Archive for August, 2009

Electrodiagnostic Tests

Monday, August 31st, 2009

Electrodiagnosis

Electrodiagnostic studies, including, nerve conduction studies (NCS), needle electromyography (EMG), and somatosensory evoked potential studies (SSEPs) should be considered an extension of the history and physical examination and not merely a substitute for a detailed neurologic and musculoskeletal examination.

These studies are helpful in the evaluation of patients with limb pain where the diagnosis remains unclear (e.g. carpal tunnel syndrome, numbness in the hand or fingers, tingling in the arms and legs, leg pain, shoulder pain, nerve pain, pain going down the legs, sciatica, radiculopathy, etc.). They are also helpful in excluding other causes of sensory and motor disturbances, such as peripheral neuropathy and motor neuron disease. They can also provide useful prognostic information by quantifying the extent and acuity of axonal involvement in radiculopathies.

We at RB Spine Center welcomes any questions you have about our treatments. Call us directly to schedule any appointment for further information on pain management, neurology, neurological conditions and electrodiagnostic testing.

10 Healthy Back Tips

Monday, August 31st, 2009

1. Exercise Regularly- This does not have to be anything overly strenuous. Something as simple as a daily walk can make a huge difference.
2. Eat A Healthy Diet- Proper nutrients allow the body to repair itself easier
3. Maintain Good Posture- Are you sitting up straight as you read this?
4. Stretch Your Spine Before And After Sports- This will also help to loosen up the surrounding muscles.
5. Don’t Overload Your Backpack Or Purse- Remember to carry it over both shoulders to balance the load (if possible).
6. Stretch Your Legs And Back After Each Hour Of Sitting- Whether in a car or at a desk, stretching regularly will help to keep you from tightening up or injuring yourself further.
7. Never Cradle The Phone Between Your Neck And Shoulder
8. Sleep On Your back Or Side, Not On Your Stomach- This helps to keep your spine in line and reduces the risk of hurting your neck while you sleep.
9. Invest In A Good Chair, Pillow And Mattress- When you think about the amount of time you use these things each day, it’s worth it.
10. Have Regular Spinal Check-Ups- It’s much easier to prevent a problem than to correct one.

If you have any suggestions to add to our list please let us know. RB Spine Center is ready to hear what you have to say.

SCIATICA PAIN

Friday, August 21st, 2009

Sciatica is a severe pain in the leg caused from compression or irritation of the sciatic nerve. The sciatic nerves are the largest (and longest) nerves of the body, reaching about the size of your thumb in diameter, and running down the back of each leg. The sciatic never supplies many of the lower extremity & pelvic structures in body.

When these nerves are irritated or affected by the inflammation of nearby soft tissues, mal-position of lumbar vertebral segments, muscle spasms, then doctors refer to this as sciatic, which may accompany lower back pain…

One of the most common causes of sciatic leg pain is the vertebral subluxation complex. It can be accompanied by the bulging or herniation of the soft, pulpy discs which separate each spinal bone. This can irritate or put pressure on the sciatic nerve roots as they leave the spinal cord. The results can be an intense pain shooting down either or both legs.

In the past treatment has involved pain medications, muscle relaxers, physical therapy, and even surgery.

The chiropractic approach (more conservative), is to use carefully directed and controlled pressure to remove the interference from spinal structure. These chiropractic “adjustment” can be quite effective in reducing nerve irritation and its associated pain.

Sciatic like other health problems that can be traced to the spine, often respond dramatically to the restoration of normal spinal function through chiropractic care.

 In a British study of 741 patients, those receiving spinal adjustments got better results than those receiving medical treatment.

While it can take time, conservative chiropractic care can be quite successful in removing the cause of Sciatica and low back pain.

 Additional treatments that have shown great results are NON SURGICAL SPINAL DECOMPRESSION THERAPY. Results have shown pain improves after treatment, fewer analgesics, improved function, no surgery after effect, and more.

                                       Contact us for free consultation.            

                                                  RB Spine Center

                                        Call us now@ 858-345-4114

                         * New Client offer                        * Must mention Blog

Low Back Pain

Wednesday, August 19th, 2009

When you hear the word chiropractic, do you think of care for spinal pain? You’d be surprised to learn that the world’s first chiropractic patient (1895) was saved from 17 years of deafness and the world’s second chiropractic patient was revealed of a heart condition. Thousands soon praised chiropractic for saving them from headaches, cold, allergy, asthma, sciatica, arthritis, seizures, ear infections, stomach trouble, gynecological problems and many other conditions in addition to back pain.

Spinal Health Can Help You in Many Ways

Your chiropractic will relieve you of the vertebral subluxation complex, which is a severe abnormality that interferes with your body’s proper function. Once your chiropractor relieves you of the vertebral subluxation complex, your body will function better.

