Exams for Books

What you get:
-Initial Exam
-X-rays (if needed)
-1st Adjustment
-New Patients Only

In exchange for:
-Hard Bound
-New or slightly used
-From the approved list

Offer good through August 19th

Books donated to the John Adams Academy Library
Donations without the exam are appreciated, as well.

If you purchase from Barnes and Nobles until August 13th and use the Book Fair ID # 10530087, John Adams Academy will receive 15% of your purchase.


Chiropractic and Evolution

My wife and I got the opportunity to go out this weekend and catch a movie. We saw “X-Men: First Class.” This post is not a review of the movie, though it was entertaining enough. What I love about the X-Men story is the concept that mutation has the ability to create better-than-human abilities. The reality is the opposite. Anyway, in this movie they introduce a character who takes on the code name Darwin because his body adapts to external forces in order to survive. The truth is, the ability to adapt is inherent in all of us. The difference is how quickly we adapt and how much harm the adaptation will cause.

Every time we are exposed to or experience trauma in one form or another, our bodies, by design, form a strategy to cope with the insult. The reaction is one of survival first. This is completely appropriate. However, often times the coping mechanism leaves the body in a state that promotes degenerative change.

Let’s consider a very common example. When a person is rear-ended in an auto accident, the body absorbs a tremendous amount of force. The neck whips back and forth, overstretching ligaments, compressing discs, tearing joint capsule and and shifting vertebrae. To adapt, the body sends in inflammatory chemicals to clean up the damage and cause swelling that will help stabilize a joint. This swelling is fine for a short period of time but, if left unchecked, it will start causing more problems. In addition, the shape of the neck is changed as a result of the trauma. This means that muscles now have to adapt to the new forces due to the change. Joints also have to compensate for the changes in movement patterns. All of these changes are recognized by the nervous system and recorded.

The newly adapted mechanics become the norm. Altered function of joints, muscles and nervous system leads to wear and tear. The only way to counteract the wear and  tear of adaptation is to restore proper function. Chiropractic is great at helping the body return to proper function. It takes time to retrain the body but with consistency, the results are are positive.

Roseville Chiropractor Heading to a Family Reunion!

I will be heading out of town Thursday June 30th through Tuesday July 5th for a family reunion. Dr. Kelly will be covering for me on Thursday, June 30th from 8am-5pm and Dr. Rogers will be covering for me Tuesday morning, July 5th from 8-12:30. We will be closed July 4th in observance of Independence Day. Thanks!

5 Things Weekend Warriors Can do During the Week to Avoid Injury.

I think it was Loverboy that sang, “Everybody’s working for the weekend!” Pretty sure it was. Anyway, I think they were on to something. Being active is certainly a good thing. Unfortunately, our lives are so hectic that during the week we rarely find time to move our bodies as much as we would like to. As a result, we try and make up for it on the weekends. As with anything, extremes can cause problems.

If you sit at a desk with posture that deteriorates over the week, then go and try to play like you used to in college, problems are going to arise. I am not saying that you shouldn’t be a weekend warrior. In fact, I encourage it. But, if you are going to be really active over the weekend and sedentary during the week, please do yourself a favor and do these 5 things to allow yourself to keep active but reduce your risk of injury on the weekends.

1. Hydrate. Keeping hydrated throughout the week has many benefits. First of all it will flush out the toxins you release into your body during physical activity. When muscles have enough water they remain aerobic and will perform longer. Water keeps tissue flexible and improves blood flow. You should drink plenty of water each day (1-2 Liters, minimum per day) but as the weekend activity approaches, increase consistently. If you drink tea, coffee or soda, you’ll need to drink more water as all are diuretics and will deplete your water and electrolytes.

2. Stretch. Keeping muscles flexible will go a long way to avoiding injury and not just to muscles but to joints, as well. Holding a stretch less than 30 seconds only keeps the muscle lengthened for a short period of time. Shoot for about a minute. You only need to stretch power muscles in the legs and arms. Spinal muscles are postural muscles and should not be stretched (that is whole new article I think I’ll write about next). Remember to protect your back when stretching. Here is a video of how to properly stretch the hamstrings (I should probably do more videos of how to stretch all the muscles of the legs and arms).

