Archive for San Jose Chiropractor

Your San Jose Chiropractor is a back pain expert and, along with offering back pain treatment, offers the following suggestions on what you can personally do to help ease your back pain: There is a large number of men and women today struggling with weight loss on a regular basis, especially too much weight around the middle. However, the necessity to lose weight is, more often than not, more than a simple cosmetic issue.  The fact of the matter is, if people are carrying around additional weight in the front of their body, their back is going to be adversely affected as a consequence.

The majority of people who are overweight experience moderate to severe back pain. This is because the spine was not made to carry anything that is more substantial in weight than the body is at its generally healthy weight.  As a person puts on extra weight, the spine starts to distort and to compress, creating a lot of pain and discomfort.  The pelvis can conjointly be affected and become tilted forward forcing it to pinch the sciatic nerve. This is a primary reason why individuals who are overweight tend to have problems with their lower back. The affliction is due to either sciatica or the distorting of the spinal column.

If this condition sounds painfully familiar, and you want to get out pain, certainly the thing to do is to get rid of some of the extra weight that you are carrying around, and your spine will start to respond and return to its regular position.  Unfortunately, losing those pounds isn’t easy and it can take time, even with the best of intentions. However, on a positive note you don’t have to live with back pain as you lose the weight. A chiropractor can assist you in getting the pain relief you’ll need as you shed the extra pounds.

But, you will still need to lose the additional poundage, and being free of back pain will undoubted assist you in doing it. Two things that are simple (but not necessarily easy), but will be unquestionably beneficial to you in losing the extra weight naturally are doing some sort of exercise, even if it’s simply a little bit per day, and adapting the food you eat so that you are taking in less calories than you use throughout the day. Sure, you’ve heard about these two things before. But, now that you’ve found out that your back is depending on you, it’s the perfect time to get truly inspired.

Start exercising slowly, especially if you’re having difficulties with back pain. And, most importantly, be sure to see a chiropractor so that you don’t make the blunder that many people do, which is to exercise into the pain. That will definitely make your condition worse. Exercise, though sometimes uncomfortable, should never be painful or cause pain. That’s why it’s crucial to see a chiropractor if you’re having difficulties with back pain.

Do simple stretching exercises and also concentrate on your core abdominal body muscles. Strong stomach muscles aid in relieving back pain. Your chiropractor will be able to provide exercises that are best for you, individually. After a very short period of dedication to losing the weight that is causing your back pain and conceivably other health problems as well, you should begin to notice an enormous difference in the way that you feel.

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Your San Jose Chiropractor knows that the more you know about arthritis, the better decisions you’ll make concerning the care and management of your arthritis:

One of the most frequently misunderstood conditions among sufferers is arthritis. Often the word, “arthritis,” brings to mind a future that includes crippled and twisted joints.  However “arthritis” is an all-inclusive word that comprises many different conditions from the benign to the severe. For our purposes we will confine this discussion to the most common forms of arthritis.

Osteoarthritis and Chiropractic Care

Osteoarthritis, degenerative arthritis, or degenerative joint disease (DJD) are the terms for the most common form of arthritis, which is also called, spondylosis, if it occurs in the spine. This form of arthritis is not limited to humans, but occurs in all mammals, and is due to the degradation of the cartilage that protects the joint surfaces. Degenerative changes in the joint happens when joint cartilage is harmed and causes stress to the sensitive bone tissue that is ordinarily preserved by the cartilage. Sometimes the bone around the joint will proliferate and make osteophytes, or what are familiarly called bone spurs. These spurs can produce painful irritation to other tissues adjacent to the joint, in this way complicating the already hurtful condition.

Degenerative joints most often occur in the lower neck and lower back, the knees, hips, and fingers. Everyone may experience DJD at one point in their lives, though previous trauma, ones occupation, activities, weight, diet, and heredity influence the degree of the condition and its onset.

Pain and/or stiffness in the affected joints are primary indicators of DJD. As the condition advances there can be loss of mobility, notably when weight-bearing joints such as hips or knees are affected.  In some cases, if the joint is sufficiently worn and the person can no longer walk without severe pain, the joints are surgically replaced with synthetic devices. Of course, one should try to manage the condition early on in ones life to avoid the need for surgery.

Prevention is unquestionably the best option, beginning at an early age.

  • Making sure that all injuries to joints are properly treated will help to avoid future problems.
  • Shoes with good support and shock absorption should be worn by those whose jobs necessitate extended periods of standing or walking.
  • Excess body weight can produce increased stress upon the weight bearing joints of the body.
  • Care should be taken to guard knees from strain and pain when kneeling on hard surfaces.
  • Eat a diet high in fruits and vegetables as they contain natural vitamins, minerals, and antioxidants that are essential for the health of the joints, as well as the rest of the body.

Recently there have been some studies that offer proof that the nutritional supplement, Glucosamine, can help with DJD and might help rebuild joint cartilage. However, it must be used over an extended period and does not work in all conditions.

