From Dr. Natalie Meiri’s Clinical Pearl Stories:

Chiropractic Care of Neck and Wrist Pain After a Car Accident


This was a 17 year old male patient with neck and right wrist pain following a  car accident.  The patient was the driver of a vehicle that was rear ended while stopped at an intersection. And he presented to our office 10 days later.  To be HIPAA compliant, I will call him Zack instead of his real name. 

Zack came to my office in a lot of pain. He had been in a low speed car accident. He relayed how his neck was “whipped back and forth”.  Moreover, his right wrist was injured when he was pushed forward into the steering wheel during the impact. Zack had been trying to brace himself on the steering wheel.

He hadn’t gone to the hospital after the car accident. But Zack’s pain started right after the car accident and got progressively worse.  Moreover, he was unable to participate in football at school and had difficulty sleeping due to the pain. Zack tried NSAIDS (e.g aspirin) and/or acetaminophen (e.g. tylenol) which helped very little.  Finally, his mother brought him to my office.

 

Zack’s Examination

Zack presented to my office with his neck forward in antalgia (away from pain) and guarding/holding his right painful wrist with his uninjured left hand. 

Upon examination, I found positive tests for sprains in his cervical spine (neck) and right wrist.  A sprain is a joint injury in which some of the fibers of a supporting ligament are torn or ruptured.  However, the continuity of the ligament (ligaments connect bones to bones within a joint) remains intact.

Zack’s thoracic spine diagnosis was a strain. Tendons connect bones to muscles. A strain is an overstretching and tearing of musculotendinous tissue (tendons connect bones to muscles).

 

Zack’s X-Rays

Firstly, Zack’s x-rays taken in my office showed a loss of cervical (neck) lordosis (straightening of normal curve) consistent with cervical myospasm (muscle spasm).

Secondly, his thoracic (mid back) x-rays showed a left convexity (abnormal curve) consistent with thoracic myospasm. 

Thirdly, Zack’s right wrist x-rays were noted as “normal” findings (e.g. no fractures found). 

I would order further imaging (e.g. MRI) if there was no improvement after 12 visits or possibly sooner if necessary.

 

 

What Happens During A Whiplash/Car Accident/Rear-end Collision?

 

Acceleration/deceleration (whiplash) injury to the cervical spine (neck) is a common mechanism of injury in patients seeking chiropractic care.  There is considerable research to indicate the “typical” phases of events following a rear-end collision.  The biomechanics of whiplash is as follows:

 

Phase OneWhen a vehicle is rear-ended, your torso (trunk of body) is forced back into the seat and at the same time moves upward. This upward movement is accompanied by straightening of the cervical spine as it is being compressed axially. Axial compression is a  type of force, especially on the vertebral column, in which the body weight falls centrally on a particular bone, causing bony impaction. The head and neck then begin to extend (tilting head backwards).

 

 Phase TwoAs the head and neck are extending, the vehicle has reached its peak acceleration. Energy stored in the seat from the backward movement of  the body into the seat may add more acceleration to the torso as a “diving board” effect. The upward (vertical) movement of the torso may allow ramping over the headrest, adding an element of extension. If the driver’s foot is taken off the brake, acceleration may be prolonged.

 

 Phase Three-Acceleration diminishes while the head and torso are thrown forward. It may be accentuated if the driver’s foot is reapplied to the brakes.

 

Phase Four-As the body moves forward, a seat belt and shoulder harness (if worn) will restrain the torso, allowing the head to decelerate forward.

 

“Global Hyperextension”

Lastly, “Global hyperextension” (excessive movement of a joint backwards) may be the most prominent injury mechanism in whiplash. In other words, in hyperextension, the joint has been forced to move beyond its normal range of motion causing the tissues around the joint to be damaged. 

 

As was the case with Zack, lowspeed rear impact injury crashes account for as much as 80% of rear impact collisions. The range of speed in these motor vehicle accidents are between 6 and 12 mph. And research indicates that patients with symptoms of whiplash injury from motor vehicle accidents respond well to chiropractic treatment!

