San Diego Chiropractic Blog

Over the years, my San Diego Chiropractic Center has provided treatment for hundreds of people suffering from back pain, neck pain and leg pain that is easily attributed to their running habits.

I have read countless times in various journal articles that running becomes detrimental if your distance is greater than 15 miles per week or further than 3 miles per run. The conclusions that these articles drew to is that running beyond the guidelines previously mentioned does the joints more harm than the aerobic benefit of the exercise does your body good. It seems that these studies indict long distance running as an exercise of diminishing returns.

That being said, for those of you who do run, there is good news concerning the health benefits of running. Researchers reported in the July 2001 issue of American Journal of Public Health that men in their 30s who jog a minimum of ten times monthly develop a bone density that is at least 5 percent higher than that of men who jog less frequently.

The study analyzed answers to questions in a health survey of over 4,000 men, including 954 joggers and 3,300 who did not jog at all. The study included results of hip joint X-rays taken of each man to determine bone density. The researchers then compared the findings from joggers with results from non-joggers.

Dr. Michael E. Mussolino, a researcher at the National Center for Health Statistics, part of the Centers for Disease Control and Prevention office said the results showed that, “The men who were jogging nine times a month were doing much better than those who were jogging only one to eight times a month. Even those who jogged eight or fewer times a month had a higher bone density than those who did not jog at all.” He also noted that the study showed that it does not require marathon-like running to build strong bones.

The National Institutes of Health estimates that 10 million Americans have osteoporosis and another 18 million are at risk of the disease. Eighty percent of these people are women. The NIH estimates that one out of every two women and one in eight men will break a bone as the result of osteoporosis within their lifetime. The report states that building dense strong bones in young adulthood is considered by experts to be an important factor in preventing osteoporosis.

Yours In Good Health

Dr. Jones

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What if I told you that I sold a vitamin that would fix all that ails you?

This vitamin would do everything from grow hair on your head to clearing your heart of plaque build-up to restore your joints to those of a 20 year old!

As a chiropractor in San Diego, I am exposed to many myths regarding our nutrition and our health and the things that we can do to preserve it. Indeed we treat many patients for neck pain, back pain, headaches, and sciatica. That being stated, our patients’ nutritional needs are never overlooked.

The problem that we encounter when discussing nutrition involves patient participation. I have found that our patients have good intentions when it comes to nutrition but those good intentions are often negated by poor planning.

I found a list of the top ten nutrition myths on Healthcastle.com that I thought was both interesting and relevant.

I have heard all of these myths from my patients over the years. Good nutrition has to start with good information. This is a start.

1. Sugar Causes Diabetes. The most common nutrition myth is probably that sugar causes diabetes. However, if you do not have diabetes, sugar intake will not cause you to develop the disease. The main risk factors for Type 2 diabetes are a diet high in calories, being overweight, and an inactive lifestyle.

2. All Fats are bad. It’s a long-held nutrition myth that all fats are bad. But the fact is, we all need fat. Fats aid nutrient absorption and nerve transmission, and they help to maintain cell membrane integrity - to name just a few of their useful purposes. However, when consumed in excessive amounts, fats contribute to weight gain, heart disease and certain types of cancers.

3. Brown Sugar is better than White Sugar. The brown sugar sold at grocery stores is actually white granulated sugar with added molasses. Yes, brown sugar contains minute amounts of minerals. But unless you eat a gigantic portion of brown sugar every day, the mineral content difference between brown sugar and white sugar is absolutely insignificant.

4. Brown Eggs are more nutritious than White Eggs
Contrary to a widely believed nutrition myth, eggshell color has nothing to do with the quality, flavor, nutritive value, cooking characteristics, or shell thickness of an egg. The eggshell color only depends upon the breed of the hen.

5. Avoid seafood to lower blood cholesterol. I still can’t believe it, but I heard this nutrition myth from my own doctor! In fact, the dietary cholesterol found in seafood and other meats has little effect on blood cholesterol in most people. Saturated fats and trans fatty acids are the most important factors that raise blood cholesterol.

6. Avoid carbohydrate to lose weight. The key message that many low-carb diets convey is that carbohydrates promote insulin production, which in turn results in weight gain. Therefore by reducing carbohydrate intake, you can lose weight. Unfortunately, this is just another nutrition myth.

The truth is that low-carb diets are also often calorie-restricted! Followers only eat an average of 1000 - 1400 calories daily, compared to an average intake of 1800 - 2200 calories for most people. To lose one pound a week, you only need to eat 500 fewer calories per day in your normal diet. Therefore, it doesn’t matter if you eat a high- or low-carb diet, you will lose weight if you decrease your caloric intake to less than needed to maintain your weight.

7. Avoid nuts as they are fattening. Yes, it’s true that nuts are quite calorically dense. But if you can restrain yourself from overeating them, nuts can be a part of a healthy diet.

It’s a nutrition myth that nuts should be avoided. In fact, nuts are high in monounsaturated and polyunsaturated fats (the good fats) as well as plant sterols, all of which have been shown to lower LDL cholesterol.

8. Eating for 2 is necessary during pregnancy. Energy requirements vary among individuals. Unfortunately, the idea that pregnancy is an ice cream free-for-all is a nutrition myth. An extra snack before bedtime is often enough.

