Tag Archives: arm pain

Arm Pain Causes and Cures

Arm Pain treatment san francisco
The Neck and Arm Pain Connection

We have been providing natural solutions for neck, arm and hand pain in San Francisco for over 20 years in the Financial District.

Arm Pain has many causes from repetitive strain injuries (RSI) to herniated and bulging discs in the neck. If you are someone that spends the majority of your day at a desk in front of a computer (like most of our patients) yo are prone to abnormal wear and tear on the cervical spine (neck), shoulders, arms and hands.

If you have poor posture. either from hereditary predisposition or acquired from poor sleeping habits, ergonomics or injury, you are prone to disc bulges and disc herniations which can lead to pinched nerves in the neck. Pinched nerves in the neck is a primary cause of arm pain.

Arm pain usually presents with either hand pain, shoulder pain, neck pain, numbness in the hands, weakness of grip, or night pain. Arm pain can also present as a stand alone symptom.

The cures for arm pain vary depending on the cause. One thing you should know. Rarely is the cause a “Motrin” deficiency.  When you take a pain killer for arm pain or any type of pain, all you are doing is masking the problem. Pain is a symptom not a condition.

Chiropractic is probably your best bet for arm pain. A chiropractor can examine you to uncover the cause of the arm pain and provide drug-less, nonsurgical solutions on the spot like chiropractic adjustments, massage, ice, and deep tissue laser therapy.

If your arm pain is from a herniated or bulging disc in the neck, then a chiropractor may use nonsurgical spinal decompression to the cervical spine. The machine we use is the DRX9000c. Spinal decompression machines are designed and built to treat disc bulges, herniations and spinal stenosis naturally.

If you have arm pain and would like to find out if you are a candidate for care please call 415-392-2225 and ask for a complimentary consultation. Go here for more info on arm pain treatment in San Francisco.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Pinched Nerve in the Neck?

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DRX9000c Cervical Decompression

Have you been told you have a Pinched Nerve in the Neck? Or, do you just feel like you have one? What is a pinched nerve anyway?

Well, a pinched nerve in the neck is a term used to describe the pressure or trapping of a cervical nerve root mostly from a bulging or herniated cervical disc. Degenerative disc disease, vertebral subluxatons, and facet syndrome can also cause pinched nerves.

Nerves are very delicate and sensitive to any kind of pressure. Famous research studies from the University of Colorado demonstrated that just the weight of a pencil erasure on a nerve can interfere with the transmission of the nerve impulse by 60%.

When nerves become irritated it can cause severe pain and dysfunction. The nerves that exit from the bones in the neck travel down the arm and into the hand. When these nerves become pinched, stretched or irritated it can cause neck pain, shoulder pain, arm pain, and hand pain. Now this does not mean if you have a pinched nerve you will have all these symptoms, heck you might not have any symptoms at first…these are just some of the symptoms that can present from nerve pressure in the neck.

You may also experience numbness and tingling in the arms or hands, weakness of grip, night pain, and swelling in the hands and fingers. Some patients even get headaches.

The symptoms in the hand can mimic those of carpal tunnel syndrome (CTS).  In fact, you can have a herniated or bulging disc in the neck and be experiencing the signs and symptoms of CTS without any neck pain at all. This can lead to a misdiagnoses and unfortunately, unnecessary carpal tunnel surgery.

A chiropractor or orthopedic doctor that specializes in the neck, arms, and hands is your best bet for pinched nerve treatment. They will most likely order cervical x-rays and a cervical MRI…maybe even a nerve conduction test of the upper extremities.

Once a determination and diagnosis is made of the underlying condition, most likely a herniated disc in the neck, then treatment will commence.

Chiropractic care is probably what we would recommend first as it is very safe, gentle and effective. If chiropractic fails to deliver results we can try nonsurgical cervical decompression with the DRX9000c, a machine designed and built to treat pinched nerves resulting from herniated and bulging discs. We would not recommend rushing into neck  surgery unless it is an emergency (most are not). If chiropractic and spinal decompression fail to deliver a favorable outcome you are still whole and can pursue other treatment options, including surgery.

To find out if you are a candidate for care at our San Francisco Spinal Decompression Center please call 415-392-2225 and ask for a complimentary consultation. 

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Cervical Traction Protocols and Indications

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DRX9000c Cervical Decompression

Often times, cervical traction is indicated for neck, shoulder or arm pain. If the problem is a bulging or herniated disc than cervical traction done at home or in a doctors office  may not be such a good idea. This is when you want to consider nonsurgical spinal decompression with the DRX9000c.

