Everett Chiropractic Center Blog

March 30, 2017

A Memo On Preventing Back Pain Injury

I sent the following out just now… If you know an employer interested in preventing back injuries, please share it.

 

Greetings,

(You are getting this because either you have already shown an interest in preventing work place back injury, or there is some reason for me to belief that you might be interested.)

Last month the Annuals of Internal Medicine published the newest guidelines for the management of acute, sub-acute, and chronic low back pain (from the American College of Physicians).

You may be interested to know that Tai Chi made the list of recommendations.

Tai Chi has been referred to as “the perfect exercise”, and when researchers at the Mayo Clinic studied it in 2011, Tai Chi became their number one recommendation for Employee Wellness Programs. Researchers at the Harvard Medical School were so impressed that they wrote The Harvard Medical School Guide to Tai Chi in 2013.

I mention all of this because the epiphany that I had six years ago that I could help employers measure the risk of, and prevent, back injuries among their employees, was heavily informed by my, then, 15 years of Tai Chi practice. So far, while there has been expressed interest, my efforts to reach out have not resulted in meaningful conversations with those who have both the courage to advocate for a tested solution, and the authority to make a decision. (This is not about everyone doing Tai Chi: It is about measuring risk of back injury and then doing something about it that will measurably reduce that risk.)

My hope is that the growing impact of the problems of back pain injury (both direct costs and indirect costs) and the growing evidence of simple and efficient solutions will someday intersect with your priorities and the priorities of your employers. I would like to help, when/if that time comes.

Dennis Dilday, D.C.

Everett Chiropractic Center

Health – Naturally, through Chiropractic, Fitness & Whole-Food Nutrition

8625 Evergreen Way, #210

Everett, WA 98203

(425) 348-5207

http://www.doctordilday.com

March 26, 2017

For Tai Chi Students: Inspiration

http://taichivideos.org/90-year-old-performs-tai-chi-chuan/

 

 

February 21, 2017

For Tai Chi Students: More Good Stuff From The Past

Filed under: Back pain, Exercise, Tai Chi Chuan — Tags: , , , , — doctordilday @ 12:05 pm

February 20, 2017

Guest Post: Nina Williams on How You Can Avoid Injuries During Fitness Workouts

How You Can Avoid Injuries During Fitness Workouts

The push for fitness is a commendable stride but sometimes people sustain injuries as a result of failure to take precautions. Before any workout, there are routines that can be helpful while some others have significance as the workout progresses.

Source

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Here are useful tips that can be of help:

Use a Gear

As you go on a workout, there is a need to use protective gear where necessary. The sort of gear you will use depends on the routines you will be involved in. if you are going to lift weights, it is advised that you wear boots that grip.  This will give you firm feet on account of friction.

If you are going for sprints, make sure that you have running shoes. A specialty store can come in handy here and you can be given guidance on the best fit for your budget.

Do not also forget that your body weight, height and build will be considered when looking at the shoe that fits. Regular lifters also need hand gloves so that slips can be avoided.

Nutrition

What you eat is important when you are considering any exertion over a period of time. Some people will realize that they are burning fat as they exercise and sometimes the loss of water could mean less hydration too.

The loss of energy as the fat gets burned could lead to fainting in some cases and this explains the need for a balanced diet as workouts become regular.

Your muscles could fail when your energy levels get severely depleted and tissue damage might be inevitable as result. Post workout protein should be consumed for repairs to muscle fiber while not forgetting the pre-workout consumption of carbohydrates.

Rest

When you are considering how to motivate yourself to go to the gym, your fitness goals will be clear. As you plan for the routines to embark on, you should make provisions for adequate rest. This is certainly one way to prevent injuries when on a workout session and it is advisable to use breaks when you feel exhausted.

One way to avoid injuries is to take a day of rest each week as a preventive measure. It is not necessary to wait for physical injuries before taking a break. Since the human body needs to be maintained, observing rest is one way to get this done. Learn to observe your body rhythm and observe the pause when you get a signal.

