ChiroWorks Care Center: Chiropractic, Health, Pain Relief, Non-surgical & Non-prescription Alternatives
Dr Tony Tsai, Chiropractor in San Jose, CA for chiropractic, health and alternative medicineCell Phone Elbow Tips & Prevention
If you do not know what Cell Phone Elbow is, take the time to look at my blog entry about Cell Phone Elbow. This is condition is more correctly called cubital tunnel syndrome. Your first step should be to avoid activities or improper techniques which can cause this condition. Avoid bending the elbow beyond 90 degrees for any prolonged period of time. When you have to bend your elbow beyond 90 degrees, pay attention to your posture or the position of the neck, shoulder and hand position. Try to keep these in the mid range of their range of motion with the muscles as relaxed as possible. Pay attention to your work environment and proper ergonomics especially if you have to work at the computer. Look for future blogs about proper computer ergonomics. Buy hands-free devices and more ergonomic devices. Take frequent breaks trying to avoid any prolonged position for more than 20 minutes. A splint or brace may be used to remind you to avoid any incorrect position from habits. A simple brace can be a towel wrapped around your elbow. In my practice, I may use an elastic tape called Kinesio Tape to tape the bottom of the elbow which will prevent extreme elbow flexion. When treating nerve entrapments, I use a technique called nerve flossing which allows the nerve to glide easier preventing inflammation from too much friction and the nerve is allowed to stretch evenly along the nerve when elbow is flexed past 90 degrees. The closest that I could find to demonstrate this is a video I found on YouTube from Doug Alexander. While it is focusing on a different nerve, you may still get some benefit since the ulnar nerve branches from the brachial plexus like the median nerve in carpal tunnel syndrome. Just follow the precautions and ask your doctor before trying this. I would also highly recommend some type of massage/myofascial therapy to loosen any tight muscles and ligaments causing the nerve compression. I personally use Graston Technique instruments which I have found excellent results compare to using my hands alone and they also have their own research regarding results with carpal tunnel syndrome. I am also certified or trained in using the metal instruments for conditions like cubital tunnel syndrome or carpal tunnel syndrome. In my references section, there are more excellent resources and tips. I handpicked the best information that I also tell my patients.
ChiroWorks Care Center
Anthony Tsai, D.C.
ChiroWorksCareCenter.com
Chiropractor in San Jose, CA
Graston Technique Certified with emphasis in shoulder pain & nerve entrapment such as carpal tunnel syndrome
References:
http://chiroworkscarecenter.blogspot.com/2009/06/cell-phone-elbow.html
http://orthoinfo.aaos.org/topic.cfm?topic=a00069
http://www.youtube.com/watch?v=7xi_yAWCqhI
http://www.nervemobilization.com/
http://www.handuniversity.com/topics.asp?Topic_ID=8
http://orthoinfo.aaos.org/topic.cfm?topic=a00069
http://www.handhealthresources.com/problems%20pages/cubital%20tunnel.htm
http://www.eorthopod.com/public/patient_education/6469/cubital_tunnel_syndrome.html
http://www.grastontechnique.com/Findings_and_Presentations.html?%3E%3CFONT%20face=
Virtual Games Causing Real Injuries
As the popularity of highly-interactive video games like the Wii increase in popularity, the medical community is seeing an increased number of sports-related injuries. While the risk of repetitive-motion injuries has always been an issue, injuries caused by the Wii are very different. The injuries the Wii is causing are more related to actual “sports injuries” such as elbow, wrist, back and shoulder injuries. It is interesting to note these injuries are generally not incurred by those who did not play sports before the Wii came along.
Wii “athletes” are especially vulnerable to injury for two reasons:
1. They are often people who do not exercise on a regular basis.
2. Wii players tend to overextend and exaggerate their movements while playing because there is not the natural resistance of a ball being thrown, hit or caught as there is when actually playing the sports.