 Low Back Pain

About 85% of the population will experience disabling low back pain at least once during their lives! That’s almost all of us. The problem is so bad that any one time, according to one researcher, 6.8 % of the U.S adult population is suffering from an episode of back pain lasting more than two weeks. That’s lot of bad backs. The estimated cost of this problem in the U.S is over $ 50 billion a year.

 Do Medical Treatments and Surgery Help?

The standard medical approach to back pain varies depending on the severity of the condition.Muscle relaxers, painkiller, ultrasound, hot packs, and cold packs are sometimes used. This approach has not been found very helpful. However, if the problem doesn’t improve or worsens, then surgery may be performed.

  The medical approach is at times necessary- even back surgery has a place. But according to some studies, most spinal surgery for acute lower back problems should be rarely performed. Many people who have had surgery report a reoccurrence of their symptoms within a year or two of the operation and may return to the operating table. In some cases the surgery makes no difference whatsoever, and in some cases it does give long term relief.

The Chiropractic Approach

Chiropractors have helped millions of people talking with low back problems, often saving them from pain, disability, drugs and surgery.

 The chiropractor’s purpose is to make your spine and its nerves, discs, and muscles healthier, stronger and more stable by correcting your vertebral subluxation. Anyone suffering from a back problem should see a chiropractor to make sure there are no subluxations and to have them removed or corrected if found. This may make the difference between a life of ease, health, and comfort and a life of pain, disease and disability.

What Do Major Governments Studies Reveal?

Low Back pain sufferers have received very good news lately. Major government studies from the U.S and Canada have reaffirmed what chiropractic patients have been telling their friends with back pain for years: “Why don’t you see my chiropractor? You’ll probably get better much faster than from drugs or surgery – and it’s safer too”.

What Did the U.S Government Discover

In 1994, the federal government sent shockwaves throughout the health care system when a definitive public pronouncement established chiropractic as one of the preferred and the most effective methods of care for acute adult low back pain.

A panel of medical experts spent two and half years reviewing nearly 4000 studies and reported that expensive tests(MRI, CAT scans) and therapies typically used to diagnosed and treat acute lower back pain(ice, heat, massage, diathermy)are largely useless. Instead, the experts recommended objectives of manipulation include symptomatic relief and functional improvement.

           Dr.Gerard W.Clum, president of life chiropractic college-West, said “the guideline. Clearly establishes spinal manipulation as the only recommended intervention whose benefit includes symptomatic relief as well as functional improvement.”

           The panel revealed that extended bed rest (more than four days) was harmful, and that muscle relaxants and surgery can be found helpful in 1 in 100 cases of low back problems and in some people it caused more problems.

What Canadian Researchers Found

The Manga report was commissioned by the government of Ontario in Canada. Leading economists found that chiropractic care for patients with low back is superior to medical care in terms of safety, scientific evidence of effectiveness, cost and patient satisfaction.

    “The higher satisfaction levels expressed by patients of chiropractors  …offers an overwhelming case in favor of much greater use of chiropractic services in the management of low back pain.

   “There should be a shift in policy to encourage and prefer chiropractic services for most patients with low back pain. A very good case can be made for making chiropractors the gatekeepers for management of low back pain in the workers compensation system.”

 The Facts speak for themselves

“ Scientific studies that have been done by  medical physicians comparing  chiropractic care with medical care and physical therapy non- surgical care of the back and neck show that doctors of chiropractic relieve chronic and severe pain both immediate and long term, in one half the time it takes medical physicians not trained in chiropractic procedure. …. Controlled empirical studies can and have been conducted. There are now in excess of 60 scientific studies which demonstrate the value of manipulation. Manipulation is a most effective and cost effective form of treatment for dysfunctional problems in the cervical, thoracic, and lumbar spines.”

              For patients with acute low back symptoms without radiculopathy , the scientific evidence suggest spinal manipulation is effective in reducing pain and perhaps speeding recovery within the first month of symptoms.

 Chiropractic is better for you.

Studies have shown chiropractic works better, is safer and less costly than standard medicine for lower back complaints.

Why are the results so overwhelmingly in favor of chiropractic?
Because painkillers, muscle relaxers, valium, braces, physical therapy, and surgery are not designed to correct vertebral subluxations. Chiropractic Is and Does!

 Want to know more? Call our office for a free consultation right now.

                           New patients are currently being accepted

                                    Call for an appointment Today 

                                             RB Spine Center

                                                858-345-4114.

Stress Management

Wednesday, August 19th, 2009

What is Stress?

Stress is the “wear and tear” our bodies experience as we adjust to our continually changing environment; it has physical and emotional effects on us and can create positive and negative feelings. As a positive influence, Stress can help compel us to action; it can result in a new awareness and an exciting new perspective. As a negative influence, it can result in feelings of distrust, rejection, anger, and depression, which in turn can lead to health problems such as headaches, upset, stomach, rashes, insomnia, ulcers, high blood pressure, heart disease, and stroke.

With the death of a loved one, the birth of a child, a job promotion, or a new relationship, we experience stress as we readjust our lives. In so adjusting to different circumstances, stress will help or hinder us depending on how we react to it.

