Everett Chiropractic Center Blog

November 21, 2015

Every Exercise Has A Purpose: Offset CAT/CAMEL

Filed under: Uncategorized — doctordilday @ 10:28 am


The Offset CAT/CAMEL is given to patients who have Sacro-iliac (S/I) joint subluxations. These joints are the very large ear-shaped joint that connect  the sacrum to the pelvis. Together they bare all the weight of the upper body and are under extreme pressures when sitting, so… they are often subluxated, need to be adjusted by a chiropractor, and need to be kept moving by a patient who wishes to maintain their corrections without frequent office visits.

These exercise specifically moves the S/I joints. And keeps them moving.

It may do a number of other wonderful things. And it isn’t for everyone; not everyone can do it for a variety of reasons.

If you refer to the sentence above in bold, another issue is raised. Namely that a subluxated joint is one that is not moving properly and inevitably its motion is restricted (it’s stuck in other words).

The idea behind this exercise, as with many of the early one given to each patient, is that once we chiropractic doctors have moved the stuck joint, the patient has to do something to keep it moving.

November 20, 2015

Every Exercise Has A Purpose: Figure *s & CAT/CAMEL


People often have no idea what effect the exercise that they are told to do will have. I am not talking about the reason most often given by people who are in the gym or “working out” (that answer is “To loose weight and get in shape”.). No, I am talking about exercises given by health care providers to patients who have conditions for which the exercise is suppose to be helpful.

I think it’s important to know both the cause (the exercise) and the effect (the result).

Yes, it’s also true: almost every exercise will have a list of effects. It’s also true that for the most part we give someone an exercise because we want a specific effect.

(It’s also true that many health care providers don’t have intimate knowledge of exercise in general and are not very thoughtful about giving exercises that are specific.)


The CAT/CAMEL isn’t even really an exercise. It’s a mobility maneuver or, more simply, a way to keep the joints (that we’ve just adjusted) freed up and moving properly. Patients get the CAT/CAMEL (usually) first; it goes with bracing and breathing as something they can do while still in acute pain. But, it’s primary purpose is to keep joints moving.

Figure 8s

Same thing, and then a little more. The figure eights will keep the joints moving (primary goal); they will also re-train the reflexes, muscles, ligaments and tendons.

November 13, 2015

Research Shows Shift In Hospitals’ Financial Risk


I wondered why I would get a newsletter entitled “Pulse” in the mail from my Collection Agency. Then I read the first article. Here’s the gist:  Since the Affordable Care Act went into effect in October, 2013 things have changed. Less people are uninsured. More people are insured. And many of those who are “newly insured”, as well as many of the rest of us, have high deductible health plans (HDHP), which translates into much higher costs out-of-pocket for patients. “… the expanding insured self-pay patient volume and A/R highlights the need for providers to focus on this area of growing financial risk.” (Then I knew why they sent me the newsletter.)

“The replacement of traditional health plans with HDHPs is creating more patients who are not only newly insured, but who bear significant financial responsibility via copays and high deductibles,”… “This has created more financial risk from the insured self-pay population.”  More information: http://bit.ly/1Mhoxe6 and http://1.usa.gov/1W333nb.

All of this will be old news to those who have followed this Blog much over the years.

Another article in the newsletter had the title “Quality of Care”. It wasn’t about that, but here is a noteworthy quote: “All of the recent trends and changes in healthcare are leading some providers to consider an earlier retirement, according to the report.” Not having a lot of fun I guess.

Event or Episode

Filed under: Uncategorized — doctordilday @ 10:14 am


A patient was in the office the other day describing that now she is very careful and thoughtful when she moves. She is more aware – today we would use the word “mindful”.

That’s good. And it’s just about the first thing we teach patients. To be otherwise is to risk relapse. It’s the thoughtless and mindless moves that get us in trouble. This is especially true when trying to bring about a recovery.

There are many opportunities to think of what you are doing as an event and to use the moment to “train” yourself to move correctly. By correctly I refer to correct alignments, to bracing yourself, and to breathing appropriately. In the ideal world all of this would be automatic and would not require focused attention (we don’t live in that world).