Last month, we looked at the published evidence that overwhelmingly supports the use of cervical traction. As promised, this month’s focus is the proper methods of applying it. The type of traction that this discussion will address will be limited to the kind that can be purchased and then used in the home, usually multiple times a day, giving it a clear advantage over in-office traction treatments which can only be applied a few times a week during office visits. In some cases however, it may be appropriate to use the in-office type for a few sessions to determine dosage and/or tolerance prior to administering a home unit, but this varies from case to case, and each type of traction unit is different. In the neck or cervical spine, there are many varieties including: sitting over-the-door types, cervical collar types, as well as supine (lying on the back) types. Each variety has its pros and cons and prices vary considerably from $10 to $600.

            CONDITIONS: Probably the most common condition treated with cervical traction is “cervical radiculopathy,” or a pinched nerve. When a nerve root in the neck is pinched, pain, numbness, tingling, and/or muscle weakness occurs in the area the particular nerve innervates. For example, if a patient presents with pain and numbness radiating down the arm to the thumb and index finger and/or have weakness in bending their elbow and extending their wrist, then we know that the C6 nerve is pinched. When pulling or stretching the neck relieves the arm pain, traction is usually helpful. If pain worsens, the person is probably not ready for traction yet.

            PROTOCOL (DOSAGE): The key to a successful outcome using cervical traction is finding the right dosage. If you start with too much weight, it may leave you feeling sore, or worse, making you reluctant to try it a second time. Therefore, rather than relying on using a certain percentage of body weight, it’s safest to start with less weight and then gradually increase it, such as 5# (# = pounds or .45 kg) for 15-20 minutes. If that dose feels fine, try 7#/15-20 min., then 9#, 11#, 13#, etc., until you find it just isn’t quite as comfortable at the last weight. You have now found your current threshold and should drop down to the last most comfortable weight and use that for a few days and then MAYBE try increasing it again. Studies show a maximum stretch is usually achieved within 15-20 minutes, so extending the time longer may be less productive. Facing the over-the-door unit may be better tolerated than facing away. Try it both ways and you decide which feels best. The next most important issue is frequency.

            How often to repeat the traction sessions depends on: 1. The condition’s severity and your response; 2. Your time availability. If there is a severe nerve pinch with muscle twitching, weakness and dense numbness/tingling, then the traction be repeated MANY times a day, gradually increasing the weight to find the optimum amount. We’ve had people repeat the traction 10x/day! With the option of wearing a cervical collar traction unit, you can actually travel and/or do certain activities during traction. We’ve had people travel to and from work while performing traction! Since each case is unique, we’ll discuss that individually. The bottom line, IT WORKS GREAT with proper chiropractic management and in many cases, surgery CAN be avoided!

            We realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

To schedule a complimentary consultation for cervical spinal decompression in San Francisco call 415-392-2225 and mention this blog post.

 

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Traction: Does It Help Neck Pain and Headaches?

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DRX9000c Cervical Decompression

We have been providing neck pain treatment in San Francisco for over 20 years now. We have incorporated cervical traction and now nonsurgical spinal decompression  with the DRX9000c.

Traction is defined as, “…the act of pulling a body part.” Therefore, it is commonly used in many regions including legs, arms, low back, mid-back, and the neck. We will be limiting this discussion to cervical or neck traction, and the question of the month is, “…does it help patients with neck pain and headaches?” Though I’m assuming you already know, the answer is YES! You may want a little “proof,” so here it goes!

  1. REDUCES DISK PROTRUSIONS: In 2002, a medically based study found traction to be very effective in the treatment of cervical radiculopathies (pinched nerves in the neck that radiate pain into the arms). A 2008 study using MRI (images) described the effect traction had on the disk protrusions in the neck reporting 25 of 35 (or 71%) were reduced while in traction with a 19% increase in the spacing (disk height) and improved neck range of motion after the traction was applied. They postulated that by pulling the vertebrae in the neck apart, there was a suction-like effect pulling the disk material back in place.
  1. RECOMMENDED BY GUIDELINES: Around the world, guidelines have been published giving doctors information that allows us to know how well certain forms of treatment work for different conditions. In a 2008 publication, it was reported that, “Clinicians should consider the use of mechanical intermittent cervical traction, combined with other interventions such as manual therapy and strengthening exercises, for reducing pain and disability in patients with neck and neck-related arm pain.”
  1. CLINICAL PREDICTION RULES: These help us determine who is most likely to benefit from a certain type of treatment (in this case cervical traction and exercise). If 3 of 5 variables are found, the likelihood of success with traction & exercise was reported to be 79%, and if 4 of the 5 are found, 90%. The 5 variables are: 1. Radiating neck to arm pain in certain positions; 2. Positive shoulder abduction sign; 3. Age >55years old; 4. Positive limb tension test; 5. Relief of symptoms using manual distraction test (if pain is relieved while the neck is being pulled).
  1. INTERMITTENT AND CONTINUOUS TRACTION: Either way, significant improvement in neck and arm pain, neck mobility, and nerve function occurred with both approaches.
  1. TRACTION VS. SURGERY: In this study, patients with radiating arm pain and positive neurological findings on exam were offered a course of traction before surgical options. They reported 63 of 81, or 78%, of the patients experienced significant or total relief, 3 could not tolerate traction and 15 simply didn’t respond. They concluded that when neck and arm symptoms with neurological deficits were present for 6 weeks, that 75% will respond to neck traction over the next 6 weeks.