How can I eliminate stress from my life?

As we seen, positive stress adds anticipation and excitement to life, and we all thrive under a certain amount of stress. Deadlines, competitions, confrontations and even our frustrations and sorrows add depth and enrichment to our lives. Our goal is not to eliminate stress but to learn how to manage it and how to use it to help us. What we need to do is find the optimal level of stress which will individually motivate but not to overwhelm each of us.

 How can I tell what is optimal stress for me?

 There is no single level of stress that is optimal for all people. We are all individual creatures with unique requirements. As such, what is distressing to one may be a joy to another. And even when we agree that a particular event is distressing, we are likely to differ in our physiological and psychological responses to it.

 It has been found that most illness is relevant to unrelieved stress. If you are experiencing stress symptoms, you have gone beyond your optimal stress level; you need to reduce the stress in your life and/or improves your ability to manage it.

 How can I manage stress better?

 Identifying unrelieved stress and being aware of its affect on our lives is not sufficient for reducing its harmful effects. Just as there are many sources of stress, there are many possibilities for its management. However, all require work towards change; changing the source of stress and/ or changing your reaction to it. How do you proceed?

 1.    Become aware of your stressors and your emotional and physical reactions

Notice your distress. Don’t ignore it. Don’t gloss over your problems. Determine what events distress you. What are you telling yourself about meaning of these events?Determine how your body responds to the stress. Do you become nervous or physically upset? If so, in what specific ways?

2. Recognize what you can change.

                       Can you change your stressors by avoiding or eliminating them completely?Can you reduce their intensity (manage them over a period of time instead of on a daily or weekly basis)Can you shorten your exposure to stress (take a break, leave the physical premises)?Can you devote the time and energy necessary to making a change (goal setting, time management techniques, and delayed gratification strategies may be helpful here)?

 3.    Reduce the intensity of your emotional reactions to stress

The stress reaction is trigger by your perception of danger…physical danger and/ or emotional danger. Are you viewing your stressors in exaggerated terms and/or taking a difficult situation and making it a disaster?Are you expecting to please everyone?Are you overreacting and viewing things as absolutely critical and urgent? Do you feel you must always prevail in every situation?Work at adopting more moderate views; try to see the stress as something you can cope with rather than something that overpowers you.Try to temper your excess emotions. Put the situations in perspective. Do not labor on the negative aspects and the “What if’s.”

 4.    Learn to moderate your physical reactions to stress

 Slow, deep breathing will bring your heart rate and respiration back to normal.Relaxation techniques can reduce muscle tension. Electronic biofeedback can help you gain voluntary control over such things as muscle tension, heart rate, and blood pressure.Medications, when prescribed by a physician, can help in the short term in moderating your physical reaction. However, they alone are not the answer. Learning to moderate these reactions on your own is a preferable long time solution. Our preventative management focuses on the individual not the disease.

 5.Build your physical reserves.            

Exercise for cardiovascular fitness three or four times a week (moderate, prolonged rhythmic is best, such as walking, cycling, swimming, or jogging).Eat well-balanced, nutritious meals.Maintain your ideal weight.Avoid nicotine, excessive caffeine, and other stimulants.Mix leisure with work. Take breaks and get away when you can.Get enough sleep. Be as consistent with your sleep schedule as possible.

 6.Maintain your emotional reserves.

                 Develop some mutually supportive friendship/relationship,Pursue realistic goals which are meaningful to you, rather than goals others have for you that you do not share.Expect some frustration, failures, and sorrows.Always be kind and gentle with yourself- be a friend to yourself.

 How integrated medicine can help you achieve your goals?

Health care is about choices, your choices. At our facility we offer you options for choosing natural and allopathic treatment methods. Our health professional takes a cooperative approach to your need by integrating the best of both worlds and offering you the utmost in quality healthcare choices.

 Our philosophy:

We believe that the highest priority in health care delivery should be good health through disease prevention, not disease treatment.Disease treatments reflect system failure. Often it is possible to restore good health by making behavioral and life changes even after disease has developed.

 Dr. Kancilia D.C believes in correcting the cause of a patient’s condition and doesn’t advocate “long term non specific treatment programs.”

 The RB Spine Center is built on the close relationship between staff and our patients. We take pride in getting to know you and how you lived your life prior to your injury or condition and how it had affected you. Due to this limit the number and type of patients we accept   into our practice.             

Contact us for free consultation.            Limited Appointment

                                   RB Spine Center

                        Call us now@ 858-345-4114

* New Client offer                        * Must mention Blog

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Sunday, August 2nd, 2009

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RB Spine Center
16980 Via Tazon #100
San Diego, CA 92127
858-345-4887


Easy Access Off the 15 Freeway
Exit Rancho Bernardo Road
Building next to Sharp Rees-Stealy Medical Center

Office Hours:
Monday - Friday Appointments Available
Early Morning and Lunch Time Appointments Available

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