Knee Osteoarthritis and Chiropractic

A growing body of research on the effects of Sitting Disease has linked excessive sitting to a number of diseases, including colon cancer, breast cancer, diabetes, and cardiovascular disease, as well as greater rates of disability later in life and even premature death
Sitting can also have negative effects on the structures of your body, including the upper and lower back, neck, and hip muscles and joints, as well as spinal discs. Even regular exercise doesn’t reduce the danger caused by hours of sitting every day, according to a study conducted by the University of Queensland in 2009. Daily hours spent sleeping, watching TV, using a computer at home and eating, compounded by hours spent sitting at work, could cause major health problems.
Sitting at a desk for hours on end is a common plight: 86 percent of Americans sit all day at work, according to a survey conducted by Research Now and Ergotron. Since regular exercise outside of work is not enough to counteract the negative effects of sitting, desk workers face an increased risk of health problems, but there are ways to maintain productivity and break up the amount of time spent sitting.
1) Get Moving on the Clock
With so much of our lives spent working, the challenge is figuring out how to avoid sitting so much while still getting work done. Here are six ways to get out of that desk chair and get moving on the clock.
2) Use a Standing Workstation. The American Medical Association now recommends that employers provide alternatives to sitting desks. A study published by the Centers for Disease Control and Prevention found that standing workstations reduced time spent sitting, upper back and neck pain, and improved mood state of employees.
Adjustable standing desks can cost upwards of $300, so if you’re looking for a cheaper alternative, try building your own DIY standing desk like this one made out of Ikea furniture. Just be sure to build your workstation at the proper height. This diagram is a helpful guide to determining how tall your standing desk should be.
3) Take Frequent Microbreaks. Sitting can cause muscle stiffness, so if you can’t use a standing desk, try taking microbreaks. A study published in the journal Applied Ergonomics found that workers who took microbreaks (averaging around 30 seconds every 20-40 minutes) experienced less muscle pain and discomfort with no negative impact on productivity. Professor of Health Services Toni Yancey of the University of California recommends using these breaks to stand up and march in place, dance, or walk a quick lap around your office.
4) Hold Walking Meetings. Research suggests managers spend as much as 25-80 percent of their time in meetings. While it may not always be possible to leave the office, holding walking meetings is a great way to get moving at work. Fresh air and a change of scenery can make your meetings more productive. Most importantly, regular walks can contribute to a healthier lifestyle, lowering your risk for cancer and type 2 diabetes.
5) Walk During Your Lunch Break. Taking a brisk walk or even a casual stroll during lunch is a quick and easy way to get out of your chair. A study published in the Scandinavian Journal of Medicine and Science in Sports tracked 56 office workers who took 30-minute walks during their lunch breaks. Not only did the participants improve physical fitness, but walks during the lunch hour also improved mood, increased relaxation, and decreased tension, regardless of how fast participants walked. For people who struggle to find time to exercise regularly, lunchtime exercise is a great way to increase physical fitness and counteract hours in a desk chair. If possible, take your walk outside, since experiencing natural environments can increase the benefits of your exercise, according to studies.
6) Stand While Making Calls. Standing up while making phone calls is an easy way to get out of your chair and break up your time spent sitting.
7) Technology Can Help. While technology often is the cause of even more time spent sitting, there are several devices on the market than can help you track fitness and decrease sitting, including the FitBit, Jawbone, and Apple Watch, among others. These devices can help you set fitness goals, remind you to get up and move during desired periods of time, measure your daily activity and calories burned, track sleeping patterns and diet, and much more.
Moving at Work May Increase Productivity, Too
Reducing the amount of time you spend sitting is good for your long-term health, but it could also increase your work ethic and job performance. A study conducted by professor Avner Ben-Ner of the University of Minnesota found that, over a yearlong period, employees of a company who used treadmill desks increased productivity at work.
The employees walking on treadmills experienced an increase in quality of work and quality of exchanges with colleagues. The study also found that the 40 out of 400 employees at the company who used treadmill desks increased overall physical fitness, exercising more outside of work as well as at their desks. While treadmill desks are not a realistic option for every workplace, this study demonstrates that movement throughout the day can be extremely beneficial to overall health and productivity.
Lowering your risk for Sitting Disease can have a big impact on your health. Use these tips to get moving at work and share them with your coworkers to create a more productive, healthy workplace.
