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The Truth About Plantar Fasciitis and How To Treat It

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 →

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It’s Not Your Neck Silly, It’s Your First Rib!  It’s My What?

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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The Biceps Tear…What You Should Know

The Biceps Tear…What You Should Know

There are two heads to the biceps brachii, the long head (that goes from the labrum to just past the elbow…the outside one in the picture) and the short head (that goes from the coracoid process to just below the elbow…the inside one in the picture).  We rely on each muscle for shoulder flexion, elbow flexion, and some supination (hand rotated upward) of the forearm/wrist/hand.  Of the two heads, the long head tends to tear more as it thins out as it travels into the shoulder and it is more susceptible to damage at its attachment on the shoulder labrum.

The muscle can tear due to age-related wear and tear, labral tearing, overuse and trauma.  Generally, muscles tear from either the origin (where it begins proximally), or the insertion (the distal attachment).  When the biceps tears from the insertion, it will tend to roll up the arm and form a ball in the middle of the biceps region.  This type of tear tends to be very noticeable. Continue Reading →

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The Major Reason Why Your Knee Hurts and What You Can Do About It

The Major Reason Why Your Knee Hurts and What You Can Do About It

As a sports rehabilitation doctor, I get the benefit of seeing all types of sports injuries.  One of more common injuries I see is a ‘knee tracking’ issue.  I’ll go as far as saying about 75% of all people presenting with knee pain have this condition as either a primary issue or issue that is causing a more serious situation.  So, what exactly is this funny sounding condition?

As humans, we are the ONLY animal to be upright and on two legs as a primary means of ambulation.  Although our evolution has allowed us to do this, it is not without issues.  It just so happens that the muscles on the outside of the thigh tend to get stronger/tighter than the muscles on the inside.  Now, it’s a bit more complex than this but this should help give us a general idea of what is occurring. Continue Reading →

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Dr. Manison now TPI (Titleist Performance Institute) Medical Level 3 Certified Provider

Dr. Manison now TPI (Titleist Performance Institute) Medical Level 3 Certified Provider

Golf is a sport that many consider to be an addiction: players will go through great lengths to improve their swings, ball distance, fitness, conditioning, etc… all in the name of lowering that handicap.  Along with the need to have a good teaching golf professional to work with, players at all levels need a proper assessment to see if their bodies are even capable of doing what they are asking it to do and proper personnel to help them ‘move’ as they should.  Fixing a golf swing is not as easy as simply saying ‘you need to rotate more.’  The body is quite complex and the golf swing relies on so many joints and muscles that even a slight bio-mechanical issue can cost the golfer many strokes! Continue Reading →

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Introducing the InBody 570 Body Composition Analyzer Part 2

Introducing the InBody 570 Body Composition Analyzer Part 2

Part 2 of the discussion on the InBody 570 covers two of five important studies (and there are more) that help to validate the accuracy and legitimacy of the InBody 570.  This technical and may I say, ahem, somewhat boring information is important to discuss as your healthcare providers like to see objective health data. It’s time for the entire healthcare industry to understand and embrace what improvements in body composition can do not only for the individual patient, but also for the healthcare system as a whole.  Figure it this way: the more healthy we are, the less disease we will have.  This translates to less healthcare costs and this is good for everyone!  This blog and the next one serve to help educate not only our patients and those who will want to come to our office to get assessed, but also their healthcare providers who will be viewing these results.  Body composition is SO important.

Whether you are on our body modification program (caloric restriction and intermittent fasting…and most all of you should be interested in this to optimize your health) or are an athlete looking to improve your performance and recovery in your respective sport, the 570 is unmatched on the market, it is FDA approved, and it provides data that is vital to your health.  This is about your health.  It’s time to think of your future and what you should be doing to live longer and healthier!

The first study of interest is from 2004 and the lead author is Shinichi Demura.  The study was published in the Journal of Physiological Anthropology and Applied Human Science.  The name of this study is Percentage of Total Body Fat as Estimated by Three Automatic Bioelectrical Impedance Analyzers. Continue Reading →

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Introducing The InBody 570 Body Composition Analyzer Part 1

Introducing The InBody 570 Body Composition Analyzer Part 1

We are excited to be introducing our patients to the FDA approved  InBody 570 Body Composition Analyzer.

