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 →
16
Aug 2022
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14
Mar 2022
Making Sense of Tissue Regeneration
The previous blogs have discussed our three-pronged approach to tissue regeneration. Whether you wish to recover faster and more successfully from surgery, have a fresh or chronic injury, or any other concern that needs regenerative therapy, this blog helps to explain the “how and why” behind these services. You do NOT need to be an active chiropractic patient to benefit from these services. Please call the office to start your path towards a speedy recovery and better overall health with any/all of the services we provide to help you.
1. Hyper-oxygenated blood
Nothing matches the systemic healing effects of pressure and oxygen. Hbot is unique and amazing, especially when coupled with 94% oxygen, at mouth.
Hyperbaric Oxygen Therapy (Hbot) is a really unique approach. If you haven’t tried it, you should. Hbot is amazing for several reasons. In our office, we tend to use it most for musculoskeletal injury recovery (including faster surgical recovery), concussion recovery, and anti-inflammatory effects (people with conditions like Lyme really benefit from Hbot). It’s also highly effective for helping to prevent/reduce altitude sickness. It also offers so much more. For example, as was discussed in the last blog about Hbot, it has been shown to elongate telomeres, thus extending lifespan and aiding in tissue regeneration. So, we have many positive effects from Hbot. With our three-pronged approach to tissue regeneration, what we most want to derive from Hbot is the cellular oxygenation effect that dramatically improves a lot of
healing processes. Continue Reading →
18
Oct 2021
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 →
02
Feb 2018
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 →
22
Jun 2017
Elbow Pain…What The Heck Is The Issue?
The elbow…well, it certainly isn’t the ‘funny/crazy bone’ when we hurt it.
The elbow…when it hurts, it certainly isn’t so ‘funny’ or ‘crazy’.
We treat a LOT of elbow problems in our office. Why is this? Well, we have an active patient base and most all we do affects the musculature in our elbows. It used to be that when you had medial, or inside, elbow pain, that would be called ‘golfer’s elbow’ and when the pain was on the lateral side, or outside, that was called ‘tennis elbow.’ Well, needless to say, times have changed and people in many sports get medial and lateral elbow pain and they certainly are not playing golf or tennis. For that matter, not all golfers get medial elbow pain and tennis players lateral elbow pain anyway…sometimes, it’s the opposite. As as far as that ‘funny bone’ issue we’ve all heard about, that occurs when we bang a certain part of the elbow that the ulnar nerve runs through. The sensation we feel is irritation to the nerve and the distally affected tissues feel ‘funny.’ Continue Reading →
23
Mar 2017
The Achilles and Two Reasons Why It Might Be Hurting You
Figure 1.: The Calcaneal Bursa Sacs, picture from WebMD
The Achilles tendon is a rather avascular (lacking blood) thick tendon that is made up of two of your major back side calf muscles: the gastrocnemius and the soleus. The tendon attaches into a part of your heel bone, the calcaneus, and this part is called the calcaneal tubercle. We have to major bursa sacs (bursa sacs are pockets that only fill with fluid when they are inflamed), the subcutaneous calcaneal bursa and the retrocalcaneal bursa (see figure 1 right). The subcutaneous bursa seldom presents as an issue, but the retrocalcaneal bursa can be a major headache. Continue Reading →
13
Mar 2017
Why Your Back Might Not Be Getting Better
There are many reasons as to why people develop back pain and luckily, conservative treatment can help most all of them. Only in the rarest of instances is surgery needed. The problem with treating back pain is that all too often the practitioner focuses so much on the pain that he/she doesn’t actually address what is causing the pain. We’ve all been guilty of this!
I could write volumes on contributing factors to back pain but this blog was written to address one common problem that we are seeing more and more: a hypermobile sacroiliac joint (SIJ). Now, the naysayer will try to suggest that this does not occur, but with over 18 years of treating sports and back injuries, I can assure you that it does, and it does with frequency. I’ve seen this problem in active kids to my professional athlete clientele base. It is usually not properly diagnosed as few practitioners know how to assess it. Continue Reading →
20
Feb 2017
The Truth About Plantar Fasciitis and How To Treat It
Plantar Fasciitis (PF) can be a rather debilitating condition. It doesn’t matter if you have flat feet (pes planus) or high arches (pes cavus). If there is added stress to the bottom of the foot that occurs quickly, it can result in plantar fascial pain.
What exactly is the plantar fascia? Consider the plantar fascia to be similar to a ligament. It runs from the heel (the medial calcaneal tubercle) to the heads of your metatarsals (point at about where you see the webbing of your toes). Despite what you might have been told, its function is NOT to hold the arch of the foot. Rather, the PF more-so holds the muscles under it together so that they can suspend your arch. Continue Reading →
06
Feb 2017
The Dreaded DCO and What It Means To You and Your Shoulder!
DCO, or Distal Clavicular Osteolysis, is a rather bad shoulder condition that all too many athletes suffer from.
DCO occurs when we have damage to our AC (acromioclavicular) joint and it goes unattended to for a period of time. More-so than that, additional damage is done with further activity and the bones that make up the joint get significant damage.
The AC joint is made up of where the distal clavicle bone meets the acromion process of the scapula (see photo below). A sprain of the AC joint tends to involve a macrotrauma (one significant injury) such as a bad fall or other form of side shoulder impact. The AC joint tends to get hypermobile (or move too much) easily as it is not a very stable joint to begin with. When the joint is injured, or sprained, care is needed to stabilize the joint and allow for it to heal. In-office treatments can significantly reduce recovery time and this is important as a healing AC joint sprain is susceptible to further injury. Continue Reading →
30
Jan 2017
It’s Not Your Neck Silly, It’s Your First Rib! It’s My What?
Many people seek care from a chiropractor for neck pain. After all, it’s one of the most common conditions we treat. Sometimes, however, the reason your neck hurts is not due to the neck itself but rather something else close by: the first rib.
The first rib is just that…it’s the rib that is highest up and close to your neck. It goes from the T1 vertebra (the vertebra just below the ‘cervical’, or neck, vertebrae) to the upper portion of the sternum, on the front side. The clinical importance of the first rib (in this case) is that it has two very important muscles that attach on it. Those muscles are the anterior and middle scalenes muscles. Continue Reading →
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