Pro Chiro https://prochiromt.com Just another WordPress site Wed, 05 Jun 2019 18:34:14 +0000 en-US hourly 1 https://wordpress.org/?v=5.2.2 What Pain Should I Expect After a Car Accident? https://prochiromt.com/what-pain-should-i-expect-after-a-car-accident/ Wed, 05 Jun 2019 18:20:26 +0000 https://prochiromt.com/?p=1969 Car accidents can be a very scary and frustrating event. Not only do you now have to deal with emotional stress and getting your car fixed, but often there can be a lot of pain after a car accident. Pain or soreness after a car accident is very common and typically doesn’t even appear for […]

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Car accidents can be a very scary and frustrating event. Not only do you now have to deal with emotional stress and getting your car fixed, but often there can be a lot of pain after a car accident. Pain or soreness after a car accident is very common and typically doesn’t even appear for days or weeks following the accident. When we are in a car accident there is a lot of excitement (not in a fun way) and adrenaline flowing. This means that you typically will think you “feel ok”, but it is very important to seek the attention of a healthcare professional that is trained to recognize the signs and symptoms of injury
and is prepared to offer high quality treatment when necessary so you can get back to life.

What About Minor Accidents?

Did you know that the damage threshold for the cervical spine (neck) in a car accident is between 2-5
mph depending on the health and size of the individual in the accident? This means that even if there is
no damage to the car you still may have significant injuries. Another important thing to remember is
that most vehicles are equipped with special “crush points” that are designed to buckle in an accident.
This actually dissipates the forces of the accident around the occupants. The problem is, with slow
speed accidents these “crush points” do not buckle and the forces go through the occupants. Sure, your
vehicle is ok, but you still may be significantly injured.

What Type of Pain Should I Look Out For?

Pain after a car accident can manifest in many ways. Most commonly I see patients with complaints of
neck pain, headaches, upper back pain, shoulder pain, lower back pain, hip pain, and even numbness
and tingling in the arms or legs. Again, this pain may not present itself for days or even weeks, so it is
important to work with a trained health care provider during this time. The source of the pain following
a car accident can vary, but very commonly is coming from soft tissue injury. The forces that are exerted
on your body during a motor vehicle accident are significant; so, our muscles, tendons, and ligaments
become injured. These types of injuries can be very complex and healing time is very different than
other sprain/strain injuries. One of the things I tell my patients is that the pain they are feeling will
typically peak 48 to 72 hours following the car accident and then will fluctuate over a period of 2 to 4
weeks. In many cases full resolution of pain following a car accident can take months or even years.

What Should I do After I’ve Been in an Accident?

The most important thing to do following a car accident is seek the attention of a health care
professional that has the experience and expertise to manage the complex nature of injuries following a
car accident. Doctors of Chiropractic are uniquely equipped to manage injuries following a car accident.
A highly trained chiropractor will be able to evaluate and diagnose your injuries, anticipate the
progression of those injuries, and put together a coordinated care plan that should include chiropractic
care, physiotherapy modalities, specific soft tissue treatments, massage therapy, and physical therapy.

The doctors at Pro Chiropractic are highly trained and have the cutting-edge tools available to provide
you with the most comprehensive care plan and get you back to life as quickly as possible. If you or a
loved one has been in a car accident, please do not hesitate to call our office for a consultation. Pro
Chiropractic-Bozeman 406-219-2462, Pro Chiropractic-Belgrade 406-388-9915.

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Chiropractic Care for Acid Reflux and Infant Colic https://prochiromt.com/chiropractic-care-for-acid-reflux-and-infant-colic/ Wed, 05 Jun 2019 16:08:44 +0000 https://prochiromt.com/?p=1959 If you are reading this, chances are you’ve had an uncomfortable and inconsolable baby experiencing endless crying and straining without knowing why. As a mother or parent you are exhausted, frustrated that you don’t know how to help your infant, and are hopeless. I have heard this over and over again when talking to a […]

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If you are reading this, chances are you’ve had an uncomfortable and inconsolable baby experiencing endless crying and straining without knowing why. As a mother or parent you are exhausted, frustrated that you don’t know how to help your infant, and are hopeless. I have heard this over and over again when talking to a number of moms. I’m writing this today to reassure you that there is an answer to your questions I’ll explain what is causing your child to present with these symptoms.  

Common Indications of Infant Colic and Acid Reflux

When there is an imbalance in the body one problem leads to another, and will persist throughout the babies life. An example of this is babies can have latching difficulties show up as early as 2 weeks, gas pains around 4 weeks, followed by spitting up and uncomfortable at 8 weeks. Colicky and constipation will be apparent by 2-4 months. Most commonly your baby will be diagnosed with one of two things gastroesophageal reflux (GER) or colic. Presentation of a baby with digestion problems is spitting up frequently, constipation, or even silent reflux,, which is a “gurgling” and not actually spitting up. Colic is defined as crying for 3 hours straight for 3 days in a row, for 3 straight weeks. Commonly babies will be colicky in the be-witching hour 6-7pm to 9-10 pm. It is also common to see back arching, fist clenching, and excessive gas (flatus) when struggling with poor digestion and a colicky baby. Parents will be super frustrated with the constant stress and strain not only on their brand new baby, but it also puts irritation on the entire family.

According to the medical field an exact cause of colic is unknown, but I’m here to help you understand why babies present with colic and also discuss why acid reflux occurs and to provide you steps you can take to help not only relieve these symptoms, but help your infant thrive, not dampen the issue with medication. After reading this you will hopefully have more  answers to your questions and have a better understanding about why GER and colic occur.

Causes of Infant Colic and Acid Reflux

Babies are brand new to this world and are very sensitive to environmental input. I’m referring to the birthing process, because it’s where the most common injury to the upper neck, brainstem, and spine occurs. It’s the first “kink” that occurs, and it sets the stage for the rest of their path for development. When a baby is born there is strain, tension, pulling and stress placed on the child’s head and neck during the birth process, it very commonly leads to something called a subluxation. I explain subluxation as being a misalignment in the spinal bones which is a fixation (“stuck”), and causes nerve interference/irritation. These components are present in a subluxation and lead to an imbalance in the overall function of a little baby. The greater the amount of intervention during the birth process (induction, forceps, vacuum, C-section, etc.), the greater the likelihood of a “significant” subluxation to the upper neck and brain stem area.

Our brain is the circuit board that controls the entire body and visceral organs (figure below). In order for our brain to communicate and control the entire body a communication pathway and balance must be present in our nervous system. The nervous system is comprised of parasympathetic and the sympathetic system. The parasympathetic system controls our rest (sleep), relax (calm), healing (immune system), and digestion processes. While on the opposite end our sympathetic system is our excitatory, fight or flight, “go go” and gas pedal (tense and stimulated) system. An imbalance in our control center (brain and nervous system) will present as a decrease in function in our body and will show a symptom (reflux, colic, gas, very tense or excited etc) –>a sign of sympathetic overtone. A stressed sympathetic state can be from a physical, chemical, or emotional interference to our body’s normal functioning. When there is stress on the body inflammation builds up and throws our body “out of balance.” Our sympathetic (gas pedal) is in overdrive, while our parasympathetic (brake pedal) is turned off or slowed down. Figure 1 shows this process below.

