Wednesday, April 9, 2014

Naples Fl Chiropractor - Understanding Spinal Manipulation

There are well over 100 types of adjustment techniques used by chiropractors throughout the world. Typically, chiropractors will focus on and utilize 8 to 10 different approaches in their practice.
The common goal of most chiropractic techniques is to restore or to enhance joint function, with the general goals of resolving joint inflammation and reducing pain. Some approaches use some force (spinal manipulation), while others are more gentle (spinal mobilization).
The original chiropractic adjustment approach is generally referred to as spinal manipulation, and may also be called the diversified technique or the high-velocity, low-amplitude (HVLA) thrust. New chiropractic adjustment approaches typically evolve as a variation from an existing technique and are often named after the chiropractor who developed it.
This article reviews a number of the most commonly used spinal manipulation and spinal mobilization techniques currently used by chiropractors.


Understanding Spinal Manipulation

There are well over 100 types of adjustment techniques used by chiropractors throughout the world. Typically, chiropractors will focus on and utilize 8 to 10 different approaches in their practice.
The common goal of most chiropractic techniques is to restore or to enhance joint function, with the general goals of resolving joint inflammation and reducing pain. Some approaches use some force (spinal manipulation), while others are more gentle (spinal mobilization).
The original chiropractic adjustment approach is generally referred to as spinal manipulation, and may also be called the diversified technique or the high-velocity, low-amplitude (HVLA) thrust. New chiropractic adjustment approaches typically evolve as a variation from an existing technique and are often named after the chiropractor who developed it.

Chiropractic Manipulation Techniques

Chiropractors adapt treatment plans to meet the specific needs of each patient. Typically, chiropractic treatment plans involve some forceful and less forceful spinal adjustment techniques during the same visit or over the course of treatment (6 to 10 visits for a typical patient).
    Spinal Manipulation (High-Velocity Low-Amplitude Thrust)
    The most frequently used chiropractic technique, spinal manipulation, is the traditional high-velocity low-amplitude (HVLA) thrust. The manipulation often results in an audible "pop," as chiropractors use their hands to apply a controlled sudden force to a joint while the body is positioned in a specific way.
    Spinal Mobilization (Low-Force or Gentle Chiropractic Techniques)
    Some conditions (such as osteoporosis), pathology, the patient's size, patient comfort, or patient preference, may require a gentler approach generally referred to as spinal mobilization. In addition, some patients and/or clinicians prefer mild spinal mobilization techniques that do not involve twisting of the body or a forceful thrust.
In addition to manipulation, many chiropractors will employ adjunctive therapy, such as ice or heat or physical therapy modalities (such as electric stimulation, ultrasound, etc.), as part of an overall treatment plan. Patients should discuss their symptoms and preferences with their chiropractor, whose role it is to perform a thorough examination to determine the best course of treatment.

 
Chiropractic Videos
 
 
Dr. Michael J. Paralovos, DC and Total Health of Naples are the leaders in correcting neck pain with spinal manipulation in Naples, FL.  Don't suffer anymore call 239-260-1426 or go to www.totalhealthnaples.com to schedule your appointment.
 
Article written by: Steven G. Yeomans, DC and published by spine-health.com
 

Sunday, March 16, 2014

Cervical Spine Manipulation/Adjustments in Naples, Fl 34109

Manipulation of the cervical spine or neck region is a common technique utilized by doctors of chiropractic for many patients complaining of neck, upper back, and shoulder/arm pain, as well as headaches. Similar to the treatment for many conditions affecting the low back, chiropractic is considered as a first line of treatment for a range of cervical spine conditions.
The chiropractic treatment goals for cervical spine complaint management include (but are not limited to) some combination of:
  • Reducing pain
  • Improving motion
  • Restoring function to the head and neck region
These goals are usually accomplished by the use of a number of different approaches. The primary focus of this article is on chiropractic manipulation.
Patients should be advised that the application of this treatment approach only occurs after a full patient history, physical examination, review of past, family, social histories, and review of systems have been completed. Tests resulting from this process may include X-ray, CT, MRI, EMG/NCV, laboratory blood and urine analysis, referral to a specialist, and/or possibly more, depending on each individual case presentation.