Chiropractic adjustments are not only sound, but an effectual treatment for arthritis, and can aid in the restoration of proper mobility and function to the spinal joints, thereby giving patients great relief. Your San Jose chiropractor has many of years of expertise in helping people with arthritis pain. In addition, chiropractic modalities such as joint mobilization, ultrasound, cold laser therapy, massage and electro-therapy may be used to aid in the treatment of painful and stiff joints. Occasionally, a brace is used to support the joint and relieve pain. A chiropractor may suggest exercises such as stretching, yoga, tai chi and other gentle mobilizing activities to help maintain arthritic joints.

Gout

Gouty arthritis is produced by high levels of uric acid in the blood and the accumulation of uric acid crystals in the joints. The most common joints are the big toes, the knees, ankles and wrists, and is often characterized by severe pain and swelling. Most people who develop gout are predisposed through heredity, though episodes are more often than not brought on by binge eating of inflammatory foods, when dehydrated or fasting, or after a major surgery or illness. Particular foods such as red meat (especially organ meat), certain seafood, legumes, and mushrooms include the natural substance, Purines, that are metabolized in the liver to form uric acid. Since individuals with gout cannot properly metabolize uric acid, the buildup in the bloodstream creates joint problems. In addition to the foods mentioned and additional foods containing Purines, other dietary restrictions must be followed including the avoidance of alcohol.

Rheumatoid Arthritis

Rheumatoid arthritis is a chronic inflammatory disease of systemic origin. The principal cause is not known, but it is thought to be due to a problem with the immune system. The most common joints affected are the small joints of the hands and fingers, the feet, knees, and shoulder, although other areas of the body can be affected as well. Morning stiffness made more painful by movement is most often associated with the disease. Additional symptoms can involve general malaise and fatigue, and in its more advanced stages other systems of the body may be affected. Rheumatoid arthritis can be easily identified through definitive blood tests. Management includes medication and vitamin and diet therapy, as well as chiropractic manipulations. In addition, joint mobilization and modalities such as ultrasound, heat, electro-therapy and massage can help with the pain and stiffness associated the condition. Your San Jose chiropractor is dedicated to helping people in getting relief from the pain and suffering associated with arthritis.

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Your San Jose Chiropractor has treated thousands of back pain suffers. In fact, low back pain is a common health problem that often affects more than 80% of people, making it second in prevalence only to the common cold. However, unlike the common cold, back pain is often puzzling to most of its sufferers. Your San Jose Chiropractor is an expert at solving the puzzle.

Anatomy

Knowledge of the anatomy of the spine is very useful in understanding back pain. The spinal bones or vertebrae of the lower back consist of posterior joints called facets that connect vertebrae to one another and serve to guide the movement of the spine. The inter-vertebral discs join the bodies of the vertebrae and are made of a form of dense cartilage that encases a soft material in the center, called the nucleus. The main function of the disc is as a shock absorber and spacer between the vertebrae. Ligaments and muscles also connect the vertebrae. The wedge-shaped bone at the bottom of the spine is the sacrum and is joined to the two pelvic bones at the sacroiliac joint. In a canal located between the body and the facets of the vertebrae is the spinal cord. The spinal nerves go out from the spine between the vertebrae.

Causes of back pain

Most often, back pain comes about without a trauma, an accident, or a major injury prior to the onset. The cause of most back pain is the cumulative effects of improper sitting posture, poor work habits, incorrect lifting, lack of regular exercise and other poor lifestyle-related factors.  These cumulative factors create stresses and imbalances on the spine and, therefore, some may injure their back merely by bending over to pick up a piece of paper. The instability of the spine makes it vulnerable to even the most simple movements, such as bending. When this comes about, the surrounding back muscles go into spasm to protect the stressed or injured tissues of the back. Chiropractors are back pain specialists. Your San Jose Chiropractor can help you to get out of pain quickly.

Disc Problems & Sciatica

Prolonged sitting, especially in a slouched position causes increased pressure on the intervertebral discs and imbalances in the muscles surrounding the spine. Eventually the lower spine loses its customary function and no longer can make room for the normal day-to-day stresses in ones life. In the end, the intervertebral disc develops small fissures, or cracks, permitting the soft nucleus to bulge the disc outward. If the disc pushes on sensitive tissues, it creates the pain that is often referred to as a slipped disc. If the disc presses on the spinal nerve, a person can develop sciatica, which is defined as pain, tingling, numbness, and sometimes weakness in the lower extremities. On occasion if the disc protrusion or herniation is large and the condition is not managed correctly, surgery is required to remove the herniated disc material. But, with the correct chiropractic adjustments and management, as well as postural exercises, most of these cases can healthfully heal. If you are experiencing any of the conditions defined above, it is essential for you to seek chiropractic treatment.

Spondylosis

Increased wearing away and weight-bearing stress on the spine occurs when there is repetitive assault to the discs, facet joints, and surrounding ligaments. Bone spurs are produced when the cartilage around the joints is adversely affected by stress that engenders calcium to deposit in the tissues around the vertebrae. These spurs can restrict adjacent nerves, blood vessels and soft tissue resulting in symptoms ranging from minor pain and numbness to gross sensory loss and muscular atrophy. This condition – known as Spondylosis – is a form of arthritis that is likely to affect almost everyone at some point in life, as it is a common part of the aging process of the spine as well. But|However, determinants such as previous trauma, unhealthy lifestyle, and repetitive stress injury influence the time of onset in life. Regular chiropractic treatment and overall chiropractic management is very effective in slowing the aging process of the spine, as well as helping Spondylosis sufferers in managing their condition. Your San Jose Chiropractor has helped many Spondylosis sufferers.