Parasympathetic and Sympathetic Systems

Here are some common  (not normal!!) problems and examples of the effects of someone in the sympathetic states with a gas pedal that’s on versus a parasympathetic state and the benefits of a brake pedal that’s allowing optimal functioning.

  • Colicky and stiffness vs. sleeping, calm, and relaxed
  • Gas pain, bloated, uncomfortable, and reflux vs. consistent and easy digestion
  • Lowered immunity, recurring ear infections, rashes, sickness and bronchitis etc. vs.healthy, and good immunity
  • Stunted growth and failure to thrive (energy going toward sympathetics) vs. adequate growth/development

So the next question to answer is what determines the gas or brake pedal? The answer is….. our cranial nerve X, which is the vagus nerve. It is one of the most important nervous system pathways that connects our visceral organs and orchestrates our organ functioning. The vagus nerves exits out the brainstem and is effected with upper cervical chiropractic adjustments. Vagal tone is our calming system of our nervous system and it coordinates the communication in our system. Vagus nerve is affected by 85% of births which causes a subluxation on the nerves that connects upper digestion and explains why chiropractic care has such a huge impact on babies parasympathetic system when the upper cervical region is adjusted.  A picture of the vagal exit and connections is seen in Figure 2 below.

The Vagus nerve is affected by 85% of births - Pro Chiro Bozeman, MT

Our nervous system has the intelligence to adapt to stress, but if it’s overwhelmed with too much stress it can overwhelm the system and be out of balance. The 3 different stressors that affect our nervous system which were mentioned earlier are chemical, emotional, and physical stress.  Chemical stress in the human body can be lack of nutrients/poor formula, dairy/gluten sensitivity, dehydration, and toxins etc. A research study was done to measure the toxins in pregnancy and found that when the umbilical cord was dissected it contained >200 toxins built up through the entire pregnancy. There is also studies that have looked at the flora in the gut and found differences in babies with colic vs. babies who do not have colic. Emotional stress can disrupt our bodies optimal functioning as well and can transfer from the mother to the infant. Fear and anxiety during pregnancy can pre-wire the baby’s emotional state. Lastly, physical stress as we talked about earlier can be from in utero constraint and the birth canal (whether complicated or not) the the fist physical stressors that can cause havoc to the baby’s spine and spinal cord. Recent research reports that 85-95% of births have stress in upper cervical. Other physical constraints like car seats, and falls, and awkward sleeping positions are all examples of physical stresses on the body.

Other causes of colic and GER:

–          Milk/soy or protein intolerance

–          Immature nervous system

–          Developing lower esophageal sphincter (better developed by 3 months)

–          An immature digestive system (need breast milk and probiotics).

Other Causes of Colic and GER - Pro chiro Bozeman, MT

Treatments for Infant Colic and Acid Reflux

Most commonly Zantac is prescribed by pediatricians to “help relieve” the reflux symptom. This will either cover up the problem temporarily or disrupt the individuals digestion  and entire gastric system. The reflux/colic (symptom) will be decreased temporarily and can return as another issue (ADHD, ear infections, etc.) later on in their life.

As a chiropractor it is my mission and passion to help individuals live their life to the fullest. Therefore, I start with babies in their first days, weeks, and months of life so they are not starting at a deficit, but at optimal communication and functioning in their beautiful new little bodies. Adjusting an infant is gentle and specific and is like putting sustained pressure on a stick of butter. Less is more with babies and horrible stress patterns haven’t been stuck in them as long so they will respond faster than an adult. If you are experiencing any colic, GER, or unusual symptoms with your infant or child we are super excited to hear from you and will help your child function optimally. Every child is different and one size does not fit all so a specific treatment plan and adjustment depends on what the child presents with.

Dr. Noordmans Infant Chiropractic - Pro Chiro Bozeman, MT

Helpful hints for Infants with Colic or Acid Reflux:

If you have an uncomfortable and inconsolable child are not able to get immediate treatment bouncing on a ball and oral stimulation is soothing because it disrupts the pain pathway in the baby. Also the vibration from car rides and mamaroos calm the nervous system and help disrupt the sympathetic overtone temporarily. If your baby is having gas pains, I have moms do clockwise circles with fingers on baby’s stomach and bicycles with legs to help relieve the tension. If you have any other questions or concerns please call and let us know otherwise we look forward to working with you and your family. Additional resources and information can be found at the International of Chiropractic pediatrics association (ICPA) website https://icpa4kids.com/research/ .

Always here to help,

Dr Jenny Noordmans

Pro Chiropractic

 

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Pain After a Car Accident https://prochiromt.com/pain-after-a-car-accident/ Fri, 31 May 2019 18:36:39 +0000 https://prochiromt.com/?p=1855 There are roughly 15,000 + car accidents every day in the United States according to the National Highway Traffic Safety Administration. Annually 2.3 million people are either injured or disabled due to these car accidents. According to a report by Micheal Sivak and Brandon Schoettle at the University of Michigan Transportation Research Institute the people […]

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There are roughly 15,000 + car accidents every day in the United States according to the National Highway Traffic Safety Administration. Annually 2.3 million people are either injured or disabled due to these car accidents. According to a report by Micheal Sivak and Brandon Schoettle at the University of Michigan Transportation Research Institute the people with driver’s
licenses aged 16 – 44 has been decreasing steadily since 1983, yet it only takes one car accident to sustain an injury. When you are involved in a minor car accident, even as a passenger you might not have pain right away, but it’s still important to get check out by a licensed medical professional and document what happened just in case. This article will focus on the importance of seeking medical attention after a car accident, specifically chiropractic care and some of the injuries you might sustain, but before we get into that here are 8 things you should do after a car accident according to the Insurance Information
Institute, whether you were at fault for the accident or not.

  • Check yourself for injuries
  • Check on the well-being of your passengers
  • Get to safety
  • Call 911
  • Wait for help
  • Exchange information
  • Document the accident
  • Notify your insurer and start the claim process

Additionally, you might want to consider hiring an attorney to help protect your rights.
You might be wondering.

Should I see a Chiropractor after being in a car accident?

If you are seriously injured after a car accident you will most likely go to the emergency room for treatment however, if you are not seriously hurt and you are not transported to the ER it’s up to you to seek medical treatment. It’s recommended that you get checked out immediately after being in a car accident, but no longer than 72 hours after the accident for legal, medical, and
insurance purposes.

When you are involved in a minor car accident, even as a passenger you might not have pain right
away. You might be wondering “should I go and see a doctor or chiropractor?” Even if you don’t
experience any pain after a minor car accident you should still go to your chiropractor and get checked out.