Types of Chiropractic Manipulation

There are two general chiropractic manipulation approaches for cervical spine complaints:
The combination of the various approaches varies from patient to patient depending on the chiropractor's preferred techniques and preferences, the patient's comfort and preferences, and the patient's response to the treatment, as well as both past experience and observations made during the course of treatment.
Chiropractors may also use adjunctive therapy to treat cervical spine complaints. Typical adjunctive therapies may include massage, therapeutic heat and/or cold application, and gentle stretching and strengthening exercises, and more.
While this article focuses on chiropractic treatment, osteopathic physicians (or other appropriately trained healthcare practitioners) may also use these or similar types of manipulation and adjunctive therapy to treat cervical spine pain.


Dr. Michael J. Paralovos, DC and Total Health of Naples are the leaders in correcting neck pain with spinal manipulation in Naples, FL.  Don't suffer anymore call 239-260-1426 or go to www.totalhealthnaples.com to schedule your appointment.


Article courtesy of: spine-health.com, authored by: Steven Yeomans, DC






 

Injuries in Professional Golf - What's Going On?



There’s been a lot of talk about injuries recently. If you follow golf regularly, this topic is all over TV and social media, as almost every week we hear about a player dropping out or missing a tournament due to an injury. But how can this be since more players now have medical specialist and physical fitness programs that are there to help them prevent these problems in the first place?
Well, it’s impossible to answer that question with one blanket statement, as I firmly believe each injury is unique to each player. However, I do feel there have been some fundamental changes that have occurred within professional golf that when taken in the aggregate, may help to explain why injuries appear to be on the rise.
First of all, the number of professional players competing on an international stage has increased dramatically over the past ten years. This is due to the fact that we’ve seen a dramatic rise in the number of official professional tours globally. Since there are more professionals competing on a daily basis, it only makes sense that there would be more total injuries now than ever before. Additionally, the media coverage that these players receive is relentless. Any injury or withdrawal can set the 24-hour news cycle and blogosphere into overdrive.
Second, the length of the competitive season for professional golfers is increasing. Starting last year, players who want to play a full season on the PGA Tour were only given one month off for recovery. Currently, the official 2014 season started in October of 2013 and will end with the Tour Championship in September of 2014. That is eleven months of straight competitive golf with no rest. It is not unusual to see a young player compete five to six weeks in a row without taking a break. That is a lot for any athlete to handle.
Third, if you haven’t noticed, elite level players seem to be getting younger and younger each year - from a 14 year old boy making the cut at the Masters to a 15 year old girl winning the LPGA Tour’s Canadian Open. Many parents start their kids in golf at a very young age and then have them specialize only in golf. They spend hours a day hitting golf balls without any other physical activity. In the past, most players had a good athletic background. They played baseball, soccer, tennis, track and many other sports throughout the year. Golf was just one of the sports they played, not the only sport they played. This trend towards early specialization and the lack of full athletic development could be a major cause of injury or breakdown in the modern player.
Fourth, we have to look at trends in teaching the game. Over the past 30 years, there has been a fundamental shift in teaching technique towards something called the  “Modern Golf Swing”. This is where the player is taught to minimize the movement in their lower body during the backswing and create a large separation between the upper and lower body. In the past, players would allow their lower body to turn and rotate with the upper body, even to the point where their lead heel would come off the ground in the backswing. Could this teaching philosophy or style be a reason for more injuries in the game now?
Lastly, let’s talk about fitness programs that players perform on a daily basis.  Many players understand the importance of keeping their bodies physically fit to stay competitive for as long as possible. This involves getting physically assessed to find their specific limitations and working with an exercise coach to help eliminate these problems. The vast majority of players who engage in a regular supervised fitness program have less injuries, perform at a higher level of competition, and compete for a longer period of time. The Champions Tour is loaded with players who would not be competing at such extraordinary levels without dedicated golf fitness programs.
There is a difference between “fitness” and being “fit to play golf.” These two concepts often get incorrectly lumped together. Some people not only appear to be incredibly fit but are very fit in a traditional sense of the word. For example, they may be in exceptional cardiovascular heath, have explosive strength, eat well and train often. But that does not mean their bodies are properly prepared for the repetitive demands of the golf swing. Properly developed golf fitness programs target specific areas that need work. It may be stability for one player, mobility for another, power in the third and injury rehabilitation in somebody else. This is not to say golf fitness is the magic pill that will prevent all injury, far from it. But I am convinced that a properly assessed player who is actively engaged in the right training program has a far better chance of playing for more years and at a higher level.
Now of course there are scenarios where a fitness program can cause an injury versus help prevent one. I’ve seen this first hand. First, if the player is doing something beyond their capabilities an injury is always a possibility.  Many high level players are extremely competitive individuals in every aspect of their lives. If they treat the gym as a competition and try to “win” in the gym, with more weight and more repetitions, then injury is only a matter of time. Secondly, if a player blindly works out on their own, without any initial screening process or supervision from a trained fitness expert, it is easy to put themselves at risk. Finally, the “No pain, no gain” rule is just asking for trouble. My saying is, “Pain equals no gain!”
So is the incidence of injury increasing over the past 10 years across professional golf? Well, the answer is probably yes. I say probably because we do not have definitive data yet. But if so, the reason may be different than what you think.
  1. There are more professionals playing the game today. 
  2. They have very little down time for rest and recovery during the season.
  3. They early specialize exclusively in golf to the detriment of their long-term athletic development.
  4. Players are taught the modern golf swing technique which can place more demands on the body.
  5. Players might bring their competitive mindset into the gym and engage in fitness programs that are ill advised or unsupervised. 
If I could give just one piece of advice to golfers of all levels, it’s to be physically assessed by a competent professional. A well-trained professional can identify key areas of weakness or imbalance and develop highly effective exercise or rehabilitation protocols. It’s no guarantee that you’ll remain injury free, as the golf swing puts incredible forces on the body, but it puts the odds in your favor.



