Tag Archives: cervical

Hand Pain and Herniated Disc in The Neck

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Is it Really CTS?

We have been providing treatment for hand pain in San Francisco for over 22 years now. 

Hand pain is very common in people that spend the majority of their day sitting at a desk in front of a computer…like most of our patients.

When it comes to hand pain treatment the source of the pain is not always in the hand. In fact, more often than not the source of the arm or hand pain is from pinched nerves in the neck. That’s right, pinched nerves in the neck can cause the same type of hand pain that pinched nerves in the hand or wrist can cause (carpal tunnel syndrome).

This is why it’s so important for a doctor to examine the neck to the finger tips when a patient presents with carpal tunnel symptoms such as hand pain.

The primary cause of pinched nerves in the neck is a herniated or bulging cervical disc.

Chiropractors have great success treating pinched nerves in the neck with adjustments, massage, exercise and other non-invasive treatments such as deep tissue laser and Active Release Techniques (ART).

In the unlikely event that chiropractic fails to deliver desired results for hand pain due to a herniated disc, then nonsurgical cervical decompression is considered for the neck.

At our clinic we will often incorporate cervical decompression with the DRX9000c and chiropractic adjustments. This can work extremely well.

We also have a medical team and physical therapy team for difficult cases.

So, if you are suffering with neck, arm, shoulder, elbow, or hand pain, you should probably visit a chiropractor that has expertise in CTS treatment and repetitive stress injuries. And if they have a cervical spinal decompression machine that’s even better.

To find out if you are a candidate for hand pain treatment in San Francisco please call 415-392-2225. Mention this blog post 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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Spinal Decompression Maintenance Care

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Spinal Decompression Therapy with DRX9000

We have been providing spinal decompression therapy in downtown San Francisco for over 10 years now.

Over the past 10 years or so we have helped thousands of herniated cervical and lumbar disc patients return to more active lifestyles with the DRX9000. Many have been able to avoid back or neck surgery as well.

Sure, there are always some that do not respond favorably to decompression therapy but they are the minority. What typically happens is that patients end up a lot better than they were and are glad they did the treatment. Some have a complete resolution of symptoms.

As we near the end of the spinal decompression protocol, which is typically around 20 sessions performed over a 6-8 week period, we discuss with the patient the option of continuing on with some sort of ongoing maintenance plan. About 50% choose to do so.

Is DRX9000 spinal decompression maintenance necessary? In some cases YES, in other cases we just don’t know. When we just don’t know, we recommend that our patients listen to their body and call for a decompression session “as needed”. This seems to work very well.

Some patients never need the decompression machine again and choose to keep their spine healthy with chiropractic, exercise, stretching, Yoga or Pilates.

So, if we feel you need cervical or lumbar spinal decompression maintenance care, we will tell you. If not, we will teach you how to take care of your new back or neck so that the results last.

The conditions that respond best to cervical or lumbar spinal decompression therapy are bulging or herniated disc in the neck or low back. Degenerative disc disease, Spinal Stenosis, Facet Syndrome, and Failed Back Surgery cases also respond well.

Not all patients can qualify medically for decompression therapy. The best thing to do is research online, find a spinal decompression doctor near you with lots of experience (this matters most) and make an appointment to find out if you are a good candidate.

If you live or work near the San Francisco Financial District, or have the ability to stay for a month or two, you can see us.

To schedule an appointment 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 Spinal Decompression in San Francisco

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DRX9000c Cervical Decompression

The cervical disc decompression machine we own and operate is the DRX9000c. The DRX9000c is fully computerized and has a built-in biofeedback mechanism that senses the herniated disc patient’s response to the treatment and makes adjustments accordingly.

The cervical decompression system is able to target a specific spinal disc in the neck, such as the C5/6 disc because the computer adjusts the angle of pull according to which disc in the neck is being treated.

Many chiropractors, physical therapists, and medical doctors claim to offer spinal decompression, but it is nothing more than a glorified traction machine. Our spinal decompression system which includes the DRX9000 (lumbar machine) and the DRX9000c (cervical machine) costs over $150,000.

So make sure you do your homework.

In addition, just because a chiropractor or medical clinic has a DRX9000 or DRX9000c, it does not mean they know what to do with it. It takes years of clinical experience and operation to learn how to incorporate it into an overall lumbar and cervical disc herniation repair strategy and protocol.

We have performed over 12,000 decompression sessions on thousands of patients. In fact, we were the first to offer the DRX9000c to San Francisco.

So there you go…if you have been diagnosed with a herniated or bulging disc in the neck or feel you may have one and do not want surgery, you may be a candidate for nonsurgical spinal decompression to the cervical spine with the DRX9000c.

To find out if you are a candidate for cervical spinal decompression in San Francisco please call 415-392-2225 and ask for a complimentary consultation.

PS: We also offer physical therapy and medical case management at our sister clinic Chiro-Medical Group, Inc. a few blocks away.

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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Spinal Decompression and Physical Medicine in San Francisco

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Lumbar decompression with the DRX9000

We have been providing nonsurgical spinal decompression for over 10 years now.