Let’s say you get into a crash and you have no pain, but a week later your neck and upper back start to hurt to the point of not being able to get a good night sleep. When you file a claim or go to court and try to get compensated for your injuries, you’re going to need proof of your injuries from a licensed medical professional. And most importantly, what appear to be small injuries may heal improperly or cause larger compensations in your body that could cause you big problems down the road. So, whatever your motivation, getting a proper evaluation and recommendation for management of your injuries is vitally important if you were involved in a motor vehicle collision.

What type of spinal injuries can you get from even a minor car accident? You might experience neck and back injuries, which include:

  • Whiplash
  • Herniated discs
  • Concussion
  • Spinal joint fixation
  • Sprains and strains

What kind of other injuries can you sustain from a car crash?

During a car accident your wrists, elbows, and knees might also sustain any number of injuries. For example, a knee sprain or strain can occur in a car accident if you stretch, tear, or damage the ligaments, tendons, muscles, or joint capsule surrounding the knee. Some of the extremity injuries you might experience from a car crash are:

  • Ligament sprains
    Ligaments tie bones together and provide vital support to joints. Sprains are caused when
    traumatic forces stretch ligaments beyond their boundaries causing tearing. This results in
    instability, abnormal motion and wear in a joint, and eventual degeneration, even arthritis.
  • Ruptured Tendons
    The tendons connect the muscles to the bones. This is considered a major injury and typically
    requires surgery and extensive physical therapy.
  • Dislocation
    When a joint dislocates, one bone typically slides out of the normal articulation with another
    causing pain, swelling, tenderness, an inability to straighten or properly move the joint, and a
    deformed look. Dislocations are medical emergencies and should be managed immediately.
  • Fractures
    There are three different types of fractures you can sustain from a car accident, all of which are
    very painful.

    • A stable fracture
    • A displaced fracture, and
    • A comminuted fracture

Some of these injuries are very serious and require surgery and months of rehabilitation. Visiting a chiropractor as part of your physical therapy recovery plan after a going through surgery from a car accident injury will help keep your spine, hips and other parts of your body in proper motion and alignment. This may help speed recovery time and possibly prevent any serious secondary issues from arising in the future.

After a car crash you might not have pain right away, but there are a few things you should watch
out for following the days and weeks after a car accident. Watch out for these symptoms even if
you have seen a licensed medical professional for your immediate injuries. You might want to
consider seeing a chiropractor if you experience,

  • Headaches
  • Neck and/or shoulder pain or stiffness
  • Back pain
  • Numbness or tingling

Your joints and ligaments aren’t the only thing affected by a car accident injury; you might also experience sore achy muscles and damage to the covering of the muscles called the fascia (myofascial) after an accident. There are 2 main reasons for this.
First, your muscles have been overstretched/torn and inflammation and swelling develop as the body rushes blood to the area to begin healing.

Secondly, the muscles and fascia can be damaged by a counterforce. This is seen when you see the accident about to happen and brace the tissues in your body. This type of injury is commonly seen in the neck, shoulders and arms of the driver in a car accident that braces the steering wheel. For this type of injury, you should see a chiropractor and massage therapist!

Always get checked by a Chiropractor after a Car Accident!

While no one wants to be involved in a car accident, auto collisions unfortunately are a part of our everyday lives and will inevitably happen. Remember, it only takes one accident to sustain an injury that may last a lifetime. From a simple fender-bender to catastrophic collisions, a lot of force is generated by these impacts, and the human body was not designed to endure these. Just because you feel fine immediately following a car accident, that doesn’t necessarily mean you are.
Your body is releasing large amounts of adrenaline and endorphins to help you cope with the trauma and once these chemicals begin to subside, the pain after any car accident may begin to set in more noticeably. We recommend that anyone involved in a motor vehicle collision receive an evaluation from a licensed chiropractic physician. Chiropractors are perfectly suited to manage the most commonly found auto accidents injuries and can direct and refer you to additional medical imaging and specialists if necessary.

The Auto Accident Injury Chiropractors at Pro Chiropractic are expertly trained and vastly experienced in managing auto accident injury cases, and are the Top-Rated choice in the Bozeman, Montana area for a Chiropractor after a Car Accident! For more information call (406)219-2462 today!

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Pinched Nerve From a Car Accident https://prochiromt.com/pinched-nerve-from-a-car-accident/ Fri, 31 May 2019 02:18:05 +0000 https://prochiromt.com/?p=1809 Pinched spinal nerves is a common injury caused by a car accident, especially in conjunction with a whiplash injury. Pinched nerves typically occur in the neck and lower back because they are the most vulnerable regions of the spine. To understand how nerve injuries occur from car accidents is to understand the anatomy of the […]

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Pinched spinal nerves is a common injury caused by a car accident, especially in conjunction with a whiplash injury. Pinched nerves typically occur in the neck and lower back because they are the most vulnerable regions of the spine. To understand how nerve injuries occur from car accidents is to understand the anatomy of the spine and nerves.

Your nervous system is composed of your brain, spinal cord and nerves. The brain is housed in the skull while the spinal cord is encased in the spinal column, or spine. Each nerve exits the spinal cord as a spinal nerve through holes (foramen) in the spine between all vertebra from the neck to the tail bone. As pictured above in yellow, the spinal nerves from the neck leave the spine and join with other spinal nerves to create peripheral nerves or nerves that go to the body. Every muscle in your body is controlled by nerves. So are reflexes, sensation and pain. When a nerve is pinched or injured, these functions are disrupted.

Symptoms of a pinched nerve

Symptoms of a pinched nerve in the neck include radiating pain, numbness or tingling down one or both arms, diminished reflexes in one or both arms, altered sensation in one or both arms, and/or weakness of specific muscles in one or both arms. Similar symptoms are present with a pinched nerve in the lower back, except the symptoms will be in the legs. With a pinched nerve in the lower back, you may also experience urinary or fecal incontinence which dictates a medical emergency. If this symptom is present, go to the emergency room immediately.

A pinched nerve may be the result of any of the following:

1. Mechanical issue in the spine such as a misalignment or subluxation that impinges the nerve

2. Muscular entrapment of the nerve such as a nerve impingement or an active trigger point

3. Postural changes such as Upper Crossed Syndrome which leads to rounded shoulders which can cause nerve impingement

4. Direct injury to the nerve such as over stretching

All of the above causes of pinched nerves can occur following a car accident; most commonly as a result of a whiplash injury. If you or someone you know has been involved in a car accident and are experiencing the symptoms of a pinched nerve, seek evaluation and treatment from a chiropractor. The doctors at Pro Chiropractic are well trained in evaluating, diagnosing and treating nerve injuries. Call today!

Dr Shea Stark - Pro Chiro Bozeman, MT

Dr. Shea Stark

If you or someone you know in the Gallatin Valley area is looking for a chiropractor or is suffering from a pinched nerve following a car accident, please call Dr. Shea Stark with Pro Chiropractic at 406-219-2462 to schedule an appointment in our Bozeman office. Dr. Stark is a board certified sports chiropractor and the author of this blog post. To learn more about Dr. Stark and the many benefits of chiropractic care, please visit our website: www.prochiromt.com.

