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.

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.

A Year in Review

I haven’t written anything in quite a while and I have to confess that I have suffered from a bit of writer’s block. Not that there aren’t a ton of topics out there, I just have not felt the passion to write about any of them. So, I decided to write a little more personal blog about some things that are going on in my life and at Thomas Chiropractic. If this totally bores you, please send me ideas of topics!

I wrote an article several months ago about my knee. Back in March, I completely tore my ACL and tore both menisci. I felt sucker punched after the MRI and wrote this article about the pros and cons of surgery. I eventually had the surgery and was doing really well. That is the story most people know. In September, about a week after I was cleared by my doctor to start pushing the rehab on my knee a little more, things went awry. I was about knee deep in a pool standing on a baja shelf.  I went to go in a little deeper and expected the step to be about a foot and a half when, in fact, it was more like two and half feet. My knee buckled and became significantly loose. I went back to my orthopedist, Dr. Hansen, who said it felt like the ACL was torn again. The MRI was inconclusive but because the knee was so loose, we scheduled surgery. On December 28th, I had the ACL re-done. It was 90% torn which is why it was so lax. I have been able to work with my brace on and I have committed to only walking on level surfaces and taking it easy for the next 4 months at least. If that doesn’t kill me first, I am optimistic of a full recovery in about a year.

October brought a new addition to my family. Nora Allison Thomas was born October 4th at Sutter Roseville. Dr. David Scates delivered her by C-section. My wife, Michal, was in the hospital with complications the week before. This was her sixth C-section. The final count on children is in this order, three boys and three girls. All have recovered and we are finally starting to get some sleep. I did say final, right? Yes, we have six children. Yes, we are busy and crazy. Yes, we know how these things work. And, yes, we are definitely done. I take Bill Cosby’s response when people ask me why we had six kids, “Because we did not want seven!”

If you have been in the office during the last six months, you may have met Dr. Matthew Huseboe. Dr. Huseboe is establishing his practice here in Thomas Chiropractic. He has done a great job covering for me during the surgeries and for a few needed days off. I have had positive reviews from my patients when he has covered for me so, rest assured knowing you are still in good hands when I take some time off. Dr. Huseboe is skilled in a wide array of techniques but specializes in adjusting the upper cervical spine.

This past year was my most successful year to date. Since moving to this office in October 2010, we have more than doubled the number of patients seen in a week. I am so grateful for patients who appreciate good health through chiropractic and are willing to share with others my vision of it. I am looking forward to another great year of helping even more people. Thank you to all who have helped and continue to support me on this journey. I wake up every morning looking forward to adjusting more people to better health.

Holiday Hours

Wishing everyone a Merry Christmas and a Happy New Year!

Monday, Christmas Eve, December 24th: 8:00 am until 12:30 pm w/ Dr. Huseboe

Tuesday, Christmas Day, December 25th: Closed

Wednesday, Boxing Day, December 26th: 2:00 pm until 6:00 pm w/ Dr. Thomas

Thursday, December 27th: 8:00 am until 6:00 pm w/ lunch from 12:30-2:00

Friday, December 28th: Closed

Saturday, December 29th: Closed

Monday, New Year’s Eve, December 31st: 8:00 am until 4:00 pm w/ Dr. Huseboe, regular lunch time from 12:30-2

Tuesday, New Year’s Day, January 1st: Closed

Regular schedule from Wednesday, January 2nd on.

Preventative Health Care?

For you football fans out there, you will get this analogy. Your team is up by 2 with just over a minute remaining in the game. Your offense has done just enough to be up but your defense has played lights out. Now they start playing “prevent defense” and everyone drops back. What are the odds the other team drives down the field and kicks a field goal despite your screaming at them through the television to keep playing aggressively? Prevent defense stinks!

Likewise, preventative health care in most forms either does not work or does not exist, no matter how popular the term is. What exactly are you trying to prevent anyway? In chiropractic we mostly treat injuries either from a one time big traumatic event or cumulative trauma. How does one prevent that? In medicine they talk about preventing disease. Besides the fact that most of their tools are designed to fight existing disease, the premise is wrong. What is disease other than the body not functioning the way it is supposed to? Shouldn’t we then focus on health rather than disease? If we focus on health, then what we are really saying is that we want to maintain good health. In my opinion, “maintenance health care” is a far superior term.

When we maintain good health we focus on the positive. Instead of trying to create scenarios where the possibility of injury or becoming sick is prevented, shouldn’t we put our energies into helping our bodies work the best they can? In this way, when pathogens or traumas come around, our bodies will be better equipped to either fight or heal in an efficient manner. We cannot live in a protective bubble!

Let us focus on attaining and maintaining proper health. If we improve function and keep making the healthy choices that helped us achieve better health, we will avoid all of the issues that so called preventative health care seeks to treat. Let’s make maintenance care our priority and get rid of the term prevention care.

Muscle Pain? Stretch It! On Second Thought…

Have you ever noticed that anytime someone has a muscle that is tight or sore the first thought is to stretch it? Don’t get me wrong. Stretching can be great and flexibility is definitely a sign of healthy muscles. However, sometimes you have to stop and consider the reason the muscle is tight before you go and stretch the heck out of it.

