Columbia Advanced Chiropractic, LLC

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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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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.

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Femoroacetabular Impingement and What Is Done About It

Femoroacetabular Impingement and What Is Done About It

Femoroacetabular Impingement (FAI), or hip impingement syndrome, is a painful hip condition that limit a person’s activities and can inhibit an athlete’s ability to perform.  Many times people can function just fine with an FAI, depending on their activity, but many times it’s necessary to get surgery to correct the problem.  After surgery though, proper rehabilitation is necessary so as to reduce scar tissue buildup in the hip joint region.  There are 3 types of FAI and each one can cause significant problems. Continue Reading →

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Columbia Advanced Chiropractic, LLC Ranked in the top 75 Chiropractic Blog Sites in The World!

Columbia Advanced Chiropractic, LLC Ranked in the top 75 Chiropractic Blog Sites in The World!

I am proud to announce that the Columbia Advanced Chiropractic, LLC website/blog was rated as one of the top 75 chiropractic websites/blogs in the world! Specifically, we were awarded the 27th spot.  This is a huge honor and it was a complete surprise.

In no way, shape, or form did we solicit for this distinction.  The website was chosen based on the information it provides to you, the reader.  We are grateful for all of you who read and follow our blogs.  They are written to help inform and educate and it’s truly awesome that yourchiropractor.net was acknowledged. It takes a lot of hard work to maintain the website and a lot of time to produce blogs that are informative, educational, and interesting.

If you are not yet familiar with our blog, please read them and enjoy.  We break them down into five main topics: news, chiropractic, rehab/fitness, nutrition, and other health topics.  Although there tends to be some overlap with some topics, there are blogs unique to each topic.

Thank you for appreciating our site and a special thank you to Alex White for building and helping to maintain the website. Alex, this award is for you as much as it is for me!

Thank you to blog.feedspot for the recognition.  It is a true honor to have been selected for this list!

Allen Manison, DC, DACBSP, CCEP, CSCS

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The Official Word on Sports Nutrition Regarding Diets and Body Composition…Discussion Over!

The Official Word on Sports Nutrition Regarding Diets and Body Composition…Discussion Over!

Let’s end this debate now.  The puzzle is now complete.  We have the data and we know what works.  We know the  ‘too much protein is bad for your kidneys’ talk that some doctors and others tout is wrong.  There is simply no data to validate this unless you have pre-existing, unrelated, kidney disease.  We know that fasting/cleansing is good for you, not bad.  For those who say ‘your body is always cleansing…that’s what the kidneys and liver are for,’ we can reply by showing them the research that far more can be done.  For those who say that ‘protein is protein, ‘  we can clearly demonstrate that this is not the case…not even close.  Many say ‘I’ve tried everything and nothing works.’  Maybe that person has tried other programs, but they most certainly have not incorporated caloric restriction and intermittent fasting.  If they had, they would’ve achieved the results they were looking for.  Being 80% of health and how we look is due to nutrition, whereas only 20% is due to exercise, it’s quite important to have a lifestyle system that addresses the 80% part.  By taking care of the 80% part, you will perform and recover better with the exercise part.  They are not mutually exclusive.  Lapses in nutrition will only get you more injuries.  I see this all too often.

You get the point.  It’s time to do what we know works instead of looking for excuses when it comes to diets and body modification.  This is about YOU and how you can feel, function, and look better.  Continue Reading →

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Meralgia Paresthetica…What Is It and How Is It Treated?

Meralgia Paresthetica…What Is It and How Is It Treated?

Meralgia Paresthetica aka Roth’s Disease aka Lateral Femoral Cutaneous Nerve (LFCN) syndrome is a condition we see from time to time.  The patient tends to present with pain in the lateral thigh that almost feels like an itchy feeling.  The discomfort can be anything from burning pain to tingling.  The pain is not a deep pain but is superficial.  This means you only feel it on the outside of the thigh vs. deep in.   It can be very bothersome and it is certainly annoying enough that people will go to find a solution.  Left untreated, it tends to get worse with time. Continue Reading →

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Elbow Pain…What The Heck Is The Issue?

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 →

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Restless Legs Syndrome (RLS) and Some Ideas About How To Deal With It

Restless Legs Syndrome (RLS) and Some Ideas About How To Deal With It

So you have had an active and/or stressful day and you lay down to go to bed.  Your leg or legs feel a bit twitchy and they won’t relax.  Finally, you get to sleep and you are awakened by a really uncomfortable pain in your legs.  This happens night after night and finally you cannot deal with it anymore.  What is wrong and what can be done?

Restless Legs Syndrome (RLS) is considered by many to be a neurological problem but there are many causes of the condition. So many, in fact, that it’s really tough to categorize the condition into one simple issue.  What we need to do is consider any and all factors that could influence the condition and help minimize/eliminate it.  The medical approach is to turn to medications to help with the condition, but those have side effects.  There are natural ways to address RLS, and to many, it makes sense to start with these before going the medication route. Continue Reading →

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Golf: Hip Rotation And Its Effect On Early Extension

Golf: Hip Rotation And Its Effect On Early Extension

As a certified Titleist Performance Institute (TPI) level 3 medical provider, I get the honor of treating a lot of golfers.  As golfers will tell you, the game is like a heroin addiction…but it’s actually more expensive!  A golfer will do just about whatever it takes to improve his/her game.  From shoes to gloves to clubs to lessons to whatever, nothing is too much if it will shed a few strokes off each round.  Whether the golfer is a 20 handicap or scratch or better golfer, improvements can always be made.  As is the case with any sports activity, proper stability and mobility are important and for a precision game like golf, they’re vital.

One major movement fault that many people and golfers alike have is a lack of internal hip rotation.  Proper hip mobility is not only vital for back health, but it is vital for proper swing mechanics.   I’d say, in my experience, that about 80% of golfers suffer from this issue.  It can be on the either side and depending which side it is on, the fault affects the backswing or the follow-through. Regardless of which one it is, it must be corrected to improve that score and lower the risk of musculoskeletal injuries…mostly, the force transmission into the low back.  This is one of the major reasons why so many golfers get low back pain. Continue Reading →

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