 

Chiropractic Care of Neck and Wrist Pain After a Car Accident: Zack’s Treatment

Starting at 3 times a week and then 2-3 times a week, Zack’s treatments included chiropractic adjustments/manipulation to his neck, mid back, right wrist and associated regions.  Associated regions adjusted were his low back. Additionally, soft tissue therapy (myofascial release, pressure point and various post isometric relaxation procedures) and modalities (cold/heat therapy and electric muscle stimulation) were administered as needed. Finally, therapeutic exercises were prescribed and continued at home.

Zack’s condition improved slowly.  After a few weeks of treatment, he was able to resume some of his activities. After a few months of care he got his range of motion/function back in his neck, mid back and right wrist to fully participate on the football team again. 

 

Extremity (limbs) Chiropractic Adjustments

A common question I get asked is, ” how does a chiropractor treat arm or leg pain that’s not coming from the spine?” My answer is, “the same way a chiropractor treats the neck or back”.  At Meiri Chiropractic, we restore normal function/alignment to your spine and extremity (limbs) joints. For example, in Zack’s case, he had a sprain in two areas: neck and right wrist.  By adjusting the various joints of the spine, Zack’s neck/back healed. Similarly, with his extremity sprain, adjustments were delivered to his right wrist joints.

Chiropractic helps you heal without invasive surgical procedures or drugs. It restores mobility, functionality and overall health.

 

At Meiri Chiropractic we spend the time necessary to examine, diagnose and treat every neuromusculoskeletal condition and various ailments you have.  Chiropractic is a holistic and natural way to not only treat existing conditions, but to keep your body in its best working condition.  We have been offering effective chiropractic care in North Palm Beach since 2006.  Many of our patient reviews note our excellence.  Call us today at 561-253-8984 to make an appointment or to find out more about Chiropractic Care of Neck and Wrist Pain After a Car Accident.

 

 

 

This post is about Chiropractic Care of Shoulder Girdle Pain: Calcific Tendinitis.  Calcific tendinitis is a shoulder condition where calcium slowly accumulates in the rotator cuff tendon.  Most of the cases are in the supraspinatus (muscle in back of shoulder) tendon. Calcific tendinitis can occur in any age group, but occurs mostly in 30-60 year olds. Women seem to be more affected than men. It may either happen insidiously (comes on slowly) or subsequent to a fall or other major trauma.

If you have shoulder girdle pain from calcific tendinitis, Chiropractic can provide relief!

 

Chiropractic Care of Shoulder Girdle Pain: Calcific Tendinitis- CAUSES

 

The exact cause of calcific tendinitis is unknown.  However, there are many proposed hypotheses/theories on the causes: abnormal activity of the thyroid gland, metabolic diseases (e.g. diabetes), and genetic predisposition. The most recognized cause is the degenerative and “multiphasic” theories (acute and chronic phase).

 

Degenerative Theory of Calcific Tendinitis

 

Rotator cuff muscle strains can be caused by falls on an outstretched arm and minor or repetitive stresses to a tendon. Most injuries are to the supraspinatus tendon.  The following is what happens next:

 

First, due to the comparatively poor blood supply near the insertion (where muscle attaches to bone) of the supraspinatus muscle, nutrition to this area may not meet the demands of the tendon tissue. Second, an inflammatory response (due to injury or repetitive use) starts in the tendon.  This creates a tendinitis that arises in the tendon. Third, there is a release of various enzymes/proteins and then the resulting “dead tissue” may appear as “foreign” to your body. Fourth, your body may react by laying down scar tissue or even calcific deposits. And this is referred to as calcific tendinitis.

 

Acute phase of Calcific Tendinitis

 

In the acute (develop severely suddenly and last a short time) phase of this condition, you will have severe shoulder pain that increases with any shoulder movement. Furthermore, you will find yourself in a supportive posture, holding the arm against your side to avoid movement. Sometimes, the pain is intense as the body tries to reabsorb the calcium.

 

Chronic Phase of Calcific Tendinitis

 

In the chronic phase, the presence of the calcium deposits doesn’t cause as much inflammation, so the pain is less. 

Firstly, there may be a bursitis (painful swelling of a small, fluid-filled sac called a bursa) secondary (resulted from tendinitis) to the calcific tendinitis.  So bursitis, as a primary condition (occuring on own) resulting from local trauma, is rare. It is very common to have bursitis as a secondary progression from tendinitis.

Secondly, acute bulging of the tendon compresses the bursa against the coracoacromial arch (portion of top outer edge of shoulder blade).