Stretching

Your muscles need some stretching before you start any workout. This will make you more flexible and build resistance. This evidently aids in warding off injuries since you become more flexible.

After the workout, you also have a need to stretch the muscles that have been exercised and frayed. Getting them to loosen up is helpful and you need to ensure that it is done after each session.

Smart Decisions

Sometimes it is easy to forget that as each day passes, your ability to complete the same routines as you have done over the years gets dampened. Every person needs to be realistic about fitness goals and not be too fixated on high-sounding goals.

Getting too much done can be harmful and since consistency is what can keep you fit, make sure you adhere to a regular routine. Doing too much will lead to more injuries and reducing the workload is a necessary precaution.

 

Hydration

You need to keep a water bottle close so that you can maintain your hydration levels while you exercise. If you lose too much water and do not get replenished, you expose yourself to more injuries.

Do not shut down your fitness progression with careless dehydration. Avoid any damage and drink water before, during and after exercise.

Warm Up

When you do light routines before your normal workout, you can get warmed up as you should.  This will lead to the circulation of nutrients and blood that will make your workout possible.

If you can run, jump or skip some ropes for a few minutes, your body will get attuned for your workout.

Cross Train 

The cross trainer engages in a number of routines that are different in nature. This is one way to give your muscles a rest window instead of repeating the same process daily.

The rate of burning body fat is known to speed up as you change your routines and this is healthy for weight-loss.

You are also able to avoid the discouraging plateau that is inevitable when you repeat the same routines each day.

 

Use a personal Trainer

Depending on what your fitness goals might be, some workouts are such that you need help with them. Going the whole hog alone is not recommended all the time.

When you use a personal trainer, you will get useful hints and tips that will help you avoid injuries.

February 15, 2017

For Tai Students: Understanding Why We Push From The Heel

Deep and detailed, you can skim this and still get the gist. It is a long and complicated way of saying, “just do what we tell you,” in class.

Once this way of moving becomes habitual, you will continue to derive benefits in all areas of your life from then on. Kind of like most of the rest of the Tai chi that we teach.

NOTE: You are going to need this: 

Moment of a force/torque

A force whose line of action does not pass through the centre of gravity will cause the body to rotate and translate if it is unopposed – this turning effect is the moment of force.

Human movement is the consequence of an imbalance between the components of these forces that produce rotation; the capability of a force to produce this rotation is referred to as torque or moment of force.

The moment of force is the perpendicular distance from the force’s line of action to a specific point or axis of rotation.

Moment = force x distance

February 14, 2017

It just Keeps Getting Better… with Exercise

With some things (chiropractic, JuicePlus+, tai chi all come to mind), the more research there is, the more benefits get discovered.

Here exercise and it’s relation to eye sight come into better view: http://neurosciencenews.com/neuroscience-exercise-6111/

As if we need another reason to exercise.

January 25, 2017

Left Knee Pain

Today a patient wanted me to know that her left knee pain, a pain that she didn’t even tell me about (that part impressed her the most), went away immediately after her last visit – and she hasn’t had that pain since.

Patients often like to hold back from telling me what is bothering them when they come in for any particular visit; and I don’t always  ask. They like to see if I can ‘find’ it without them telling me. Then, when I do, they make a big deal out of that.

When we accept people as patients we try to explain that ours is an “alternative” approach. That we are looking for something (the subluxation complex), and if that have that, they can be a chiropractic patient – as long as it is safe for us to address the subluxation with what we do (in our case the Activator Method). If they do not have that particular condition, they do not qualify as a chiropractic patient; if it wouldn’t be safe to adjust them in the way that we do in this office, they still do not qualify as a chiropractic patient, in this office at least.

Most all of that is lost on most people. They hurt, that is the problem. And they think that it is critically important for them to tell us where they hurt for us to do our job. We go along with the conversation and keep trying to help them understand the difference between a symptom-based approach and the chiropractic approach. First patients have to feel better. We know that. The rest is a bonus.