Sacroiliac Problems

Another common area of dysfunction or injury in the low back is in the sacroiliac joints. These weight-bearing joints attach the upper part of the body to the lower pelvic portion and are usually very strong and stable. However with disturbances such as falls, sports injuries, or lifting heavy objects, the joints can become unstable and relocate to an abnormal position.  This condition is called a sacroiliac subluxation. Women may get this condition during or after their pregnancy. The imbalances in the lower extremities caused by sacroiliac subluxation can create a functional long and short leg. Pain is felt particularly with prolonged standing and walking, or during and after physical activity, and the individual may experience a lack of energy and feeling tired easily.  Other symptoms such as neck and shoulder pain, as well as headaches, can move further up the spine. Chiropractic adjustments establish the proper alignment of the joints and are extremely affective in ameliorating sacroiliac problems. Ask your San Jose chiropractor how you can receive effective pain relief.

Spinal Subluxation

A prevalent disorder of the lower back, as well as the entire spine, is subluxated or misaligned facet joints. Subluxations can exist on their own or in conjunction with disc problems and Spondylosis. They not only produce pain, but they can also imparel the spinal nerves as they exit the foramen or spaces between the vertebrae, and produce nerve compression, known as paraethesia. Paraesthesia is a change of sensation described as a tingling, burning or “funny feeling.” Paraesthesia in the upper extremities oftenoriginates from nerve problems in the neck, while paraesthesia in the lower extremities is commonly associated with nerve dysfunctionin the lumbar region (lower back). Visceral problems such as asthma and gastric conditions can also becorrelated with, or complicated by, spinal subluxations and nerve compression. Subluxations are best eliminated by chiropractic adjustments.

Trauma

Injury such as a fall, car accident, or sports injury can cause damage to the spine and lower back. Often these traumas create over-stretching or tearing of the tissues of the spine. When this happens a person can experience considerable pain and immobility. In order to prevent long term disability or the development of any of the conditions listed above, chiropractic adjustments and treatment at the onset of symptoms is vital. If you experience a trauma, call your chiropractor as soon as possible.

Scoliosis

Scoliosis is often associated with low back pain. chiropractic care offers exceptional pain relief.

When it comes to the spine, chiropractors have more education and training than medical doctors. I can provides state of the art diagnosis and expert treatment for any of the above-mentioned dysfunctions of the spine and lower back.

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Dr. Hoewisch is knowledgeable about the many causes of shoulder pain. You may find the following information useful in determining your shoulder pain management:

The complexity of the shoulder joint allows it to accomplish many different motions and activities. Anatomically, the shoulder involves three different bones – the scapula, the clavicle, and the humerus – many attaching ligaments, and approximately 20 different muscles. The principal articulation, the glenohumeral joint, is joined by ligaments and a group of muscles (and their tendon attachments) known as the rotator cuff. Problems with the rotator cuff are everyday causes of shoulder pain and disability. As with other joints, shoulder problems can be caused by trauma such as sports injuries, mechanical dysfunction due to imbalances in the muscles, or by wear and tear of the tissues surrounding the joint. Arthritic changes do occur in the shoulder joint, but not as commonly as in the weight-bearing joints of the spine, hips and knees.

Anatomy

The nerves in the cervical spine region innervate all of the muscles of the shoulder, elbow, arm and hand and can often pinpoint the origin of the shoulder problem. If these nerves are inflamed, the shoulder muscles can become tight or weak causing dysfunction in the ordinary mechanics of the joint, particularly in the rotator cuff. A similar situation can occur if one overburdens the shoulder in sports such as tennis and golf, or in other repetitive activities that cause the muscles of the joint to become overly tight or strained. People who sit too often in a lazy position, or with their shoulders held forward, are also at risk for developing these imbalances and shoulder problems.

Rotator Cuff Syndrome

Pain and limited motion will continue to occur until the imbalances and aggravation are correctedchanged. The severity can vary from a slight “catching” or pain to an almost total inability to use the shoulder. people of all ages are afflicted by this painful problem known as Shoulder Impingement or Rotator Cuff Syndrome.

Frozen Shoulder

“Frozen shoulder” is another common condition.This often crippling condition happens when the ligaments and tendons of the glenohumeral joint grow so irritated that adhesions develop making the joint almost stuck together. This results in accute pain, as well as limitation of shoulder mobility that makes even dressing oneself difficult! Attention from a professional, such as your San Jose chiropractor is crucial because if left alone, frozen shoulder could take several years to resolve if it heals at all. There are many other disorders of the shoulder however those mentioned above are almost certainly the most common.

Treatment

Most shoulder treatments are generally the same. Muscle imbalances can be fixed with chiropractic treatment that includes soft tissue mobilization modalities to restore proper mobility to the shoulder joints and to correct any subluxations in the spine. Special rehabilitation exercises recommended by your San Jose chiropractor are also vital for a thoroughand speedy recovery.