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Back Pain After a Fall https://prochiromt.com/back-pain-after-a-fall/ Fri, 31 May 2019 02:08:54 +0000 https://prochiromt.com/?p=1806 Have you recently been involved in a falling injury and now have back pain? Here are some common causes of back pain after a fall and what steps to take to be properly diagnosed and treated if necessary. Low Back Pain I will explain each diagnosis, but 97% of all low back pain is classified […]

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Have you recently been involved in a falling injury and now have back pain? Here are some common causes of back pain after a fall and what steps to take to be properly diagnosed and treated if necessary.

Low Back Pain

I will explain each diagnosis, but 97% of all low back pain is classified as being discogenic, apophyseal joint pain, non-specific pain, sacroiliac joint pain, fracture, spinal stenosis or as a result of severe scoliosis. Included in these classifications but only at a percentage of 0.04% is cauda equina syndrome, which is an emergent condition and will be discussed with due diligence below.

Intervertebral discs (talk about discogenic, disc herniation, rare cauda equina – page3)

In between each of your vertebrae, there is a jelly-like substance called an intervertebral disc. Sometimes, in the case of an injury, prolonged posture or an other biomechanical dysfunction, our intervertebral discs can move backwards into the area where our spinal cord and nerve roots are located. There is a difference between a disc bulge and a disc herniation, BUT neither should be considered a life-long sentence for pain or dysfunction. People tend to become terrified of the diagnosis or disc herniation, disc herniation or degenerative disc disease and that should not be the case. When one of the intervertebral discs of the low back moves backwards, it creates inflammation, swelling and irritation around the nerve roots of the spinal cord. That process typically results in pain in the lower back, hips, buttocks, thighs and sometimes even into the lower legs and feet. A disc bulge is simply when the intervertebral disc moves backwards but doesn’t rupture all the way into the spinal canal (where the spinal cord and nerve roots are). This movement backwards still causes swelling and inflammation in the area, which can result in pain and other symptoms. A disc herniation is when the intervertebral disc moves backwards with enough force and pressure that it ruptures into the spinal canal. Just to further clarify, just because you have a disc herniation does not mean you need an MRI or surgery.

What you need is a thorough examination to determine what the next best step in your care should be. That’s the cool thing about seeing a chiropractor. We thoroughly examine each patient, performing a sequence of different tests and also feeling around the area, to functionally triage, which means determining whether a trial of chiropractic care is the best bet or if a referral to another healthcare professional is warranted. The way that we test and assess to determine if the low back pain is coming from the intervertebral discs is through a thorough patient history with a few specific findings and an end-range loading exam. Two findings that you may notice on your own and that need to be confirmed by a professional (and further evaluated) include pain going down only one leg below the knee, muscular weakness in one leg and leg pain worse than back pain. End-range loading refers to taking joints to their furthest range of motion repetitively and then evaluating the patient response.

Taking the joints of the low back to their end-range of motion can effectively move the intervertebral discs to reduce inflammation, swelling and irritation around the spinal cord and its nerve roots. When this occurs, the patient’s pain will migrate from where it is (foot, leg, thigh, buttocks, hip, lower back) closer to the spine and may even increase in that location. That phenomenon is called centralization (meaning moving more towards central). The presence of centralization is the most sensitive and specific way to diagnose low back pain being discogenic in nature. If we can produce centralization, we know without a doubt that the patient doesn’t need an MRI, the patient doesn’t need surgery, and that the patient will be able to respond to a conservative trial of care of repetitive end-range loading, soft tissue mobilization and spinal manipulation. If end-range loading doesn’t produce centralization, then a further examination is necessary to determine what the pain-generator is.

There is one more VERY important point worth noting on the topic of disc herniations and low back pain coming from the intervertebral discs. There is a diagnosis called cauda equina syndrome that is a rare but emergent condition. It only occurs in 0.04% of low back pain cases (4 out of every 1,000), but needs to be discussed. It occurs when one or more of the intervertebral discs herniates into the spinal canal and impinges on the lumbar and sacral nerve roots that provide sensory and motor control of the genitals and bowels. Cauda equina syndrome is diagnosed by the 2 following presentations:

Urinary retention progressing to incontinence in the setting of low back and leg pain with numbness and/or weakness is 90% sensitive and 95% specific for the diagnosis of cauda equina syndrome. Early identification will improve outcomes. If frank incontinence occurs, outcomes are poor. Therefore, telling your doctor about the urinary retention is vital.

Saddle paresthesia/anesthesia and impaired sexual function (erectile dysfunction in males and lack of sensation in females) are also described features.

Spinal Stenosis

Spinal stenosis refers to a narrowing of the spinal canal where the spinal cord and nerve roots are located. There are certain things that can predispose to spinal stenosis such as prolonged poor posture and repetitive injury, but this is a degenerative process that takes time to develop and doesn’t usually present until after age 60. To further explain the process, your spinal cord and nerve roots is located inside and protected by the vertebral column in a region called the spinal canal. There are several structures that can either enlarge or degenerate, enclosing the space and increasing pressure on the spinal cord and its nerve roots. That process can produce a significant amount of pain and dysfunction characterized by certain findings:

Age over 60

Pain in both legs

Leg pain relieved by sitting

Leg pain decreased by leaning forward or flexing the spine (leaning forward on the grocery cart)

Leg pain worse than back pain

Pain during walking and/or standing

Pain relief upon sitting

The goals with spinal stenosis is to increase mobility in the upper and mid-back and hips, and also to find the patient a repetitive movement or exercises that they can do throughout their day to manage their symptoms and improve their everyday function.

Facets (bony articulations)

The facets of your low back are the bony articulations on the backside that allow for and control the movements of bending and twisting. They are protected by capsular ligaments, which are densely packed with receptors that perceive those movements and are also highly innervated. As the facets are highly innervated, they can be a significant source of pain and dysfunction in certain patients with certain presentations. There are a certain set of features that characterize low back pain resulting from the facets. The following cluster of tests has 92% sensitivity and 80% specificity for facetogenic pain:

Pain well relieved by laying down

Four out of six positive on the following:

Age > 65

No exacerbation with coughing

No exacerbation with forward bending

No exacerbation when arising from a bent forward position

No exacerbation with backwards bending

No exacerbation with backwards bending and twisting

Muscles, ligaments or tendons

The spine has many ligaments, tendons, muscle and fascia. Dysfunction or injury to these structures are recognized sources of low back pain. The best way to determine that these structures are the underlying cause is through palpation of the area by a professional such as a chiropractor. Additional characteristics may include grossly abnormal body postures, recent changes in body posture and reduction in symptoms with postural correction during the examination process. This diagnosis is generally as simple as treating the tissues with manual therapy and correcting the patient’s posture throughout the day.

