Columbia Advanced Chiropractic, LLC

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Regenerative Medicine Step 3:  StemWave and SoftWave ESWT (Part 2 of 2)

Regenerative Medicine Step 3: StemWave and SoftWave ESWT (Part 2 of 2)

Cliff Notes for Both ESWT Blogs before we go forward:
1.  StemWave and SoftWave offer electrohydraulic ESWT that is proven to be beneficial for a multitude of conditions
2.  The science behind Electrohydraulic Shockwave Therapy is fascinating and has significant advantages over other forms of acoustic and pressure wave therapies
3.  StemWave and SoftWave regenerate tissues like nothing ever demonstrated before
4.  StemWave and SoftWave are unique and worth a try before more invasive intervention (ex. surgery)

**Please note that you do NOT need to be an active patient to benefit from StemWave and Softwave.  You can simply make an appointment.  This also applies to Hbot and NormaTec.

As we learned from Part 1, electrohydraulic shockwave therapy is an amazing technology.  Although no one treatment intervention can fix every problem, StemWave and SoftWave most certainly addresses conditions that no other intervention can help.  The excitement over shockwave therapy is palpable.  It’s real.  The research pool continues to grow and more and more treatment applications are being discovered as time goes on.

Integrative medical doctors and manual medicine doctors should move into ways to help patients regenerate muscles, ligaments, cartilage, and nerves.  It’s THAT important.  It’s also important to be aware of what the international shockwave community is saying about extracorporeal shockwave therapy (ESWT).  Is this all a farce or is it legitimate? Continue Reading →

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Regenerative Medicine Step 3: StemWave and SoftWave (Part 1 of 2)

Regenerative Medicine Step 3: StemWave and SoftWave (Part 1 of 2)

This is a two part blog and in the first part, we’ll discuss how true shockwave therapy works.  The second blog will discuss what we use it for and why true shockwave therapy is known to recruit stem cells to facilitate healing.  The first blog will be more technical than the second.

Please note that you do NOT need to be a patient to benefit from the StemWave or SoftWave.  You can simply make an appointment for shockwave therapy.  This also applies to Hbot and NormaTec.

In our previous two blogs, we discussed how hyperbaric oxygen therapy (Hbot) and NormaTec help with recovery and healing.  The evidence that Hbot can elongate telomeres, leading to greater cell function and a true anti-aging effect, is nothing less than amazing.  These above two referenced interventions constitute the first two prongs regarding how we go about tissue regeneration.  Now it’s time to introduce the third prong of this approach.

Before we proceed, we don’t want to anyone to misunderstand.  Healing and recovery are a very important focus for us at Columbia Advanced Chiropractic, LLC.  Dr. Manison has spent over 2 decades learning and applying the best techniques in the field of manual medicine and rehabilitation.  He does so in order to best help his patients obtain the greatest likelihood of recovery from a plethora of neuromusculoskeletal conditions.  However, aiding with recovery and healing are different from actual tissue regeneration, and this is the future of medicine. Continue Reading →

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Skiboards Are The Way To Go!

Skiboards Are The Way To Go!

***Blog updated 2024

I’ve been an avid skier my whole life.  I may not be a double black diamond skier or even all the time a solid black diamond one, but I’d comfortably call myself an advanced intermediate skier.  To me, nothing is more peaceful than being on top of a mountain, with the snow falling down, and only hearing the sound of the carving of the skis.

From childhood, my dad and I would take father and son ski trips and they provided some of the best memories of my life.  From Switzerland, to Mount Tremblant, to Vail, Park City, Tahoe, and more…I was exposed to skiing at an early age and I am very am very fortunate for this.

Being a sports chiropractor, my life revolves around treating injuries, rehabilitating such injuries, and helping to prevent future injuries.  Skiing is a sport, that although insanely fun, comes with its set of injury risks.  I’ve treated many various skiing (and fairly stated, snowboarding) injuries in my day.  This begs the question: how do we mitigate the risks of skiing while still having loads of fun?

Several years ago, a patient started talking with me about skiing.  He mentioned that he no longer used skis but was using something called ‘Skiboards.’  He talked about how much fun they were and how much safer he felt using them vs. skis.  This conversation piqued my curiosity.  After all, I loved skiing and I also wanted to minimize risk as much as possible. Continue Reading →

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We Really Need to Stop Stretching…Why?

We Really Need to Stop Stretching…Why?

We get a lot of questions about stretching as this is a very important topic with both exercise as well as rehabilitation.  We can safely say there is a time and place for stretching.  Too many people do not understand when and how to stretch.  Better yet, they do not know what to stretch.  There are lots of types of stretching, from static, to dynamic, to ballistic, to PFS, PRS, CRAC, and the list goes on.

Each form addresses the body in a different way.  More advanced forms of stretching help us to better achieve our fitness goals but too many people stretch improperly and often at the wrong times.

As far as stretching goes, there are three basic concepts I will address that I hope will help many better understand the topic of stretching. Continue Reading →

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SoftWaves for Plantar Fasciitis Work!

SoftWaves for Plantar Fasciitis Work!