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Your San Jose Chiropractor can help your carpal tunnel pain, and here’s how:

Carpal Tunnel Syndrome is the most prevalent nerve entrapment disorder. As the term “nerve entrapment” infers, these disorders show up when a nerve is trapped or compressed between body tissues creating inflammation and impairment of the nerve.

Anatomy

The carpal tunnel is embedded within the underside of the wrist. It is a tunnel, or passage, through which the Median nerve moves on its way to energize and animate the hand and fingers. Along with the median nerve, the carpal tunnel contains the nine tendons of the forearm muscles that are responsible for bending and flexing of the fingers and thumb. There are also arteries and lymphatic vessels that supply circulation to the hand located within the tunnel. Wrist bones form the bottom and sides of the tunnel, while the top is shaped by the transverse carpal ligament, a strong band of connective tissue. The carpal tunnel is a densely-packed space about the size of an index finger. The flexor tendons, arteries and median nerve are designed to glide easily past each other during wrist and finger movement.

If the tendon size increases from inflammation or hypertrophy (growth), or if the carpal tunnel size dimenishes due to  a misalignment of the carpal bones, the median nerve can become compressed or entrapped by the carpal tunnel. The initial symptoms of carpal tunnel syndrome usually include pain, numbness, paraesthesia (pins and needles) and tingling in the fingers and hands especially the thumb and adjacent two fingers.  The symptoms are markedly apparent at night, often awakening the sufferer from sleep and making it necessary for the person to “shake out” or rub the hands in an attempt to relieve the unpleasant sensations.  In addition, activity can cause the hands to feel lumpish or weak, and fatigue easily. Over time, the ability to hold small objects using the thumb and fingers can be affected severely and if left untreated, can lead to total dysfunction of the hand.

The following are typical causes and corresponding conditions:

  • repetitive and forceful grasping with the hands
  • prolonged computer usage especially with poor wrist position
  • activities that require repetitive bending of the wrist
  • broken or dislocated bones in the wrist which produce swelling
  • thyroid gland imbalance
  • sugar diabetes
  • hormonal changes associated with menopause or pregnancy

Although any of the above can can be a contributing factor to Carpal Tunnel Syndrome, in many cases the cause is unknown. However, people who perform jobs that require use of vibration tools and machinery, and/or work in extreme temperatures are often subjected to this condition.  In addition, repetitive housework as seemingly inconsequential as wringing clothes by hand, can bring on carpal tunnel symptoms. By far the most significant reason for the increase of people suffering with CTS is the continuous rise in the use of computers. This is becoming a major concern in the developed world where people of all ages are spending much of their time typing on a keyboard & clicking on a mouse.

Treatment

Competent diagnosis and treatment is vital to relieving the painful and debilitating symptoms of CTS. Your San Jose Chiropractor is highly skilled in the diagnosis and management of CTS. Chiropractors are equipped to deal with this problem and can offer many sufferers with relief.  Treatment by chiropractor can include ultrasound or low level laser to help reduce inflammation, electro-therapy to strengthen weak muscles of the forearm, soft tissue massage to stretch contracted tissues and, of course, adjustments of the dysfunctional joints of the wrist. Your chiropractor may suggest that you wear a splint or support, especially at night, to aid in the decompression of the carpal tunnel. Your San Jose Chiropractor will also give you specific exercises to stretch and/or strengthen muscles of the forearm and hand.

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Dr. David Hoewisch knows that your foot is complex, and that many conditions can cause foot pain. That is why is so common. Generally speaking, we, humans, take 3,000-5,000 steps everyday. In addition, many of us are involved in activities, such as running and aerobic exercise, that add many more steps, as well as stress to our poor, overworked feet. It is no wonder that many people have aches and pains in this part of the body. Determinants such as flat feet or over-pronated feet, individual walking and running style, and the type of shoe a person wears can determine if someone will get foot and ankle pain. These components not only affect feet and ankles, but also the health of the back, knees and legs. Detailed below are some of the most prevalent conditions that affect the feet and ankle.

Hallux Valgus and Bunions

Hallux Valgus is a condition that happens when the big toe or hallux deviates towards the outside of the foot, often almost overlapping or bumping into the adjacent toe. It is a slow-developing problem that generally develops a bump on the inside of the big toe, called a bunion. The pain associated with Hallux Valgus is generally apparent during weight-bearing activities such as walking or prolonged standing.Although, if someone has developed a bunion, the pain can be present at rest and is generally described as a “numbing” or “burning” sensation in the big toes.

To be exact, the actual dysfunction is not in the bone, itself, but in the joint between the big toe and the first metatarsal bone, i.e., the first metatarsal-phalangeal. The pain and deformity associated with Hallux Valgus is due to damage to this joint. The condition is usually the aftereffect of wear and tear over a long period of time from factors such as over-pronation that causes undue pressure on the big toe and first metatarsal during walking. A further cause of Hallux Valgus is inflammatory arthritis that can harm the joint and produce degenerative changes. A broken toe that does not heal properly can also predispose a person to Hallux Valgus. However, one of the more common causes of the affliction is the high-heeled and pointed shoes that women commonly wear. These shoes not only put additional stress on the joint, but also aid in pushing the big toe to the outside.