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Blood Pressure, Hypertension & Chiropractors
Chiropractic may have a positive impact on hypertension
Really!! High Blood Pressure (Hypertension) affects 1 in 4 Americans.* You or someone you know probably has it. Now, am I suggesting that Chiropractic is a cure for high blood pressure/hypertension? No, no at all. Should you stop taking your medication and go to the Chiropractor for your hypertension problem? Definitely not. However, recent research out of the University of Chicago suggests that Chiropractic adjustments to a specific area of the neck can lower specific types of blood pressure an average of 14 mm/hg systolic (the top number) and 8 mm/hg diastolic (the lower number).**
“How is this possible?” you may ask. Medical Textbooks teach us that the brain and nervous system control every function of the body. The base of the brain/top of the spinal cord controls much of the pressure regulation mechanism of our circulatory system among other things. The first bone in the neck, called the “atlas” (or C1) can put pressure on the base of the brain and spinal cord and create dysfunction of the vascular system causing an artificial pressure increase. When the bone is moved (micro millimeters) by a Chiropractic adjustment, pressure is taken of the brain and spinal cord and normal function resumes according to the study.
This kind of research isn’t as far-fetched and surprising as it may seem if we think more about it. Chiropractors work with headaches, neck pain, upper back pain, low back pain, sciatica, hip pain, and numerous other conditions in the same basic manner as the Doctors in the blood pressure study. Chiropractors treat patients every day with the understanding that the nervous system does indeed control and coordinate every function of the body. That is how we have consistently achieved the great clinical outcomes over the last century. This research piece shows that very relationship at work.
In the same breath, that in no way means that every condition is a Chiropractic case. However, a healthy nervous system will always contribute to overall well-being no matter where you stand on the health continuum (aged, young, sick, well, etc.) Every day, more and more research is showing a consistent relationship between a healthy nervous system and a better functioning body.
So, when under chiropractic care, it is essential to follow recommendations through your care plan for maximum benefit. In addition, as you have read, it can also play an important role in affecting other systems of your body and help with overall health and well-being. Continuing with wellness care is your choice and can most definitely affect your quality of life in a positive manner for years to come!
*Harvard Health Services
**“Chiropractic Cuts High Blood Pressure”, Journal of Human Hypertension (2007) 21, 347-352.
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Runners Can See Improvement with Chiropractic Care

When most people think of the term “chiropractic”, they automatically associate it with “low back pain”. However, the range that chiropractic care covers is far greater than this. Think of the last time you went for a jog, or even a fast paced walk. Consider the strain that you put on your knees, your ankles, and your feet.
The most common complaint that you hear from runners is plantar fasciitis and, while there’s no instantaneous cure for it, chiropractic can do wonders for an ailment such as this. Plantar fasciitis is a manifestation of the tendon being pulled, whether it is caused by form when running or leg muscles pulling in excess. A misalignment of your spine can cause this type of tension anywhere in the body. If the misalignment continues, the strain and wear and tear that is put on your body will continue and worsen. It is important to halt the progression of interferences concerning the spine to avoid degeneration. In combination with therapeutic modalities such as ultrasound, an adjustment restores the normal joint mechanics of the body and reduces the tension that spreads across the bottom of the foot.
Another common complaint from runners is the knee area. Knee pain can stem from a multitude of things, but often times it is due to the patella moving in an irregular pattern, which in turn can put further stress on ligaments and tendons. With the use of therapy, inflammation around the joint can be decreased, diminishing the pain. When joined with an adjustment, movement is increased and functionality is enhanced. In addition, pain that you feel in your knee may be a representation of stress that is coming from other joints in the lower limbs. Chiropractic care identifies where that stress is originating and alleviates the stress from those joints to decrease pain and improve mobility.
Chiropractic care is a full body technique that removes interferences from your spine, allowing normal motion. With a properly functioning nervous system, you can continue daily activities without pain.
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Sharpen the Ax

Tuck Chiropractic Clinic specializes in comprehensive treatment for neck pain, low back pain, headaches, sciatica, and many other ailments. Chiropractic is effective for relieving pain and restoring proper function to the entire body.
Abraham Lincoln once said if he was given 4 hours to chop down a tree, he would spend three hours sharpening his ax. The same should hold true for us as we enter spring, the season of increased physical requirements.
We often find ourselves in a position of “needing to count down a tree” this time of year. We have spring cleaning lists, gardens to prepare for the planting of flowers and vegetables, and repairs that need to be made to lawn equipment. Instead of rushing forward to take a bunch of hacks at that tree, it may be better to step back, assess our upcoming requirements, and properly prepare ourselves for what may come. We often overlook the biggest tune-up needed: our chiropractic adjustment!
