San Diego Chiropractic Blog

As a chiropractor who cares for people who typically have a more holistic approach to their health and diet, I see my patients sabotage their efforts to become healthy on a regular basis. I have long contended that treating people for neck pain, back pain and headaches is much easier than trying to instill a dietary change or an exercise plan. Some of my chiropractic patients indicate poor planning leading to drops in blood sugar resulting in poor food choices while others just like the taste of their favorite fast food.

Eating habits are funny things. They are very hard for most of to control. I have always been a thin 6 foot 190 pound guy. I can’ tell you how many people think that I am just one of those “blessed” people who can eat anything they want to without gaining weight. Unfortunately for me, they would be wrong. Watching my diet is a daily chore. One thing that has helped me is the fact that I exercise and that I am keenly aware of how long I will have to exercise in order to work off any sweets that I eat or Mexican foods that I indulge in.
With this in mind, I came across a neat little article that covered what some of our chain-food favorites will cost us in time spent doing common exercises. These excerpts are from the Diet Detective who has authored several books on the topic.

Note: Calorie content of foods are based on official website information at the time of publication. Minutes of exercise are averages based on a 155-pound person. The greater the weight of the person the more calories burned per minute.

DONUT
Dunkin Donuts Chocolate Frosted Donut (230 calories)
59 minutes of walking (3 mph).

BREAKFAST SANDWICH
McDonald’s Egg McMuffin (300 calories)
32 minutes of running (5 mph).

CHOCOLATE CHIP COOKIE
Panera Chocolate Chipper (440 calories)
62 minutes of biking (10-11.9 mph).

PIZZA
Pizza Hut Large Hand-Tossed Style Cheese Pizza (1 slice; 320 calories)
39 minutes of swimming (slow to moderate laps).

CINNAMON ROLL
Starbucks Cinnamon Roll (500 calories, varies by location)
85 minutes of dancing.

HAMBURGER
Burger King Original Whopper With Cheese (770 calories)
94 minutes of swimming (slow to moderate laps).

BROWNIE
Au Bon Pain Chocolate Chip Brownie (380 calories).
129 minutes of yoga (Hatha style).

FRIES
Wendy’s Large French Fries (540 calories)
77 minutes of biking (10-11.9 mph).

ICE CREAM
Häagen-Dazs Vanilla Ice Cream (0.5 cup; 270 calories)
29 minutes of running (5 mph).

BURRITO
Taco Bell Burrito Supreme, Beef (410 calories)
70 minutes of dancing.

The next time you think that eating these foods once in a while won’t hinder your efforts to see your abs again or fit into the bikini, think again. Not only will indulging in these treats hamper your quest for a lean physique, but they will also lead to weight gain which is known to cause heart disease, back pain, sciatica and many other disorders – some of which can be treated with chiropractic and some that can’t. I hope that you found this information entertaining and helpful.

Have a Great Day!

Dr. Jones
San Diego Chiropractor

(619) 280-0554

The patients in my San Diego Chiropractic clinic often complain of “hip pain”. When I ask them to point to the pain they almost always point to the area right next to the spine just below their beltline.

That is the difference between a medical definition of the hip and that of a patient. From a medical standpoint, the “hip” is the joint where the femur articulates with the acetabulum. While I do see and provide care for those with pain in this joint, it is much less common to see pain in this “hip” joint versus the “hip” joints that most often trouble my patients.

The joint that my patients point to when they complain of hip pain is usually the sacroiliac joint. The sacroiliac joint is formed from the ileum aka, hip bone and the sacrum which is a triangular shaped fusion of the bottom five vertebra in the spine. The spine (and the weight of your upper body) sit directly on top of the sacroiliac joints making the stability of these joints extremely important.

There is a network of ligaments and muscles that act to stabilize and move the sacroiliac joints. Since the sacroiliac joints have to support some of the greatest forces that our bodies are subjected to, the muscles that act on these joints are some of the strongest in the body. Because of the sacroiliac joints close approximation to the spine and the hip proper, the larger muscles that act on the sacroiliac joint are also movers of the hip and the lower lumbar spine.