Recently, our clinic was acquired by Chiro-Medical Group, Inc. of San Francisco.  Chiro-Medical Group (CMG) is known for it’s multidisciplinary approach to the treatment of sports injuries, chronic back pain, and complex back and neck pain syndromes such as herniated and bulging discs.  They specialize in “Physical Medicine”.

What this means is CMG can co-manage and treat your herniated or bulging disc with an expert team of medical doctors, chiropractors, physical therapists, and trainers.

We have onsite digital x-ray and advanced diagnostic equipment that we can use to quantify and monitor your progress.

Physical therapy and core strengthening can make the difference when it comes to long lasting results from your spinal disc decompression.

Spinal decompression and physical therapy can offer a more permanent solution than spinal decompression alone.

Our two clinics are only a short walk away from each other in the San Francisco Financial District.

So, if you have been diagnosed with a herniated disc in the lumbar or cervical spine and are experiencing neck, low back, arm or leg pain…you may be a candidate for spinal decompression and physical medicine.

To find out if you are a candidate for care please call 415-392-2225 and ask for a spinal decompression assessment. Chances are…you will be glad you did 🙂 

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?

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DRX9000c Cervical Decompression

We have been providing  treatment for herniated cervical discs in San Francisco for over 22 years.

Typically, patients will present with neck, arm, or hand pain. There can be associated numbness, tingling or weakness in the upper extremities. Sometimes there is no neck pain at all, just arm or hand pain. It is not uncommon for a herniated disc in the neck to be misdiagnosed as carpal tunnel syndrome.

So how do you know if you have a herniated cervical disc?

Well, the gold standard for diagnosing a herniated disc is a MRI.

Many of our spinal decompression patients come to us with MRI in hand looking for nonsurgical solutions to their problem. Other times, we end up ordering the MRI after conservative chiropractic fails to deliver results.

We have a “next step” if chiropractic does not achieve a favorable outcome with cervical disc herniation. Our next step is nonsurgical spinal decompression with the DRX9000c. The DRX9000c is designed and built to treat herniated discs in the neck non-surgically. The results are outstanding.

We have been incorporating cervical disc decompression into our herniated disc treatment protocol for about 9 years now. In the event decompression is not successful, which is rare, the patient is left whole and can explore other treatment options, including neck surgery.

To find out if you are a candidate for nonsurgical cervical disc treatment in San Francisco please call 415-392-2225. 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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Herniated Disc Treatment in San Francisco

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Spinal Decompression Therapy with DRX9000

We have been providing nonsurgical herniated disc treatment in San Francisco for over 22 years now. 

Often times, patients diagnosed with cervical or lumbar disc herniations feel they have nowhere to turn and that back or neck surgery is the only option. Well…that simply just is NOT true. Heck, many people have herniated discs and don’t even know it. They will live and die with them. It’s never a good idea to rush into back surgery…you have options.

Sure, sometimes disc herniations and disc bulges contact the spinal cord or nerve roots in ways that are very difficult to treat. And yes, some of these patients are in extreme pain that can cause severe pain and disability. And yes, sometimes surgery is the only option. But this is the exception and not the rule.

At our San Francisco Spinal Decompression Center we have successfully treated thousands of herniated disc patients, many of which thought surgery was the only answer. Spinal disc decompression machines such as the DRX9000 are designed and built to treat herniated discs non-surgically.

The DRX9000 elongates the spine, enlarges the disc space, strengthens the spinal muscles, ligaments and tendons, and re-positions the herniated disc material back to the center of the disc where it belongs.

Does it do this every time? NO…just most of the time.

For sure, disc decompression is worth a shot before surgery. Either it works or it doesn’t. If not, you are still whole and can pursue other treatment options…even surgery.

To find out if you are a candidate for herniated disc treatment in San Francisco please call 415-392-2225. 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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Neck and Shoulder Pain?

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DRX9000c Cervical Decompression

We have been providing nonsurgical treatment for neck and shoulder pain in San Francisco for over 20 years in the Financial District.

If you are experiencing neck, shoulder or arm pain you may have a “pinched nerve” from a herniated or bulging disc in the neck. There are other causes as well such as misaligned vertebrae, muscle spasms, degenerative disc disease or spinal stenosis.

Chiropractic care is probably your best bet for a pinched nerve in the neck. If chiropractic fails to deliver results there is always nonsurgical cervical decompression with the DRX9000c.

Cervical decompression systems like the DRX9000c are designed and built to treat cervical disc herniations and bulges naturally. They do this be enlarging the disc space, elongating the spine, and strengthening the spinal muscles ligaments and tendons.

A typical course of treatment is 20 sessions over a 6-8 week period. The sessions are an hour long. Treatment cost is approx $3500 depending on what level of service is required.

Success rates are high if your case is accepted.

To find out if you are a candidate for neck and shoulder pain treatment in San Francisco call 415-392-2225. 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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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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How much decompression do you need?

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Lumbar decompression with the DRX9000

We have been providing spinal decompression with the DRX9000 and DRX9000c to the San Francisco Financial District for over 8 years now to thousands of patients. One of the most important things we have learned is that everyone responds differently.

