Specialty Services
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Rehabilitation
Chiropractic Rehabilitation is a new paradigm that has
evolved to bridge the gap between passive modalities and the proper
utilization of active rehabilitation procedures. It is imperative for
chiropractors to have additional training in rehabilitation techniques for
this evolution to occur. The progression also involves a revised philosophy.
The chiropractor must be a musculoskeletal specialist, with expert skills in
manipulation as well as the knowledge and ability to shift from passive to
active care, while elevating the bio-behavioral component of musculoskeletal
illness. This new paradigm allows chiropractors to evaluate and treat neuro-musculoskeletal
conditions by addressing the three major components which are altered after
an injuury: 1) soft tissue; 2) biomechanical function of the affected joint;
and 3) patient psychosocial response. Chiropractic Rehabilitation allows the
practitioner to provide appropriate passive pain relief during all phases of
recovery. It links functional restoration with chiropractic adjustive
techniques, while encouraging proper tissue healing -- promoting quicker and
more enduring results. The paradigm is fueled by the emergence of insurance
companies and other third party payers who focus on procedure, duration and
cost effective protocols for treatment outcomes. Reference: James A. Ropicky,
D.c., D.A.C.R.B., American Chiropractic Rehabilitation Board http://www.acrb.org/
American Chiropractic Rehabilitation Board
Phone 1: 800-858-3499
acrb@acrb.org
www.acrb.org
Carpal Tunnel
Syndrome
This chiropractor specializes in Carpel Tunnel Syndrome.
Carpel Tunnel Syndrome is most often caused by pressure on the median nerve
just above the wrist. The Carpal Tunnel is named for the area of the wrist
containing the carpal bones, the transverse carpal ligament (connecting two
outside carpals together), the median nerve and the tendons controlling
finger and hand movement. Pressure on the median nerve may occur due to
injury (for example, a sudden bending back of the wrist), or sustained
pressure from activities like typing/keypunching, chopping, hammering or
pushing. Carpal Tunnel Syndrome and related strain injuries have a range of
similar symptoms. Some warning signs are pain (which can be severe),
numbness, a tingling or burning sensation, weakness or loss of grip
strength. Loss of sleep due to discomfort may also occur. The earlier CTS is
treated, the easier and quicker the recovery. There are many ways to treat
CTS depending on individual severity and other considerations. In most cases
chiropactic manipulation of the affected wrist area (and perhaps spinal
manipulation) can be very effective. Surgery may weaken the ligament and
should only be considered if conservative treatment fails to correct the
problem.
Nerve
Conduction Studies
Electromyography (EMG) is sometimes recommended to assess
the electrical activity of a nerve root. After three weeks of pressure on a
nerve root, the muscle the nerve goes to will begin to spontaneously
contract. Compression of a nerve will also slow electrical conduction along
that nerve. EMG is sometimes useful in distinguishing nerve degeneration
(neuropathy) from nerve root compression (radiculopathy). Because the test
involves placing small needles into the muscles, there is some discomfort
for the patient. There are no major risks associated with this process,
however, the tests are not highly reliable in determining which nerve is
compressed.