 

January 24, 2017

She couldn’t wait to tell me…

The first patient in the office this morning said that she was amazed at what happened when she practiced the breathing exercise I gave her on her last visit.

Patients show up, usually, with some ache or pain. Once that is dealt with there are often underlying or other issues that come up; stress-related tension is common.

For that and many other reasons we often teach people how to breath, if they are interested. How to breath, so you can relax, so you will be less tense, so you can hold your chiropractic adjustments, so you will feel better: it all goes together.

Anyway, I gave her the most basic of breathing instructions; the same one I give every patient, every tai chi student, and anyone else that cares to listen (It is probably on the Blog somewhere in fact.). She tried it, and…

Almost immediately fell asleep.

(She was pleasantly stunned and amazed.)

 

January 8, 2017

Tips for choosing the right Chiropractor

The Val-U-Pak coupons came in the mail last week; I just throw them in Helen’s IN basket. Today I saw that she had pulled one out and put where I could find it: “5 Tips for choosing the right Chiropractor” – I had to read it.

And now I am compelled to share my thoughts on it with you – no, I am not going to address the marketing dynamics, or the low ball offer, and all that that implies. But let’s just look at the tips and go from there.

Tip #1:  Get a thorough consultation – Make sure your doctor truly listens to your problems and concerns. Now who going to argue with that: not me. (Falls under ‘goes without saying’ though I know it may not be what many patients have encountered in the offices that they have visited, chiropractic or otherwise.)

Tip #2: Detailed Computerized Examination – The doctor should provide you with access to the latest technology. Gosh that sounds good on the face of it, doesn’t it? All I can say it think this one through, all the way through. The trouble for patients is that they are way over their head when it comes to this and are ripe for picking for those who with less than stellar ethics.

Tip #3: On-Site X-Ray Facility – see your problems for the most effective care. This presupposes quite a bit. Nowadays it is pretty well recognized that most of the time the problems that we chiropractic doctors are addressing directly are safely and effectively addressed without having to expose the patient to either the radiation risks, or the expense of x-rays. Sometimes we do, then, having an on-site x-ray facility makes sense. The most “effective” care is the care the gets the results both the patient and doctor want in the least amount of time, for the least amount of money, and in the safest way possible. I would put ‘see’, ‘problems’ and ‘most effective’ in quotes and go from there:-)

Tip #4: Report of Clinical Findings – Prior to receiving care, you should know what’s wrong, if they can help, how long the process will take, and how much it will cost. Great ideal, but this promises more that any of us can deliver. First, you should know if the chiropractor believes that you have the problem/condition that chiropractors’ attempt to prevent, correct, or manage and if they think that it is safe to address it in the way that they specifically work. And those, by the way, are the two questions that the doctor is trying to answer in the consult and exam: do they have the problem we fix; and would it be safe to fix it the way we fix things around here? That is the “if they can help” part. But don’t be fooled – it isn’t if they can help. It’s if they think that they can help. We don’t really know if we can help for sure until we try. Which leads to how long the process will take: no one knows! In our office we make the following “promise”: that the patient will feel different in two weeks and better in four weeks. We offer that knowing full well that the vast majority will feel different and better before they get to the door to leave on their first visit. BUT, there is no guarantee! I tell them that’s the promise, and that that way if results come quickly chiropractic is a hero, if not, we are still on schedule weeks into it – it’s a reality check. Patients bring us spinal conditions that have been developing, often pain-free, for years (sometimes decades). They have developed degenerative changes, habits, lifestyles, and other conditions that affect recovery. But we live in a society that expects instant results, so… it’s an attempt to interject the truth about their conditions seriousness and the potential limitations to recovery.