If you think you may have Hallux Valgus, your chiropractor can examine your foot to determine which factors are contributing to your condition, and then use a range of chiropractic techniques and modalities to lessen pain and improve the function of your foot.

Plantar Fascitis ( Heel Pain )

Heel pain, known as Plantar Fascitis, is a prevalent foot problem caused by inflammation of the plantar fascia. The plantar fascia is a band of connective tissue that encases the muscles on the bottom of the foot . It attaches the heel bone to the ball of the foot, supporting the arch, protecting the foot, and absorbing shock.

People with Plantar Fascitis many times complain of pain in the morning after first standing when they get out of bed and also when they stand up after having sat for a while. The pain starts just in front of the heel bone, but can advance over the entire bottom of the foot.

Eventually, irritation associated with the condition can lead to the development of scar tissue, calcium deposits and finally heel spurs. These spurs are a bony growth on the front part of the calcaneus of the heel bone where the plantar fascia is connected and can create a acute stabbing pain with walking

People with other foot conditions, especially Pes Planus (flat feet) and/or over-pronation, are most susceptible to Plantar Fascitis, but other factors often contribute as well. Muscle imbalances between the calf muscles and the muscles on the bottom of the foot are a crucial contributing factor. Often the calf muscles get short and tight exerting a strong pull upon the back of the calcaneus. Such a condition causes unnecessary stress on the smaller, weaker plantar muscles and its fascia that are attached to the other side of the calcaneus. In addition to running and jumping activities, wearing high heels can also cause a shortening and tightening of the calf muscles. Other factors that stress the plantar fascia include: sudden strenuous activity after a period of long-term inactivity, abnormal walking patterns, improper footwear, walking on hard or uneven surfaces especially barefooted, and obesity.

People who are continuously on their feet, such as nurses, teachers and waiters, are more inclined towards getting Plantar Fascitis, as are athletes who participate in foot-stressing activities such as aerobics, volleyball, running, basketball, and tennis.

Once an individual develops plantar fascitis, it is often not easy to manage and can become painfully persistent. A chiropractor will be able to determine the cause of your problem and what care is best suited. Care might include ultrasound therapy, laser, joint manipulation, muscle stretching and strengthening exercises, special taping and, in some cases, orthotics.

Achilles Tendonitis

Achilles Tendonitis is a painful, and often, debilitating irritation of the Achilles tendon, also called the “heel cord.” This large tendon is an extension of the two biggest calf muscles and runs down the back of the lower leg connecting to the heel bone or calcaneus. Damage to this valuable tendon can make it hard or even impossible to walk. The challenge may be caused by a sudden single incident, such as jumping, but more commonly it results from an accumulation of smaller stresses that cause small tears in the tendon over time. Usually, the appearance of symptoms is gradual. The pain may be relatively minor at first, but gradually worsens if the individual tries to “work through” the pain. Many Achilles tendonitis sufferers ascribe their initial discomfort to the aches and pains that have to do with age or fatigue. In severe cases, a total rupture of the tendon can arise, resulting in traumatic harm and intense pain that makes walking virtually impossible and may even require corrective surgery.

Athletes and performers, such as dancers, whose activities involve not only running and jumping, but sudden starts and stops, are particularly vulnerable to Achilles tendonitis. Also, women who routinely wear high-heeled shoes are also at risk, especially if they switch to sport shoes for exercise. In these cases, the Achilles tendon and muscles gradually adapt to the shortened position caused by wearing high-heels, as the heel doesn’t need to stretch all the way to the ground. When this happens, the change to exercise or flat shoes forces the Achilles tendon to stretch further than it is used to, thereby creating stress and inflammation. For these reasons, high-heels should not be worn everyday. If they are unavoidable, stretching should be done every morning and night to keep the Achilles tendon lengthened.

Achilles tendonitis often appears in middle-aged people, expressly in men who are athletes, as a result of the changes that happen in the foot as a person ages. The arch tends to flatten as we grow older causing over-pronation and increased stress on the Achilles tendon as well as the calf and foot muscles. Achilles tendon problems are also common in those who exercise infrequently, such as the “weekend warrior” and in those who are just beginning to exercise. In both cases, muscles and tendons have little flexility due to inactivity. Therefore, people who are just beginning to exercise after a long layoff should stretch properly, start slowly, and increase gradually.

Regardless of the cause of the problem, if a person is experiencing the symptoms of Achilles tendonitis, he or she should contact a qualified professional, such as a chiropractor, to treat the problem before it becomes severe. Your chiropractor has many years of experience in treating Achilles tendonitis.

Pes Planus ( Flat Feet )

It is approximated that nearly one quarter of the population has Pes Planus, more commonly known as flat feet. Newborns have flat feet, but somewhere between the ages 3-10 we develop an arch. However, some adults never develop an arch. There are a number of factors, besides genetic disposion that can cause flat feet, or predispose a person to the condition. A person’s job, level of activity, and lifestyle can produce a previously-developed arch to collapse later in life. Age and weight also are implicated in the development of the affliction. Middle-aged persons who have been working on their feet for years often experience flat feet, as do overweight individuals who are placing added stress on their feet and legs.