Prior to lifting a bunch of “stuff” that should have been discarded long ago or crawling around the yard pulling weeds or sitting for hours on a lawn tractor, we need to make sure that these routine activities will not be leading us to painful and debilitating injuries. A good chiropractic check up is most certainly on my list of “To Do’s” prior to sitting on my lawnmower for a few hours. It’s easier for me to perform my yard duties with a tuned spine that to suffer through the weekend in pain and discomfort. Before I clean out and donate the clothes that my children have quickly outgrown, I ensure that lifting bags will not subject me to “throwing something out.” And, before my seasonal allergies have the opportunity to get into full swing, I get adjusted and start a hydration regimen that will help to keep the itchy eyes and sneezing at bay.
Make sure when you’re listing your yearly regimen that you include a trip to your local chiropractor so that they can help you “sharpen your ax” and keep you functioning through out the much anticipated upcoming spring.
If you suffer from neck pain, low back pain, sciatica, headache, or other issues dealing with the spine or body, call Tuck Chiropractic Clinic in Roanoke, the NRV, or Southwest VA today! We’re here to help! www.tuckclinic.com
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Happy, Healthy, RESTED Spines

The comment of the day in my office yesterday was, “I wake up with pain, and I don’t know why.” If you are waking up with pain, it probably has something to do with how you are sleeping. Posture is just as important when you are sleeping as when you are awake.
Patients often ask me, “What is the best mattress?” It’s really all about what is comfortable for you. Everyone is very different, but a good rule of thumb is to get a mattress on the firmer side. A mattress that is too soft will not provide good support for the spine. A mattress that is too hard may put pressure on trigger points on the back. Personally, I avoid the pillow top mattresses because you cannot flip and rotate the mattress. The key is to take your time and test out the mattress to make sure it is comfortable for you.
There are basically three body positions for sleeping. The best positions are either on your back or on your side. While lying on your back, you should put a pillow under your knees to take the pressure off of your low back. You also want a pillow under your neck that will support the curve in your neck. Feather pillows, while cozy, will guarantee that I wake up with a headache. They do not support the cervical curve like a contour pillow. If I am at a hotel, and I forget my to bring my pillow from home, I will take a small rolled hand towel and place it under my neck for added support.
Laying on your side is another good way to sleep. When on your side, you want to keep a pillow between your knees to keep your pelvis in a nice, neutral position. This will prevent a lot of low back pain because it alleviates stress on the sacroiliac joints. Again, you want to use one pillow under your neck, preferably a contour type of pillow, to give your neck the support it needs.
This brings us to sleeping on your stomach. This is not at all an ideal position for sleeping. It is harmful to both your low back and your neck. Try to break this bad habit if at all possible. For the stomach sleeper that just can’t break the habit, the best mattress is a firmer mattress. Even if you sleep one less hour a night on your stomach than you normally do, you are making your spine happier and healthier.
No matter what type of mattress you have or what position you sleep in, 8 hours of quality sleep is very important. If a patient is not getting enough sleep, the healing process for injuries will be prolonged. Enjoy your happy, healthy, RESTED spine!
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To Reap and to Sow

There is an old story of a farmer who sows seed and reaps a harvest. There were always variables that altered the size of the harvest, but he always had a crop to reap after he had sown. Several themes of the story are constants and can be applied every day in our offices. Those themes are: The seed sown was of the finest quality, and the farmer never stopped sowing.
The first of the themes is that the seed was of the finest quality! Much like the farmer of the parable, we sow the finest seed in the form of the story we tell ourselves and our patients. The chiropractic story is the basis of health and wellness and is spread daily in our minds and in our offices. If we tell the most basic version of this story, our patients can choose to plant that story in the fertile soil of their minds and produce the fruits that will lead to a happier and healthier community for us to serve.
The chiropractic story is this: The nervous system controls all aspects of bodily function and when it functions with no interference, the body is allowed to have full physiological expression and a life of health and wellness can be lived. When we remind ourselves each day of the power of this simple message, we are more capable of living the message ourselves and sowing the seeds that will allow our patients to do the same. The people we serve should hear the message frequently and consistently from Drs and staff members alike to be able to ingrain it into their minds so that they may allow it to bear the fruit from the soil of their minds.
Some of the soil the farmer sowed his seed on was 30% of productive capacity. Some of the seed fell onto soil that allowed for 60% growth and fruitfulness, and some fell on 90% fertile soil. Drought got some of the seed, birds got some, and the thorns had some success in choking out the potential of the harvest. Regardless of the outcome of where the seed landed, the farmer KEPT SOWING!!! That’s what we should do as well.
