It’s a Wonderful Life From This Chiropractor’s Perspective

I love the movie, “It’s a Wonderful Life.” I am especially moved by and relate to the main character, George Bailey. George consistently puts the needs of others before his own wants. He is flawed for sure, but when it comes down to it, he does the right thing for others. In the end, we see just how much his generosity and selflessness has affected others and when George is in dire straights, they lift and support him.

I often tell people that I strive to work by the George Bailey Principle where people and community are more important than money and business. I really believe this. I am also thoroughly convinced that when we focus on relationships and helping others, money and business will come.

Why am I sharing this? It kills me that there are people out there who need help but do not seek it because they fear the expense. They suffer because of something as stupid as money. Now, I get that for some it is a priority issue. I try not to know or judge. Honestly, what I care about most is helping people live healthier lives. Because of this, I know that money and success will come. It has come, and will continue. If you need care and finances are a concern, come talk to me and let’s work it out to make it affordable.

The two quotes that impact me the most in the movie are: “Remember, George, no man is a failure who has friends.”  and “A toast to my big brother, George: the richest man in town.” In my practice, I do not need to have the most money; I just want to help the most people. This will make me the richest man in town.

Holiday Stress and Chiropractic

I probably should not admit it but, “National Lampoon’s, Christmas Vacation” is one of my favorite Christmas shows. There are few actors who pull off a complete melt-down like Chevy Chase. I think we can all relate at some level with Clark W. Griswold as it concerns the stresses and strains of the Holiday Season.

There are several reasons why stress levels rise around the holidays. Day Light Savings ends forcing us to change our internal clocks. Day light decreases unti the 21st of December. The weather changes, creating all sorts of issues with cold and pressure. We are busier with parties, school plays and concerts, and all the prep work for the holidays. Shopping. Finally, there can be an overwhelming pressure to make sure this time of year is  special. All of these things can make the Holdiays a very stressful time, indeed.

Here is my advice to help deal with the holiday stress and especially how chiropractic can help. From a mental health point of view, first, remember to keep things in perspective. The spirit of the season is, after all, one of celebration and giving. Also, things are great, but people are much more important.

From a health stand point, sleep and daylight are very important. It is getting darker earlier so, go to bed earlier! Countless studies have shown the benefits of good sleep and low stress. Your body needs time to rest. Patterning your schedule to the sun and not just the clock can make a difference. With the days being shorter, be sure to get some sun light. Light from the sun helps produce a useable form of vitamin D which affects the production of seretonin. Seretonin helps maintain a positive mood. Some of you will go to work in the dark, work in a cubicle all day and go home in the dark. Be sure to take a lunch break and go outside to soak up some sunlight for at least 10 minutes. Seretonin, by the way, also helps boost the immune system so it will help fight off all of the viruses that tend to be more prevalent this time of year.

One of the biggest issues with stress is that it creates a vicious cycle. When there is emotional stress it creates physical stress. During physical stress the postural muscles tense which causes joints not to move as freely. Blood flow is altered and the sympathetic nervous system is stimulated causing an increase in adrenaline and cortisol. This physcial stress can lead to pain which causes emotional stress and the cycle continues. Getting adjusted will help break the cycle. Chiropractic adjustments work at the joint level to restore proper balance to the sympathetic nervous system. If you are feeling stressed, it is time to come in and get adjusted.

 

Increased Days and Hours for Thomas Chiropractic!

Patients have spoken and we are listening. Effective immediately, Thomas Chiropractic will be open Monday through Friday from 8:00 am until 6:00 pm with lunch from 12:30-2:00 pm. Below is a list of the hours for each doctor:

DrThomasTwitterDr. Thomas 
Monday: 8-6 w/ lunch from 12:30-2
Tuesday: 9-12:30
Wednesday: 8-6 w/ lunch from 12:30-2
Thursday: 8-6 w/ lunch from 12:30-2
Friday: Off
Saturday: Random time based on availability
 
Dr. Nowland
DrJNowlandPicMonday: 8-6 w/ lunch from 12:30-2
Tuesday: 8-6 w/ lunch from 12:30-2
Wednesday: Off
Thursday: 8-6 w/ lunch from 12:30-2
Friday: 8-6 w/ lunch from 12:30-2

 

Dr. Thomas and Dr. Nowland are both happy to treat each other’s patients should they come in at a time when their regular doctor is unavailable.