Sacroiliac Joint

The sacroiliac joint (SI joint) is a joint that consists of the sacrum and the ilium. The sacrum is the one of the base bones of the spine (just before the tailbone) and the ilium is the part of the pelvis that you can feel when you put your hands on your hips. Like the previous diagnoses, the SI joint has a specific set of tests for determining dysfunction. The cluster of tests is called Laslett’s cluster and is named after Dr. Mark Laslett. It consists of 5 tests, of which at least 3 need to be positive for the diagnosis of SIJ dysfunction.

Hip Referral (OA or osteonecrosis)

Hip and pelvic pain may also mimic a low back pain complaint. These sources should be considered after ruling out the previous diagnoses and according to another specific set of characteristics. Disease or dysfunction of the hip joint may refer to the spine, particularly the low back area, and the two most common causes are osteoarthritis (“gray hairs in your joints”) or osteonecrosis of the femur head. HOWEVER, both of these diagnoses are degenerative processes that take time to develop and therefore don’t’ occur just from a single injury or trauma. With that said, it is possible that an injury could aggravate an already existing diagnosis or osteoarthritis or osteonecrosis and also an injury can start the degenerative process. With these two diagnoses, pain is usually felt in the front and/or back of the hip as well as in the buttock region, often in a “C” shape around the hip. It is also fairly common to experience thigh pain in the front or back.

Another hip diagnosis that can refer pain to the lower back is greater trochanteric pain syndrome, which is an umbrella term for gluteal tendinopathy, iliotibial band thickening and trochanteric bursitis. The specific terminology of the diagnoses doesn’t matter in determining your prognosis, its purely an academic matter. We care about how we can improve your everyday life. Greater trochanteric pain syndrome can actually produce pain in the low back and all the way down the leg to the foot. With that said, radiating pain down your leg can several causes and should not just be labeled “sciatica” without a thorough exam and education process. This can be caused from an injury or trauma but is again more commonly an ongoing degenerative process. One common finding that you may notice on your own is pain right at the bony part of the side of the hip (greater trochanter). With that said, this finding should be evaluated by a professional to determine the diagnosis and best option for treatment if necessary.

The last hip disorder that may refer to the lower back is muscular pain from trigger points and tightness in the deep muscles of the glutes and hips. These muscles include the gluteus maximus, gluteus medius, gluteus minimus, piriformis and the upper part of the hamstrings, among others. Just like the previous presentations, there are tests to determine exactly what the cause of the pain and dysfunction is. Some things you may notice with pain coming from the muscles are pain in the back of the hip and thigh, leg pain, low back pain and buttock pain that is worse when sitting or walking. These muscles may also be tender to the touch. Its important to be evaluated by a professional that specializes in palpating the muscles, joints, etc. such as a chiropractor to determine what structures are the underlying cause.

Fracture (page 3)

A vertebral fracture may also be the cause of low back pain, especially after a fall or significant injury. This cause should be considered with a patient over 70 years old, with significant trauma and/or with long-term corticosteroid use. Over 70 years old, the prevalence of osteoporosis increases especially in women. With osteoporosis, bones become less dense and more fragile, therefore predisposing to a fracture. With long-term corticosteroid use a process called avascular necrosis occurs in the bones, which also weakens the bones and increases the risk for fracture.

Severe Scoliosis

Spinal scoliosis refers to abnormal curvatures in the spine of at least 10 degrees. These large curvatures can create abnormal stresses on structures like the vertebra, intervertebral discs, muscles, joints, ligaments, tendons and even internal organs. Pain often results in one way or another with scoliosis, but it should be noted that scoliosis is not a life-long sentence for pain or dysfunction and there are things we can do to improve the function even if we can’t reduce the curvatures. Additionally, there is a better chance of improving the curves at younger ages, so the earlier scoliosis is diagnosed and treated the better.

Rare but important to rule out (page 3)

The following diagnoses are rare but important not to miss in the presence of low back pain.

Visceral disease such as an aortic aneurysm with or without dissection, pelvic disease, kidney disease or gastrointestinal (GI) disease accounts for 2% of low back pain complaints.

Non-mechanical spine disorders such as tumors, infections or several different types of arthritis (did you know that there are different types of arthritis and arthritis is just a broad umbrella term?) accounts for 1% of low back complaints.

Lastly, <1% of low back complaints are as a result of Paget’s disease, hyperparathyroidism or hemoglobinopathies. The bottom line of these rare causes of low back pain is that we shouldn’t jump to conclusions and assume the worst, but rather trust your doctor to thoroughly examine and diagnose you properly.

Upper or Mid-Back Pain

Rib Sprain/Strain

In the presence of the upper or mid-back pain after a fall or injury, the most likely cause would be from dysfunction of one or more of the ribs. The ribs have many different attachments and structures that surround those attachments to the thoracic spine and to the sternum (breastbone). Falling or even sleeping in a bad position can strain, sprain or damage any of these structures and can cause significant pain. The most painful movement with rib dysfunction are typically taking a deep breath in and quick twisting movements of the mid-back. Rib strains of the muscles usually have a better and quicker prognosis than a ligamentous sprain. Ligaments and cartilage take longer to heal because they have less blood supply and nerve supply. Muscular strain around the ribs generally just requires manual therapy, joint manipulation and potentially some rehabilitative or stabilization exercises.

Fracture

Fracture of the thoracic spine has the same presentations and characteristics as fracture of the lumbar spine as discussed earlier. Fracture should be considered after a significant trauma, over age 70 or with long-term corticosteroid use.

Rare but important to rule out

Some less common diagnoses that are important to rule out include heart attack, tumor, infection or a visceral disease of the kidney, gallbladder, appendix or pancreas. These emergent disorders stress the importance of seeing a professional for a proper history, examination, diagnosis and triage.

