Madison Chiropractors Talk About New Year's Resolutions

By: Dr. Justin Walbom, DC and Dr. Greg Millar, DC CCEP
Millar Chiropractic - Madison, AL

It's New Years again already, and perhaps you're determined that this will be the year that you actually follow through with your New Year's resolutions. This is finally going to be the year that you make your self and your health a priority.  You'll eat better, exercise regularly, lose weight, and you're finally going to find our whether chiropractic care can make a positive difference in your life.

If you're like most people, you've probably been thinking about doing more to improve your health for many years. Perhaps you even have family and friends who have been recommending chiropractic health care to you for a very long time. You decide you're ready to take action and you make an appointment to see your local chiropractic physician.

Chiropractic health care is more important now than ever before. Today, many Americans are lacking health insurance or are under insured. Deductibles, premiums and copayments seem to keep rising while most household incomes have been stagnant. Because Chiropractic treatment is both corrective and preventative in nature, it tends to be a very cost effective choice and can play a large part in solving our current health care crisis.

In contrast to most medical care, chiropractic care is low-cost while providing high value. Chiropractic treatment  focuses on the musculoskeletal system - bones, muscles, and joints - but first and foremost, it addresses and optimizes the functioning of the nerve system.  Simply put, chiropractic care makes your nervous system more efficient. And an efficiently functioning nervous system is crucial for optimal functioning of all other critical body systems - your cardiovascular, respiratory, immune, endocrine and digestive  systems.

Chiropractic care utilizes a hands-on approach, and you'll notice that your visits with your chiropractor provide real, personal interactions between you and your doctor. Dr. Greg Millar and Dr. Justin Walbom of Millar Chiropractic Clinics in Madison, Alabama are highly trained in a variety of disciplines - including nutritional evaluation and restorative exercise - and he or she will make recommendations that are specially designed for your particular needs.

Chiropractic care itself - called spinal adjustments - is gentle and relaxing. Immediate results often include decreased pain and muscular tension, and a noticeable increase in mobility of the neck, back, hips, and shoulders. For patients with back-related pain, improvement is often noted within 24 or 48 hours. People also often report sensations of increased alertness and increased focus after chiropractic adjustments, and an increased feeling of relaxation, ease and general well-being.

Additional profound benefits of chiropractic care derive from its direct effect on nerve system functioning. Although chiropractic health care is not specifically a treatment for headaches, menstrual cramps, asthma, allergies or digestive problems, improvement in one's health may occur across the board as an indirect result of chiropractic therapy.

So, chiropractic care provides a tremendous amount of "bang for your buck" - a lot of health benefit for your health care dollar. And at Millar Chiropractic Clinics, located in downtown Huntsville, Jones Valley, Madison, and Decatur, you not only receive the benefit of treatment but also the benefit of your doctor's vast health-care knowledge - you learn about how your body works and how to best take care of it naturally. The original meaning of the word doctor was teacher, and Dr. Greg Millar and Dr. Justin Walbom are educators as well as a health-care provider, interested in all aspects of your health and well-being. Make it your New Year's resolution to become healthier

Millar Chiropractic - Madison AL
1908 Slaughter Rd. 
Madison, Alabama 35758
(256) 430-2700

http://millarchiro.com/millarchiropractic-madisonal-chiropractor.html

1Bronfort G, et al: Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence synthesis. Spine J 4(3):335-356, 2004
2Johnson C, et al: Chiropractic and public health: current state and future vision.
J Manipulative Physiol Ther 31(6):397-410, 2008

Madison Chiropractors Talk About Being Young, Feeling Young, and Looking Young

By: Dr. Justin Walbom, DC and Dr. Greg Millar, DC CCEP

Millar Chiropractic - Madison AL

We live in a youth-obsessed culture. Everyday we're bombarded with advertisements for lotions and potions that will supposedly help reverse or prevent the signs of aging. So many people believe in the power of the dollar. They spend vast sums every year on anti-aging, beauty, and cosmetic products in the false hope of being able to purchase remedies that will restore their fading youth.

Others hasten the loss of their youthful glow. Cigarettes, alcohol, and negative mental patterns such as resentment, jealousy, and anger all work to rapidly break down our health and vigor. Negative emotions are particularly insidious. Even if a person is healthy in other respects - eating a healthful diet and exercising regularly - stress, fear, anxiety, and ill-will relentlessly add invisible workloads to the day, sapping our vitality and aging us prematurely.

Most people who look and feel much younger than the age revealed on their birth certificates have learned how to create and maintain a positive mental attitude. It's amazing how much bounce you can add to your step when you purposefully set the intention to have a great day. Of course, this is not merely smoke and mirrors. Those who are intending to be young inside and outside also take the necessary steps to optimize their health and vigor. They don't regularly eat things like doughnuts and fried foods (except perhaps on their free food days). They make an effort to avoid eating fast food. Instead they eat lots of whole, natural foods, and organic fruits and vegetables, and make it a priority to exercise regularly, some even doing some form of vigorous physical activity five or six times each week.