Thirdly, this swelling of the bursa produces limitation of motion and pain. The subacromial and subdeltoid bursae are most frequently involved.

 

 

 
Chiropractic Care of Shoulder Girdle Pain: Calcific Tendinitis

 

The evaluation of  calcific tendinitis is based mainly on imaging studies such as x-ray, ultrasound, and a magnetic resonance image of the shoulder. Radiographs (x-ray) usually will suffice to diagnose calcific tendinitis.

Treatment in the acute phase may require an arm sling, ice and various modalities/therapies. It may be too inflamed for manipulation.  In the chronic phase, Chiropractic manipulative treatment/therapy to the spine and extremities (e.g. acromioclavicular joint, glenohumeral joint) are effective for Calcific Tendinitis. Our other therapies, such as soft tissue techniques, electric muscle stimulation, ice/ heat therapies, therapeutic exercises and homeopathic consultations also provide relief.

Through regular chiropractic visits, you can get pain relief and improve your health without drugs or surgery! 

At Meiri Chiropractic we spend the time necessary to examine, diagnose and treat every neuromusculoskeletal condition and various ailments you have.  Chiropractic is a holistic and natural way to not only treat existing conditions, but to keep your body in its best working condition.  We have been offering effective chiropractic care in North Palm Beach since 2006.  Many of our patient reviews note our excellence.  Call us today at 561-253-8984 to make an appointment or to find out more about Chiropractic Care of Shoulder Girdle Pain: Calcific Tendinitis.

 

 

Arthritis has a “geriatric” connotation, yet it may affect any age group. The term means joint disease/ disorder. Arthritis can be due to many causes such as degeneration or destruction that is age-related or trauma related, infectious, inflammatory, and/or autoimmune.  This post is about Psoriatic arthritis, an autoimmune related arthritis affecting the neck, back and limb joints. 

 

What is autoimmune arthritis?

 

Firstly, inflammatory arthritis is due to an autoimmune disease. The immune system doesn’t work properly and releases inflammatory chemicals. Secondly, the resulting inflammation attacks joint tissues and can cause joint swelling, cartilage/bone damage, and muscle loss. Thirdly, the inflammatory chemicals may activate nerves around the joints and other parts of the body and lead to pain as well. Lastly, because most of the inflammatory forms of arthritis are systemic (effects entire body), symptoms related to inflammation may occur in other parts of the body, including skin rashes, eye inflammation, hair loss, dry mouth, and fever.

Inflammatory arthritis includes a group of arthritis accompanied by joint pain, swelling, warmth, tenderness in the joints, and morning stiffness that lasts for an hour. And joints affected are many joints throughout the body at the same time.  Moreover, inflammatory forms of arthritis are much less common than osteoarthritis (wear and tear arthritis), which affects most people at the later stages of life. 

 

Psoriatic Arthritis

The typical age (is mostly adults) and gender of occurrence varies with this autoimmune arthritis. The common joints involved are hand, foot, cervical (neck) joints, thoracolumbar (mid back, low back) joints and the sacroiliac joints (joints linking your pelvis and lower spine). Furthermore, in some cases hyperostosis (too much growth of bony tissue) occurs at the sternoclavicular joint (joint between the sternum (breastbone) and clavicle (collarbone). 

Involvement of the fingers or toes may create dactylitis (also called “sausage” appearance). So this is due to localized, painful swelling that causes digits to look like sausages. There are many patterns yet most times the proximal (closest to body) and distal (furthest from body) interphalangel (finger) joints are involved. 

 

Arthritis Mutilans

Arthritis mutilans is described as the most severe deforming type of psoriatic arthritis. It is characterized by digital (finger/toe) shortening associated with severe osteolysis (bone tissue destruction) of peripheral (limb) joints.

 

Skin Lesions (Psoriasis)

Firstly, prior to the onset of psoriatic arthritis, eighty percent of people have skin lesions (damage or abnormal change in the tissue). However, only about 20% of those with skin lesions (psoriasis) from psoriatic autoimmune disease also have the joint involvement (arthritis).

Secondly, the skin lesions maybe quite obvious as “silvery scales” on the extensor (muscle whose contraction extends/ straightens a limb) surfaces of the arms and legs.  In addition, there may be subtle patches in the gluteal cleft (groove between the buttocks), scalp or umbilicus (belly button).  In general, the more pronounced or involved the skin symptoms, the worse the arthritis is.