Shoulder pain after a car accident by Dr. Forrest Allen - Pro Chiro Bozeman, MT

Dr. Forrest Allen

    1. References
      1. What low back pain is and why we need to pay attention. Hartvigsen J, Hancock MJ,
        1. Kongsted A, Louw Q, Ferreira ML, Genevay S, Hoy D, Karppinen J, Pransky G, Sieper J, Smeets RJ, Underwood M; Lancet Low Back Pain Series Working Group. Lancet. 2018 Jun 9;391.
      2. What diagnostic tests are useful for low back pain? Lurie JD. Best Pract Res Clin Rheumatol.
        1. 2005 Aug;19(4):557-75.
      3. Clinical classification in low back pain: best-evidence diagnostic rules based on systematic
        1. reviews. Petersen T, Laslett M, Juhl C. BMC Musculoskelet Disord. 2017 May 12;18(1):188.
      4. Does a Diagnostic Classification Algorithm Help to Predict the Course of Low Back Pain? A
        1. Study of Danish Chiropractic Patients With One-Year Follow Up. Hartvigsen L, Kongsted A, Vach W, Salmi LR, Hestbaek L. J Orthop Sports Phys Ther. 2018 May 8:1-35.
      5. On the definitions and physiology of back pain, referred pain, and radicular pain. Bogduk N.
        1. Pain. 2009 Dec 15;147(1-3):17-9.
      6. Capacity of the clinical picture to characterize low back pain relieved by facet joint anesthesia.
        1. Proposed criteria to identify patients with painful facet joints. Revel M, Poiraudeau S, Auleley GR, Payan C, Denke A, Nguyen M, Chevrot A, Fermanian J. Spine (Phila Pa 1976). 1998 Sep 15;23(18):1972-6; discussion 1977.
      7. Clinical classification criteria for radicular pain caused by lumbar disc herniation: the radicular
        1. pain caused by disc herniation (RAPIDH) criteria. Genevay S, Courvoisier DS, Konstantinou K, Kovacs FM, Marty M, Rainville J, Norberg M, Kaux JF, Cha TD, Katz JN, Atlas SJ. Spine J. 2017 Oct;17(10):1464-1471.
      8. Clinical diagnostic model for sciatica developed in primary care patients with low back-related
        1. leg pain. Stynes S, Konstantinou K, Ogollah R, Hay EM, Dunn KM. PLoS One. 2018 Apr 5;13(4).
      9. Clinical classification criteria for neurogenic claudication caused by lumbar spinal stenosis.
        1. The N-CLASS criteria. Genevay S, Courvoisier DS, Konstantinou K, Kovacs FM, Marty M, Rainville J, Norberg M, Kaux JF, Cha TD, Katz JN, Atlas SJ. Spine J. 2018 Jun;18(6):941-947.
      10. The clinical value of a cluster of patient history and observational findings as a diagnostic
        1. support tool for lumbar spine stenosis. Cook C, Brown C, Michael K, Isaacs R, Howes C, Richardson W, Roman M, Hegedus E. Physiother Res Int. 2011 Sep;16(3):170-8.
      11. Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative
        1. Literature Review of History, Physical Examination, and Diagnostic Imaging. Battaglia PJ, D’Angelo K, Kettner NW. J Chiropr Med. 2016 Dec;15(4):281-293.

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Headaches After a Car Accident https://prochiromt.com/headaches-after-a-car-accident/ Fri, 31 May 2019 00:54:53 +0000 https://prochiromt.com/?p=1798 Car accidents are a leading cause of many different types of pain and dysfunction and a common reason that someone seeks chiropractic care. Symptoms following a car accident may include neck pain, lower back pain, headache, shoulder pain, leg pain, dizziness/vertigo, and concussion just to name a few. The one we will be focusing on […]

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Car accidents are a leading cause of many different types of pain and dysfunction and a common reason that someone seeks chiropractic care. Symptoms following a car accident may include neck pain, lower back pain, headache, shoulder pain, leg pain, dizziness/vertigo, and concussion just to name a few. The one we will be focusing on in this blog is headache.

There are two main causes of headache following a car accident

The most likely injury resulting from a car accident is a whiplash injury. A whiplash injury is caused when your head is whipped forward and backward or side to side as a result of impact. The whipping of the head on the neck will strain the muscles and sprain the ligaments in the neck which can lead to pain in the head. The mechanical injury to the neck can also lead to head pain. Blunt trauma, such as striking your head on the headrest, window, door, or windshield, can cause a headache from the physical impact to the head.

Multiple types of headaches that may result from a car accident

  • Tension headaches

    • Tension headaches arise from the muscle strain related to whiplash. The muscles in the neck are injured and tighten leaving other muscles to compensate and become overworked leading to an increase in tension in the neck and head. These types of headaches are common following car accidents and are treated effectively by chiropractic care.
  • Cervicogenic headache

    • Cervicogenic headaches are secondary to dysfunction in the neck. Injuries to the neck like whiplash can cause decreases in range of motion and trigger points to form in the muscles leading to pain in the head. Often adjustments to the neck will resolve these headaches.
  • Migraine headaches

    • Migraine headaches may also develop following a car accident, whether you have suffered from them before the accident or not. There are two types of migraines: classic and common. Classic migraines are preceded by an aura or a visual disturbance. An aura could be tunnel vision, seeing spots, seeing flashes of light, having sensitivity to light or blurred vision. Auras can start minutes before the onset of the migraine to several hours before. Common migraines do not have an associated aura. A common misconception is that a migraine is just a bad headache, but a migraine is diagnosed by specific symptoms. Some of those symptoms include pain on one side of the head, sensitivity to light and/or sound, nausea, fatigue, lightheadedness and blurred vision.

Chiropractic care can help

If you are involved in a car accident and are suffering from headaches, chiropractic care can help. Chiropractic care will help to resolve the underlying cause of the headache instead of just covering up the symptoms like medications. The doctors at Pro Chiropractic are all skilled and experienced in treating and resolving headaches. Call today!

Dr Shea Stark - Pro Chiro Bozeman, MT

Dr Shea Stark

If you or someone you know in the Gallatin Valley area is looking for a chiropractor or is suffering from headaches following a car accident, please call Dr. Shea Stark with Pro Chiropractic at 406-219-2462 to schedule an appointment in our Bozeman office. Dr. Stark is a board certified sports chiropractor and the author of this blog post. To learn more about Dr. Stark and the many benefits of chiropractic care, please visit our website: www.prochiromt.com.

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Shoulder Pain After Car Accident https://prochiromt.com/shoulder-pain-after-car-accident/ Fri, 31 May 2019 00:39:13 +0000 https://prochiromt.com/?p=1789 If you’ve recently been in a car accident and instead of saving 15% on car insurance by switching to Geico you ended up with shoulder pain, then read on! There can be multiple causes of shoulder pain after a car accident. Some causes are from the trauma itself, while others are more of a sleeping […]

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If you’ve recently been in a car accident and instead of saving 15% on car insurance by switching to Geico you ended up with shoulder pain, then read on! There can be multiple causes of shoulder pain after a car accident. Some causes are from the trauma itself, while others are more of a sleeping dog that become aggravated due to the accident. Here are some of the most common causes and what to do in each case:

Rotator cuff tear or tendinopathy

The rotator cuff consists of 4 muscles and tendons that control how the humerus (arm bone) fits into the shoulder blade. These 4 muscles are the supraspinatus, infraspinatus, subscapularis and teres minor. The supraspinatus is the most common of the 4 to be torn or to undergo degeneration (tendinopathy). A rotator cuff tear is characterized by a specific appearance and palpation on examination, and also with significant muscular weakness. Diagnosis of a rotator cuff tear requires a thorough exam and sometimes some further imaging such as an MRI or diagnostic ultrasound. A full thickness rotator cuff tear will require surgery, while a conservative trial of care may be a potential option for partial tears. The goal in that case would be to avoid further injury but also loading the tendons in a stable and controlled way through rehabilitative exercises. Rotator cuff tendonopathy results from a trauma or repetitive injury that leads to degeneration or “fraying” of one or more of the rotator cuff tendons. Tendinopathies are difficult to treat because there is a constant balance of loading the tendons enough for repair to occur and reaggravating them, causing inflammation and pain. With that said, they can be treated conservatively stabilization exercises in combo with specific loading exercises as the tendons progressing through the healing stages.

