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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Regenerative Medicine Step 2:  NormaTec

Regenerative Medicine Step 2: NormaTec

Please note that you do NOT need to be a patient to benefit from NormaTec.  You can simply call and set up an appointment to experience the benefits of NormaTec.  This also applies to Hbot and SoftWave.

NormaTec has been used to aid athletes recovery from training, injury, and surgery for over 10 years.  This amazing tool uses pressure to pump both lymph and blood supply.  By doing so, you increase blood flow and the nutrients it carries (especially oxygen) through not only the specific area of treatment but also through the whole body and this allows for an increased rate of healing.

At Columbia Advanced Chiropractic, LLC, we utilize the NormaTec 2.0 Pro.  This version is their top offering and it allows for specific programming to isolate areas that need the increased circulation the most.  We use NormaTec as our second step in our 3-pronged approach to tissue regeneration.  Why is it used second?  First, we hyper-oxygenate the blood with hyperbaric oxygen therapy (Hbot), then we use the NormaTec to hyper-vascularize the area of need.  Third, we use the unique SoftWave unfocused extracorporeal shockwave therapy (ESWT) unit to stimulate stem cells to regenerate damaged tissue.  The three-pronged approach is a potent combination of therapies aimed at helping you recover, and heal, in dramatic fashion.  NormaTec will deliver fantastic recovery results when used individually from Hbot and SoftWave, but pairing it with these other therapies will provide for the best means of true tissue regeneration. 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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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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Dr. Manison is now FMS Level 2 Certified…and why this is important for you!

Dr. Manison is now FMS Level 2 Certified…and why this is important for you!

We are proud to announce that Dr. Manison is FMS level 2 certified.  FMS, or Functional Movement Screen, is composed of a group of 7 movement and stability tests that are performed to assess necessary mobility and stability for athletes and laypeople alike.  This assessment addresses the full body.

Simply put, without proper mobility and stability, we are more prone to injury.  This isn’t to say that a high FMS score makes us impervious to injury, but the better we move and the more stable we are, the less compensation we have to make, and this tends to mean a lower risk of injury.  The FMS is also a gateway to the Selective Functional Movement Assessment (SFMA), for those who experience any pain during the FMS.

The FMS is a vital screen for anyone participating in sports or who wishes to work to be in shape.  If you want to perform better at whatever you do, from golf to running to triathlons to power lifting to CrossFit workouts, and more, working to correct your movement imbalances should be of utmost importance.  Simply put, if your body cannot appropriately handle the demands of your workouts, you need to correct the imbalances to move forward.

Dr. Manison will be offering FMS evaluations for those who wish to go that ‘extra mile’ to perform at an optimal level.  The FMS score enables Dr. Manison to pinpoint errors in movement capacity and recommend specific corrective exercises to address the imbalances.  In fact, scores will be stored at Functionalmovement.com (HIPAA compliant), and each person will be given access to the Functional Movement website where individualized programs will be created by Dr. Manison for clients/patients for home participation.  The screen can be re-administered from time to time and exercises modified as necessary.  This allows the patient/client and Dr. Manison to use objective criteria to aid in improving mobility and stability.

The FMS certification gives Dr. Manison another phenomenal tool to go along with all of his training.  In conjunction with his SFMA training (more information on this coming soon), clients/patients will have access to an unrivaled level of movement assessment and treatment in the state of Maryland.  You do not need to be an active patient of Dr. Manison’s to get a FMS assessment or take part in the corrective exercises program.   The FMS evaluations will be made by appointment only and individualized corrective exercises will be offered at that point.  The exercises will be altered based upon progress of the assigned routines.  If you currently work with a personal trainer, you are encouraged to continue, but you should not ‘load’ the areas the FMS has found to be deficient until the region(s) can handle it.  This will be determined by your progress in the FMS scoring.  The goal is raise the FMS score to an acceptable level where the corrective exercises will not be necessary and the body will have the capacity to train at a higher level to perform better at whatever sport/activity you wish to maximize.

The FMS (and SFMA) are the science behind optimal training as before you begin any activity at any level, you should be sure your body has the capacity to partake in such.

Yourchiropractor.net is protected by Copyright laws.  If you wish to post any content from www.yourchiropractor.net, you must obtain express (written…this can be email) permission before doing so. We spend a lot of time writing blogs to help everyone and we appreciate your respect for our intellectual property.  Thank you and to your health!
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