Thirdly, in addition to possibly having scaly (psoriasis) skin, there may also be nail changes. This includes pitting, discoloration and splintering. Lastly, other skin lesions may occur in the hands and feet.

 

Cause

Multiple genetic and environmental factors (e.g. stress) have been associated with an increased risk for psoriatic arthritis. A family history of psoriatic arthritis can put you at risk. Also, there is a genetic predisposition associated with various HLA (human leukocyte antigen).

Psoriatic arthritis can be mild or severe (arthritis mutilans). Scientists do not fully understand why changes in immune activity cause the disease/ arthritis.

Laboratory Findings

 

Seronegative

Laboratory evaluation is negative for rheumatoid factor (IgM antibody). Hence, Psoriatic Arthritis is called a seronegative arthritis.

 

Erythrocyte Sedimentation Rate (ESR)

ESR is a blood test that gives your doctor an idea of the inflammation levels in your body. An ESR test measures the rate of fall (sedimentation) of red blood cells (erythrocytes) in a test tube. Lab testing will reveal elevations in erythrocyte sedimentation rate (ESR) in Psoriatic Arthritis cases.

 

HLA B-27

HLA-B27 is a genetic test to see whether you have the protein human leukocyte antigen B27 (HLA-B27) on the surface of your cells. If you test positive for HLA-B27 then you are likely to have one of the autoimmune disorders associated with the presence of HLA-B27.  Psoriatic Arthritis is one of those conditions.

 

Serum Uric Acid

A uric acid test measures the amount of uric acid in the blood. Uric acid is a waste product found in blood when the body breaks down chemicals called purines. Elevated levels in Psoriatic Arthritis is thought to be a byproduct of rapid skin cell turnover (due to psoriasis) and systemic inflammation.

 

Complete Blood Count​​ (CBC test )

Mild Anemia develops in autoimmune disease such as psoriatic arthritis and is found in the CBC test.  Anemia occurs if your body makes too few red blood cells (RBCs), destroys too many RBCs, or loses too many RBCs.

First, if you have anemia, your body does not get enough oxygen-rich blood. Second, the lack of oxygen can make you feel tired or weak. Third, you may also have shortness of breath, dizziness, headaches, or an irregular heartbeat.

 

Imaging and X-Ray

Radiographic (x-ray) findings help confirm the diagnosis.

 

Treatment/ Management at Meiri Chiropractic

 

Firstly, inflammatory autoimmune disease/arthritis have an unpredictable course of remission and relapses. Secondly, treatment/management includes chiropractic manipulation treatment to keep the spine and extremity (arms and legs) joints flexible.  Thirdly, stretching and postural exercises are very helpful. Finally, Chiropractic manipulation should be as gentle as possible considering the inflammatory nature of these diseases.

Indeed, long-term use of pain medication/drugs can cause gastric and renal (kidney) consequences.  In conclusion, chiropractic along with the use of anti-inflammatory approaches in diet and supplement recommendations are beneficial in management of inflammatory arthritis.

 

At Meiri Chiropractic we spend the time necessary to examine, diagnose and treat every neuromusculoskeletal condition and various ailments you have.  Chiropractic is a holistic and natural way to not only treat existing conditions, but to keep your body in its best working condition.  We have been offering effective chiropractic care in North Pam Beach since 2006.  Many of our patient reviews note our excellence.  Call us today at 561-253-8984 to make an appointment or to find out more about Psoriatic Arthritis: Autoimmune Disease and Chiropractic .

 

 

 

Arthritis has a “geriatric” connotation, yet it may affect any age group. The term means joint disease/ disorder. Arthritis can be due to many causes such as degeneration or destruction that is age-related or trauma related, infectious, inflammatory, and/or autoimmune.  This post is about Rheumatoid arthritis, an autoimmune related arthritis affecting the neck, back and limb joints. 

 

What is autoimmune arthritis?

 

Firstly, inflammatory arthritis is due to an autoimmune disease. The immune system doesn’t work properly and releases inflammatory chemicals. Secondly, the resulting inflammation attacks joint tissues and can cause joint swelling, cartilage/bone damage, and muscle loss. Thirdly, the inflammatory chemicals may activate nerves around the joints and other parts of the body and lead to pain as well. Lastly, because most of the inflammatory forms of arthritis are systemic (effects entire body), symptoms related to inflammation may occur in other parts of the body, including skin rashes, eye inflammation, hair loss, dry mouth, and fever.