Tip #5: Education – it is critical to be instructed on how to get better faster, stay better longer, and achieve maximum results for less money. Yep. And I dedicated a whole Category of our office Blog to “Be Careful Who You Listen To”. In our office we offer the following basic education to all patients, not all want all of it, some don’t want any; some want some of it, but it is always offered: (a) The problem(subluxation): how it was created, what makes it worse, and what makes it better; (b) Our solution (the adjustment via the Activator Method) to restoring function to the joints; this includes the use of basic back first aid tricks, such as the proper use of ice; (c) how their lifestyle might be the cause of or a contributing factor, and what they might be able to do about it; (d) how to correctly move and use their back, knees, and shoulders (as a minimum) because often their history is that they do not know – and/or it is revealed in our examination – and moving poorly prevents recovery and promotes relapse; (e) exercises that the patient can do at home to promote joint motion in the joints that we had to adjust, so they can go longer between visits. From there, and not before covering that ground, we will go into strengthening, flexibility, balance or coordination exercises addressing whatever is revealed as the weak areas, or according what will help the patient hold their adjustments longer.

So, for $38, you can have a posture analysis (computerized no doubt), consultation, examination and two X-rays, and save $172 – and you can get $10 off a one hour massage to boot! And… well, stop by the office if you want this coupon (it’s first come – first served).

I hope that my comments were helpful to you and that you choose a chiropractor that delivers on all their promises and gives you all the results that you seek. Happy New Year!

 

December 27, 2016

2016 Questions & Answers

Some of these questions came up only once; others come up now and then, but I thought it would be nice to cover them for those who wonder.

  1. Yes, we do take new patients. A patient asked this question a while back, saying that she thought we were so busy and had been here for so long (30 years) that we probably couldn’t take new patients any more. We do.
  2. No, I will not teach you how to use the Activator Instrument if you find one to buy on eBay. A patient did actually ask.
  3. Yes, we are open on Fridays. Our hours changed many years ago – there was a time when we were closed on Fridays. Now our hours are: Monday, Tuesday, Wednesday, and Friday, 10 a.m. until 7 p.m. Sometimes, though rarely, I come in on a Saturday; if that is the only thing that will work for you just call and let us know, we will work something out.
  4. Our fee, when you pay us at the time of service, cash, is $43. That’s right, only $43. We don’t money to be the reason you don’t get the care you need. We ‘fiddle’ with that for kids – usually, if we charge at all for kids, it’s $20. (We certainly don’t want money to be the reason you don’t get the kids the care that they need!!)
  5. Yes, we sell Biofreeze. And the folks who regularly buy it here, as well as the random stranger who buys it, say that our prices are great. I wouldn’t know; I don’t know what everyone else charges.
  6. Yes, we sell Kangen water machines. This Blog has about a dozen Posts on the subject of water and we routinely recommend it and the machine that makes it. There is no healthier water – though sometimes it is actually too healthy (Like everything else, powerfully healthy choices are best made by reasonably healthy people. People who are very sick can not just blindly change to what would otherwise be a very healthy habit. Seek professional advice!) P.S. – we strive to make what we offer the very best in it’s class. So whether it is Activator Method chiropractic care, tai chi (exercise), JuicePlus+ (supplements) or Kangen water, as far as I know, there is no better (healthier, more effective) choice: and usually whatever is in second place is way back there! When we say that we take your health seriously, we are not kidding.

There are going to be other questions – I will add them as I think of them:-)

Happy New Year!

DrD

December 26, 2016

If This Describes You, Maybe We Can Help

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November 28, 2016

Chiropractic Better Than NSAIDS and PLACEBO

cancer

Von Haimann, W et al. (2013) Spinal High-Velocity Low Amplitude Manipulation in Acute Nonspecific Low Back Pain: A Double-Blihnided Randomized Controlled Trial in Comparison With Diclofenac [Volteran] and Placebo. spine 38 (7): 540-548

“In a subgroup of patients with nonspecific LBP, spinal manipulation was significantly better than non steroidal anti-inflammatory drug diclorfenac (Volteran) and clinically superior to placebo.”

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