These young-at-heart people get sufficient rest. They are willing to give up the attitudes, positions, and annoyances that do not serve their well-being. And many of them have discovered a natural healing method and philosophy that helps them to be well and stay well - chiropractic care.

Chiropractic is a smart, efficient form of natural health care. Chiropractic care helps remove physiologic obstacles to good health and helps your body learn how to maintain high levels of functioning.

The difference between people who have had a lifetime of chiropractic care and people who have never been to a chiropractor is usually striking. Dr. Greg Millar and Dr. Justin Walbom of Millar Chiropractic Clinics in Madison, Alabama say that those who have taken advantage of all that chiropractic offers will usually enter their advanced years with excellent posture and a normal, easy gait. Contrast this with people who have never taken proper care of their spine.  Too often they will become increasingly hunched over and stiff, walking with the type of gait associated with elderly people who are in poor health.  If you saw these two types of people walking down the street, it would usually be very obvious which one received regular chiropractic care over the years, and which one did not. 

After beginning chiropractic care many people comment that they feel as if they've let go of a big weight they didn't know they'd been carrying around. People say they feel lighter and they have more energy. They sleep better and enjoy increased vitality. They even feel as if they're taller.

Others comment that they've become more effective at work and in their personal lives. As a result of chiropractic care their bodies are expending much less energy in wasteful and unnecessary physiologic activities. The result is more available resources to do - efficiently and well - what is necessary each day out in the world.

One wonderful outcome is the ongoing recovery of the youthful appearance and outlook we always want to maintain.

Millar Chiropractic - Madison AL
1908 Slaughter Rd. 
Madison, Alabama 35758
(256) 430-2700

http://millarchiro.com/millarchiropractic-madisonal-chiropractor.html

1Egger GJ, et al: The emergence of "lifestyle medicine" as a structured approach for management of chronic disease. Med J Aust 190(3):143-145, 2009

2Reinehr T, Roth CL: A new link between skeleton, obesity and insulin resistance: relationships between osteocalcin, leptin and insulin resistance in obese children before and after weight loss. Int J Obes (Lond) Epub Jan 12, 2010

3Cohen DL, et al: Cerebral blood flow effects of yoga training: preliminary evaluation of 4 cases. J Altern Complement Med 15(1):9-14, 2009

What's Your Vibe?

By: Dr. Justin Walbom, DC and Dr. Greg Millar, DC CCEP
Millar Chiropractic - Madison AL

In the story of Snow White, Grumpy, Happy, Sleepy, and Bashful were precisely that. The names of the seven dwarves accurately and literally represented their overall vibe. It doesn't usually work that way for us, but we give off plenty of subconscious signals that let people know who we are and how we're feeling.  The look in our eyes, the tone of our voice, our facial expressions and posture are just some of the clues that let other people intuit what's really going on with us. Often, the vibe we're giving off is a more accurate reflection of our inner being than the words we are saying.

Other people can usually tell what's really going on with us, no matter what we say or don't say. But when we're communicating clearly and interacting meaningfully, we usually feel less stressed-out. The surprising benefit is that our health improves as a result.

Here's an easy way to determine whether you're sending out a negative or positive overall vibe - when you visit a friend who owns a dog or pass one on the street, does it growl at you or does it wag it's tail?  Do cats tend to hiss at you or do they instead offer a friendly purr? When someone introduces you to a toddler or baby, does he or she start to cry, or do they usually smile at you? These are all pretty reliable signs as to whether your personal vibe is more negative or positive.

Young children and animals are very perceptive and pick up on the subconscious signals people send out.  Who you are being is very clear to them. Many of us lose this intuitive ability over time, and pay more attention to what people say than to the subtle clues they give off that can tell us more about how they are feeling in general, whether or not they are being honest with us, and how overall trustworthy they are.

Over time, people often get used to being a certain way, and may not even realize that they've become chronically grumpy, angry or pessimistic. It's like they get stuck in an emotional rut, and may not even realize the way they are coming across to other people. If animals and young children react negatively to you, it may do you some good to take stock of the vibe you're sending out. Being chronically "negative" can also have a negative effect on your health. 

Negative and positive vibes can "rub off" on you too, especially if you're a sensitive person. If you spend time with a friend or acquaintance who is always very negative, and find that you end up feeling down, or angry, or depressed as a result, you would probably do well to limit the time you spend with them.

On another note, paying attention to the "vibe" can also be useful in health care interactions. You may wait for hours to see a doctor, and then even though they say nice words, you might sense that he doesn't really care about your well-being and just wants to finish with you and get on to the next patient. You may sense a similar vibe at the front desk - they behave politely, but you can tell that they're super-stressed and can't wait to get out the door themselves.

Most people will notice a significant difference between the vibe in a typical medical office and the vibe in a chiropractic office. Chiropractors tend to place a high value on the human component of their interactions with patients. Chiropractic offices strive to be a very welcoming environment. It is not unusual to hear people say that their chiropractor's office "feels just like home" and that the staff "feels like family".