While the virtual world seems to be at fault, the injuries being caused are very real and it is important for both Wii fans and those asked to treat them understand this. So how can armchair quarterbacks (and bowlers and boxing champs) stay at their virtual and real-life best? Well, here are a few tips:
· Moderation. As with everything, playing with your Wii at an immoderate level will cause injuries. You are doing the same motions over and over. Injury is bound to result if you overdo it.
· Form. Do not assume that because you are playing a game, that proper form does not matter. Those guidelines are put in place to help decrease the risk of injury. By being mindful of them while playing, you will be safer.
· Supervision. If you have children, be sure to keep an eye on how much they play and how they play. If you see your children engaging in unhealthy behavior, you will want to intervene.
If you find yourself with an injury from playing all those great Wii games, chiropractic is a wonderful, non-invasive way to get you pain free in a relatively short time frame. Don’t wait until your injuries become serious to seek the proper course of treatment.
By-line:
This post was contributed by Holly McCarthy, who writes on the subject of sports management colleges. She invites your feedback at hollymccarthy12 at gmail dot com
ChiroWorks Care Center
Anthony Tsai, D.C.
ChiroWorksCareCenter.com
Chiropractor in San Jose, CA
Graston Technique Certified with emphasis in shoulder pain & nerve entrapment such as carpal tunnel syndrome
Chiropractic Helps Athletes of the Beijing and London Olympics
In August 2008, my blog even reported at that time Kinesio Tape was used on Kerri Walsh’s shoulder. I still do not know exactly who used Kinesio Tape on Kerri Walsh’s shoulder but I am more certain now that it was a chiropractor. Another tool used by chiropractors is Graston Technique for high performance athletes with muscle, ligaments, scar tissue or other soft tissue problems in general. Joseph Dimalanta, D.C. writes in his blog confirming that chiropractors, specifically Ted Forcum, D.C., DACBSP, were an important part of the Beijing Summer Olympics in 2008. Chiropractors have known for years that if Graston Technique is good enough for athletes, it is also good for chronic pain. Mike Reed, DC, DACBSP, a former instructor of mine at SCUHS (LACC), was in charge of the medical panel as a director of the USOC in Beijing and also the upcoming London 2012 Summer Olympics. With Dr. Reed, chiropractic was given as a service along with medical, athletic training and massage therapy to the Beijing Olympic athletes, US Olympic staff, sponsers, friends and family. Overall, there were 17 physicians, 2 chiropractors and 33 athletic trainers. It is exciting to see how chiropractic is slowly becoming more accepted and respected by the mainstream athletic community. Dr. Reed will also be a part of the London Olympics in 2012 so chiropractic will again be a part of the Olympic community.
ChiroWorks Care Center
Anthony Tsai, D.C.
ChiroWorksCareCenter.com
Chiropractor in San Jose, CA
Graston Technique Certified with emphasis in shoulder pain & nerve entrapment such as carpal tunnel syndrome
References:
American Chiropractic Board of Sports Physicians
D.I.S.C. Spine & Sports Center
Guampdm.com & Joseph Dimalanta, D.C.
Southern California University of Health Sciences
Beijing Olympics 2008
Graston Technique
Kinesio Tape
Don’t Let Housework Be a Pain in Your Back
Household chores can be a pain in the sacroiliac. Unless you’re careful, routine activities around the home— washing dishes, vacuuming, even talking on the phone— can strain your back, including the sacroiliac area near the tailbone, and result in debilitating discomfort.
Back-Saving Tips
Anthony Tsai, D.C.
ChiroWorksCareCenter.com
Chiropractor in San Jose, CA
Graston Technique Certified with emphasis in shoulder pain & nerve entrapment such as carpal tunnel syndrome
National Chiropractic Month
Discover Chiropractic: 100% Natural Healthcare

October is National Chiropractic Month. It is not natural to be in pain – but unfortunately for millions of Americans it’s a daily occurrence. Doctors of chiropractic, commonly called chiropractors, provide conservative and effective treatment for pain, without medication or surgery.