Spinal decompression therapy is a tool and it’s not a Magic Bullet…it requires weeks and sometimes months of initial treatment to achieve favorable outcomes. And favorable outcomes are not always a complete resolution of symptoms. Mostly, patients are just a lot better than they were and are happy with the treatment…many avoiding surgery.

Initially, the manufacturers protocol calls for 20 session of decompression, followed by 10 minutes of electronic muscle stimulation and 10 minutes of ice. Usually this is good enough. But in some cases it’s not and we need to do more. Usually, we realize this in the beginning and build more visits into the treatment program. We can always adjust up or down as the treatment unfolds.

Once we start some people begin to feel better immediately…some feel worse. And everything in between. It really does not matter how a patient responds when we start it’s where they end up when we finish.

Decompression therapy is physical and the body needs to adapt to these new forces and to the spine and discs moving into a more normal position. As the treatment progresses and we begin to incorporate exercises into the mixes there is more potential for soreness. in fact, patients tell us they feel much better from less nerve pain but the muscles soreness is still there…kind of like the soreness you get from working out…a good sore.

Then, at the end, depending on how you progressed and the nature and severity of your problem, and your overall health, we may want to do some more DRX session or a combination of chiropractic, exercise and decompression.

Our spinal decompression doctors work with our clinic director to create custom treatment plans based on individual needs. Some DRX9000 patients choose ongoing maintenance care of various frequencies and some just come in when they feel the need. We work together to find what’s best for you.

The first step in the decompression process is to find out if the DRX9000 makes sense for you.  To schedule a complimentary consultation to see if you are a candidate for spinal decompression in San Francisco, 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 Disk Herniations: Common Questions

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DRX9000c Cervical Decompression

We have been providing natural solutions for cervical disk herniations in San Francisco for over 20 years now in the SF Financial District. We are located in the landmark Embarcadero Center One.

Last month, we discussed the topic of neck pain arising from cervical disk herniations. The focus of this month’s Health Update is common questions that arise from patients suffering from cervical disk derangement.

1. “What can I do to help myself for my herniated disk in my neck?” The mnemonic device “PRICE” stands for Protect, Rest, Ice Compress, and Elevate is a good tool to use in the acute stage of many musculoskeletal conditions.

  • Protect your health by NOT placing yourself in an environment that is likely to harm you, such as playing sports or doing heavy yard work. That is, think about what you do BEFORE you do it and if sharp, radiating pain occurs, STOP and assess the importance of what you are doing. Use the concept, “…don’t pick at your cut.” This means if you want the injury to heal, don’t keep irritating it!
  • Rest is similar. Limit your activities to those that can be done without increasing symptoms, especially radiating pain.
  • Ice – The use of ice reduces swelling/inflammation, which reduces pain and promotes healing. Alternate it every 15-20 minutes (on/off/on/off/on) several times a day. You can also use contrast therapy (Ice/heat/ice/heat/ice) at 10/5/10/5/10 minute intervals to “pump” out the swelling.
  • Compress – The use of a collar worn backwards, if it’s more comfortable that way, can literally “take the load off.” the neck and disks. There are even inflatable collars which are pumped up with air to traction the neck. Other forms of traction will be discussed further.
  • Elevate – The concept of raising the ankle to the height of the heart so swelling can drain out of the ankle is the classic example of “elevation.” In the neck, the traction concept may apply once again.

 

2. “I don’t want to have surgery if I can help it. What can you do as a chiropractor to help me?” This is one of our primary goals, and in fact, the goal of ALL health care providers, even surgeons! Chiropractic offers anti-inflammatory measures: ice, herbal anti-inflammatory agents (ginger, turmeric, bioflavonoid, curcumin, bromelain, Rosemary extract, Boswellia Extract, and more), digestive enzymes taken between meals, muscle relaxant nutrients (valerian root, vitamin D, a B complex, chamomile, magnesium, and others) as well as other non-pharmaceutical options. Treatments consist of manual manipulation, mobilization, traction (for home and office), modalities such as deep tissue laser therapy and low-level laser, electrical stimulation, magnetic field, ultrasound, and others. We also offer nonsurgical cervical decompression with the DRX9000c. Most important is having a “coach” guide you through the stages of healing by first addressing the acute inflammatory stage (first 72 hrs), the proliferative or reparative phase (up to 6-8 weeks), followed by the remodeling phase (8 weeks to 1 or 2 years) and finally, the contraction phase (lifetime – includes the natural shortening of scar tissue). If manual traction reduces neck and arm pain, the use of home traction is very effective. Options include sitting over-the-door traction, laying down versions, and mobile traction collars (discussed previously). Exercises to stretch and strengthen the neck are also very important in reducing neck pain as well as preventing recurrences. If in spite of all the best efforts of this non-surgical care approach should ongoing neurological loss and relentless symptoms continue, we will coordinate care with physiatrists for possible injection therapy and pharmaceuticals, with neurology for further testing (such as EMG/NCV – a nerve test), and/or neuro- or orthopedic surgery – THE LAST RESORT!

            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 consultation for cervical disk herniation treatment in San Francisco please call 415-392-2225. Mention this blog post 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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