You can tell that your chiropractor is genuinely interested in both your health and your well-being.  Chiropractors know that it's important to take the time to really listen to your concerns and to make sure you're getting the service and attention you need. Chiropractic is a wholistic healing profession which recognizes that the quality of the doctor-patient relationship is an important part of the healing process.

Millar Chiropractic - Madison AL

1908 Slaughter Rd. 

Madison, Alabama 35758

(256) 430-2700

http://millarchiro.com/millarchiropractic-madisonal-chiropractor.html

1Seedat S, et al: Life stress and mental disorders in the South African stress and health study. S Afr Med J 99(5 Pt 2):375-382, 2009
2Koetaka H, et al: Long-term effects of lifestyle on multiple risk factors in male workers. Environ Health Prev Med 14(3):165-172, 2009

Dealing With Arthritis

By: Dr. Justin Walbom, DC and Dr. Greg Millar, DC CCEP
Millar Chiropractic - Madison Al

Chances are, you either have some arthritis or know someone who suffers with it. According to the Center for Disease Control, arthritis is the leading cause of disability in the United States.1  Approximately 47 million people have doctor-diagnosed arthritis and 17 million have arthritis-attributable activity limitations.

Osteoarthritis, the most common form, is a degenerative condition affecting the joints and the soft tissues around the joints ─ the associated cartilage, ligaments, and tendons. The most commonly affected areas are the spine, the hands, and the shoulders, hips, and knees. The pain of arthritis, the reduced mobility, and the lifestyle accommodations needed for pain avoidance can be very discouraging and may even lead to depression.

Many anti-inflammatory drugs are available for the treatment of arthritis, and in recent years many of these have been found to cause severe side effects. Vioxx is the most notorious of these ─ cardiovascular complications caused a worldwide recall of the drug. Celebrex, another well-known arthritis medication, was also found to increase the risk of heart attack and stroke at high doses.

Fortunately, there are several wellness-based treatment alternatives to long-term medication. These include exercise, diet, and in many cases, chiropractic treatment.
Exercise is critical in restoring mobility and, over time, in reducing pain.2,3  Persons with osteoarthritis often experience a vicious cycle of deterioration. Pain causes reduced mobility (pain avoidance), which (paradoxically) actually causes more pain, which causes further reductions of mobility . . . . In time, the normal activities of daily living ─ getting out of a chair, opening a jar, bending and lifting ─ become a real challenge as the person struggles to avoid further pain.

So, restoring mobility is the most important factor in effective treatment of arthritis. Exercise ─ very gently at first ─ is the answer. Range-of-motion activities to get the joints moving again are very beneficial, including:
•    Arm circles
•    Wrist circles
•    Shoulder shrugs
•    Side-to-side bending for the lower back
•    Gentle knee bends
•    Ankle circles
•    Flexing and pointing the feet

Walking is one of the best forms of exercise for those with arthritis. Begin by walking one block, then two, then around the block. Walk five minutes daily for a week, then increase by a minute or two each day. Get up to 15 minutes of gentle walking, then begin to gradually increase your pace. The increased mobility will not only reduce pain, but also provide a cardiovascular benefit and improve one's ability to perform activities of daily living. 

Keep in mind that you don't have to do all 15 minutes at once to benefit from it.  You can take 2 or 3 shorter walks throughout the day and evening if you prefer.  This is especially helpful if you tend to be sedentary, as this helps reduce prolonged periods of sitting and the metabolic syndrome problems that go along with it.

If you are lucky enough to have access to a pool, swimming can be a great form of exercise that's easier on your joints.  Many recreation centers offer water aerobic classes for beginners to more advanced exercisers.  Other gentle exercise options include Yoga and Tai Chi.

Chiropractic treatment, in combination with an exercise program, may assist in restoring joint mobility and reducing pain. Gentle chiropractic manipulative therapy is designed to improve mobility of spinal joints. As spinal joint motion improves, pain lessens, and a positive cycle of return-to-function begins.

Ask your Millar Chiropractor about natural anti-inflammatory foods and supplements - such as Krill Oil, Boswellia, Ginger, Bromelain or fresh Pineapple, Tart Cherries (fresh, juice or extract,) Cayenne, Tumeric/Curcumin. and Astaxanthin - which can be a much safer pain-reducing option for many people with Osteoarthritis.

Millar Chiropractic - Madison AL
1908 Slaughter Rd. 
Madison, Alabama 35758
(256) 430-2700
http://millarchiro.com/millarchiropractic-madisonal-chiropractor.html

1"Prevalence of Doctor-Diagnosed Arthritis and Arthritis-Attributable Activity Limitation." CDC Morbidity and Mortality Weekly Report  55(40);1089-1092, 2006.
2Huang MH, et al: A comparison of various therapeutic exercises on the functional status of patients with knee osteoarthritis. Semin Arthritis Rheum 32(6):398-406, 2003.
3Suomi R, Collier, D: Effects of arthritis exercise programs on functional fitness and perceived activities of daily living measures in older adults with arthritis. Arch Phys Med Rehabil 84(11):1589-94, 2003.