Inflammatory arthritis includes a group of arthritis accompanied by joint pain, swelling, warmth, tenderness in the joints, and morning stiffness that lasts for an hour. And joints affected are many joints throughout the body at the same time.  Moreover, inflammatory forms of arthritis are much less common than osteoarthritis (wear and tear arthritis), which affects most people at the later stages of life. 

 

  1. Rheumatoid Arthritis

 

Rheumatoid Arthritis is an autoimmune disorder causing an inflammatory arthritis occurring mostly in 25-55 year old women. The common joints involved are hand, ankle, foot, toes, wrist, knee, elbow, shoulder (glenohumeral joint, acromioclavicular joint), neck (atlantoaxial joint, first and second cervical vertebrae of spine) and hips (femoracetabular joints). 

 

Rheumatoid Arthritis often starts as finger or wrist pain. The joints involved most frequently are the proximal interphalangeal (PIP) and metacarpophalangeal (MCP) joints of the (base of) hands. You may feel the joints are swollen and that in the morning it takes over an hour to be able to move the fingers comfortably. Furthermore, you may feel fatigue and have possible weight loss.

 

So pain, warmth and associated periarticular (around the joint) soft tissue swelling, stiffness, and range of motion restrictions are signs and symptoms. Also at some point, the body or limb will be affected bilaterally (both sides).

 

Cause

 

Rheumatoid Arthritis is an autoimmune disorder causing an inflammatory arthritis. What happens is the joint forms a reactive pannus. And the pannus is a hypertrophied synovium (overgrowth of lining of joint).  This pannus invades and erodes contiguous (nearby) cartilage and bone, causing swelling and eventual erosion. Finally, later changes include flexor (finger folding soft tissue) contractures and ulnar deviation (bend abnormally toward your little finger) of the fingers.

 

Is rheumatoid arthritis genetic or environmental?

 

Multiple genetic and environmental factors have been associated with an increased risk for rheumatoid arthritis (RA). Associations have been seen with being female, a family history of RA, and with exposure to tobacco smoke.

 

Also, if you possess the class 2 human leukocyte antigen (HLA), you have a genetic predisposition to getting Rheumatoid Arthritis (RA). Observations in studies show that HLA genes play an important role in the etiopathogenesis (cause and development of disease) of  RA. Scientists say the genes provide a sort of ‘prearthritic’ immunological background on which the triggering factors for RA thrive.

 

Laboratory Findings

 

Rheumatoid Factor

A positive rheumatoid factor test result indicates that a high level of rheumatoid factor was detected in your blood. A higher level of rheumatoid factor in your blood is closely associated with autoimmune disease, particularly rheumatoid arthritis. A positive rheumatoid factor (IgM antibody) is found in 75% of people with Rheumatoid Arthritis. A rheumatoid factor test is the most useful test to diagnosis rheumatoid arthritis.

 

Erythrocyte Sedimentation Rate (ESR)

ESR is a blood test that gives your doctor an idea of the inflammation levels in your body. An ESR test measures the rate of fall (sedimentation) of red blood cells (erythrocytes) in a test tube. Lab testing will reveal elevations in erythrocyte sedimentation rate (ESR) in Rheumatoid Arthritis cases.

 

CReactive Protein (CRP) Test

The CRP test measures the level of Creactive protein.  This is a protein made by your liver. Blood levels may be higher when you have inflammation or an infection.

 

Complete Blood Count​​ (CBC test )

Anemia (often hypochromic and normocytic) develops in autoimmune disease such as Rheumatoid Arthritis and is found in the CBC test. Anemia occurs if your body makes too few red blood cells (RBCs), destroys too many RBCs, or loses too many RBCs.

First, if you have anemia, your body does not get enough oxygen-rich blood. Second, the lack of oxygen can make you feel tired or weak. Third, you may also have shortness of breath, dizziness, headaches, or an irregular heartbeat.

Hypochromic normochromic anemia is the type of anemia in which the circulating red blood cells (RBCs) are the same size (normocytic) and have a paler than normal red color (hypochromic).