Shoulder impingement (type 3 hooked acromion and AC OA are m/c)

Shoulder impingement refers to pinching of the rotator cuff tendons, most commonly the supraspinatus tendon, underneath the acromion (top of shoulder blade) in what’s called the subacromial space. The two most common causes of shoulder impingement are a type 3 hooked acromion and AC joint osteoarthritis (OA). Osteoarthritis is any joint is best described as “gray hairs in your joints” as it occurs as we age. However, a trauma or repetitive injury can speed up this process, and the AC joint is an especially difficult place to have OA because there is very little blood supply to the joint. A type 3 hooked acromion is an anatomic anomaly that results from improper development in the first year of life. Once it occurs, there is no reversing its presence except through surgery, but it doesn’t always cause rotator cuff impingement. A thorough exam and x-rays would be required to officially diagnose a type 3 hooked acromion or AC joint OA, although a short trial of care prior to imaging certainly wouldn’t be contraindicated.

Bicipital tendinopathy

Bicipital tendinopathy occurs in a similar process as rotator cuff tendinopathy. It is a degenerative process to the biceps tendon that can be caused by trauma, repetitive injury or overuse and requires a well-designed rehabilitative program of loading exercises coupled with joint stabilization. The diagram below shows all the anatomy discussed so far.

AC sprain

A sprain refers to an injury to a ligament while a strain refers to an injury to a tendon or muscle. The AC joint has no muscular attachments but is surrounded and protected by ligaments. As previously mentioned, the AC joint doesn’t have great blood supply so the healing process is much more challenging and can be significantly slower. Treatment typically involves multiple different approaches to increase blood flow to the area and also to optimize movement everywhere around the AC joint. In particular, stabilization of the shoulder blade and freely moving joints of the spine are very important.

Thoracic outlet syndrome

Thoracic outlet syndrome (TOS) can be caused by a few different things. One cause is entrapment of some of the nerve roots and blood vessels of the neck between either the scalene muscles or under the pectoralis minor muscle. These muscles can become tight and swollen and prevent free motion of those structures. Another cause is impingement between the clavicle and first rib due to thickening of the fascial band that connects the two. Most patients presenting with TOS are between 20-60 years old and females are 9 times more likely to have TOS than males. Having a cervical rib is also a possible cause of TOS, although only 1% of the population has them and <10% of those that do have them experience TOS. Symptoms include pain, numbness, tingling and weakness most commonly in the distribution of the ulnar nerve which is the inside of the arm and forearm and the pinky finger. Treatment typically involves joint manipulation to any palpated joint restrictions, joint stabilization exercises to optimize the muscular activation around the dysfunctional areas and potentially neural mobilization. Neural mobilization should be thought of as taking the nerves and pretending they are strings that should normally thread through muscles from their origin in the spinal cord to their distal muscles or other structures. If those strings get caught somewhere along the line, they need to be continually but slowly be moved through that tissue to “break free.”

Labral tear

The labrum of the shoulder is the outer layer of the part of the shoulder blade that the humerus attaches to. The labrum is made of cartilage and contributes significantly to stability of the shoulder as it increases the size of the “bowl” that the humerus fits into. A torn labrum is caused by a trauma that typically involves a jamming of the shoulder going backwards such as a fall, a car accident or a repetitive injury. There are a specific set of diagnostic tests and clinical characteristics that exist for determining if a patient has a labral tear, and it is very important to be seen by a professional for proper evaluation and diagnosis. A partially torn labrum can sometimes respond to a conservative trial of care involving joint stabilization exercises and several different ways to increase blood flow to the area such as instrument-assisted manual therapy, dry needling, laser therapy or pulsed electromagnetic field therapy (PEMF). If the labral tear is large or doesn’t respond to a short (2-3 week) trial of care, then the next steps need to be taken as far as surgical consultation and medication goes.

Shoulder pain after a car accident by Dr. Forrest Allen - Pro Chiro Bozeman, MT

Dr. Forrest Allen

References:

  1. Current Best Practice Assessment of TOS. (2018, March 10). Retrieved from
    1. https://chiroup.com/current-best-practice-assessment-of-tos/
  2. Shoulder impingement syndrome. (2019, May 17). Retrieved from
    1. https://en.wikipedia.org/wiki/Shoulder_impingement_syndrome#/media/File:Shoulder_joint.svg

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The Difference Between Acupuncture and Dry Needling https://prochiromt.com/the-difference-between-acupuncture-and-dry-needling/ Mon, 29 Apr 2019 18:34:39 +0000 https://prochiromt.com/?p=1480 The post The Difference Between Acupuncture and Dry Needling appeared first on Pro Chiro.

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The differences between acupuncture and therapeutic dry needling truly outweigh their similarities. Dry needle treatment, also known as Therapeutic Dry Needling (TDN) or dry needle therapy uses filiform needles to treat western medical neuromusculoskeletal diagnoses at myofascial points. TDN needle point selection is based on diagnosis, palpation and functional testing, and general foundational belief is rooted in the science of the nervous system governing homeostasis in the body, and the methodology of affecting this through needling myofascial points. Acupuncture uses similar filiform needles to treat virtually any diagnosis in Traditional Chinese Medicine (TCM). Point selection in traditional acupuncture is based on TCM diagnosis and is focused on balancing energy meridians. The overriding foundational belief in acupuncture rests in balancing energy flow or Qi in the body through these meridians.
Dry Needling Versus Acupuncture

Therapeutic Dry Needling vs Acupuncture

Dry needling and acupuncture involve the insertion of thin needles into specific parts of the body, but the similarities stop there. During acupuncture treatment, needles are inserted into points along meridian lines. Meridian lines are based on traditional Chinese medicine and represent flow of energy to the organs of the body. Acupuncture is based on the idea and restoring proper flow of energy and balance throughout the body.

Dry needling and acupuncture involve the insertion of thin needles into specific parts of the body, but the similarities stop there. During acupuncture treatment, needles are inserted into points along meridian lines. Meridian lines are based on traditional Chinese medicine and represent flow of energy to the organs of the body. Acupuncture is based on the idea and restoring proper flow of energy and balance throughout the body.

During acupuncture, the needles are usually left in place for 30 minutes or more. It is most often used to treat a host of external and internal ailments, including anxiety, digestive issues, stress, skin problems, insomnia, and chronic pain.
Dry needle treatment is a new and expanding treatment based on Western medicine premises. Therapeutic dry needling treatment was developed in the 1980’s, and categorically emerged in this century. During dry needling treatment needles are inserted into tight muscles, trigger points, musculotendinous junctions, fascia and other damaged or affected tissues.

During dry needling, the needles may be inserted and immediately removed, pistoned in and out of the tissues, or left in place for a period. This all depends on the goals of the clinician during the TDN session. When needles are inserted into these pathological target tissues, they elicit a response that increases local blood flow, stimulated the autonomic nervous system, and invokes the inflammatory healing systems of the body in the treated area.

Summary: What is the difference between Dry Needling and Acupuncture?