Ready! Set! Splash! Six Bright Tips to Help Stay Safe At the Pool this Summer

Ready! Set! Splash! Six Bright Tips to Help Stay Safe At the Pool this Summer

By: Dr Greg Millar DC CCEP and Dr Justin Walbom DC
Millar Chiropractic - Madison AL

School is out, and the cool, fresh water of the local swimming pool awaits beckoning. Long, sunny days, the smell of sunscreen, and the laughter of the playing children will fill the next few months.

However, there are elements of this delightful picture that can end up causing harm to children and adults alike. It's important to take a few key precautions when enjoying a day at the pool this summer. Doing so will minimize the risk of the summer laughter turning to tears.

Here are 6 bright ways for adults and children to stay safe at the pool this summer.

#1: Enroll in swimming lessons

Playing in the water is a fun, refreshing activity, but can turn dangerous quickly. According to the Red Cross, the single biggest precaution to take to ensure summer safety is to make sure your children are able to swim. Book age appropriate swimming lessons for your children as young as possible.

#2: Avoid spills with water shoes or rough bottom sandals

Nothing brings a playful pool day to a screeching halt like a slip and fall on the side of the pool. This goes for you, too, Mom and Dad!

Bare feet offer no traction on wet and slick concrete, and falling can cause serious accidents that require stitches, casts, and, well, chiropractic visits! Make it a rule to wear water shoes or sandals around the pool at all times.

#3: Take measures to fight off swimmer's ear

Swimmer's ear is a common condition that is brought on by water remaining in the ear canal, allowing germs to grow. Yuk!

The CDC reports that this condition results in an astonishing 2.4 million doctor visits every year. Guard against this by teaching your children to tilt each side of their heads toward the ground to drain their ears, and to dry their ears thoroughly with a towel every time they get out of the pool.

If you or one of your little swimmers experience ear pain after a pool day, take them to the doctor as soon as possible to begin treatment.

#4: Beware of little critters

Hot days and bare skin are too much temptation for bees, mosquitoes, and ticks. Bites from these creatures range from itchy to extremely serious. Ward them off with bug spray, or sunscreen with insect repellent.

Ticks in particular are dangerous. If you or your child gets bitten by a tick, remove it promptly and clean the area thoroughly.

#5: Be cautious of overdoing it

A day at the pool can be a blast for the young ones, but wagging the cooler and lawn chairs back and forth to the pool can exhaust an adult, causing injury. Remember to lift heavy items with your legs, and don't overload yourself. An extra trip to the car is worth it to avoid a neck or back strain.

#6: Prepare for disaster

Okay, that is a little melodramatic, but it pays to be prepared in the event of an emergency. Pack a small kit with alcohol, tweezers, bug bite cream, and bandages. Keep the kit in your car or pool bag. Better safe than sorry.

Pool days are a big part of the hot summer months, and are usually lazy and enjoyable. Keep them that way by taking these six tips to heart and talking to your children about the pool rules. With a little preparation up front, the chance of fun-dampening or dangerous instances happening to your family will be greatly minimized. Talk to your Millar Chiropractor about your health questions.

Millar Chiropractic - Madison AL
1908 Slaughter Rd
Madison, Alabama 35758
(256) 430-2700

How Asthma Sufferers Can Breathe Easier With Chiropractic Care

How Asthma Sufferers Can Breathe Easier With Chiropractic Care
By: Justin Walbom, DC and Greg Millar, DC CCEP
Millar Chiropractic - Madison AL

Asthma is a chronic lung disease that has afflicted more people in the last 20 years than ever. Some doctors attribute the increase to the pollutants in the air, the changes in the modern diet, and lack of adequate ventilation in homes.

According to the Mayo Clinic, asthma symptoms vary by individuals and may be mild, severe, or somewhere in between. Shortness of breath and tightness in the chest, along with a wheezing sound when exhaling are common asthma symptoms. Common treatments include inhalers and other medications.

With the millions of asthma sufferers seeking relief, non-traditional treatments have emerged in addition to the everyday remedies. One of the alternatives that has shown positive results is chiropractic care.

A person who suffers from asthma can enjoy multiple benefits from chiropractic. Four of the top benefits chiropractic care can bring to asthma patients are the following:

Reducing the frequency of attacks

Over time, spinal adjustments can help some asthma sufferers decrease the number of attacks. When a spine is in alignment, energy flows through the nerves to the person's organs. A nonaligned spine can cause the energy to fail to flow through the nerve endings as effectively, and a host of issues can arise.

The lungs can suffer when the spine is not aligned. Chiropractors are able to treat the spine so that, over time, it aligns. In some cases, this helps lung function and decreases the number of asthma attacks.