One of the harder things I find myself dealing with after telling the story of how I can help the masses is disconnecting from the “quality of the soil” the seed falls on. I tell the story and if it should be to a person who only wants 30% potential of our art (pain relief), I sometimes find myself trying to fertilize, water, and prompt their soil to produce more. When this patient feels better, they disappear and I take it personally that they didn’t fully express the potential they have inside. Instead of trying to get the 30%-ers to do more, I should just focus on the story and tell to more people. I should just keep sowing. Then by percentages alone, I’ll be able to reap more when it comes time for harvest.
The patients who understand and produce 30%, 60%, or 90% should not be goaded or pried into producing 100%. THEY NEVER WILL!! The shear energy needed to do so would make us incapable of sowing any further seed. The quality of the soil that is sowed upon is beyond our ability to change after the seed is cast. We can, however, focus our sowing and reaping on the soil we know to be better producers of fruit. We can give more attention to the fruitful soil and expect more in return.
Each day focus on the soil that will produce the largest harvest, give attention in proportion to the harvest you’ll reap (30% to the 30%-er, 60% to the 60%-er, etc), and most importantly, KEEP SOWING THAT EXCELLENT SEED!!!
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Fatherhood

Last week, when I was cleaning out my car, I made a neat discovery (besides the fact that I need to clean out my car more often). As I was rustling through papers in the passenger seat of my car, I came across one of our church bulletins from earlier this year. On the back of the bulletin were some notes I had scribbled along with a short list of 5 words. The words were: Accepting, Available, Respectful, Generous, and Happy. After I deciphered my chicken scratch (I usually am not an astute sermon note taker, but it was a Father’s Day Service), I remembered that these were 5 attributes Dr. Robert Moore, our pastor, had set as “Golden Unconditionals of Fatherhood”.
I don’t have a ton of experience as a parent, but I know that it can definitely get challenging at times. Managing patients can be that way as well — challenging. Sometimes, it helps to have some reminders or guidelines to help our management of patients. A father incorporating these five important points would help a ‘Great Dad’ move towards becoming an ‘Excellent Dad’. I am glad I rediscovered these attributes, and I have already begun to apply them to my role as Father at home with my 5-year-old daughter. However, with our recent talk of ‘Absolutes’, I began to think of these attributes as qualities that we could apply to our daily interaction with our patients along with our pursuit of true service excellence and patient care. Here is how we can apply these unconditionals in our daily practice:
Be Accepting: Every patient that walks through our doors should be accepted regardless of our initial impression. Many people who are in extreme pain, or plain just don’t feel well, do not always look or act their best. We should be accepting based on the Oath that we took and our dedication to improving the health of our communities through Chiropractic care.
Be Available: In line with our continual pursuit of excellence, we are there to serve when others are not. Being available also means being available mentally 100% for that patient at the time we are with them. We will make a significant impact on many lives by making ourselves available.
Be Respectful: Being respectful does not mean being a pushover. We can hold strong to our recommendations that will ultimately relieve pain and restore health. However, respecting and working with patients’ schedules, routines, lifestyles, and opinions is very important in working towards facilitating healthier lives.
Be Generous: We are generous with our time, for sure. We should all go above and beyond every day and work with patients to provide a consistent, quality experience based solely on the need for care. Our flexibility with patients will further show our generosity. What comes around, goes around, and as a doctor, being generous is a MUST.
Be Happy: There is nothing worse than having a crabby doctor or care provider. Smiling is indeed contagious. We should be happy in that moment we are with each and every patient. We don’t have to be silly or always the entertainer, but the joy that we have inside by serving our patients at the highest level should provide us with tons of happiness to spread around. Happiness is healthiness!
By applying these unconditionals, it will definitely help us in our lives at home. However, as we strive to be the leaders in providing quality chiropractic care to our respective communities, we can use these attributes as tools to better ourselves as we move forward in our journey towards excellence in healthcare!
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New Research Shows Why Chiropractic Care is So Effective
The first Chiropractic adjustment was given in 1895 by D.D. Palmer. Chiropractic care has been achieving tremendous results with patient care. Unfortunately, until recent years Chiropractors have only been able to theorize why so many patients improved with their care.