Total Health of Naples is the only facility in town that has a TPI certified doctor.  Our chiropractor, Dr. Michael J. Paralovos has been certified by TPI since 2009 and since then has treated hundreds of golf related injuries.  Dr. Paralovos originally sought out the TPI certification as he himself is golf enthusiast and has treated many PGA touring pros.  If your game is being limited by pain, insufficient recovery contact Total Health of Naples today to see how we can help.  Go to www.totalhealthnaples.com or call 239-260-1426 to schedule your appointment today!

Article courtesy of mytpi.com, authored by: Greg Rose, DC
 


Friday, August 9, 2013

Sciatica Exercises for Sciatica Pain Relief

For most instances of sciatica pain, a specific, controlled, progressive exercise program that is tailored around the underlying cause of the sciatic pain will be part of the recommended treatment program. The specific sciatica exercises serve two main purposes:
  • Reduces the sciatic pain in the near term
  • Provides conditioning to help prevent future recurrences of the pain
A physical therapist, chiropractor, physiatrist (PM&R, or Physical Medicine & Rehabilitation physician), certified athletic trainer (ATC), or other spine specialist who treats the leg pain and other symptoms will typically prescribe specific exercises and teach the patient how to do them.

Exercise Provides Sciatica Pain Relief

While it may seem counterintuitive, exercise is usually better for relieving sciatic pain than bed rest. Patients may rest for a day or two after their sciatic pain flares up, but after that time period, inactivity will usually make the pain worse.
Without exercise and movement, the back muscles and spinal structures become deconditioned and less able to support the back. The deconditioning and weakening can lead to back injury and strain, which causes additional pain. In addition, active exercise is also important for the health of the spinal discs. Movement helps exchange nutrients and fluids within the discs to keep them healthy and prevent pressure on the sciatic nerve.