Here is an excerpt from ACAtoday.org regarding the safety of chiropractic:
Chiropractic is widely recognized as one of the safest drug-free, non-invasive
therapies available for the treatment of neuromusculoskeletal complaints.
Although chiropractic has an excellent safety record, no health treatment is
completely free of potential adverse effects.The risks associated
with chiropractic, however, are very small. Many patients feel immediate relief
following chiropractic treatment, but some may experience mild soreness or
aching, just as they do after some forms of exercise. Current literature shows
that minor discomfort or soreness following spinal manipulation typically fades
within 24 hours.Neck pain and some types of headaches are treated
through precise cervical manipulation. Cervical manipulation, often called a
neck adjustment, works to improve joint mobility in the neck, restoring range of
motion and reducing muscle spasm, which helps relieve pressure and tension.Neck manipulation is a remarkably safe procedure. While some
reports have associated upper high-velocity neck manipulation with a certain
kind of stroke, or vertebral artery dissection, there is not yet a clear
understanding of the connection. The occurrence appears to be very rare—1 in
5.85 million manipulations— based on the clinical reports and scientific studies
to date. If you are visiting your doctor of chiropractic with upper-neck
pain or headache, be very specific about your symptoms. This will help your
doctor of chiropractic offer the safest and most effective treatment, even if it
involves referral to another health care provider.It is important
for patients to understand the risks associated with some of the most common
treatments for musculoskeletal pain — prescription and over-the-counter
nonsteroidal anti-inflammatory drugs (NSAIDS) — as these treatments may carry
risks significantly greater than those of chiropractic manipulation. According
to a study from the American Journal of Gastroenterology, approximately
one-third of all hospitalizations and deaths related to gastrointestinal
bleeding can be attributed to the use of aspirin or NSAID painkillers like
ibuprofen.
ChiroWorks Care Center
Anthony Tsai, D.C.
ChiroWorksCareCenter.com
Chiropractor in San Jose, CA
Graston Technique Certified with emphasis in shoulder pain & nerve entrapment such as carpal tunnel syndrome
References:
ACA Chiropractic FAQ from American Chiropractic Association
Olympic Beach Volleyball and Kinesio Tape
What is that black tattoo on Kerri Walsh’s right shoulder? It is called Kinesio Tex Taping which is an elastic taping used in chiropractic, rehabilitation and sports medicine. Developed 25 years ago by Dr. Kenzo Kase, it is now getting recognition and being used by top athletes such as Lance Armstrong, Serena Williams, David Beckam, Robby Ginepri and Justine Henin. Kinesio Tape works by giving support like a flexible brace and facilitates weak muscles with neurological awareness or proprioception. Kerri Walsh had a recent rotator cuff surgery last November. NBC reported that she uses the black shoulder tape for better circulation and her shoulder pain.
Harder to see with the beige Kinesio Taping, Martins Plavins used Kinesio Taping in the huge upset against the US team of Todd Rogers and Phil Dalhausser. Did Kinesio Tape give Walsh and Plavins an unfair advantage to both win?
Maybe not, but it pleases me to know that I something I use to help my patients is trusted by top athletes.
ChiroWorks Care Center
Anthony Tsai, D.C.
ChiroWorksCareCenter.com
Chiropractor in San Jose, CA
Graston Technique Certified with emphasis in shoulder pain & nerve entrapment such as numbness & tingling
References:
http://en.beijing2008.cn/
http://www.nbcolympics.com/
http://www.kinesiotaping.com/
http://www.reuters.com/article/GCA-Olympics/idUSPEK31770420080810
http://news.bbc.co.uk/sport2/hi/olympics/volleyball/7551916.stm
http://answers.yahoo.com/question/index?qid=20080809180718AAbKwhb
Food Diary May Double Your Weight Loss

In April as reported in this blog, a study showed that the Dash diet reduces heart attacks and strokes better than prescription drugs. Now, Kaiser Permanente produced a study with people who kept a food diary and used the guidelines in the Dash diet lost double the weight compared to the other group in the study. The participants also attended a support group and exercised 30 min a day. The bottom line in this recent study demonstrates how perception with eating food is important in losing weight. My personal philosophy is to understand what is the proper portion and eat whatever you crave but only occassionally knowing what is good and bad for you. To read more about this recent study in an article by Kendall Krause, M.D. from ABC News. To get you started, try here or websites with healthy recipies from Fitday.com, and 2000cal.com. A calorie calculator and food database article can be found here.