9. Skipping meals can help lose weight. Many people think that by skipping a meal, they will be eating less food and therefore lose weight. As we now know, this is a nutrition myth. People who think skipping meals means weight loss do not understand how our bodies work.

If you skip a meal, your body will think that you are in starvation mode and therefore slow down the metabolism to compensate. You then tend to overeat at the next meal.

10. Red meat is bad for health. I often hear people saying that they do not eat red meat. When I ask why they don’t, or even what they consider to be red meat, the answers vary dramatically.

It is true that some studies have linked red meat with increased risk of heart disease, partly due to the saturated fat content. In fact, even chicken can contain as much saturated fat as lean cuts of beef or pork. For instance, a serving of sirloin beef or pork tenderloin has less saturated fats than the same serving size of chicken thigh with skin. It is true that poultry like chicken and turkey is naturally lower in saturated fats. But it is only true if you don’t eat the skin.

Yours In Good Health

Dr. Jones

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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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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

I don’t know about you, but I am a headache wimp. I hardly ever get headaches, when I do I don’t handle them very well. I get moody and I tend to “snap” at people that really mean me no harm.

In addition to my San Diego chiropractic office treating patients with neck pain and low back pain, we see many people with headaches. Headaches have many causes and there are many different types of headaches as well.

The most common types of headache that we provide treatment for are migraine and muscle tension headaches.

Muscle tension headaches typically begin in the muscles of the neck and upper back. When these muscle become tense, they pull on the muscles that cover your head. This tension results in a headache.

Muscle tension headaches can result from postural stresses such as long hours of computer work, they can develop as a result of car accident injuries, or just plain old work and home stresses.

One common reason for chronic, on going tension in the muscle is miss-aligned vertebra. When the vertebra become miss-aligned due to postural stress, awkward sleeping positions, accidents, etc., the muscles around that vertebra tighten up as a protective mechanism. The tight muscles are commonly the root cause of the muscle tension headache.

Chiropractic care re-aligns the joints of the spine causing a relaxation of the surrounding muscles. When the joints in the neck are re-aligned, the muscles that move and support that particular vertebra relax and return to their normal functions.

When the muscles are relaxed, the muscle tension subsides and the headache goes away. Treatment for muscle tension headaches usually requires a series of treatments but you should notice a decrease in the frequency and the severity of your headache with subsequent treatment.

Your’s In Good Health

Dr. Jones

www.JonesPainRelief.com

In my San Diego chiropractic office, I try to encourage health betterment beyond the obvious chiropractic treatment that we provide for neck pain, back pain and headaches that represent the bulk of my patients’ concerns.

As that old medical saying goes; “Simply not being sick does not equate to being well.”

I always explain to my patients that in the absence of some catastrophic injury, most cases of neck pain and back pain begin as a slight irritation that we are totally unaware of. With time and additional stresses, these slight irritations can become magnified to the point where they become symptomatic.

Our diets effect on our bodies act the same way. A few poor meal choices won’t destroy your health by themselves, but frequent poor meal choices over longer periods of time can have a significant negative impact on your health. You only have to look at a McDonalds or Burger King drive-through to see the long lines of people making poor food choices. These people who make frequent poor food choices (fast foods in this example) probably won’t suffer anything more than a little indigestion as a result of each meal. However, the accumulation of the effects of all of these poor food choices will do damage down the road.

Unfortunately, this all becomes more apparent as we age. We pay for our poor eating habits as we age for a couple of reasons. First of all, poor eating choices become habitual. Like any bad habit, changing poor eating habits is difficult. Secondly, with normal aging, our metabolism slows making our poor eating habits more detrimental than they were when we were younger and more active.

Regaining your health takes work on several fronts. Some of these things you can accomplish yourself and other things you need help with.

Patients that come to my chiropractic office for treatment for their neck pain or back pain often find this task one of the easy parts of getting healthy. In order to get help with pain, all the patients have to do is come to the office for their treatment.

The difficult part of restoring health is dealing with the bad habits that result in unhealthy diets, smoking, drinking and the like. Overcoming bad habits takes an exceptionally motivated person. Focus and you can overcome them and have a healthier body to show for it.

Your’s In Good Health

Dr. Jones

www.JonesPainRelief.com

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

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Prenatal Health & Pain Relief

I want to be healthy - and 30 again! Only one of these things can happen and I am never seeing thirty again.

Many San Diego Chiropractors incorporate nutrition into their practices. It is a logical step and an essential part of helping patients regain and maintain their health. That being said, I have not quite grasped some of the concepts employed by chiropractors and other doctors regarding testing for nutrient deficiencies.

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

In other words, when they are 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.

One last thing, for those of you who have dismissed the findings of a hair analysis as inaccurate, improvements in this procedure over the last ten years have made it as accurate as blood tests - which are quite accurate.

If you are serious about getting healthy, do yourself a favor and get a hair analysis performed. It will do wonders in guiding your nutritional plan and will keep you on a course toward better health!

Yours In Good Health

Dr. Jones

San Diego Chiropractic Care
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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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Prenatal Health & Pain Relief

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
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