Adjustments & Manipulation
Adjustments, or manipulation as they're sometimes referred to, are the minor movement of vertebrae in the spine. The objective of this movement is to realign vertebrae that have moved out of place for a number of reasons ranging from normal daily activity to trauma such as a car accident.
When these vertebrae are out of place, it has an overall systemic effect from muscular to the central nervous system. Without proper alignment and flow of all nerves and systems in the body from the brain, we can't function at our peak.
An adjustment is often a pressure from the chiropractor utilizing the hands or an instrument to move a vertebrae back into place. This happens with a quick movement and is often without discomfort. You may hear a noise that sounds like you're cracking your knuckles referred to as joint cavitation. It is the release of gases such as oxygen and nitrogen from the joint.
Overall, adjustments are an excellent way to keep the body functioning at its highest level. When the body is in alignment, the body is able to respond and perform as it was designed to.
Cold Laser Therapy
Cold Laser Therapy is an excellent treatment that is often utilized to treat a wide array of conditions and pain. This therapy allows the body to naturally heal itself by utilizing a combination of electric stimulation and cold laser technology. This low level laser therapy consists of a light-emitting device that can be utilized on many different parts of the body.
In addition to simple back and neck pain, cold laser therapy has been utilized for a number of inflammatory conditions such as arthritis, tendonitis and sprains. The number of conditions that have been notably increased in the usage of this therapy include carpal tunnel syndrome, wound management, shoulder and neck injuries, muscle and joint pain, as well as a long list of others.
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The following therapeutic exercises are provided as a reference to our patients and are not necessarily suitable for everyone. Consult your doctor prior to performing any new exercises to determine if they are appropriate for you.
PARTIAL SIT UP
Partial sit ups are recommended for people with back pain. The same muscle groups are worked out without putting stress on the lower back. You will start just like a regular sit up with your back on the floor, both feet on the floor, and your knees bent. Raise your head, neck, and shoulders off of the floor and hold that position for 5 seconds. This exercise will strengthen your core and is simple to do. Repeat as many times as you can, with a goal of increasing your reps each day.
KNEE TO CHEST
You start this exercise the same way like the partial sit up. Begin the exercise by drawing one of your knees to your chest, using both hands (only one foot is now on air). Hold to the count of 10, then slowly release it to the rest position. Do 4-5 repetitions, and then repeat with your other leg, then both legs at the same time. This exercise stretches your glutes and back.
Start this exercise flat on your back with your arms extended out to the side. Bend your knees and lift your feet off of the ground. You will now rotate your hips to the side so that your legs become parallel with the floor. Rotate from side to side for 5-10 repetitions. This is another core exercise that strengthens your abdominal muscles.
LOW BACK EXTENSION
Start by laying flat on your stomach with your hands to your side. Lift your head and upper body off of the ground by using the muscles in your lower back. Hold this position for 4-5 seconds and then lower yourself back down. Repeat 10-15 times.
Position yourself on all fours with hands directly beneath your shoulders and knees directly beneath your hips with your back straight. Use your abdominal muscles to push your back towards the ceiling, arching it like a cat. You should notice your head will point down towards the floor. Next, drop your back so that your lower back extends. Your head should raise when doing this. Make sure to keep your elbows straight the entire time, the only movement should be in your spine. Repeat this 12-15 times.
This exercise is best performed with a stability ball. Lay with your stomach on the stability ball with your hands behind your head. Tighten your abdominal muscles and use your lower back muscles by contracting your glutes to lift your shoulders and chest off the ball.
Lie face down with your arms extended above your head. Tighten your abdominal muscles and lift your arms and legs off the ground. It should look like you are in a Superman like flying position. Hold this for about 30 seconds and then release. You may be tempted to hold your breath when clenching your abdominal muscles. DON'T! Control your breathing while holding this position.
DOUBLE LEG LIFTS
Using a stability ball, lay face down with your hands on the floor in front of the ball. Raise both legs off of the floor until your body is horizontal and hold the position for about 10 seconds. Lower your legs back down to the floor and repeat 5-10 times.
While seated in a chair, reach one arm across your stomach and grasp the opposite side of the chair. Look over the shoulder while rotating the low- and mid-back. Hold for 15-30 seconds.
EXTERNAL SHOULDER ROTATION
Start by lying on your right side with your right arm folded under your head. Your upper left arm should be parallel to your torso, bent at the elbow so that your forearm is lying across your stomach with your hand on the floor. By rotating your left shoulder, raise your forearm so that it is perpendicular to the side of your body. Switch to your other side and repeat. This exercise can also be performed with a dumbbell.
INTERNAL SHOULDER ROTATION
Lay on your right side, like in the external shoulder rotation, but keep your right hand free this time. Keep your right arm next to your body and bend at the elbow. Rotate your shoulder to move your forearm. It will start flat on the floor, and then you will rotate it into your body so that your forearm is flat across your stomach. Repeat this motion 10-15 times and use a dumbbell if you prefer.
LATERAL DELTOID RAISE
Start with your arms to the side of your body, palms facing the thighs. Tighten the abdominals, bend the knees slightly, and position the feet about shoulder-width apart. Raise your arms straight out to your side until they are shoulder height. Hold that position briefly, and slowly return your arms to your sides.
FRONT DELTOID RAISE
Start with your arms in front of your body, palms facing the thighs. Tighten the abdominals, bend the knees slightly, and position the feet about shoulder-width apart. Raise your arms straight out in front of you until they are shoulder height. Hold that position briefly, and slowly lower your arms.