 

Imaging and X-Ray

 

Radiographic (x-ray) findings usually confirm the diagnosis. However, these are not evident in the early stages of the disease.

 

 

  1. Juvenile Rheumatoid Arthritis

Juvenile means the disease starts around ages 5-10 years old. Juvenile Rheumatoid Arthritis has the same findings as adult Rheumatoid Arthritis.  Common joints involved are hand, foot, wrist, knee, elbow, heel, hip, and cervical spine (neck).

 

Laboratory Findings

 

Lab work is similar to the adult type with the addition of urinalysis, and other laboratory tests.

 

Imaging and X-Ray

 

Radiographic (x-ray) findings are similar to the adult type with the possible addition of growth disturbances of  bone and epiphyseal (growth plate of bone) injuries due to the autoimmune disease.

Treatment at Meiri Chiropractic

 

Firstly, inflammatory autoimmune disease/arthritis have an unpredictable course of remission and relapses. Secondly, treatment/management includes chiropractic manipulation treatment to keep the spine and extremity (arms and legs) joints flexible.  Thirdly, stretching and postural exercises are very helpful. Finally, Chiropractic manipulation should be as gentle as possible considering the inflammatory nature of these diseases.

 

Indeed, long-term use of pain medication/drugs can cause gastric and renal (kidney) consequences.  In conclusion, chiropractic along with the use of anti-inflammatory approaches in diet and supplement recommendations are beneficial in management of inflammatory arthritis.

 

At Meiri Chiropractic we spend the time necessary to examine, diagnose and treat every neuromusculoskeletal condition and various ailments you have.  Chiropractic is a holistic and natural way to not only treat existing conditions, but to keep your body in its best working condition.  We have been offering effective chiropractic care in North Pam Beach since 2006.  Many of our patient reviews note our excellence.  Call us today at 561-253-8984 to make an appointment or to find out more about Rheumatoid Arthritis: Autoimmune Disease and Chiropractic .

 

 

 

Sports-related injuries in kids and adolescents (teenagers) are frequent and can be helped in the chiropractic clinic. Over 7 million teenagers are involved in high school sports.  Over 20 million children between the ages of 8 and 16 years are involved in non-school community athletic programs.  Many participate in unstructured, relatively unsupervised recreation. And almost all middle and junior high schools have sports programs.

 

Kids and teenagers are young athletes with anatomic and physiologic uniqueness in how they participate in sports activities. As always, prevention is still a major goal even for a child athlete.  When injured, a proper diagnosis, management and rehabilitation is critical for children and adolescents.

 

While children generally participate in a sport(s) activity for fun, there are other important considerations.  Firstly, children attain self-confidence through participation. Secondly, it develops their socializing skills and avoids boredom. Thirdly, it may help them to learn about setting goals.  Fifthly, physical participation in sports lays the groundwork for a healthy lifestyle. In other words, exercise habits carry over into adulthood. In fact, studies have found the percentage of body fat of adults who exercised as adolescents is lower.  Lastly, exercise may affect physical growth. So minimum amounts of exercise may stimulate growth while excessive exercise may retard growth. 

3 Common Sports Injuries in Kids Treated in the Chiropractic Clinic

 

1.  Spondylolisthesis, Spondylolysis and Low Back Pain

 

Spondylolysis occurs in approximately 6 % of the population. Spondylolysis is more common in female gymnasts, college football linemen, weight lifters, and rowers. Moreover, risk is also increased during growth spurts.

 

Spondylolysis is a stress fracture through the pars interarticularis of the lumbar vertebrae.  The pars is a small segment of bone that joins the facet joints (joint connects two or more bones) in the back of the spine. A defect in this portion of the spine leads to this condition called spondylolysis as well.

 

So Spondylolysis is due either from a stress fracture of the pars interarticularis or an elongated (lengthened) pars. The elongated pars is a result from micro (small) fractures that heal with an elongated pars. And a microfracture could be caused by trauma, like getting hit by something or a fall. Also, a stress fracture may be due to repetitive micro trauma such as hyperextension (extensive arching of the back) in sports activities.

 

Spondylolisthesis is a condition in which a vertebra (bone) in the spine moves forward out of the proper position onto the bone below it. There are several types of spondylolisthesis. However, the most common is isthmic (as a result of spondylolysis), occurring in the young. Although congenital (present from birth) types and destructive (e.g., tuberculosis,cancer) types are possible, they are rare.