 
 

 

Low Back Pain and Tight Hamstrings

If you are around my age, you might remember having to pass the Presidential Fitness Test in P.E. Part of that test was flexibility demonstrated by sitting on the ground with the legs extended and the knees straight. Then, you would reach forward as far as you could. Not to brag, but I could reach well beyond my feet. I was, in fact, the most flexible boy in my whole middle school. I remained pretty flexible until I was in college when I hurt my low back. Since then, I can barely touch my toes on a good day.

With any injury, the body has protective measures. When you hurt your low back, the hamstrings will shorten to protect against bending forward and causing further damage. Like most of these reactions though, the body doesn’t always know when to stop guarding which can prolong the healing process or lead to more problems down the line. My recommendation is to first start improving the function of the low back through chiropractic adjustments, and then to start regularly stretching the hamstrings.

I created the following video to help you do this stretch properly. Remember that in order to actually lengthen a muscle, you must sustain the stretch for at least 30 seconds. It can take time before you see results. If after several weeks of stretching you are not improving, it most likely means that there is still a significant amount of  dysfunction in your low back that you need to address.

Hamstring Stretch

Do Your Hands Fall Asleep?

Most of us have experienced it. There you are sitting in what seems like a comfortable position, watching tv. All of sudden you notice that you have no feeling in your hand! It has fallen asleep. You move from the all-of-a-sudden awkward position trying to pause the show you are watching but you can’t because you have no feeling. You do the obligatory shaking of the hand trying to get it to wake up. It starts to get some feeling back but really it just feels  like someone is jabbing you with thousands of pins and needles. Then you start to flex and extend you fingers. It finally starts to wake up and you are able to reverse back and watch what you missed. Slowly, the hand goes back to normal. You have just experienced paresthesia.

The scenario described is the least serious form of paresthesia. It is usually temporarily caused from either a direct pressure on a nerve or by cutting off blood supply to the nerve. Once you release the pressure or get the blood moving, feeling starts to return. One still needs to be careful in such a situation. I have a  patient who tried to walk when, unbeknownst to her, she had a foot that had fallen asleep. When she got up to walk, she fell and shattered that numb foot requiring surgery and a litany of issues. So, be careful!

The bigger issue, however, happens when parasthesia comes on insidiously. In these types of situations, there is something deeper that is irritating the nerve. For the hand, this can happen at the carpal tunnel, at the elbow, at the shoulder, under the pectoralis minor muscle, under the scalene muscles, and at the nerve roots in the neck. Irritation can be caused by swelling of soft tissue (ligaments, muscles or tendons), by bulging discs, by stretched nerves due to poor posture, by a deficiency in blood supply due to a host of conditions, and the list goes on. If your hand consistently falls asleep, you need to figure out the cause. It could be a simple remedy or it could be a sign of something serious. The longer a nerve is injured, the longer it takes for it to heal. In addition, you run the risk of injury to the area the nerve supplies.

What Makes a Comfortable Adjustment?

When a chiropractor adjusts a person, the goal is to get joints moving properly. Because we are talking about movement, the force equation comes into play: Force = Mass x Acceleration. So, in order to adjust, a chiropractor needs mass and acceleration. If there is not enough mass, they need enough acceleration and vice versa. In general, the greater the acceleration, the more comfortable the adjustment.

There are a number of reasons a quick adjustment is preferable. Most people guard to some degree when getting adjusted. It is a natural response. Guarding only gets worse when someone tries to increase the force by increasing mass because the body is aware of the force. Along those same lines, an adjustment when someone is guarding doesn’t always move the joints thoroughly enough which leads to an unsatisfied feeling that there is still something not moving correctly. In addition, the  nerve sensors of a joint, known as the proprioceptors, need to be stimulated to get the full benefit of an adjustment. The only way to do that is with a quick movement of the joint.

Everybody is different in how they interpret comfort. Some like a firm touch others gentle. Some like to hear the cracking sound and some do not. Regardless of preference, thorough movement of joints is critical for a proper adjustment. Whether the speed is achieved through skilled hands, an adjusting tool like the Activator, or a drop table, the quicker the movement, the less mass and the less trauma on the body.

A Brief History of Chiropractic (It is not all about pain).

As the story goes, in September of 1895 a man by the name of Daniel David Palmer, also known as D.D., met a custodian named Harvey Lillard. Lillard developed significant hearing loss many years earlier when he was hunched over working and experienced a loud pop in his spine.  Dr. Palmer convinced Lillard to let him look at the area that popped and found a lump. He persuaded Lillard to let him “rack” it back into place and as a result, Mr. Lillard’s hearing started improving.