Some people have flat feet and never feel any distress, while others experience pain in the feet and knees, and infrequently in the hips and lower back as well. If you have flat feet and are experiencing distress, your San Jose chiropractor can give you a treatment plan to not only help with pain reflief, but assist in preventing more problems from developing. Chiropractic treatment includes joint adjustments to correct foot function and resolve painful symptoms. Your chiropractor may also prescribe arch-supporting insoles, called orthotics, for additional support and stability.

Metatarsalgia ( Pain in the ball of the foot )

Metatarsalgia is sometimes called “ball-of-foot pain,” as it is a pain on the sole of the foot just behind the toes where the foot bends during walking. The metatarsal bones extend from halfway up the foot to the toes. A problem in one or more of these five bones is the cause of pain.

The feeling of pain can be limited to where the metatarsal bones join the toe bones or it can extend along the entire length of the metatarsals, and possibly between them. Problems vary from stiffness upon movement to a burning or stinging sensation. The degree of discomfort depends upon whether the problem is due to a dysfunction in the joints or an inflammation to the nerves as they travel along the metatarsals.

The cause of the distress is due to either structural or functional reasons. When a structural problem occurs, such as when the metacarpal bones are either too long or too short, it creates aberrant mechanics in the feet and undue stress on the entire area. Flat feet or extreme arch can also alter the stresses on the metatarsals causing similar symptoms.

There are other factors that can affect these bones that are often in the control of the individual. These include excess body weight, tight or high-heeled shoes, and excessive or poor running or athletic training. Excess weight and the wearing high-heeled shoes both increase stress upon the metatarsal, which leads to joint pain and nerve irritation. Repetitive foot activities, like running, directly stress the metatarsals by exposing them to constant trauma.

A chiropractor is able to beneficially treat metatarsalgia, no matter what the cause may be. After determining the underlying factors, you will be offered a number of non-invasive therapies, inluding orthotics when necessary, and you will be advised on how you can avoid future pain.

See your San Jose chiropractor as soon as possible if you are experiencing any of the foot problems mentioned above.

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Dr. David Hoewisch frequently treats the sports injuries of many adults and children. In the past, sports injuries were mostly limited to professional athletes, young people participating in school sports programs, and men participating in weekend activities such as rugby. Today, more and more people of all ages and both sexes are doing regular sports and fitness activities. There are even women now doing traditionally men’s sports such as soccer, basketball, and rugby. The majority of people are involved in sports such as golf and tennis, and other healthy activities like running, aerobic classes, and weight training. Unfortunately, risk of injury is possible with any sports activity.

The majority of injuries fall into two categories: 1) traumatic injury, such as a slip, fall, or collision and, 2) repetitive stress or overuse injury.

Traumatic Injuries

These injuries cause the debilitating problems often associated with trauma. As a rule injuries to the ligaments (the tissue that connects bones to bones) and to muscles are the most common, though the trauma of fractures and dislocations often occurs in contact sports. A strain is any injury to either a muscle or its tendon, and a sprain is an injury to ligaments.  The most common areas for these types of injuries are the ankles, knees, and shoulders, although other areas can be affected including the low back and neck. Because the spinal cord and/or spinal nerves can be involved, injury to the neck and low back can be very serious.

A traumatic injury may be mild, such as a “muscle pull” or ankle twist. But, some can be serious enough to require surgery. It all depends upon the degree of tearing of the tissues, the location, and the age of the person. Some degree of swelling occurs with most sprains and strains. However with certain injuries, especially those of the ankel and knee, there can be some internal bleeding as well. Strains and sprains require proper attention, especially during the initial stages of an injury,to insure proper healing and no future disability. Treatment from a healthcare professional, such as your San Jose Chiropractor, is highly advisable.

The following is an acronym for the post-injury management of sprains and strains expressly if no professional help is available: PRICE
P    Protect injury from further damage
R    Rest the injury
I     Ice injury to reduce swelling, bleeding, muscle spasm, and pain
C    Compress injury with a specialized support or elastic bandage to support injured tissues
E    Elevate the injury, especially when dealing with ankles and knees

Of course it is important to get the injury properly assessed by a chiropractor or other professional to find out the extent of damage. When proper care is given during the various stages of healing, most individuals who have sustained sprain and strain injuries will recovery. If not managed carefully, some sprains and strains can result in long-lasting problems such as joint instability, painful or weak joints and muscles, and lack of mobility. Good management of your sports injury by a chiropractor highly experienced in sports injury treatment will insure that your injury heals properly. Call your San Jose Chiropractor if you have sustained a traumatic injury.

Repetitive Stress, or Overuse, Injuries

These injuries are becoming more and more common, especially among people pursuing sports such as golf, tennis, bowling, and any other activity that requires the same activity over and over (repetition). Something as simple and healthy as running, particularly on a treadmill, can also be a factor.