Since the sacroiliac joints are large joints that are supported by big muscles and strong ligaments, they are able to withstand much of the stresses that we ask of them. However, they do break down with the constant postural stresses (sitting), poor lifting habits, falls and other injuries leading to pain and stiffness in the lower back.

Because of its size, once the sacroiliac joint is irritated, it can be difficult to treat. Treatment always involves reducing inflammation, mobilizing the joint (restoring normal motion) then stabilizing the joint with stretches and exercises. This is the course of care that I have followed with great results in my chiropractic office in San Diego.

Your’s In Good Health

Dr. Jones

San Diego Chiropractic Care
Chiropractor San Diego Blog

While I know that the practice of Yoga is a wonderful method for keeping your muscles stretched and your spine flexible, it is a compliment for chiropractic, not a substitute.

Many of my peers consider my philosophy regarding the management of my chiropractic patients a bit odd. Instead of placing my patients on long term care programs, I prefer to get my patients out of pain as quickly as possible and then give them a combination of stretches and exercises that they can do at home that will help stabilize their area of pain.

Those of you who have not tried Yoga should do so. Yoga is a discipline that constantly challenges your physical being. The positions used in Yoga routines test your body and mind with combinations of stretching, strength training and balance that very few other disciplines can offer.

From a purely physical standpoint, Yoga helps even your muscle tone, improve your balance and coordination, build strength, prevent injury, focus your breathing, improve your posture and elongate muscles. Mentally, Yoga allows to focus on the “now” which helps reduce stress and consequently, reduce muscle spasms among other things.

It is because of all of the benefits of Yoga that I recommend it to most of my friends and patients. Combining the benefits of Chiropractic care’s ability to break down scar tissue and adhesions that limit or alter normal joint motion and Yoga’s benefits as discussed above makes for an exceptional approach to treating neck pain, back pain and many other musculoskeletal conditions that I see in my office.

Your’s In Good Health

Dr. Jones San Diego Chiropractor

www.JonesPainRelief.com

Chronic pain is defined as pain that persists longer than 90 days beyond the course of the natural expected healing time. As a chiropractor in San Diego, I get calls from both new and established patients on a regular basis who complain of back pain, neck pain, etc. One of the factors that comes into play when planning a chiropractic treatment program is the duration of the patients pain. In general, the longer that a patient suffers with a painful condition, the longer / more intense the treatment is needed in order to fix it. Acute or recent episodes of pain respond much quicker than do chronic conditions.

Pain is very difficult to quantify by any practitioner. Pain is subjective in nature and completely defined by the person experiencing the symptoms, the fact that chronic pain can exist without an obvious cause makes it much more difficult to treat.

I see the difficulties that my chronic pain patients have with their conditions on a daily basis. Aside from the actual pain that they experience, those who suffer with chronic pain often limit their activities for fear of exacerbating their conditions. They also have a much harder time focussing on mental tasks as the pain is a constant source of distraction. The more severe the pain, the more difficulties these people have with attention demanding tasks.

While we strive to avoid pain, pain is a wonderful tool of the nervous system. Pain lets us know of actual or potential tissue damage with an unpleasant sensation that directs our attention to the affected area so that we can either immediately take action to stop the process or focus on healing the injured body parts. Chronic pain sensations are a bit more insideous.

Chronic pain often involves a decrease in the sensativity of the nerve fibers that send messages of pain from the damaged area. With a decreased sensativity (threshold), the nerve is much more likely to transmit painful sensations to the brain then a healthy nerve / tissue combination. This activity within the nervous system is know as a wind up phenomenon and it is very difficult to stop once it has been established. In some other cases, nerve fibers that normally don’t carry painful sensations not only begin to transmit pain signals but it is thought that they may actually generate the signals themselves.

In my office, chronic pain is often the result of untreated sprain / strain type injuries of the joints. In untreated or under-treated sprain / strain injuries, the joint or the muscles that move the joint are laden with scar tisuue that acts to either limit or alter motion of that joint. With time, the awkward, unnatural biomechanics of the scar tissue laden joint results in irritation, inflammation and finally pain and spasm. While chiropractic care is often successful at re-establishing “clean” biomechanics of a joint, it is always better to get the care in the beginning of an injury versus waiting for that injury to become chronic, with a requiring more care with a decreasing chance of complete recovery.