3. Challenge your coordination. Good coordination will keep you from most sprains and strains. The problem is that if you injure an area it becomes uncoordinated. Do things throughout the week to challenge your coordination or at least stimulate some of those senses. Walking barefoot on various surfaces, picking up things with your toes, balancing things on your feet, brushing your teeth with your non-dominant hand (or any activity like using the computer mouse), etc, will all improve coordination and help you avoid injury.

4. Give your postural muscles a break. I told you not to stretch them so you may be wondering what to do with the muscles of the back and neck. The answer is to shorten those muscles to give them a break. We do way too much bending forward. To counteract, do some back and neck bends. If you are sitting at your desk right now, stand up, put your hands on your low back and pelvis and bend backwards 10 times. Then, put your index and middle fingers in the middle of you neck and bend backwards over them 10 times. See how good you feel! (If you don’t, it is time to make an appointment.)

5. Sleep. I understand that this is a premium. Sleep keeps the nervous system sharp and active. It allows muscles and joints to work like they should and keeps the immune system at peak performance. Please trust me when I say that if you get 7-8 hours of sleep a night you will work efficiently enough that you will actually accomplish more than if you use your sleep time to work. If you  are having a tough time focusing during the day, try a 10 minute power nap. This is not easy but with practice it is a valuable tool.

There you have it. Five things you can work on during the week to help avoid injury during the weekend. Of course, I could add a sixth thing and say get adjusted but I thought that was pretty obvious.

Pregnancy and Chiropractic

First of all, yes, it is completely safe to receive chiropractic adjustments when you are pregnant even at 9 months. In fact, it can be very beneficial. Shoot, my wife’s OBGYN is my top referring MD. Why? Because when his patients are suffering from the ravages of pregnancy, all he can do is be a sympathetic ear or recommend Tylenol. He knows that chiropractic care is safe and can help manage his patients symptom where options are limited.

For those who are unaware, pregnancy can be really hard on a body. For the record, when we men argue that we are the tougher of the two genders, women can always trump the argument by simply mentioning pregnancy and child birth. Trust me, no man is tough enough to withstand. Add to that list the duties of motherhood and it is game, set, match. During pregnancy the fetus becomes top priority. This means that the body will compensate and adjust to keep the baby viable. Nutrients needed will be taken from whatever source available. In addition, the shape, weight, posture, and the mechanics of the body, especially the core, change and adapt for the growing baby. Combine that with the production of the hormone relaxin which softens up all of the joints to allow the baby to be birthed, and the potential for dysfunction is inevitable.

Getting chiropractic adjustments during pregnancy helps the body cope with all of those changes. When joints and ligaments become lax, the muscles tighten to compensate. This alters the mechanics. The adjustment helps restore the body’s mechanics and therefore reduces the secondary and tertiary responses like muscle spasms. Proper function will make it easier to carry and deliver the baby and will also help joints maintain coordination which positively affects the nervous system. Properly functioning nerves will promote better health, in general. A classic example of this is managing heartburn. When my wife was pregnant with our 2nd child, she had terrible heartburn. We found that adjustments were much more effective than antacids in controlling it because of the connection between the nerve roots in the midback that go to the esophagus.

Chiropractic care during pregnancy is not just effective for low back pain relief and heartburn, it is also helpful in treating tension headaches, foot pain, hip pain, mid back pain and tightness, shoulder soreness, constipation, and much more.

Keep in mind that predicting a schedule for treatment during pregnancy is impossible. The body changes too fast. Some women need chiropractic adjustments every so often and others may need an adjustment several times a week. The key is to keep things functioning as best we can and not let it get bad.

Finally, during pregnancy the body does not heal as well. If you are pregnant and experience trauma or just have a traumatic pregnancy, be patient. It will take time after the delivery to heal up properly. If you are adjusted during pregnancy and again after delivery, your healing time will improve dramatically.