Basically, overuse or repetitive stress injuries occur when a person is involved in a repetitious activity that causes a very slight strain to tissues, especially tendons and muscles, that alone would not cause a problem, but done many times has an accumulative effect.  carpal tunnel Syndrome is one of the most common types of overuse injuries. Over time the muscle or other affected tissue develops changes that no longer allow it to function properly resulting in pain, stiffness and disability. Certain factors predispose a person to these types of injury. Some are “intrinsic,” meaning the factor is found with a person’s own body. Others are “extrinsic,” which means that the factors are external and can often be changed or controlled by the individual.

Some of the most common intrinsic factors for injury

Age is the most common intrinsic factor for injury. The older a person is, the easier it is for that person to get injured. Congenital abnormalities are another factor. Some people are born with joint or muscle problems. And, previous injuries are a factor as they often keep the joints or muscles from functioning properly.

Extrinsic factors for injury

Extrinsic factors are numerous.  An improper grip size of a tennis racket, worn out running shoes, an uneven treadmill surface or a too-hard surface for soccer are all examples of faulty sports equipment that can cause problems. Improper technique in any sport, such as an improper golf grip is, as they say, an injury waiting to happen All sports activities require some pre-conditioning, which is why people who are out of shape, those who continue to increase the duration of an activity without building up slowly, and those who lack flexibility, are injured most often. Warming up is essential prior to sports activities, and lack of warm-up, that is, not stretching or preparing for an activity is a common cause of injury.  And, finally, but perhaps surprisingly to some, stress is a factor. Being tired or stressed can cause tense, inflexible muscles that are too tight for most activities.

There are many more factors that are extrinsic and, therefore, within a person’s control. Before beginning a new sport, or as a way to prevent injury in a current sport, it’s smart to get an assessment of your general body condition. If you’ve been injured, it is crucial to seek out a qualified professional, like a chiropractor, to assess the nature of the injury and prepare a plan of treatment. If left untreated, sports injuries can greatly affect a person’s life and limit a favorite activity. Treatment such as joint manipulation, massage, bracing, and specific exercises is often required to stabilize the condition. A chiropractor is a good source of help. Call a chiropractor if you’re either thinking of beginning a new activity, you’re feeling pain related to a current sports activity, or you’ve sustained a sports injury. Your San Jose Chiropractor has years of experience helping people just like you.

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Feb
24

Dr. David Hoewisch Knows About Elbow Pain

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Dr. Hoewisch knows a lot about elbow pain. Here’s what you should know:  Tennis elbow is the common name given to pain originating on the outside or lateral side of the elbow. This condition arises from an irritation or inflammation of the tendons of one or several forearm muscles at their attachment to the bony protuberance close to the elbow joint, known as the lateral epicondyle. Therefore the medical term for this condition is lateral epicondylitis, meaning an inflammation of the epicondyle. If the condition is located on the inside or medial side of the elbow it is often referred as Golfer’s Elbow or medial epicondylitis. This, however, is not as prevalent as lateral epicondylitis.

Causes

There are many causes for Epicondylitis – not just tennis & golf – as any activity that involves repetitive gripping of objects can result in this affliction. Some individuals develop tennis or golfer’s elbow from prolonged carrying of heavy bags, knitting, chopping food, and/or computer work using improper wrist and arm posture. With sports, the problem arises when we are new to the game, use an improper technique, try out new racquets or clubs, or increase the intensity or duration of exercise without the proper preparation.

Sometimes the condition can be so severe that it is difficult to even grip and lift one’s coffee cup!

Some cases involving epicondylitis can be attributed to problems further up the arm or even in the neck. If someone has a disc condition or spinal subluxation, the nerves that control the forearm muscles may become irritated causing the muscles to tense and put marked strain on the tendon attachment(s). In these circumstances, this predisposes an individual to elbow pain from any of the above mentioned causes. If left untreated it is possible that the joints of the elbow can become subluxated further and even arthritis can be a complication the condition.

Treatment

Epicondylitis is a condition that rarely resolves of its own accord and so requires proper health management. A qualified professional such as Your San Jose chiropractor can determine the exact cause of the problem and initiate the proper care and treatment. In my clinic this would include modalities such as ultrasound, electrotherapy, massage, hot and cold treatments, bracing and home stretching and exercises. chiropractic adjustments have proven extremely effective in the overall management of this problem.

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Your San Jose Chiropractor wants you to know that pediatric chiropractic can help to reduce your child’s earaches and ear infections. Earache is the most common reason for office visits to pediatricians. By the age of three years, more than 70 percent of children will have had at least one episode of earache and about a third will have had more than three episodes. It is not surprising, therefore, that earache is also the most common reason for children under the age of five years presenting to the chiropractor’s office.

When a child with earache is diagnosed with middle ear infection by the pediatrician, the usual treatment involves a course of antibiotics. New research has determined that this is often misguided. The cause of the child’s middle ear infection may not be due to bacteria, and since antibiotics are only effective against bacterial pathogens, frequently there will be no response. Since numerous cases of middle ear infection can be caused by a virus, and viruses do not respond to antibiotics, this may be the reason why children develop chronic ear infections.

How chiropractic Care Relates to Earache and Ear Infections

Your San Jose chiropractor’s task is to ascertain if the reason for the body’s inability to combat the earache/ear infection is caused by irritation of the small nerves in the spine (called free nerve endings).