So, what does this incredible machine do?  Well, it does a LOT.  Simply put, it provides information about what you are made up of…do you have enough muscle, too much fat, are you more likely to have serious health issues due to too much visceral fat, too much systemic inflammation, etc…?  Did I mention this unit has cleared FDA testing?

It is now considered to be one of the gold standards for body composition assessment.  This might seem like an odd piece of equipment for a sports medicine chiropractic office, but in reality, all sports chiropractors should all have one.  It is vital to have a quality body composition analyzer as so many patients need to improve their muscle:fat ratio as an imbalance in this plays a direct role in a patient’s ability to recover.   In addition, we can determine the intracellular water weight vs. the extracellular water weight in the body.  This helps us in a unique and validated fashion to determine whether a patient has systemic inflammation. This is very important to be able to assess.  On the topic of visceral fat, the major contributor to vascular health and an indicator that most have probably never had checked, yes, the 570 has you covered (it’s validity has been compared to abdominal CT scans). Continue Reading →

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Do You Want Your Brain To Function Better?

Do You Want Your Brain To Function Better?

As a sports chiropractor, my training involves learning how to best treat the body to effect changes in many ways for dysfunctional joints, muscles, ligaments, cartilage, fascia, and more. We know that chiropractic adjustments alter neurological pathways that change joint mechanics and alter muscle tone and tension, allowing for a change in biomechanics at local and more global regions.  This is great and it works well, but what about all the ‘holistic’ training we receive? Chiropractors are supposed to take care of the whole body, inside and out, but most of us do not do that when we only treat the body from the outside.  This approach is not complete and it does not allow us to fully help our patients. Continue Reading →

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Slouching Population Part 2 of 3: Good Posture and Children

Slouching Population Part 2 of 3: Good Posture and Children

Have you recently witnessed a child sitting hunched over with their head down staring at a smartphone, ipad, or tablet on a table or on their lap? I would venture to guess that you see this picture multiple times per day if you have, or are around, children.  I would also go as far as to assume that most, if not all, children have been told multiple times to “sit up straight” by teachers, parents, and/or grandparents. However, even with the constant reminders, it seems that kids have been slumping more and more with the passing of each decade. One of the worst postures I have seen to date is a preteen who developed a point in his mid-back where there should be a smooth curve.

What is causing our youth to have worsening poor posture? Are they having an undeclared slouching contest with the previous generation, are they trying to be cool, or are they just a product of their environment with the vast surge in the use of technology? I get it. Even we adults need to be told to sit-up properly, especially when we are working at a computer, texting, or using a tablet. And you know what? Children hate being corrected as much as we do. With that said, it is hard enough to get adults to follow instructions, so how do we get children to change their habits, and understand the lifelong repercussions of sitting and standing in bad posture? Continue Reading →

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Why The A1C (Glycated Hemoglobin) Test For Diabetics Does NOT Give Us The Whole Picture

Why The A1C (Glycated Hemoglobin) Test For Diabetics Does NOT Give Us The Whole Picture

Diabetics are familiar with the A1C test.  It is performed to assess roughly a 90 day period of sugar that is attached to your hemoglobin.  It is supposed to tell us if we are taking good care of ourselves.  The test is performed every 3 months because the average life of a red blood cell is 90 days.

Diabetics are told that the A1C is the ‘holy grail’ of knowing if you are in good health or not.  It’s the aim of most every diabetic to get that number lower!  I’ve been diabetic for over 35 years and it’s great to learn new things.  What have I learned?  I now know that the A1C, although a great test to determine the ‘average’ blood sugar reading over 3 months, does really nothing more than that.  It does NOT accurately tell us all we need to know about our diabetic health.

The A1C for a non-diabetic person is about 5.7%.  A ‘well-controlled’ diabetic will have an A1C at 6.5% or lower.  If someone’s A1C is 8.0% or higher, then they are generally in trouble!  Long-term high blood sugar levels lead to high levels of oxidative stress (free radical damage).  This damage is mostly what is responsible for killing diabetics.  Afterall, 65% of diabetics will die from heart disease/stroke and this damage is caused by, you guessed it, poor blood sugar control. Continue Reading →