SINGLE-ARM LAT PULLDOWN
Begin with both hands overhead holding an elastic resistance band. Engage the abdominals, bend the knees slightly, and position the feet about shoulder-width apart.
Pull downward to the side with one arm, adducting at the shoulder until the upper arm is next to the torso. Pause, then return slowly to the starting position. Keeps your arms slightly in front of the face to protect the back and shoulders.
STABILITY BALL PUSH-UPS
Start with the ball under your stomach and your hands on the floor in front of you. Roll forward slowly until your shins are balancing on the stability ball. Now perform pushups as your normally would by bending at the elbow.
SIDE LUMBAR BRIDGE
Lie on one side with your legs straight. Support the upper body by keeping the elbow directly beneath the shoulder. Being careful not to let the top hip rotate forward, engage the abdominals and use the torso to lift the hips. Hold this position for 10 to 15 seconds, maintaining a neutral neck and spine position.
SINGLE-LEG REVERSE CURL
Lie on your back with one knee flexed and foot flat on the floor and the other leg straight out slightly raised off the ground. Extend arms flat along body and maintain neutral alignment in the cervical spine.
Lift the working knee and leg in an upward diagonal direction over the belly button. Pause, then slowly lower the leg to the starting position. Repeat with other leg.
CRUNCH W/ STABILITY BALL
Lay down with your back on the stability ball and your hands behind your head or folded across your chest. Maintain a backwards-pelvic tilt and raise shoulder blades off the ball, return to the starting position, and repeat.
Stand facing the wall and hold the stability ball at forehead height. Use your neck muscles to push your forehead into the stability ball. Relax and repeat.
Stand facing away from the wall and hold the stability ball behind your head. Push back of head into the ball.
Stand sideways to the wall. Hold the stability ball above your shoulder at the side of your head. Push side of heads laterally into the ball.
- Bring your ear to your shoulder
- Let your neck to sit in that position for 5 to 7 seconds
- Force your ear toward your shoulder.
- Feel the stretch of your neck muscle on the opposite side.
Same principle as the exercise before...
- Bring head back as if you are looking toward the ceiling.
- Feel the stretch in the muscles located on the front part of your neck.
If this exercise causes dizziness, fainting or loss of balance… STOP THE EXERCISE AND CONTACT YOUR PHYSICIAN.
- Rotate your head toward your (R or L) shoulder and then
- Nod your head down and you will feel a stretch on the opposite side of which you are looking. Just hold for a few seconds and repeat.
Neck exercises for strength
- Put your hand on your forehead and force your forehead against your hand to provide resistance. You can do this in several sets of 6, 8, or 10 repetitions.
- Place your hands on the back of your neck and force your head back while providing resistance with your hands.
Do these exercises in several sets of 6, 8, or 10 several times a day and you will be surprised at the amount of flexibility that returns in a couple of months.
Electrical Muscle Stimulation
Electrical Muscle Stimulation is an exceptional way to help the body in the healing process. This is accomplished by sending a very small electrical current into the affected soft tissue injury or muscle spasm. The therapy utilizes this current in an effort to help reduce swelling and release trigger points that may have the muscle locked up. It does this by helping the body to release natural relievers of pain often referred to as endorphins.
This is a great therapy if there is a spasm in a back or neck muscle. It works well in relaxing the muscle and allowing it to return to its normal state rather quickly. Short therapy sessions are excellent at facilitating healing from acute and chronic pain.
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Cupping is the term applied to a technique that uses small, usually glass, cups as suction devices that are placed on the skin. The suction from a negative pressure that is created in the cup causes the skin and underlying muscle to be lightly drawn up into the cup. One way to think about cupping is that it is an inverse of a massage, rather that applying pressure to the muscles it instead uses gentle suction to pull it upward. The patient will usually feel a tight sensation in the area of the cup. For most patients, this sensation is relaxing and soothing. Depending on the patient’s comfort and the practitioner’s assessment of the problem, the cups may be moved around or left in place while the patient relaxes. Once suctioned, the cups are generally left in place for about ten minutes.
The suction and negative pressure provided by cupping can loosen muscles, encourage blood flow, and sedate the nervous system. Cupping can be used to relieve back and neck pain, stiff muscles, and anxiety among other things. The treatment can also be valuable for the lungs, helping to clear congestion from conditions such as the common cold.
The most obvious side effect of cupping is the appearance of spots on the skin where the cups have been placed. The circular bruises may look purple or red on the skin, but are rarely painful. Fortunately, these marks usually only take a couple days to a week to disappear.
Interferential Current Therapy
Interferential Current Therapy is an effective therapy method used to relieve pain and accelerate the self-healing process. It is essentially a deeper form of electrical stimulation. To perform this method of treatment, electrodes are placed on the skin around the injured body part. An Interferential Current device is then used, which transmits electrical impulses in minute quantities throughout your skin. Underlying tissue and nerves become stimulated which begins the healing properties. These impulses are not painful, and can be described as a minor prickle on the skin.
Interferential Current Therapy is used to treat:
Circulatory and muscle disorders
- Stiff joints
- Joint injuries
- Muscle spasms
Advantages of Interferential Current Therapy include:
- Reducing or eliminating pain in a safe manner
- Noticeable decrease in swelling and inflammation
- Restoring lost movement and improving range-of-motion
- Stimulating the natural hormones which can help the body heal faster
Additionally, Interferential Current Therapy also assists in blood circulation and rushes recovery by stimulating endorphins.