Stimulating air flow

The lungs are obviously vital for breathing, but the airway and diaphragm also play a part. Both of these can be hindered by a spine that is not aligned.

When a chiropractor works with a patient to align the spine, the airways and diaphragm can move more freely, allowing better airflow. While this is not a cure for asthma, in many cases stimulating a body's airflow can help decrease the suffering the chronic condition causes.

Boosting the immune system

A significant number of asthma attacks are brought on and exacerbated by an individual's low immune system. Chiropractic care helps increase the effectiveness of the immune system.

Think of it this way: The autonomic nervous system is connected to the body's immune system by way of the endocrine system. When the spine is out of line, it can affect the immune system.


If a person suffers from chronic asthma attacks, this could be the time when he or she has an episode. A chiropractor who can align the spine can create a positive domino effect. The nervous system improves, the immune system improves, and the asthma attacks decrease.

Working in conjunction with traditional asthma medication

People with asthma commonly use inhalers and steroids to manage their symptoms. Chiropractic care is non-invasive and works with these treatments to lessen the instances and severity of attacks.

A study by Michigan Chiropractic Council showed that asthma sufferers who went through 30 days of chiropractic treatments reported a 70% reduction in medication.

Patients who commit to chiropractic can sometimes manage the symptoms of asthma more naturally, and lessen their dependence on medications. (It's important to note that patients should never go off medications on their own. Always speak to a doctor before changing medications).

Asthma patients fortunately have a variety of treatment options. For those who don't respond to traditional medication, or who wish to decrease their dosage, non-traditional choices like chiropractic may be the answer.

It's advisable to speak to both your medical doctor and Doctor of Chiropractic about your asthma symptoms. By having both disciplines co-manage your case, you’ll work toward a healthier outcome, possibly even without the use of drugs. Give us a call to learn more.

Millar Chiropractic - Madison
(256) 430-2700
http://millarchiro.com/MillarChiropractic-MadisonAL-Chiropractor.html

3 Nutritional Tips That Will Help Chiropractic Patients Boost Their Immune System

3 Nutritional Tips That Will Help Chiropractic Patients Boost Their Immune System

By: Dr. Greg Millar, DC CCEP and Dr Justin Walbom, DC
Millar Chiropractic - Madison AL

In today’s fast-paced society, we’re bombarded with various forms of stress that can wreck havoc on our immune systems. Chiropractors are particularly interested in helping their chiropractic patients overcome these stressors in order to maintain a healthy and balanced life. Outside of the chiropractic adjustment, let’s take a look at three nutritional tips that will help chiropractic patients boost their immune system.

Chiropractic patients’ immune systems run their best when subluxations, also know as vertebral misalignments, are corrected. However, a proper diet can’t be ignored. By combining both forces, your immune system is better equipped to ward off many contaminants that try to invade the body through normal day-to-day activity.

Nutritional Tip #1 — Get Your Vitamin D

Vitamin D is known for strengthening bones and teeth by helping the body absorb calcium. People who get too little vitamin D may develop soft, thin, and brittle bones, a condition known as rickets in children and osteomalacia in adults.

But did you know that it is also known to offer sufficient protection against a wide range of illnesses and chronic diseases like cancer? In addition, it improve's the body's natural response to bacterial infections like tuberculosis and helps to increase the production of antimicrobial peptides which are very important in boosting the immunity.

Since each patient’s health situation is different, ask your chiropractor how much vitamin D you need for optimal health.

Nutritional Tip #2 — Get Your Veggies

In culinary terms, vegetables are edible plants or their parts, intended for cooking or eating raw. You can quickly find what foods are in the vegetable group by visiting ChooseMyPlate.gov.

Vegetables such as cauliflower, cabbage, broccoli and Brussels (all from the brassica family) produce chemicals that are know to inhibit the growth of cancer cells and boost the body's immune system. One great way to make sure you’re getting all of your vegetables for the day is through juicing. If you’re new to juicing, check out this great resource on juicing vegetables.

Nutritional Tip #3 — Avoid Alcohol

Most chiropractic patients are health-conscious. However, new chiropractic patients may be oblivious to the entire concept since our society is geared more toward sickness care instead of true healthcare. Regardless, maintaining a healthy diet is absolutely essential to maintaining a strong immune system. One way to do this is by avoiding or reducing alcohol consumption.

Why? Because research has proven that alcohol can cause immunodeficiencies that, in return, can make you more susceptible to tuberculosis, bacterial pneumonia and many other communicable diseases.

In addition, the use of alcohol is linked to cancer. Although many people in our society consume it for recreational purposes, it is important to note that alcohol is a drug that can poison your body and deplete you of essentials vitamins and minerals. Therefore, zero alcohol consumption translates into a super strong immune system.

If you need even more convincing, simply visit the National Institute on Alcohol Abuse and Alcoholism’s website to learn more about alcohol facts and statistics.