Typical features of any sciatica exercise program include:
  • Core muscle strength. Many sciatica exercises serve to strengthen the abdominal and back muscles in order to provide more support for the back. Stretching exercises for sciatica target muscles that cause pain when they are tight and inflexible. When patients engage in a regular program of gentle strengthening and stretching exercises, they can recover more quickly from a flare up of sciatica and are less likely to experience future episodes of pain.
  • Specific diagnosis. Most exercise programs will be tailored to address the underlying cause of the patient’s sciatic pain, such as a lumbar herniated disc or spinal stenosis. Doing the wrong type of exercise can worsen the sciatic pain, so it is important to get an accurate diagnosis prior to starting a program of sciatica exercises.
  • Hamstring stretching. Regardless of the diagnosis, most types of sciatica will benefit from a regular routine of hamstring stretching. The hamstrings are muscles located in the back of the thigh. Overly tight hamstrings increase the stress on the low back and often aggravate or even cause some of the conditions that result in sciatica.
  • Exercise correctly. As an adjunct to the above point, doing the right exercises but doing them without proper form can make the exercises relatively ineffective, and possibly may lead to continued or increased pain. It is generally advisable to learn the exercises under the guidance of an appropriately trained health practitioner, such as a physical therapist, chiropractor or physiatrist.
  • Aerobic exercises. In addition to specific sciatica exercises, aerobic conditioning may also be encouraged for general body fitness. Walking is an excellent form of exercise for the low back because it is relatively low impact but can provide all the benefits of an aerobic workout. If possible, it is best to gradually progress to doing up to three miles of exercise walking at a brisk pace each day.

  • Caring for sciatica should be considered part of one's daily living, not just something to add to the routine at the end of the day. In addition to an exercise routine, patients with sciatica should minimize everyday stress on the lower back, including using appropriate ergonomics while lifting, maintaining good posture, making sure the lower back is supported while sitting, and avoiding sitting or standing for long periods of time.

    Article courtesy of Ron S. Miller, PT  and Spine-Health

    Though these exercises may provide some relief of sciatic pain, most of our patients with these types of symptoms benefit greatly from chiropractic and spinal decompression.  Total Health of Naples offers non-surgical spinal decompression treatment to alleviate the pain associated with stenosis, herniated discs and bulging discs.  Don't delay call our Naples, FL chiropractic and spinal decompression office today at 239-260-1426 or go to www.totalhealthnaples.com to schedule your consultation to see how we can help.

    Monday, August 5, 2013

    What is a TPI Certified Professional ?

    This article was originally posted on the TPI website by lead instructor Dave Phillips.  It gives a profound understanding about the different certifications offered by TPI.
    
    The TPI certification program was formed in 2005 and has many different tracks.  All TPI certified professionals take the Level one certification class that gives them the tools necessary to identify that your body is the reason you swing the way you do. The class also gives them some basic tools to help fix your problem. After level one the individual chooses their level of expertise and follows two more tracks in their level of expertise to further refine their ability to help the golfer.

    The tracks that are available are: 

    Fitness level 2 and 3: This gives the fitness professional the tools necessary to build exercise programs and progressions to build strength, speed, mobility and stability in the golfer.

    Medical Level 2 and 3: This track takes the medical professional into advanced screening to pinpoint and create a plan to find and attack injuries, they also learn how to provide rehabilitation for injured golfers of all levels.

    Golf Mechanics Level 2 and 3: Designed for the golf professional that wants to improve their dignostic skills and capabilities these classes look into ball flight, club fitting advanced biomechanics of the full swing and shortgame to help develop the golf professional that wants to enhance their ability to help any level of golfer.

    Golf Coaching Level 2 and 3: These advanced coaching classes teach golf professionals how to coach by understanding motor learning and how to create and build practice programs to prepare students for any level of competition.

    Power Level 2 and 3: Attended by Fitness, Golf and Medical professionals that are interested in learning how to develop speed and power the correct way. This explores the body, biomechanics and club fitting in order to maximize a students ability to create power. Faculty include five times world long drive champion Jason Zubak.

    Junior Coach Level 2 and 3: This class is designed for those individuals seeking to understand the science and research behind children and looks at growth velocity, bio logical age and when and what age juniors should be learning skill and training for power.
    As you can see TPI is truly a university and currently has over 10000 TPI Certified professionals in 57 countries. As of the end of the 2012 golf season, of the top 30 golfers in the world rankings 23 of them were working with TPI Certified teams. If you want to find a TPI Certified Expert to help you with your game, click on the TPI Certified tab and find an expert in your area by simply putting in your zip code. If you want to take your game to the next level, get stronger, injury free and have a better overall golf game, you owe it to yourself to get evaluated by one of the amazing men and women that are TPI Certified.

