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Dr. Joseph Young

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Is neck manipulation appropriate for herniated discs?

In most cases, cervical adjustments are not only appropriate but necessary. When a patient has a herniated disc, the body guards around the injury and creates very limited motion. Adjustments increase mobility to the spine and help releive the muscle spasm and help decrease the pressure off the disc. It is important to have imaging, x-rays or MRI, prior to treatment to determine the extent of the injury.

Why is chiropractic so controversial?
I do not know why chiropractic is so controversial. It is a wonderful alternative to medicine in the treatments of your pain/ symptoms. In most cases, the patient will benefit from our care. It is my practice educate the patient and make them aware of the benefits of treatment. I had a patient today who came in with neck and shoulder pain. After thorough evaluation and xrays, i determined that i could not help him and sent him out to an orthopedic doctor. The patient was thankful that we identified the problem and sent to someone that could help him better than i could.

I am not sure what happened, but I can not move my shoulder in circle anymore.  I am not sure where to start in getting help – what are your thoughts?
When it comes to shoulder injuries, you want to see an orthopedic doctor to rule out serious injury. If there is nothing serious going on, then Chiropractic, physical therapy and/or massage will help with mobilization to the joint and help with loosening up the muscles. 

I have what feels like a pinched nerve in my neck – what are the treatments for this? 

Pinched nerves are a very common cause for people to seek out chiropractic treatments. Spinal adjustments will help with relief of pressure off the nerve and relax the surrounding muscles. Heat and/or ice may be applied to help with swelling or to loosen the muscles. 

My lower back has been bothering me for a few months.  I have heard of IDD Therapy as a treatment plan – what do you suggest?
IDD therapy is for the treatment of herniated, bulging and degenerative discs. An MRI would be the best way for diagnosing these types of conditions. I recommend getting it checked out by your doctor/ chiropractor and they will. E able to direct you on the right direction. 

My son was diagnosed with Tinnitus (he is 12); his hearing is fine on the hearing test but he continues to hear ringing in his ears.  Are there chiropractic treatment options available for this condition?
When it comes to tinnitus, it is not common in children. There are nerves located near the top of the spine that are associated with the ears. Adjustments to these areas may help but I would follow up with your ear, nose and throat doctor. 

My son plays sports all year long (football, basketball and baseball) – his knee seems to bothering him constantly.  We want to help him before something serious happens in a more permanent way.  Do you think a chiropractor can help?   If so, how young do you see patients?
When it comes to kids, we see children as young as 3 months old and up. If your child is active and complains of knee pain, get them to a chiropractor for an evaluation or to a podiatrist. It has been my experience that a child with knee pain that increases with activity, might have hyperpronated feet where the arch is collapsed. We call this flat feet.  Good orthotics will help with the pain quickly. 

Is it possible to improve my posture through exercises?
In my opinion, most postural issues can be corrected through exercise. There is usually a muscular imbalance from tight muscles in the chest and weak muscles in the upper back and neck. By doing specific stretching and strengthening exercises, the posture can be helped and in most cases fixed. Chiropractors and physical therapists are the best choices for correcting posture.

I hear a clicking sound sometimes when I am chewing and it is really uncomfortable. What would you recommend?
Clicking in the jaw can be caused by Temperomandibular Joint Dysfunction (TMJ). This is a misalignment on one or both sides of your jaw where the jaw bone does not move properly with chewing or opening of the mouth. This is commonly caused by grinding or clenching your teeth. Other causes may be trauma ie motor vehicle accidents or slip and falls. Consult your dentist or a TMJ specialist if you feel you might have this.

I have heard that Chiropractic treatments can help those with Asthma – is this true? How can they help?
Studies have shown that chiropractic adjustments help patients with asthma. The adjustments increase mobility to the thoracic spine which increases the ability for the lungs to expand. They also relieve pressure of nerves that control the lungs so that the lungs can function optimally.