To discover more nutritional tips that will help you build a stronger immune system, make sure you talk to your chiropractor. If you’ve never been to one, give us a call. We’d love to help guide you toward a more healthy lifestyle through safe and effective chiropractic care!

Dr Greg Millar DC CCEP
Dr Justin Walbom DC
Millar Chiropractic - Madison AL
1908 Slaughter Rd
Madison AL 35758
(256) 430-2700

Carpal Tunnel Syndrome (CTS)

Re-posted from Academia.edu 
http://independent.academia.edu/GregMillar/Blog/360221/Carpal-Tunnel-Syndrome-CTS


Carpal Tunnel Syndrome (CTS)

Authors: Greg Millar, DC CCEP; Dana Berthiaume, DC; Jamie Bunis, DC; Adam Shafran, DC
Jack Langston, DC; Marie Krause, DC; Sherri Hogendobler, DC.

Carpal Tunnel Syndrome (CTS) has become one of the most widespread occupational health problems we face today. It affects millions of people a year, and with our growing reliance on computers there seems to be no end in sight.  As a Madison AL Chiropractor we see this condition almost daily in our clinics.The syndrome is caused by entrapment or pressure on the median nerve just above the wrist in the carpal tunnel. The pathophysiology is not completely understood but can be considered compression of the median nerve traveling through the carpal tunnel.[1].

Pressure on this nerve can be caused by an injury, repetitive or sustained use, or from common activities like typing, chopping, hammering, or pushing (over use syndrome).  It can even be caused or made worse by sleeping with your hand bent at the wrist, often tucked up under your neck, body, or chin.  Symptoms of CTS range from wrist pain, numbness, tingling, burning, weakness or loss of grip strength, and loss of sleep due to discomfort. The most common symptom of CTS is numbness and or tingling to the thumb and first two fingers. People often report that they have lost grip strength in the affected hand. This is usually noticed when trying to pick up a cup of coffee. Weakness and atrophy of the thenar muscles may occur if the condition remains untreated.[2]. If the symptoms involve just the last two fingers it is often misdiagnosed as CTS but is actually something just at treatable (ulnar nerve entrapment).

Causes:
Most cases of CTS are of unknown causes, or idiopathic.[3] There is lots of debate in medical circles about work related CTS. The Occupational Safety and Health Administration (OSHA) has adopted rules and regulations regarding cumulative trauma disorders. Occupational risk factors of repetitive tasks, force, posture, and vibration have been cited. Carpal Tunnel Syndrome can be associated with any condition that causes pressure on the median nerve at the wrist. Some common conditions that can lead to CTS include trauma, work related activities, arthritis, diabetes, obesity, oral contraceptives, sleep posture, and hypothyroidism.  Carpal tunnel can also be associated with a form of Charcot-Marie-Tooth syndrome Type 1. Other causes of this condition may include lesions that exert pressure within or outside the carpal tunnel, and include benign tumors such as lipomas, ganglion, and even some vascular malformations.

Diagnosis:
Clinical diagnosis is made by taking a history and performing a physical examination. Common test used include:

Phalen's Test is performed by flexing the wrist gently as far as possible, then holding this position and awaiting symptoms. This non specific test is often used by clinicians as a quick diagnositc tool.  A positive test is one that results in numbness in the median nerve distribution when holding the wrist in acute flexion position within 60 seconds. The quicker the numbness starts, the more advanced the condition. Phalen's sign is defined as pain and/or paresthesias in the median-innervated fingers with one minute of wrist flexion.

Tinel's sign, a classic — though non specific - test is a way to detect irritated nerves. Tinel's is performed by lightly tapping or rapping the skin over the wrist (flexor retinaculum) to reproduce the tingling sensation or "pins and needles" in the median nerve distribution. A positive Tinel's sign (pain and/or paresthesias of the thumb, first and second finger with tapping over the median nerve) is more specific than Phalen’s sign.

Durkan test, carpal compression test, or applys a firm pressure to the palm over the nerve for up to 30 seconds to trying to elicit carpal tunnel type symptoms.

Other conditions may also be misdiagnosed as carpal tunnel syndrome. Thus, if history and physical examination suggest CTS, patients will sometimes be tested electrodiagnostically with nerve conduction volicity (NCV) studies and electromyography. The goal of electrodiagnostic testing is to compare the speed of conduction in the median nerve with known normals and also compare the conduction speed of other nerves supplying the hand.

Treatment:
There are a number of different ways to treat CTS. In most cases, a chiropractic adjustment to the affected area is an extremely effective solution. In some cases, a misalignment in the neck and upper back (C5-T1) can cause this condition, and chiropractic manipulation of the neck and/or spine can also serve as an effective
treatment option. These treatments, along with physical therapy, stretching, and strengthening exercises, and physical modality treatments such as e-stim, ultra sound, and cold laser treatments can in most cases effectively alleviate the symptoms associated with CTS.  Some cases require us to tape the hand into a position re-approximating the carpal tunnel. The patient is then asked to perform exercises in this taped position.