Getting into and out of a car/truck; climbing stairs or ladders; sitting down/getting up out of a chair; and any bending over (to lift or not to lift), these are all moments of risk for injury or re-injury if done incorrectly. Worse yet, if you move incorrectly often and for a long time you do damage to joint cartilage that will, eventually, cause you to have dysfunction. And with dysfunction it’s only a matter of time before you have degeneration and disease (Someday some expert will announce that you have arthritis that comes from “normal” aging.)

There are many benefits to moving correctly even if you are not recovering from an injury episode, besides not damaging your joints. For one you are stronger, just by virtue of proper alignment; and moving correctly will result in a increase in real strength of the muscles which are now used properly. (The muscles do their jobs in the way they are meant to – it’s a good thing!)

So when you make a move, make it an event that you participate in… so you don’t end up in an episode you don’t want to be in:-)

November 12, 2015

“I haven’t had one since… it’s nice not having those headaches.”


Comments from a patient who had been adjusted a grand total of two times in two days. She went from three weeks of severe headaches (9-10 out of 10 severity) to “No headaches since, neck [pain] is much better, low back still hurts.”

November 3, 2015

Colored Is Cool!

Filed under: Uncategorized — doctordilday @ 11:04 am

Call (425) 348-5207 to learn more and place your Order!

November 2, 2015

Living Near Trees Is A Healthy Choice

Filed under: Uncategorized — Tags: — doctordilday @ 5:16 pm

This link is all about the Ads really, but if you ignore them and read the article, it’s a good one.

October 30, 2015

The “Why” of Exercise: Holding Your Adjustments

Filed under: Uncategorized — doctordilday @ 11:58 am


When we see the average new patient they are in pain. Relief is the first objective. To get there we adjust their spinal subluxations and give them instructions, usually recommending ice (and often recommending they throw their heating pad away!)

Right away, usually before the pain is gone if it takes days or weeks, we also start talking about bracing. Since they have to move some anyway – pain or not – they need to know how to brace to protect themselves from making things worse.

Then, once a patient’s pain is down (and if we aren’t too distracted by having to show them how to bend and lift or how to get up and down off the ground correctly – we usually do that later in the ideal world), we can start talking to patients about “exercises”.

The minute we give someone instructions of any kind we focus on a review of the what, why, how, when, and who. Too often people stress the what… and loose the game.

The “why” of the first 5-6 exercises is this: keep the joints that were adjusted moving. These are also the exercises, usually, that answer the ongoing question (in the weeks, months, and years to come) of how a person takes care of their spine (They do these exercises most days, get adjusted once in a while, and maybe do a few other things.).

If a patient doesn’t know why they are doing something, eventually they won’t be doing it (sooner rather than later). If they do know why, then it’s an informed choice to do or not do the exercise.

Another word to use when referring to keeping the joints of the body freed up and moving properly, and it’s a very good word, is “articulate”: when we do these (and other exercises) our joints articulate properly. When you do the Tai Chi Hand Form, all the joints of the body usually get articulated; same with yoga, horse back riding, etc. (Note: makes you think about what dis-articulated looks like doesn’t it?)

Each exercise we give to the new patient addresses a different set of specific joints that, previously, were not moving properly, stuck, and subluxated. Once we have adjusted those joints so that they move, the patient needs to do two things: (1) First, not do whatever it was that they were doing that caused the subluxations in the first place; and (2) keep those joints moving (the joints will have a tendency to return to the stuck, subluxated, state (for several reasons we can talk about later if we need to)).

So when you hear the terms Figure 8s, think neck; when you hear the term Brugger’s, think mid back, shoulders and chest. The Cat/camel exercise is a mobility exercise that generally moves the entire lower spine; and the Offset Cat/camel specifically keeps the sacro-iliac joints freed up (an antidote to sitting too much). The hamstring muscle stretch does stretch the hamstrings, but it also sets you up to articulate the hip sockets, which is critical in many cases of back pain recovery. And so on.