Palmer had been studying under the founder of Osteopathy, Andrew Stihl. Osteopathy was a healing art that utilized manipulation of the body to allow it to heal naturally. Palmer had also been involved in a variety of healing arts and believed he could blend science with metaphysics. Eventually, D.D. Palmer created his own philosophy and style of healing which focused on restoring health by correcting nervous system interference caused by spinal misalignment or spinal subluxation. Where Osteopathy used general manipulation to restore proper blood flow; Palmer’s healing art was specific and focused on the flow of nerves. He named it Chiropractic meaning done by hand, a tribute to how D.D. Palmer adjusted the spine.

Since those early days, chiropractic has grown into a mainstream form of healthcare. The tendency is to paint chiropractors into a corner by thinking of them as back doctors who only treat when there is pain. The truth is that the most benefit from chiropractic care goes well beyond pain. We, as chiropractors, want to restore the function of spinal and extraspinal joints. Proper joint  movement leads to proper nervous system flow which leads to proper function of the body as a whole. Symptoms can be useful in determining where there is a problem but it is not safe to assume that no symptoms means no problem. Instead, it is best to maintain good proper function and allow the body to heal and manage disease and illness whether it is typical like back pain and headaches or something different like hearing loss.

Science and Chiropractic

Have you ever read or heard something that on the surface made sense for a second but when you thought about it, it was completely banal? I had that experience this morning. One of my patients shared an article with me from Fox News about chiropractic. The article (that you can find here) was overall very positive with some interesting things to say. Unfortunately, the last paragraph is so stupid it is laughable. Mind you, I am not criticizing the author but rather the quote. Here it is:

“We’ve all seen the results,” says Dr. Nicholas DiNubile, an orthopedic surgeon and the author of the FrameWork book series. “But we need scientific research that shows what chiropractors can do.” For serious pain, DiNubile recommends that an orthopedic or sports-medicine specialist be your first stop.

Let’s talk about Science, since he referenced it. If you look up the word “science” in the dictionary, there are several definitions each with the general concept of a system used to come to knowledge from ignorance. In the scientific method  one asks a question, hypothesizes the answer, experiments, observes, and finally theorizes. If you look at Dr. DiNubile’s quote, you wonder if he really knows anything about science. The first thing he says is that we have seen the results. So, if the modern concept of chiropractic has been an ongoing experiment since the 1800’s, and we have over 100 years of observation, and “We’ve all seen the  results,” what type of scientific research exactly is needed, Dr. DiNubile?

To me, this smacks of a turf war jab. For years many medical associations have tried to maintain their hold on the world of healthcare by demanding scientific proof on their terms from every other industry. For them, they have established that “scientific research” has to be double blind, random, controlled experiments published in a peer reviewed journal. That works great for medication because a placebo can look just like the real thing and neither the doctor or the patient needs to know, which constitutes the double blind, and as long as you do your best to control or account for all of the factors, you can can get published in a scientific journal. Try performing a placebo adjustment! For that matter, orthopedists cannot really follow their own ridiculously stringent definition of scientific research unless a surgeon is unaware of whether he did or did not do a surgery. Does this mean we need more scientific research to see if knee surgery works? Along the same line, does that mean that we should not be doing knee surgery until we have more research?

In this chiropractor’s opinion, we do not need more research we need more people. We need people with enough sense to look at the results and to give chiropractic a chance. Case studies and anecdotal evidence over a long period of time is some of the best research we can do. We need people who are willing to conduct their own scientific experiment to see if their condition can be helped with chiropractic care. Finally, we need to be open to considering what works instead of doing nothing because a so called expert thinks we need more research.

Massage and Chiropractic

Massage and Chiropractic care go together like peas and carrots. By the way, who eats peas and carrots together anymore? Anyway, suffice it to say that they are very complimentary. Chiropractic is great at improving joint movement and coordination but can often be encumbered by muscles and fascia that refuse to relax. Along those same lines, massage is fantastic for removing scar tissue and relaxing soft tissue but if  muscles are guarded in order to protect injured joints, the massage will be ineffective, at best.

Generally speaking, getting adjusted before a massage is the best strategy. Getting adjusted helps reset the never impulses in the area which can turn off the protective muscle guarding. This makes for a more comfortable massage as well as a dramatically more effective one. In addition, it allows me, as the doctor,  to give the massage therapist some target areas where massage would really help.

Occasionally, I have a patient that is just too tight and guarded to adjust. In that rare instance, getting massaged before the adjustment is warranted. Then, sometimes it makes no difference whether you get massaged or adjusted first, if you are healthy and maintaining. In conclusion, there is great benefit to massage including but not limited to improved muscle tone, better blood flow, mental relaxation, and the release of toxicity in the soft tissues. When you combine massage with chiropractic care, you can experience synergistic improvement in your health.