            There are MANY additional studies available that show well beyond doubt that cervical traction is a GREAT option in the management of neck and arm pain and sometimes headaches. Next month, we will discuss “HOW TO” apply cervical traction.

            We realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

To schedule an appointment with one of our San Francisco Spinal Decompression Doctors call 415-392-2225.

 

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Cervical Decompression for C7 Disc Bulge

drx9000c san francisco
DRX9000c Cervical Decompression

We have been providing spinal decompression therapy in San Francisco for over 8 years now. The machine we use is the DRX9000c.

Cervical decompression systems are designed and built to treat bulging and herniated cervical discs without drugs or surgery.

The C7 disc bulge is one of the most common conditions we treat with the DRX9000c. The C7 disc is the disc at the very bottom of the cervical spine in between the C7 and T1 vertebra. The C7 disc will often bulge as an adaption to things like abnormal stresses from poor posture over time, injury (sports, auto accident, repetitive strain) or degenerative disc disease…to name a few.

Typically, a bulging disc in the neck will eventually herniate if left untreated. This is why it’s so important to get the right kind of treatment as soon as the disc bulge is diagnosed.

Cervical disc decompression treats bulging and herniated disc by elongating the spine, re-positioning the disc, enlarging the disc space, and creating a negative pressure, which actually pulls the bulging disc material back to the center of the disc.

The treatment protocol is 20 sessions done as follows:

5 times for 2 weeks, 3 times for 2 weeks, 2 times for 2 weeks.

The sessions are about 50 minutes. You receive cervical decompression for 30 minutes, then 10 minutes of muscle stimulation, then 10 minutes of ice.

Bulging cervical discs at C7 can cause symptoms like arm pain and weakness, loss of grip strength, numbness and tingling in the arm and hand, night pain, and headaches.

Success rates are high with the DRX9000c.

If you have been diagnosed with a bulging or herniated disc in the neck and would like to fined out if you are a candidate for cervical decompression with the DRX9000c we would like to hear from you.

To schedule a complimentary consultation at our San Francisco Spinal Decompression Center please call 415-392-2225.

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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Cervical Disc Herniation Symptoms and Treatment

We have been providing treatment for cervical disc herniations in San Francisco for almost 20 years now. Some of the more common symptoms of a herniated disc in the neck are neck pain, shoulder pain, hand pain, weakness in the upper extremities, numbness and tingling in the arms and hands, night pain, swelling of the fingers, headaches, and cervical muscle spasms.

cervical decompression san francisco
DRX9000c

It is possible to have no neck pain at all with a herniated disc…which is why herniated cervical discs are often misdiagnosed as carpal tunnel syndrome. A cervical MRI is the gold standard diagnostic tool for ruling out or confirming a disc herniation.

At our San Francisco Spinal Decompression Clinic, a patient will often present with cervical disc signs and symptoms that have not responded to conventional treatments such as physical therapy, cortisone, chiropractic, or medications. They feel they have nowhere to turn…and may have been told they need neck surgery.

This is when cervical spinal decompression with the DRX9000c should be considered. The DRX9000c is designed and built to treat cervical disc herniations without surgery. We have the only DRX9000c in San Francisco.

Cervical decompression isolates on the spinal segments of the injured cervical disc…say C5-6. The DRX9000x seeks to reposition the herniated disc, enlarge the disc space, elongate the cervical spine, rehydrate the disc, and strengthen the spinal ligaments and muscles. It’s like a respirator for the discs.

Does the DRX9000c work every time? NO…just most of the time. For those that do not benefit from cervical decompression, they are still whole and can pursue other treatment options. The same is not true if you have certain spinal surgeries like a fusion. If you have surgical fusion to the cervical spine, you can never try the DRX9000…you are disqualified.

What if I am having the symptoms of a herniated disc and nothing is helping me…should I get an MRI? YES…and visit a doctor that does nonsurgical spinal decompression.  Many multidisciplinary clinics offer spinal decompression…so you can consult with an MD and a chiropractor.

Whatever you do don’t just run and have neck surgery…check out your options first. Surgery should be the last resort…not the first.

To find out if you are a candidate for the DRX9000c at our San Francisco Spinal Decompression Center…call 415-392-2225. Mention this blog post for a complimentary consultation.

Directions to San Francisco Spinal Decompression

 

 

 

Scott Calzaretta

Chiro-Medical Group is an innovative collaboration of health care professionals who work together as a team to promote optimal health. Our group includes experts in the fields of medicine, chiropractic, physical therapy, massage, nutrition, and personal athletic training.

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