 

In conclusion, there is a good response to chiropractic manipulative treatment for low back pain due to spondylolithesis (grades 1 or 2) resulting from a spondylysis. 

 

Spondylolisthesis is primarily a radiographic (x-ray) diagnosis.

 

2. Neck Injury/ “Burner/Stinger”

 

Lateral flexion neck (moving your head toward one of your shoulders) injuries often result in a “burner” or “stinger” seen commonly in sports with kids and adolescents. This is a common injury in sports and often recur leading to further disability. It is a common injury in football hockey, wrestling, lacrosse, and diving. 

 

 “Burner” or “stinger” are the names given to injury of the brachial plexus (network of nerves in the shoulder that carries movement and sensory signals from the spinal cord to the arms and hands) or nerve roots (initial segment of a nerve leaving spinal cord). In general, the injury is a lateral flexion of the head away from the involved side with accompanying shoulder distraction (depression) on the involved side.

 

Kids may have a sudden onset of burning pain and/or numbness along the lateral (side) arm with associated arm weakness following a lateral flexion injury of the neck (e.g., lateral “whiplash”). The symptoms of burning usually last only a couple of minutes. So while burners/stingers are typically transient (lasting a short time), kids may continue to have neck and arm pain or weakness afterwards. 

 

Radiographic (x-ray) evaluation is recommended to determine if any instability is present. If instability is present, it is necessary to consider restrictions in sports (e.g., football) where head and neck trauma is common to prevent further damage.

 

3) Osgood-Schlatter’s Apophyseal Injury and Knee/Leg Pain

 

Apophyseal injuries are stresses to the growth plate in adolescent athletes. Apophyseal injuries are almost always due to sports activity in kids. Osgood-Schlatter’s apophysitis at the tibial tubercle (secondary ossification center on the top of the shin bone) is commonly seen in running/jumping sports, in hockey with boys and gymnastics and figure skating for girls. Symptoms of pain and swelling are present over the tibial tuberosity below the knee joint, where the patellar tendon attaches to the top of the shinbone (tibia). There may also be inflammation of the patellar tendon, which stretches over the patella (kneecap).

 

First, activity modification (reduction of intensity or frequency) and icing is recommended.  Second, Chiropractic manipulative therapy (adjustments) should include a biomechanical assessment of the whole kinematic chain including all the joints and the muscles of the lower limb, the spine and pelvic joints. Third, soft tissue manipulation (e.g. myofascial release, pressure point, post-isometric relaxation) should be done on these muscles/tendon: hamstring, quadriceps, iliotibial band,and Achilles tendon.  Fourth, stretching,and strengthening of the indicated muscles are important. Taping and a  brace may provide some limited symptom relief. Osgood-Schlatter’s Apophyseal Injury takes about 6- 9 months to heal in most cases.

 

Radiographs (x-rays) are generally used either to rule out a tumor (if suspected) and/or a full avulsion injury.

 

Safety of Chiropractic for Kids

 

The American Chiropractic Association cites a study done in 2014 confirming that chiropractic adjustments are overwhelmingly safe in infants and children.

 

In 2009, a survey found that there were about 68 million pediatric visits to chiropractors. The National Board of Chiropractic Examiners’ most recent practice analysis, issued in 2010, found that about 17 percent of chiropractic patients were under age 18 — approximately 7.7 percent aged five years or younger and some 9.4 percent between ages six and 17.

 

Children have the same joints that adults do, but not fully formed yet.  They are still developing and adjustments get the spine back in alignment. This keeps the body balanced and to prevent further problems. Also, Kids joints are still more cartilaginous than truly bony, so the adjustments have to be a little bit faster, but with less force. This is due to the increased flexibility within the joint and the smaller surface area targeted. 

 

Dr. Natalie Meiri delivers fast adjustments that are low intensity (low force) and low amplitude (low displacement).  She also has helped babies and kids utilizing soft tissue techniques, cranial sacral therapy, and homeopathy. She has treated babies with ear infections, kids with ADHD, autism, scoliosis, sports injuries and various growing problems.  Contact her at 561-253-8984 for further information on 3 Common Sports Injuries in Kids Treated in the Chiropractic Clinic or to make an appointment.

