of the 25% of auto injury patients that never fully recover is to undergo an examination with a licensed chiropractor and follow up with any recommended treatment as soon as possible.

Drive Safe, More Coming Soon!

Dr. Jones

www.JonesPainRelief.com
Auto Accident Personal Injury
Car Accident Whiplash Injury

Workstation Considerations

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
Chiropractor San Diego Blog
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