I was diagnosed with carpal tunnel syndrome a few years ago. I did not wear the brace given and now the condition is getting worse. What should I do now?
When it comes to carpal tunnel syndrome, often patients are given braces to reduce the stretching and aggravation of the median nerve, which the nerve that travels through the carpal tunnel. With rest and limited irritation to the nerve, often the pain subsides. That said CTS is often misdiagnosed. True, CTS gives pain/numbness/tingling to the wrist, palm, thumb, pointer and middle fingers. If your ring and middle finger are involved it is NOT CTS. You have a nerve entrapment somewhere else. If you feel the pain getting worse, you have a number of options.
1. See an orthopedic doctor to confirm the CTS diagnosis and they may prescribe medication and or send for physical therapy.
2. You can see a neurologist so they can do and EMG test to confirm the CTS
3. You can see a chiropractor that is Active Release Certified (ART) where they are trained in specific muscle release techniques to break up any scar tissue or adhesions that may be compressing on the nerve.
If you would like more detail, please feel free to contact my office.

Will chiropractic care help my headaches?
In most cases yes. There are many different types of headaches( tension, migraine, cluster) caused by many different things( muscle tightness, jaw alignment, caffeine withdrawal), to name a few. The most common cause of headaches that I see in my office is caused by misalignments of the vertebra in the upper part of the neck. When the nerves are compressed from misaligned vertebra (subluxations), the body reacts by tightening the muscles in the area and causes pain to shoot upward into the head and sometimes behind the eyes. These types of headaches can possibly cause decreased movement in the neck and dizziness. If this is the cause, the chiropractic adjustment realigns the vertebra, decreases pressure off the nerve and releases the muscle tension. The result... Reduction or no headache and increased mobility to the neck.

Dr Joe, I suffer from fibromyalgia. I would like to try some exercises that may help me regain my muscle mass and help with my flexibility. When I do weight training it just leaves me in even more pain. Is there something you would recommend?
Fibromyalgia is a condition that has has a lot of different symptoms involved with it. It has been my experience that the symptoms and severity of those symptoms vary from patient to patient.  Sometimes too little or too much exercise may aggrevate the condition. It is my recommendation that you start with less stressful exercises like yoga or swimming. These exercises are great for flexibility and building muscle that may be helpful in getting the results you are looking for.

Dr Joe, I wanted to know if frequent headaches could be related to my arthritis. When I take regular pain medication it does not help. What can I do?
Constant headaches are not caused by arthritis. if the normal pain medication does not work then make try one with caffeine or drink something with caffeine. the headaches might be withdrawl headaches especially if you have switched to decaf coffee or tea or reduced the caffeine intake you are used to. Another suggestion might be ice. sometimes the nerves that run from the back of the neck to the back of your head get inflamed for a number of reasons. if the headaches persist or get severe, i recommend seeing a professional about it whether it be a chiropractor, your primary doctor or a neurologist to rule out more severe causes for the headaches.

Hey Dr Joe -- Please help... I am in my mid twenties and in decent shape. My joints in my upper and lower back as well as my shoulders are always stiff and snap all the time. Could noisy poppy joints be the sign of a problem?
This is a great question. yes this can be a sign of a more serious problem, like rheumatoid arthritis. See your physician or a rheumatologist for a workup which will include blood work. With that said, if you are an athlete and have had injuries to these areas in the past, then you may be suffering from joint instability due to improper rehabilitation after the injury. Very frequently we suffer a injury, whether in mild or severe, and let the pain go away in a day or two thinking there is nothing wrong. in fact, there could be something very small wrong, such as a mild sprain. Over time this small problem could lead to a larger problem, such as instability, which will cause laxity in the joint and that is when you get constant popping of the joints.

Dr Joe, I have heard great things about ART - Active Release Technique -- How do you use at your clinic, and who do you recommend use it?
Active Release Technique (ART) is a great tool used for a variety of conditions in my office from a tight upper trap muscle to a surgically repaired knee to carpal tunnel syndrome. ART is a specific myofascial release where we break up the adhesions between injured muscles and joints to promote faster healing and ability to regain range of motion faster. we use it every day on most of our patients.

 

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