ChiroWorks Care Center
Anthony Tsai, D.C.
ChiroWorksCareCenter.com
Chiropractor in San Jose, CA
Graston Technique Certified with emphasis in shoulder pain & nerve entrapment such as numbness & tingling
References:
http://www.abcnews.go.com/Health/Fitness/story?id=5327486&page=1
http://www.abcnews.go.com/WN/story?id=5333650&page=1
http://health.usnews.com/articles/health/2008/07/08/health-buzz-food-diaries-and-other-health-news.html
http://www.usnews.com/blogs/on-fitness/2008/5/14/a-big-disconnect-calories-in-calories-out.html
Chiropractic and Aerobic Fitness
We think mostly of chiropractic treatment in terms of lower back pain, neck pain, and headaches. In fact, there are numerous additional wide-ranging benefits to chiropractic health care. Many of these benefits are related to getting more out of our exercise activities.
For example, aerobic exercise improves cardiovascular function.1,2 As a result, during periods of rest the heart rate is slowed and the ability of the lungs to take in air (vital capacity) is increased. A slower heart rate means the heart is working more efficiently. Likewise, increased vital capacity means the lungs are working more efficiently. Fewer heart beats per minute and fewer breaths per minute result in reduced “wear and tear” on these critical systems. Aerobic exercise makes us healthier.
When we have stress, our muscles get tight. Sometimes this tightness is prolonged, and the normal mobility of our bones and joints is compromised. Reduced mobility of the spinal column creates a spiraling effect of tight muscles, tight ligaments, and further loss of mobility in the neck, middle back, and lower back. We experience pain in these areas as a result.3
These patterns may persist. We all know people who have frequent neck pain or lower back pain. These patterns of pain and limited mobility may result in changes to the normal curves of the spine. Normal curves may become flattened, and these changes result in further discomfort, muscular tension, and pain.
Importantly, loss of the normal spinal curvature in the neck and middle back may place additional stress on the heart and lungs. The actual physical space in which these organs function may become reduced. Maximum function may be compromised and efficiency is lost. Brisk walking used to be easy. Climbing stairs used to be no problem. Now these normal daily activities may leave you out-of-breath. You’re huffing-and-puffing and don’t know what’s happened.
You begin doing aerobic exercises to try to improve cardiovascular function. But the potential benefits are limited by these underlying muscle, ligament, and joint problems. You spend a lot of time exercising but don’t seem to be making any improvements.
Chiropractic health care may be able to restore more normal functioning. Chiropractic treatment restores mobility to spinal joints. The gentle treatment relieves stress on the spinal muscles and ligaments, which in turn improves spinal range of motion. Muscle tightness eases, pain and stiffness are reduced, and you become more flexible.
In addition, this improved flexibility allows your chest and rib cage to expand much more fully when you breathe. Your heart and lungs have more room to function, and you can now actually begin to receive the full benefits of your aerobic exercise.
Chiropractic care helps you get fit and stay fit!
1Pivarnik JM, et al. Effects of maternal aerobic fitness on cardiovascular responses to exercise. Med Sci Sports Exerc 25(9):993-998, 1993.
2Jackson EM, Dishman RK. Hemodynamic responses to stress among blackk women: fitness and parental hypertension. Med Sci Sports Exerc 34)7):1097-1104, 2002
3Petrella RJ, et al. Can primary care doctors prescribe exercise to improve fitness? Am J Prev Med 24(4):316-322, 2003
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ChiroWorks Care Center
Anthony Tsai, D.C.