Because of the possibility of an acute painful condition becoming a chronic one, I always encourage my patients to take care of themselves immediately when they first start to experience pain. I have practiced chiropractic care for almost two decades now and I can say that chronic painful conditions of the spine are devastating. Not only do they make you expereince pain, but in most instances they limit your physical activities creating a situation that can easily degrade from inactivity secondary to pain, to deconditioning and eventually to obesity and ill health in general leading to a dissatisying lifestyle.

The bottom line on chronic pain is this - avoid it if you can. Don’t ignore your pain. Painful acute conditions that are left untreated can easily spiral into a chronic condition that has the potential to alter your lifestyle in a negative way.

Your’s In Good Health

Dr. Jones San Diego Chiropractor

www.JonesPainRelief.com

Is Chiropractic Care Addictive? I am asked this question on a regular basis.

There are many people who are under the impression that once you begin chiropractic treatment you have to keep going - almost like something bad is going to happen to you if you stop your care.

I understand how some people would come to think that chiropractic care could be addictive, after all, almost all medications that people get from their medical doctors for pain is addictive. I suppose that if you are in pain, are concerned about the addictive nature of the medications that you have taken in the past, and are going to the chiropractic for the first time that you may think that chiropractic care for pain may be addictive as well.

I can assure you that chiropractic care is not addictive but feeling good can be as powerful as an addiction. There are certain people that are more “in tune” with their bodies than others. Restrictions in joint motion and flexibility typically occur slowly over time and are not normally perceptible. Once these people start care they experience full, free range of motion of their joints without neck pain, back pain or headaches - and they like it. After formal care ends, a percentage of these people notice when their joints begin to lose their range of motion. Since they felt better under chiropractic treatment, they like to continue their care simply to feel better.

This is about as addictive as chiropractic care can be. It is really no different from those who exercise and / or diet and feel better and therefore continue with their plan.

In closing, you can receive chiropractic care with no fear of developing a physical or physiological dependency on the treatment. Most chiropractors, myself included, know that chiropractic care is of great benefit to the health of your spine. Keeping your spine well adjusted is akin to keeping your teeth brushed and flossed - but it is not addictive.

Your’s In Good Health

Dr. Jones San Diego Chiropractor

www.JonesPainRelief.com

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

Why do I have back pain?

Being a chiropractor in San Diego, I hear this question all the time. Back pain and neck pain are the two most common complaints that my patients experience. The fact that my practice is in San Diego probably decreases the frequency of these complaints compared to what doctors in other parts of the country deal with. People in San Diego tend to be more active which actually lowers the incidence of low back and neck pain.

Over fifteen years ago when I first started practicing chiropractic care in San Diego, most of my low back pain patients and neck pain patients for that matter were not related to office work. Most of the cases that I had when I first started practicing were do to injuries like car accidents and falls or heavy work.

In the mid to late nineteen nineties, I started to see a trend in injury mechanisms among my patients. They were starting to attribute their pain to long hours of sitting at the computer.

Sitting all day at the computer not only causes back pain but it also causes neck pain, headaches, carpal tunnel syndrome, pinched nerves and various arm problems.

Lower back pain is primarily due to poor sitting posture. When we are standing up with good posture, our lower backs have a sweeping forward bowing curve that resembles a stretched out letter “c”. This shape distributes our bodies weight evenly throughout the spine. When we sit, this curve reverses, greatly increasing the stress on the joints and discs in the spine.

With time, this postural stress results in irritation and inflammation resulting in pain and muscle spasms.

Once the low back has reached a point of pain and spasms, chiropractic care is necessary to relieve the pain, improve the biomechanics of the spine and relax the muscles.

In addition to chiropractic care for back pain, the patient must seek out an ergonomic chair and have it adjusted properly for their body. In many cases, I suggest a complete workstation analysis to help prevent future problems with other computer related stresses.

Your’s In Good Health

Dr. Jones

www.JonesPainRelief.com

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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