When these nerve endings are irritated, an abnormal tension is produced in the small muscles of the neck. This muscle tension can place pressure on the lymphatic drainage ducts resulting in inadequate drainage from inside the ear, thus preventing the body from being able to naturally correct the problem. Balance can also be affected.

Identification of such a problem is made by detecting increased tension in the neck and paraspinal muscles, usually more tension is felt on the side of earache. The chiropractor also looks for spinal vertebrae which are either slightly out of alignment or are not moving within their normal range. This problem may have been due to any one of the number of bangs, jolts and falls that most children experience in the early years of their life. Often, a short course of spinal adjustment and manipulation of the neck muscles can help restore normal lymph drainage.

Research

According to the Centers for Disease Control (CDC), ear infection the most frequent childhood illness after the common cold – accounts for nearly 30 million doctor visits each year; what’s more, at least 6 million courses of antibiotics are unnecessarily prescribed for the condition. Recently, the American Academy of Pediatrics (AAP) released new guidelines for treating pediatrie ear inflammation and specifically recommend a period of “watchful waiting” since, in many cases, infections clear up on their own, without medication; the guidelines suggest medical intervention only in cases that do not subside after three months or are particularly severe in nature.

The American Chiropractic Association (ACA) commends the AAP on the guidelines and emphasizes that chiropractic care is a “good first option” for treating ear infection conservatively. “Doctors of chiropractic have been treating children for decades with great success – helping them avoid painful ear infections, antibiotic overuse and resistance, and ear tube surgery,” said ACA President Donald Krippendorf, DC. “Particularly when dealing with young children, drugs and surgery should be an absolute last resort.”

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Feb
18

Dr. David Hoewisch on Balance

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Dr. Hoewisch offers the following information about balance:

About 9 percent of adults age 65 and older report having problems with balance.

Good balance is essential to being able to control and maintain your body’s position while moving and remaining still. Good balance helps you:

• Walk without staggering

• Arise from chairs without falling

• Climb stairs without tripping

You need good balance to help you stay independent and carry out daily chores and activities. Problems with sense of balance are experienced by many people as they age.

A feeling like you or the things around you are spinning is called “vertigo.” About 40 percent of Americans will experience dizziness that is serious enough to go to a doctor, and among older adults, falls are the leading cause of injury deaths.

There are many types of balance disorders. Two types are:

1. Benign paroxysmal positional vertigo

2. labyrinthitis

The most common balance disorder is benign paroxysmal positional vertigo that occurs as a brief, intense feeling of vertigo when you change the position of your head. Benign paroxysmal positional vertigo is also experienced sometimes when rolling over to the left or right, upon getting out of bed in the morning, or when looking up for an object on a high shelf. This condition is more likely to occur in adults 60 and older, but also occurs in younger people.

The causes for benign paroxysmal positional vertigo are varied. It may be caused by an inner ear infection, head injury or simply aging. While it can be associated with other disease processes, many times a simple Epleys procedure can many times correct the problem. If you are in the San Jose area, I’d be happy to evaluate you if not, see your local Chiropractor.

Labyrinthitis is an infection or inflammation of the inner ear causing dizziness and loss of balance. It affects adults of any age and the cause is unknown.

Ménière’s disease is a balance disorder that causes:

• vertigo

• hearing loss that comes and goes

• tinnitus (ringing or roaring in the ears)

• full feeling in the ear

Treatment for balance disorders varies upon the cause, sometiems exercise for vestibular rehab can be the answer. Consult your health care professional if you experience dizziness, vertigo or other problems with balance. Older people are more likely to experience balance disorders. Age is not the only reason these problems occur.

While some balance disorders are caused by problems in the inner ear, others may involve another part of the body like the brain or the heart. Other factors include:

• aging

• infections

• head injury

• certain medicines

• problems with blood circulation

• upper respiratory infections

• viral infections

stress

• fatigue

• allergies

• smoking

• alcohol use

• diseases of the circulatory system such as stroke can cause dizziness and other balance problems

• low blood pressure

• high blood pressure

• heart disease

To make the symptoms of dizziness less severe eat low-salt or salt-free foods and stay away from caffeine and alcohol. Balance disorders caused by high blood pressure can usually be managed by eating less sodium, maintaining a healthy weight and exercise.

Balance disorders are serious and one cause of falls and fall-related injuries in older people. It is important to have a possible balance disorder diagnosed and treated as soon as possible.

If you can answer yes to any of the following questions you should discuss the symptom with your Chiropractor:

• Do I have the feeling of being “unsteady?”

• Does the room seem to spin around me?

• Is there ever a time when you feel as if you are moving when you know you are standing still?

• Do you lose your balance and fall?

• Do you feel as if you are falling?

• Does your vision ever become “blurred?”

• Do you ever feel disoriented lose a sense of time, place or identify?

Source: National Institute on Aging

Disclaimer: These statements have not been evaluated by the Food and Drug Administration. The information in this article is not intended to diagnose, treat, cure or prevent any disease. All health concerns should be addressed by a qualified health care professional

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