Initially, Chiropractors stated that when a bone of the spine or vertebrae misaligned it put abnormal amounts of pressure on the nerve that it was designed to protect. Essentially a hard bone was pinching a soft nerve. That pressure prevented the nerve from working properly and thus caused symptoms or unease in the body. The theory was later proved to be accurate when it was discovered that it only took the weight of a dime to alter the function of that nerve. Thus, when a Chiropractor would deliver an adjustment, they would reduce the pressure on the nerve and the body would begin to heal.
Next, Chiropractors theorized that spinal joints could move out of position and scar tissue would develop around the joints thereby attracting fluid (swelling) and again would pressure the nerve. This pressure would generally account for pain and immobility and is one of the main reasons why people visit a chiropractor today. When a Chiropractic adjustment was delivered it would reduce the swelling, improve the mobility of the joint and decrease the pressure on the nerve. Again, the body would begin to heal.
Today, new research demonstrates how the loss of the central nervous system’s ability to adapt to changes in your environment and recover has become the critical issue in achieving wellness and staying healthy. The role of Chiropractic in improving the function of the central nervous system is the key to the benefits of care. A series of EEG’s, which are specialized tests that measure brain waves, demonstrated how a Chiropractic adjustment can alter the nature of the brain wave and allow the nervous system to essentially “restart.” These new findings explain why Chiropractic care is so effective in helping patients that present with a range of symptoms from headaches/migraines to ear aches and indigestion.
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4 simple steps you should take before shoveling snow!

With the amounts of snow that have fallen this winter, you would be hard pressed to find anyone who has not had to shovel at least a little bit. Most of the folks who have donned the snow boots and grabbed the shovel haven’t done so in quite some time and are most likely prove to injury.
My office has had a reoccurrence of snow-shoveling-related injuries that may have been avoided. Here are some tips to make sure you don’t join the masses and by keeping your spine safe.
1- Wait until the snow quits falling- This seems like a very common-sensical statement, but if there is snow in the driveway, you are not required to leave the house, and more is on the way, then leave it. Let the neighbors think you are untidy because you’ll have enough energy left and be pain-free enough to help them clear their drive later.
2- Hydrate well- In winter months our bodies require just as much water to function well as they do in the heat of the summer, but our thirst often isn’t as noticeable. So make sure your muscles are hydrated well to avoid possible injury.
3- Stretch- Warm up prior to getting outside by doing some light stretching exercises. This may seem silly, but certainly not as silly as lying in the yard in pain because you failed to take this simple step.
4- Take breaks- All that snow fell over several days, so what makes us think we should clear it all in an hour? Work in 20-30 time periods with “water breaks” in between. Section the area to be cleared into smaller plots and clear one at a time.
These are a few suggestions that will help to avoid injury during the Winter Wonderland. For more information on safe shoveling tips, visit this local article: http://www.roanoke.com/news/nrv/wb/235601%20
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Proper Workstation Set-up May Improve Your Health

If you have ever heard the term “ergonomics” you may have taken some initiative to improve your desk at work. What you may not know is that you are actually improving your overall health as well.
Ergonomics literally means the “laws of work.” This term refers to “creating an environment where the equipment is made to fit the person and not forcing the person to fit the equipment.” A great example would be a car seat. Would you purchase a car where your head hits the roof and your knees straddle the steering wheel? Obviously you wouldn’t! So why would you sit in a desk chair that forces you to lean into the desk for support, bend your knees at an odd angle and put direct pressure on your wrists when you type?
Simple and cost effective strategies can be put into place to improve your posture, pain, and symptoms. Just ‘Google’ the word office ergonomics and you will be immediately overwhelmed by a number of helpful suggestions that are available to you. You could also follow these simple suggestions and find yourself more comfortable at work immediately.
- Place the top of your monitor at a height that is at your eye level. For most of you, this means lifting your monitor 6 inches or more.
- Place all your commonly needed items within arms reach. Your phone, printer, stapler and document holder should be with 2 feet of your hands. Reaching over and over will eventually put abnormal tension on your shoulders and neck.
- Adjust the height of your chair so that your knees can bend at 90 degrees.
- Once every 30 minutes, leave your workstation for 5 minutes. Once every hour leave your workstation for 10 minutes. Essentially, for every hour that you are working, spend 15 minutes moving around. Time your restroom breaks or grabbing a paper off of the printer.
- Finally, if after only a few hours at your workstation you are developing headaches, mid back pain or numbness in your hands, LISTEN TO YOUR BODY! Something is not working right. Get advice or help.
Our office is available to answer your questions. If you know your fellow employees are in need of help, we are able to present this information at your work. Ask the doctor for more information.
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