The Point: We don’t want to waste your time. We only give you want you need, when you need it. I wouldn’t give it to you if I didn’t think it was important. You get to decide if you think it’s important enough to you to do it.



The Government pressures the insurance companies, who pressure the doctors, who are supposed to pressure you (the patient) into doing what they want you to do. (You should be asking “Who’s the ‘they'”!)

What does the Government want you to do?

Who pressures the Government? (This is the stop-and-think point.)

Don’t work too hard at this. Just make healthy decisions for the right reasons.

My Plate Guidelines Might be Hard to Figure Out? (Yeah, right.)

“My Doctor Won’t Let Me Go” (to a Chiropractor)

Benjamin Rush on Medical Freedom And The Constitution

Medical Necessity and You

Reflecting reality isn’t cynicism…

October 27, 2015

Think About It

Filed under: Uncategorized — doctordilday @ 10:31 am


October 26, 2015

Take it from the Gym to the Job


In the gym some people know the Knee Rule; they have heard of it and can parrot it back. They know how to lift properly, some of them.

But often those same people do not apply what they know in the gym about moving properly and lifting to how they move and lift on the job.

They should.

We encountered this recently with a mechanic injured at work (lifting). Now back to work at nearly full duty he mentioned last week that he is setting the hoist by getting down on the ground to move the hoist’s arms, rather than just bending over the way he has in the past – or would if he was at 100%.

So, with a quick review of his getting up and down off the ground technique (less than 30 seconds), we determined that he broke the knee rule every time he went down and every time when he got up.

When I reviewed the knee rule, and showed him how to get up/down correctly, he said, “that’s just like a lunge, I know that rule already!” (eyes open wide!)

Yeah. You got it. And so did he, instantly (with a history of playing semi-pro football and competitive bodybuilding he should right?).

Same is true for how to dead lift or squat: there are a number of critical rules. They all apply to lifting in the gym as well as lifting on the job.

I believe there is an opportunity here for preventing back injuries – which is why I have been blogging about it for nearly 5 years. My experience so far is that prevention isn’t usually the priority but, if you know of any employers who are interested, please have them contact us at (425) 348-5207.

October 24, 2015

“I’m not coming back if it doesn’t hurt?”

Filed under: Uncategorized — doctordilday @ 12:05 pm

That was the comment this afternoon from a patient with low back pain. I had just told her that I am supposed to give her a “treatment plan” with short and long term goals and recommend a number of visits over a certain period of time… (She had just been subjected to 15 minutes of paperwork – she is 74 years old so not too fast – and another 15-20 minutes of examination procedures, before getting adjusted.)

Almost all of that was done because she wants her insurance company to pay the bill.

We’ve tried for 30 years to shield patients from the effects of changes within health care insurance coverage, and explain those changes a little. But there are two very significant realities: (1) the list of conditions which must be met (by me and the patient) before treatment is “medically necessary”, and therefore covered, has increased steadily over the years; and (2) there may never be a condition under which chiropractic care is “medically” necessary. Something to think about.

Anyway, the recent change in coding requirements has caused a significant shift – over the cliff: since deductibles are sky high and co-pays are just about at the same level as our office visit fee without insurance, it no longer makes much sense for a patient to pay several co-pays (and several trips to the office!) and do paperwork – and watch me do paperwork – just to get one adjustment. (All that time focused their file takes away from time spent on their backs:-).

It’s square peg – round hole stuff in the end: this patient hadn’t been in for almost two years and will likely not be back again anytime soon. This month it will be 50 years that this lady has been a patient of this office. So I guess our relationship with her is either a terrible failure (She’s still not well, huh? – or more importantly, we haven’t broken her of judging her health by her symptoms!) or a great success (given all the recent research on the importance of chiropractic care in keeping the elderly active – and how active and healthy she is at 74).

What do you think?

P.S. – When patients pay on the way out the door for their care the visit is $43, FYI.

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