Extracorporeal Shockwave Therapy (ESWT) is cleared by the FDA for use on a few conditions, one being plantar fasciitis.  This is very exciting as plantar fasciitis is the most common form of heel pain and it can be quite debilitating condition.  Podiatrist, orthopedists, PTs, and sports chiropractors all work with patients who suffer from plantar fasciitis, and we are always looking for more and better ways to help these patients.  When a proper diagnosis is made (and this means being quite sure to R/O calcaneal stress reaction), the faster we can address a problem and the faster we can fix it. Continue Reading →

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The Oura Ring and Why You Should Have One

The Oura Ring and Why You Should Have One

I rarely do product reviews or ‘pump’ a product but this particular one deserves some serious attention.

If you are active, wanting to become more active, or just have an interest in your health, the Oura ring is a must for you.  The engineers from Oura have brought to the market their second rendition of a ring that maps your sleeping patterns, activities, and heart metrics and puts them together in a simple and easy package.

Using the data from the ring and linking to your iphone or Android, you are given a TON of information about how  your body is functioning.  And yes, it’s highly accurate.

An example is HRV, or Heart Rate Variability.  HRV is probably the most scientifically validated way to assess the health of your autonomic nervous system (ANS).  The ANS is made up of your sympathetic and parasympathetic nervous systems.  The sympathetic is your ‘flight or fight’ part and the parasympathetic is the ‘rest and digest’ side.

Most of us have stress in our lives and this makes our bodies more sympathetic dominant.  When this occurs, the parasympathetic portion of the ANS does not function as it should.  Due to this, the sympathetic ‘runs wild’ and we can end up with serious health issues.  Those who monitor their HRV can determine what changes will upregulate, or increase parasympathetic tone.

For many, it’s getting more sleep or partaking in exercise.  For others, it’s adding CBD (truthfully, a must).  No matter what you do, you want to maximize your HRV as it tells you that there is a balance between the sympathetic and parasympathetic nervous systems.

If you are unfamiliar, HRV is a measure of the difference between each heart beat.  We might think that a consistent heart beat is healthy, but in actuality, that is incorrect.  With each beat, there should be a slightly different time between each beat.  This indicates that the sympathetic and parasympathetic nervous systems are playing off one another.  When we lack parasympathetic tone, then the sympathetic controls everything and the heart beat remains very constant with the gap time between beats.

Athletes use HRV as an indication of recovery from sport.  They know that a great HRV means that their bodies are preparing for more activity and that they will compete better.  Athletes need to have a large amount of HRV.

For all of us, we can use HRV for determining the health of our neurological system.  The data the Oura provides helps to establish goals to achieve  and teaches us ways to recover better.  It gives us data we cannot otherwise obtain.  The HRV is only one health index the Oura provides but oh, what an important one it is.

I have spoken with Oura because we are seeing amazing changes in HRV with our patients who are using CBD and are making lifestyle changes (several of our athletes already have the Oura ring).  It’s great to be able to objectively track the changes using the Oura ring.

I wear mine as my wedding band now because it looks professional, is light, and feels great on the finger.  It only needs to be charged once every 6 days and this makes it almost hassle free.  You can, of course, wear it on any finger (they send you a sizing kit to be sure you order the correct size).  I awaken every morning and the first thing I do is check my phone for my sleep data.  The ring has made going to bed earlier, easier, as you feel better when the sleep score is higher (it is based on far more than just the HRV).

Sure, the Oura does a lot more and I’ll be documenting that soon.  The Oura ring in one piece of technology you should not be without if you are interested in tracking your health metrics and sleep patterns.

 

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We’re Liberated!

We’re Liberated!

Talk with most physicians and healthcare providers these days and one topic seems to have total consensus: electronic medical records are bad!  Yes, it’s true.  Every job has its associated stresses and we have to accept most of these.  However, it’s worth changing things if they are bad enough that you can no longer do the job you were trained to do at 100%. This is the case with electronic medical records and many healthcare providers are feeling ‘trapped’.

Some background: choosing to be a chiropractor was a great career choice for me.  I love helping people and I love new and innovative ways of doing so.  I have always been athletic and I enjoy helping people remain active and feeling good!  It’s my career and my life!  I enjoy working with my peers in the medical and fitness fields.  I have always awakened in the morning excited to come to work and help people. Continue Reading →

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How To Identify and Address Tarsal Tunnel Syndrome

How To Identify and Address Tarsal Tunnel Syndrome

Tarsal Tunnel Syndrome is described as numbness, tingling, and weakness on the medial ankle (inside part) and is similar in effect to what Carpal Tunnel Syndrome is in the wrist.  We have a piece of tissue, called a retinaculum, which is like a thin ligament, that holds certain structures and vessels in place. The retinaculum in the medial ankle is called the flexor retinaculum. When there is pressure or tension in the area and a particular nerve is compressed (in this case the tibial nerve), this creates the ‘syndrome.’  Regarding the wrist, the median nerve is compressed in the Carpal tunnel, causing tingling, numbness, and weakness.  In the medial side of the ankle, the tibial nerve is compressed in the Tarsal tunnel, causing tingling, numbness, and weakness in the medial foot/ankle and toes.

The Tarsal tunnel has more structures that course through the region and any/all of them can be affected by injury, repetitive use injury, or compression. Continue Reading →

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