Dry needling and acupuncture are similar in only one way. They both use needles. That is it! The philosophy behind, the approach, and the goals are different and unique between each of these healing modalities. If you are unsure of which treatment you are receiving, please inform yourself, this will ensure you have the best chance to receive the treatment approach you are looking for and will improve the chances of reaching your goals!

For more information on Acupuncture please visit:
https://www.webmd.com/pain-management/ss/slideshow-acupuncture-overview

For more information on Dry Needle Therapy please visit:
https://mayoclinichealthsystem.org/hometown-health/speaking-of-health/on-pins-and-needles-just-what-is-dry-needling

Dr. WilhelmDr. Jon Wilhelm is a Certified Sports Chiropractor and Strength and Conditioning Specialist who has been treating patients and elite athletes using Therapeutic Dry Needling since 2014 in his private practice and internationally at high level athletic events, including the Winter Olympic Games. He has safely managed thousands of cases using dry needle therapy as a treatment tool.

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Pro Chiropractic Celebrates Dr. Jon Wilhelm Being Selected to Work with USA Bobsled Skeleton Team for 2018 – 2019 https://prochiromt.com/pro-chiropractic-celebrates-dr-wilhelm-usa-bobsled-team-for-2018-2019/ Mon, 22 Apr 2019 14:47:43 +0000 https://prochiromt.com/?p=1414 Bozeman, Montana’s Pro Chiropractic’s Dr. Jon Wilhelm has a world-class reputation for working with professional athletes. Following up his work for the last six years Wilhelm has been brought on by the USA Bobsled Team for their latest World Cup Season and IBSF World Championships. April 15, 2019 One of the things that can quickly […]

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Bozeman, Montana’s Pro Chiropractic’s Dr. Jon Wilhelm has a world-class reputation for working with professional athletes. Following up his work for the last six years Wilhelm has been brought on by the USA Bobsled Team for their latest World Cup Season and IBSF World Championships.

Pro Chiropractic Celebrates Dr. Jon Wilhelm Being Selected to Work with USA Bobsled Skeleton Team for 2018 – 2019

April 15, 2019

Pro Chiropractic Celebrates Dr. Jon Wilhelm Being Selected to Work with USA Bobsled Skeleton Team for 2018 – 2019

One of the things that can quickly clear up doubt for those who question how effective chiropractic treatments can be to speed up injury recovery or improve performance, is its popularity with professional athletes.  One of the leaders in this area, is Montana’s Dr. Jon Wilhem, the founder of Pro Chiropractic with offices in Bozeman and Belgrade.  Professional bobsleigh and skeleton athletes are one group of athletes who have seen the value of his ability with Dr. Wilhelm recently working for the USA Bobsled Skeleton Team for the 2018 World Cup Season and at 2018 – 2019 IBSF World Championships.  He has worked with the team extensively in the past.

“Working with the fine athletes, coaches, and fellow medical providers of USABS for the sixth year is a tremendous honor,” commented Dr. Wilhelm. “These people have become family to me, so each invite and international stop is special and unique. I treasure these opportunities I am given to apply my skills helping athletes achieve!”

Pro Chiropractic Celebrates Dr. Jon Wilhelm Being Selected to Work with USA Bobsled Skeleton Team for 2018 – 2019

The assignments were quite exciting with Dr. Wilhelm being asked and accepting the invitation from the team to serve as the USA Bobsled Skeleton team sports chiropractor for the IBSF World Cup that held events in Sigulda, Latvia and Winterberg, Germany. The quality of his work had the team bring Dr. Wilhelm back to be part of the medical team serving USA national team athletes in Whistler, BC Canada, covering their sports chiropractic and performance therapy needs at IBSF Bobsled Skeleton World Championships.

Dr. Wilhelm and his expert also offers family and non-athletic injury related chiropractic, physiotherapy, and other recovery services at Pro Chiropractic in Bozeman, Montana.Pro Chiropractic Celebrates Dr. Jon Wilhelm Being Selected to Work with USA Bobsled Skeleton Team for 2018 – 2019

 

 

 

 

 

 

For more information on Pro Chiropractic, visit https://prochiromt.com.

 

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Pro Chiropractic Announces New Chiropractic Physician, Dr. Forrest Allen https://prochiromt.com/pro-chiropractic-announces-new-chiropractic-physician-dr-forrest-allen/ Mon, 01 Apr 2019 23:28:57 +0000 https://prochiromt.com/?p=963 Acclaimed Bozeman chiropractic office Pro Chiropractic continues to grow adding very qualified Chiropractic Physician, Dr. Forrest Allen, Montana State University Alum and Logan University Graduate. March 25, 2019 With rave reviews skyrocketing, it’s no surprise Bozeman, MT-based Pro Chiropractic has likewise seen their number of patients grow dramatically. Treating everyone from general pain patients to […]

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Acclaimed Bozeman chiropractic office Pro Chiropractic continues to grow adding very qualified Chiropractic Physician, Dr. Forrest Allen, Montana State University Alum and Logan University Graduate.

March 25, 2019

With rave reviews skyrocketing, it’s no surprise Bozeman, MT-based Pro Chiropractic has likewise seen their number of patients grow dramatically. Treating everyone from general pain patients to the highest levels of athletes, the Pro Chiropractic staff has won praise for their expert, kind, and effective care. In exciting news, Pro Chiropractic recently announced they have added an additional Chiropractic Physician to their team, Dr. Forrest Allen. The enthusiasm surrounding Dr. Allen taking patients is building!

“Dr. Allen is a great addition to the Pro Chiro Team of Chiropractic Physicians,” commented Pro Chiropractic CEO, Dr. Jon Wilhelm. “We have had our eye on Forrest since he was a student at MSU and have watched him dedicate himself wholly to his professional schooling. The Bozeman community is gaining an exceptional young professional in Dr. Forrest Allen. We couldn’t be more pleased!”

Dr. Allen has keen interest in treating athletes but also treats the general public. He has pursued extra training in the McKenzie method of Mechanical Diagnosis and Therapy (MDT), Dynamic Neuromuscular Stabilization (DNS), Selective Functional Movement Assessment (SFMA), reflex locomotion, dry needling, TMJ dysfunction, treatment of extremities, Active Release Technique (ART), kinesiology taping and instrument-assisted soft tissue methods. His personal hobbies include running, snowboarding, hiking and exploring the great outdoors with his black lab Sabrina and girlfriend Kayla. Dr. Allen is extremely excited to be a part of the Pro Chiropractic team and looks forward to joining and serving the active Bozeman, Montana community!

In addition to the Bozeman office, Pro Chiropractic also takes patients in Belgrade, MT, delivering the same level of first-class treatment across the Gallatin Valley.

The reviews for Pro Chiropractic continue to give the team two thumbs up.

Chris S., from Bozeman, recently said in a five-star review, “I hurt my knee playing basketball and I refuse to take any drugs for personal reasons, so it’s been hard. But now after just a few weeks at Pro Chiropractic and the pain has been tremendously reduced and my mobility is mostly back. I couldn’t be happier.”

For more information, be sure to visit https://prochiromt.com.

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