In severe cases we often work in conjunction with our Medical Doctors doing steroid injections into the carpal area. We like to use the steroid approach sparingly due to the effects of the steroid on the body. Some cases however do require surgery. If surgery is required we highly recommend a hand surgeon or a hand fellowship trained orthopedic specialist as opposed to a general orthopedist. For our patients that do have surgery we highly recommend the Endoscopic technique vs the open surgery. Endoscopic techniques or endoscopic carpal tunnel release involve one or two smaller incisions (less than half inch each) through which instrumentation is introduced and used to visualize the underside of the transverse carpal ligament. A prospective randomized study done in 2002 by Trumble revealed that good clinical outcomes and patient satisfaction are achieved more quickly with the endoscopic method.

Home Remedies: 
For home remedies as a Madison AL Chiropractor we recommend the use of a cock-up splint that can be purchased at most any drug store or mass retailer. We have found a nice home remedy for the end of the day. Take a dixie cup fill it 1/2 full of water and freeze it. Then tear off the paper around the ice and apply directly to the wrist area.  We also recommend soaking the wrist in warm salt baths. We like the use of the anti-inflammatory Boswellin. (check with your healthcare professional before taking and don't use if you have stomach issues or problems).

1.  Scott, Kevin R.; Kothari, Milind J. (October 5, 2009). "Treatment of carpal tunnel syndrome."
2.  Lazaro, R (1997). "Neuropathic symptoms and musculoskeletal pain in carpal tunnel syndrome:             Prognostic and therapeutic implications". Surgical Neurology 47 (2): 115–7; discussion 117–9.
3.  Sternbach, G (1999). "The carpal tunnel syndrome". Journal of Emergency Medicine 17 (3): 519–23.

Early Start Leads to Wellness!

Early Start Leads to Wellness!

As a Madison AL Chiropractor, we feel that getting up in the morning is an essential part of your wellness program.  Tissues, cells, and other parts of the body all need to be doing their tasks. They all need to be interacting with each other successfully. Hormones and nutrients need to appear at the same time in the right amounts. Metabolic procedures need to be in harmony. All of these complex procedures are under the immediate management of your neurological system.

Chiropractic health care helps your neurological programs operate at optimum performance. By reestablishing alignment to your spine, your body immediately increases actions within your neurological programs. As a result, cells, tissues, muscles, tendons, organs and other parts of the body function better and your body now has the power it needs to wake up starting the day - healthier, rejuvenated, and ready to go!

We all know individuals who get up with the first light of the sun. Some individuals wake up even before daybreak. In comparison, for many individuals getting out of their comfortable bed is an everyday exercise in disappointment. They know they "should" get up, they know they should "be on time", but each day they find themselves choosing the Snooze sleep option "just once more". "Really, this is it," they announce to their aggravated partners and children. "I'm getting up. Just nine minutes more."

What is the difference between those who are able and willing to toss off the covers at the beginning of the day and those who battle mightily fighting the alarm and the snooze button? The characteristics and attributes of your biorhythms - your set of inner clocks - provide most of the answer.

The field of chronobiology - the study of biologic time - investigates various physiologic biorhythms. In animals these rhythms are associated with sleeping,1 eating, metabolic and hormonal regulation,2,3 cellular regeneration, and mating. In plants biorhythms are associated with photosynthesis and movements of leaves and stems. Circadian rhythms describe 24-hour cycles. Diurnal and nocturnal rhythms are active during the day and night, respectively.

There is good news for those who would appreciate the benefits of getting a head-start on their daily routines but nevertheless continually get out of bed half an hour or more late. Circadian rhythms can be modified. It takes time and effort, but it can be done. Will power is not enough, as anyone who has tried to tell themselves to get up earlier on a day-to-day base can testify. Diet plans and frequent, exercise are key to making any long-lasting change in our biorhythms. Add a powerful desire to the mix and long-term results can happen.

Managing your light exposure can help tremendously.  Try taking a short walk outdoors early in the day - ideally every day.  And leave your sunglasses at home.  You want your eyes to receive and process the early sunlight which will help your pineal gland to get in sync with the natural rhythms of sun. You can also use a low watt light bulb in your bedroom before going to bed.

It is equally important to avoid bright light exposure in the evening, especially the blue light tones from computers and televisions.  This will help prepare your body to fall asleep more easily, early enough so that you will feel rested in the morning when your alarm goes off.  If you need to use your computer in the evening, you might want to try a free program called f.lux which reduces the blue light your monitor normally emits that can interfere with your sleep.   Also, minimize the light in your home in the evening, and make sure your bedroom is as dark as possible, wearing an eye mask if you can't otherwise block out the light.

Ideally, you will begin getting out of bed normally with the dawning sunshine, even before your alarm goes off.  Some individuals use special alarm clocks that simulate the sun rising, gradually improving the lighting in your bed room to wake up you carefully before any alarm is sounded.