    Total Health of Naples is the only facility in town that has a TPI certified doctor.  Our chiropractor, Dr. Michael J. Paralovos has been certified by TPI since 2009 and since then has treated hundreds of golf related injuries.  Dr. Paralovos originally sought out the TPI certification as he himself is golf enthusiast and has treated many PGA touring pros.  If your game is being limited by pain, insufficient recovery contact Total Health of Naples today to see how we can help.  Go to www.totalhealthnaples.com or call 239-260-1426 to schedule your appointment today!

    Tuesday, July 23, 2013

    Functional Rehabilitation in Naples, Fl


    Many people come to Total Health of Naples with complaints of neck pain, back pain, headaches, sciatica, disc problems and the list goes on.  What many people often overlook is how did this ache, pain or dysfunction occur?  If somebody moves well and has proper mobility of their muscles and joints it is a fair assumption that they likely won’t have any musculoskeletal problems.  What we need to realize is that most people don’t fit into this demographic because of the daily stressors that we endure.  For example, sitting in front of computers, sitting in the car, sitting on the couch, sitting while texting…..did I mention sitting? Defaulting into lousy positions eventually builds neuroplasticity thus our bodies take on that bad shape and it results in horrible posture.  Fast forward and imagine someone who sits at a desk job day in and day out, from a clinical perspective we’d see the classic lower and upper crossed syndromes.  With having this dysfunctional default position it is safe to say that we won’t move optimally, causing a risk factor for injuries. 

    Total Health of Naples goes beyond the pain syndromes by restoring movement patterns back to the patient so that these problems are not recurring.  We do this by implementing functional rehabilitation.  Functional rehab is any modality that will aid in restoring normal movement patterns.  Simply decreasing inflammation and pain can increase function or PNF stretching hamstrings for greater range of motion can be examples from different ends of the spectrum.  Modalities can be as complex as specific kinetic chain exercises or even as simples as basic physiotherapies (ice/heat).  Dr. Michael J. Paralovos has developed a unique approach to correcting human dysfunction.  By specifically designing treatment programs for his patients with the latest advancements in soft tissue therapy, neurology and biomechanics coupled with home care exercises and ergonomics patients generally get well faster and better than most other chiropractic or physical rehab centers.

    If you are tired of the one size fits all paradigm for neck pain, back pain, headaches, sciatica and disc problems, it may be time to contact Total Health of Naples for a consultation.  Our doctor is the leader in functional rehab and our patients would agree.  For more information visit www.totalhealthnaples.com or call 239-260-1426.



    Monday, July 15, 2013

    Chiropractic Adjustment: Is a headache “normal?”

    The nervous system controls and regulates the entire body and all of its functions. The connection between improved health and chiropractic care is obvious to those who receive regular chiropractic adjustments. Each time you receive a chiropractic adjustment, you are improving your potential for health and wellness.
     
    Are you tired of living with headache pain day after day? Have you ever wondered why you have headaches? Do you know how many headaches you have each month? It could be four, eight, or even 20 headaches per month. Some people experience headache pain all day, every day. Are they caused by stress or tension?
     
    Is there such a thing as a "normal" headache? The answer is no! It is not normal to have headaches! However, many people endure the same type of headaches month after month, not knowing there is help available.
     
    Following an initial examination to rule out things like high blood pressure or eye strain, the doctor of chiropractic will carefully examine your spine. The cause of the majority of headaches is usually found to be an irritated nerve in the upper neck. A chiropractor can locate and correct that irritating nerve, thereby eliminating the cause of most headaches.
     
    After a gentle chiropractic adjustment, most people will notice that the frequency and severity of their headaches diminish significantly, often after the first adjustment. It is possible to live month after month free from headaches and experience an enhanced quality of life.
     
    Call Total Health of Naples today or go to www.totalhealthnaples.com for more information about the benefits of a chiropractic adjustment and to schedule an appointment. Our chiropractor has advanced training in neurology and corrective chiropractic care is committed to helping the residents of Naples, Fl live free from the debilitating pain of headaches!
    Content courtesy of McKim Chiropractic Centers