How to Treat Sprained Ankles.

Whenever I get several patients who come in with the same ailment, I always feel like the universe is telling me to write about it. When that same ailment happens to me, the hint is as subtle as a two by four to the head. Such is the case with this article.

I have had a lot of patients come in with sprained ankles lately. For me, I didn’t think it was possible to sprain my ankles anymore. The ligaments in my ankles are pretty much gone from spraining them several times playing soccer in high school and college. So much for that. I rolled it jumping on the trampoline with my kids yesterday. It usually smarts initially and that is about it. This time it continued to hurt and started swelling a little, too. So, “Doctor, heal thyself!”

Here is the protocol: First you have to remember the mnemonic PRICE. P=protect, R=rest, I=ice,  C=compress, E=elevate. I stopped jumping and walked it off. I rested with it elevated. Then, I put it in an ice bucket (protocol details below). I planned on wrapping it up but it felt stable and the swelling was down when I woke up this morning so I thought I would be alright. In fact, I walked to work today and it felt just fine.

The most important thing to do if you sprain an ankle is ice it. Ice packs on an ankle are almost useless. You just don’t get enough surface contact to penetrate to the joint. If you are going to do it, be sure to leave it on for 20 minutes. However, the best way to ice the ankle is to put it in an ice bath. Here are the steps:

1.As soon as possible after a sprained ankle get a bucket big enough to fit your foot

2. Fill it with ice about 4 inches deep

3. Fill the bucket with water deep enough to reach just below the calf muscle (higher for high ankle sprains)

4. Cover the toes with a sock if needed

5. Immerse foot for 6-10 minutes until numb.

This is not exactly fun (unless you are a masochist) so, be tough. The stages of icing are intense cold followed by aching then burning then numbness. You have to get to numbness to benefit. Some people cheat a little and put on a sock covered by a baggie. This is ok as long as the sock is not too thick and there is not an air barrier in baggie. It still has to get to numb!

If you chronically sprain your ankles like I used to, you will have to rehab them. The more you sprain a joint, the worse the proprioception or the communication between the brain and the joint. In short, it becomes dull and you are much more likely to sprain it again. I recommend standing on a wobble board for several minutes each day. That will improve the proprioception and dramatically decrease the likelihood of future sprains.

What Do You Expect From Your Doctor?

I had an interesting conversation with a patient this morning. He asked me if it was common for a doctor to charge extra to fill out temporary disability forms. I really don’t know whether it is common, but it doesn’t surprise me. In fact, it is indicative of the brave, new, yet undetermined health care culture that is formulating these days.

In the past, we or our employers paid a lesser amount for health insurance. Deductibles were lower as were co-pays. The doctors were paid well and that is the way it was. I don’t believe the above mentioned situation was even considered. Now, we pay significantly more for insurance which covers much less, with increased deductibles and co-pays and doctors get paid less each year. In short, we are paying a lot more out of our own pocket for our health care and doctors aren’t compensated like they were accustomed.

As Americans, we expect to get what we pay for. Value is the key. Most of us don’t mind paying a little more if the value is there. However, the ability to choose what level of service we want is still important. Herein lies the lies the problem!

We are paying so much more out of pocket that we are no longer ambivalent to accepting poor service or care. We want service and results and, like any commodity, we want it for a good price. However, choices are still limited. First, the majority of doctors are still under the thumbs of insurance companies. Second, most of us still expect our insurance companies to cover care and therefor are obligated to go to one of the insurance companies’ in network doctor.

So, what is our plan? We can continue to pay more for less. That is the trend. Universal healthcare is one option, although I might debate whether the actual net cost for the middle class would be less. The care, in terms of service, would doubtfully improve under universal healthcare. Still it might be better that being stuck here in the middle.