It is also essential to not sleep in on Saturdays and Sundays.  Keeping a constant rest routine throughout the week is one key to resetting your circadian rhythms. As a Madison AL Chiropractor, we often talk to our patients about sleep issues, as there are many illnesses such as Fibromyalgia and Chronic Fatigue Syndrome that are directly linked to sleep issues.

1Priano L, et al: Non-linear recurrence analysis of NREM human sleep microstructure discloses deterministic oscillation patterns related to sleep stage transitions and sleep maintenance. Conf Proc IEEE Eng Med Biol Cos 1:4934-4937, 2010
2Kalsbeek A, et al: Hypothalamic control of energy metabolism via the autonomic nervous system. Ann NY Acad Sci 1212(1):114-129, 2010
3Eisenberg DP, et al: Seasonal effects on human striatal presynaptic dopamine synthesis. J Neurosci 30(44):14691-14694, 2010

What is Your Spinal IQ?

What's Your Spinal IQ?

Dr Greg Millar DC CCEP               Dr Dana Berthiaume DC              Dr Jamie Bunis DC

As a Madison AL Chiropractor I am often asked questions about the spine.  When you think of the term IQ, you probably think of those intelligence tests that are given in schools.   Those IQ tests attempt to measure a person's problem solving ability - a form of mental gymnastics, if you will. Your spinal IQ also has to do with problem solving, but these are "problems" of the physical kind. How far should you bend over to lift those grocery bags out of your car's trunk, and which muscles must be engaged to bend and lift safely? How much muscle force is necessary to pick up and carry your young child? What specific muscles are needed to maintain your "downward dog" position for 30 seconds during your yoga class? How far can your back muscles stretch when you do a back bend at the ballet barre? These are the problems your brain solves daily using it's spinal IQ. Spinal IQ is an inborn ability. Our bodies were designed for the rigors of physical work - they are very smart and very adaptable. One of our built-in control systems is the specialized set of nerve endings known as proprioceptors. Proprioception is our internal awareness of position in three-dimensional space and time.1,2 This three-dimensional positioning allows us to track where our body is in space, and to keep our balance when we walk or run. Proprioception tells our muscles and joints how to work together to throw a baseball from third to first, to drive to the basketball hoop and sink a lay-up, or to hit a tennis ball to the corner of the opponent's service box and win the point. Proprioception is very important in spinal IQ. The spine is a complex system of bones, joints, muscles, ligaments and tendons.  Our proprioception system helps all the parts work together smoothly and seamlessly. Proprioception though important is just part of the picture. Spinal IQ also takes into account balance, flexibility, range of motion, strength, and endurance. We need to take an active role in order to keep all the parts functioning in an ideal manner. In modern society, if we're not proactive, it's easy for our bodies to break down. The most important strategies for maintaining high levels of spinal IQ are regular strenuous exercise and regular chiropractic check-ups. As a Madison AL Chiropractor we are often asked to design a personal program to improve spinal IQ. Exercise helps our bodies stay smart.3 When we exercise, our joints are mechanically stressed and challenged throughout their complete ranges of motion. This activity stimulates proprioceptors - training them to do their job well and building new and stronger connections between nerve cells. Exercise also builds muscle strength and flexibility, and in the process the muscles are getting smarter, too.  It also helps to reset the "fight or flight" response to stress that becomes "locked in" when we are stressed but fail to exercise. Chiropractic care enhances the benefits of your exercise program by helping ensure optimal functioning of your spine and nerve system. With regular chiropractic care, your proprioceptive system is optimized and your body's ability to adapt to physical challenges is restored. Your Millar chiropractor will be happy to assist you in designing an exercise program that will work for you - helping you to improve both your spinal IQ and your health. Call your Madison AL Chiropractor today.  1Armstrong B, et al: Head and neck position sense. Sports Med 38(2):101-117, 2008 2Chow DH, et al: Changes in spinal curvature and proprioception of schoolboys carrying different weights of backpack. Ergonomics 50(12):2148-2156, 2007 3Akuthota V, et al: Core stability exercise principles. Curr Sports Med Rep 7(1):39-44, 2008

Core Strengthening and Your Spinal IQ In the old days, football players, ballet dancers, and gymnasts went to practice and class and did what they did, but no one talked about core strengthening. We now understand that much of what these highly trained athletes were doing worked to strengthen their core musculature. Your core muscles include your deep abdominal muscles and your deep spinal, pelvic, and hip muscles. Core muscles are trained by large, compound movements that use your body's own weight as a gravitational load. Lunges, squats, push-ups, pull-ups, and jumping jacks are all excellent core exercises. Again, decades ago athletic coaches never talked about core exercises. They just knew these basic, fundamental exercises were critically important for their students' success. Other important core exercises include abdominal crunches, elbow planks, and pelvis press-ups. Your Millar chiropractor understands the importance of exercise and core strength for a healthy spine, and will be able to help select a group of exercises that will work for you.

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