ChiroWorksCareCenter.com
Chiropractor in San Jose, CA
Graston Technique Certified with emphasis in shoulder pain & nerve entrapment such as numbness & tingling
Scoliosis Success Story with Chiropractic
Here is a recent patient of mine with scoliosis presenting with low back pain. You can read more about her chiropractic treatment with Graston Technique instruments here in success stories.
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ChiroWorks Care Center
Anthony Tsai, D.C.
ChiroWorksCareCenter.com
Chiropractor in San Jose, CA
Graston Technique Certified with emphasis in shoulder pain & nerve entrapment such as numbness & tingling
References:
National Scoliosis Foundation
ChiroWorksCareCenter.com
Natural Pain Killers & Anti-Inflammatories for Arthritis
Non-steroidal anti-inflammatory drugs (NSAIDs) reduce pain and inflammation by inhibiting COX enzymes. Any medication should be taken with caution even over-the-counter drugs. NSAIDs can cause stomage ulcers or bleeding and liver or kidney damage. Ice also reduces inflammation. Medicine Net has an article on ice or heat for arthritis. Here is also a self-care tips for ice. The following is an except from Bottom Line health magazine. Pay attention to the therapeutic taping section because it indirectly states how joint alignment helps with pain:
1. Drink Tea
Yes, tea. Research shows that green tea is rich in polyphenols – compounds that suppress the expression of a key gene involved in arthritis inflammation. Black tea is made from the same leaves and may be as beneficial, even though it is processed differently. Drink one or 2 cups of hot or cold tea daily.
2. Boost Your C and D
Vitamin C is believed to slow the loss of cartilage due to osteoarthritis, while a diet low in vitamin D has been shown to actually speed the progression of osteoarthritis. In a recent high-profile study, doctors discovered that patients who ate a diet high in vitamin D (or who took vitamin D supplements) reduced their risk for worsening their arthritis by 75%. Another study of over 25,000 people concluded that a low intake of vitamin C may increase the risk of developing arthritis. Take daily supplements that provide 500 to 1,000 mg of vitamin C, and 400 IUs of vitmain D.
3. Try Willow Bark/Boswellia
Willow bark is where aspirin comes from. And boswellia has been used for centuries to reduce inflammation and maintain healthy joints. A study showed that taking these 2 herbs is just as effective as taking a drug like Motrin. Take 240 mg of willow bark and 1,000 mg of boswellia per day.
4. Eat Grapes
Grape skin contains resveratrol, a natural compound known to act as a COX-2 inhibitor. Resveratrol both suppresses the Cox-2 gene and deactivates the COX-2 enzyme, which produces inflammation at the site of injury or pain. A study published in the Journal of BIological Chemistry confirmed that resveratrol acts as an antioxidant and a COX-2 inhibitor. Eat one cup of white or red grapes daily. Good news: Purple grape juice and wine contain resveratrol, too.
5. Therapeutic Taping
Wrapping tape around a joint to realign, support, and take pressure off it has great benefits for arthritis sufferers. In an Australian study, 73% of patients with osteoarthritis experienced substantially reduced symptoms after just 3 weeks of therapeutic taping. The benefits were comparable with those achieved by standard drug treatments and lasted even after taping was stopped! Important: Taping must be done properly to be effective. Consult a physician or physical therapist who can show you or a family member the proper technique.
ChiroWorks Care Center
Anthony Tsai, D.C.
ChiroWorksCareCenter.com
Chiropractor in San Jose, CA
Graston Technique Certified with emphasis in shoulder pain & nerve entrapment such as numbness & tingling
References:
http://www.medicinenet.com/script/main/art.asp?articlekey=18347
http://healththing.com/treatment1.htm
“5 Little-Known Ways to Reduce Arthritis Pain Without Painkillers and Anti-Inflammatories”, Bottom Line, Summer 2008, p 9.