The other option is to let demand create a supply. Demand better service and care from your doctor and be willing to pay for it. I personally sought out an insurance plan that just covers my family in case of a serious problem. Otherwise, I pay out of pocket and have found doctors who realize the business potential of treating patients for cash instead of wasting time and money on fighting insurance companies for reduced payment. It is not easy to find such progressive thinking doctors but they are out there. If they start to do well and other doctors see they are successful, give good valuable service, and are not frustrated, they will switch. Otherwise, what do you expect?

Chiropractic and the Healing Process

In this world of instant gratification, realistic expectations are often scarce. We have instant coffee, fast food, automatic deposit, etc. We demand results quickly and for most things we get them. Unfortunately, healing is not an instantaneous event. It takes time. Don’t get me wrong. I am as impatient as anyone. I like to see or experience improvement quickly. However, when it comes to healing, there is still a process.

This article was written to help you understand the healing process and what to expect on your road to recovery.

The healing process has several stages. They can be broken down into three major steps:

1. Inflammation: Whenever an injury occurs there is damage to tissue. Tissue damage causes a reaction in the body that brings chemicals to take care of the damage. It causes swelling which keeps the affected area from moving too much. The reaction also generates heat, hence the term. I like to compare inflammation to firefighters putting out a fire. They arrive quickly and start shooting water onto the fire. Though necessary, often times the damage from the water is just as bad as the damage from the fire itself. This is even more true of inflammation. If not taken care of quickly, inflammation will begin to destroy the good tissue and cause a host of other problems. For this reason, ice is a powerful tool. Controlling the swelling with compression and an anti-inflammatory diet can also be very valuable.

2. Scar Tissue Repair: After a 2-6 days of inflammation, the body starts to lay down scar tissue. Scar tissue is weak and it complicated by the fact that it is laid down quickly and haphazardly. To further the analogy of a home damaged by fire, imagine a crew going in after the water has mostly dried and quickly supporting the overall structure with whatever wood they can find. They make it more stable than it was but it is not as functional and it is certainly not as stable. Scar tissue is supposed to be a temporary process that takes 6 weeks to 6 months depending on the damage. Unfortunately, many people do not do what it takes to get beyond this stage. As a result, they easily tear the scar tissue and the process starts again. This is the cause of chronic injury.

3. Remodeling of Tissue: When scar tissue starts to act like the original tissue, the remodeling process has begun. It is critical to get to this stage if true healing is to occur. This stage can last for a long time. For some tissues, like the nervous system, the process can be so slow it is almost imperceptible. For such tissues, support therapies like hyperbaric can help. In joint,  muscle, bone, ligament, tendon, etc., proper motion and function dictate this process. You have to train the scar tissue to line up all in the same direction and act like and be in sync with the surrounding tissue. Only at this point will true healing occur.

Unrelated topic: when you make a comment on this blog, you will automatically be entered into a drawing to win free chiropractic care for April.

Thomas Chiropractic, Roseville Food Drive!

Where: Thomas Chiropractic, Roseville 720 Sunrise Ave., Suite B-104

When: Monday, March 7th until Thursday, March 17th

-Bring in non-perishable food for the Placer County Food Bank

-Receive a FREE First Visit (exam, x-rays, 1st adjustment)

-For New Patients only, please. Call 780-1370, today!

It’s a win, win, win. New, patients, bring food for the Placer County Food Bank and receive a free first visit that includes everything from the exam, x-rays (if needed), and first adjustment. This help the new patients with their health, helps feed the community, and brings joy to all involved!

Thomas Chiropractic Patient Appreciation Day!

When: Saturday, March 12th from 10:00 am until 2:00 pm

Where: Thomas Chiropractic Roseville, 720 Sunrise Ave., Suite B-104

-FREE Adjustments

-FREE Mini-massages

-Great Food

Thank you to all my loyal patients and friends who have entrusted me with their health in regards to chiropractic care. As my thanks, please join me Saturday, March 12th from 10:00 am until 2:00 pm for our semi-annual Patient Appreciation Day. Get adjusted and sign up for a mini massage. Enjoy the some great food. Everyone is invited to attend. Prospective patients can come and meet me and the staff and enjoy the festivities.