Considering the source of tightness in postural muscles is especially important. Postural muscles in the neck, back and buttock are designed to hold you upright all day long. The muscle fibers are called slow twitch/white as opposed to fast twitch/red in the legs and arms. Postural muscles become tight under stress and strain or when they spasm. When muscles work too hard to hold you in a poor postural position, the muscle fibers shrink to try and gain leverage. Lengthening them alters the leverage and proliferates the problem. Let me explain with an analogy. Let’s say you have a boss who was working you hard 5 days a week 10 hour days. When he sees you are getting tired and burning out, he schedules you for 6 days the next week working 12 hour days so when you go back down to 5 days at 10 hours it is somehow easier. Think you will feel better? Unfortunately, we do the same thing with our postural muscles. We use poor posture which causes our muscles to have to work too hard to hold us up and then when they get tired and shorten up, we stretch them which causes them to work harder for a shorter period of time.

Muscle spasms are a protective measure. When muscles spasm there is something deeper that is either injured or dysfunctional. Stretching a muscle in spams is not only counterproductive but it can also cause more problems. At best what you accomplish is relaxing muscles that are protecting a very sensitive structure. At worst, you can tear muscle fibers and cause further damage to the injured structure.

The best thing to do in either case is to shorten the muscle and put it in a situation where it is under less strain. Generally, this means doing the opposite of what most people think you should do. If your neck is tight, bend it backwards looking up. For shoulders, pull your shoulder blades down and back away from the ears. For the low back, bend backwards. Movement is better than just being static so don’t hold the position but rather bend back and then it bring it back to neutral 10 repetitions at a time.

Remember that this mostly applies to postural muscles. Fast twitch red fiber muscles definitely need to be stretched on a regular basis. However, if you have a strained or torn muscle, stretching can prolong your recovery if you are not careful. Tearing a postural muscle with normal daily activity is difficult. So, the next time your postural muscles are feeling tight, don’t stretch them, shorten them.

USO Donation Drive (Ends Oct. 31st 2012)

In Exchange for a Donation, New Patients Receive:
-FREE Exams
-FREE X-Rays
-FREE 1st Adjustment

Donations requested are as follows:
Twin size Sheets
Twin size blankets
Pillows
Hand Wipes
Sanitizing wipes
Snacks- nuts, trail mixes, beef jerky, granola bars, pop tarts, candy, fruit snacks, cereal, Kraft Easy Mac, crackers, peanut butter crackers etc, tuna/chicken foil packs/pop tab cans, slim jims, protein bars, peanut butter to go containers, Nutella to go containers
Personal Items: Baby wipes, hand sanitizer, sunscreen, lip balm, dental floss, toilet paper, eye drops, liquid body soap, eye drops, shaving cream, razor blades, disposable razors, q-tips, foot/baby powder, hand/foot warmers, icy hot patches, batteries (preferably AA), toothpaste, shampoo, toothbrushes
Clothing: BLACK or WHITE COTTON long athletic socks, Dark colored knit hats/beanies
Specialty Items: Ground Coffee (Peets and Starbucks are popular), zip lock brand bags (all sizes)

The biggest request right now is Twin bedding and hygiene products.

We are unable to send glass containers, so plastic and metal only please! We can not send perishable foods, fireworks, firearms, aerosol cans, or pornographic materials.

My Purpose and Goal as a Chiropractor

Those who know me, know that behind my easy going demeanor I am a very intense, focused and driven individual. In addition, I am fairly opinionated and have been active in implementing ideas in my practice that some people can’t seem to understand. Being extremely flexible when it comes to payments and scheduling, printing my cell phone on my business card (and actually answering it when someone calls), and trying hard to bend over backwards to make sure patients have a positive experience, are just a few things I do differently. Lately, I have been questioned about why I do what I do. It has not been negative but certainly with a guarded tone as if the person is asking, “What’s the catch?” I can understand the skepticism. It seems like everyone these days is trying to pull a fast one to get a leg up. Some people think that I do what I do because I am a nice guy or a pushover. The truth is that my purpose is what drives me and dictates my actions.

Unfortunately, 90% of Americans do not have a chiropractor. That is approximately, 280 million people who need a chiropractor. If we extrapolate that data, about 110K people in Roseville, 50K people in Rocklin, 75K people in Citrus Heights, 40K people in Lincoln, 40K people in Antelope and 9k people in Loomis/Penryn/Newcastle do not have a chiropractor. That is 324,000 people in the local community whom I serve who do not have a chiropractor! That is way too many people who are dealing with low back injuries, headaches, shoulder pain, neck pain, sports injuries, mid back pain, TMJ Syndrome, Carpal Tunnel Syndrome, etc. who do not know that chiropractic is the most effective and efficient form of treatment. This is a tragedy.

Knowing that so many people need help but do not know where to look is what pushes me. My purpose as a chiropractor is to help as many people as possible enjoy the benefits of chiropractic care. I do not do this because I want to have the biggest and best practice or to make more money, even though those are worthy achievements. I do it because I honestly believe that the more people understand and utilize chiropractic, the healthier we will be as a society. I do it because I have a compulsion to help people and I know that the greatest skill I possess to fulfill this need is serving as a doctor of chiropractic.

I perpetually contemplate how I can make a difference by removing barriers. Is it time? Is it money? Is it a lack of understanding? Is it fear? What is it that holds people back from seeing a chiropractor for a wide array of conditions that they know perfectly well if they go see their medical doctor they are going to walk out with a prescription for a pain killer or muscle relaxer and unanswered questions? This is where I need your help. If you have experienced the benefits of chiropractic care, share it, please! If people are resistant, ask why and then tell me. My commitment is that I will do everything I can to remedy the concern and help the patient. I have to. This is my purpose.