 

 

 

This post is about Chiropractic Care of Shoulder Girdle Pain: Acromioclavicular Joint Injury. This injury can occur in any age group, but occurs mostly in 20-29 year olds.  You will have shoulder pain following a traumatic event.  Moreover, you may have had a fall onto the top of your shoulder or on an outstretched arm. It also occurs during a whiplash injury due to a car accident or a sports related injury.

If you have Acromioclavicular Joint Pain, Chiropractic can provide relief!

 

Acromioclavicular Joint Injury Symptoms and Signs

You will have local tenderness over the acromioclavicular joint. And you may experience painful decreased range of motion in the area.  Many of your activities will be limited including dressing and carrying and/or pulling objects.  Additionally, sleeping/lying on the injured shoulder side will be painful. Furthermore, in the case of a (grade III) sprain, obvious anatomical deformity and swelling will be apparent.  

 

Acromioclavicular Joint Anatomy

 

Firstly, your pectoral girdle (shoulder girdle), consists of your collar bone (clavicle) and your shoulder blade (scapula) which provides the bony link between your arm and your trunk.

 

Secondly, the acromioclavicular joint is formed by the cap of the shoulder blade (acromion of scapula) and the collar bone (clavicle). The outer end of the clavicle is held in alignment with the acromion by the acromioclavicular and coracoclavicular ligaments.

 

Thirdly, the acromioclavicular joint has a thin joint capsule lined with synovium (connective tissue that lines the inside of the joint capsule). A joint capsule, also called an articular capsule, is a bubble-like structure that surrounds joints such as the shoulder, elbow, wrist, hand, knee, foot, and ankle.

 

Fourthly, the acromioclavicular joint capsule is weak and is strengthened by the ligaments (acromioclavicular and coracoclavicular ligaments). These in turn are reinforced through attachments from the deltoid and trapezius muscles. Without these ligaments, the acromioclavicular joint capsule would not be strong enough to maintain the integrity of the joint.

 

 

 

Chiropractic Care of Shoulder Girdle Pain: Acromioclavicular Joint Injury Types I-III

 

An acromioclavicular joint separation or sprain is a traumatic separation or compression of the acromioclavicular joint.

 

Acromioclavicular joint separations are classified into three grades treated and managed in the chiropractic office:

 

First degree- Grade I- indicates some tearing of the acromioclavicular ligament, but no instability.

 

Second degree- Grade II- indicates rupture of the acromioclavicular ligament.

 

Third degree- Grade III involves tearing both of the acromioclavicular and the coracoclavicular ligaments. Both grades II and III are unstable (requires short period of immobilization in a sling). And type III injuries often take longer to heal (several weeks to months compared to Type I, II).

adjustment of patient's shoulder

 

Chiropractic Care of Shoulder Girdle Pain: Acromioclavicular Joint Injury Treatment

 

Chiropractic manipulative treatment/therapy to the spine and extremities (e.g. acromioclavicular joint, glenohumeral joint) are effective for acromioclavicular joint injuries. Our other therapies, such as soft tissue techniques, electric muscle stimulation, ice/ heat therapies and homeopathic consultations provide relief.

Indeed, acromioclavicular separations may need a short period of support with a shoulder sling (type II-III).  Similarly, rehabilitation exercise starts with mild isometrics (even while in a sling).  Next isotonic shoulder exercises with an emphasis on deltoid and upper trapezius exercises followed by rotator cuff, biceps and pectoral exercises are important. 

Through regular chiropractic visits, you can get pain relief and improve your health without drugs or surgery!

 

At Meiri Chiropractic we spend the time necessary to examine, diagnose and treat every neuromusculoskeletal condition and various ailments you have.  Chiropractic is a holistic and natural way to not only treat existing conditions, but to keep your body in its best working condition.  We have been offering effective chiropractic care in North Palm Beach since 2006.  Many of our patient reviews note our excellence.  Call us today at 561-253-8984 to make an appointment or to find out more about Chiropractic Care of Shoulder Girdle Pain: Acromioclavicular Joint Injury.

 

 

This post is about Sciatica: A Chiropractic Center Can Provide Relief.  Symptoms include mid-buttock pain that radiates down the leg, most often unilaterally (one side). You will often experience an abnormal sensation such as numbness or parethesia (pins and needles). You may also have weakness in the leg effected.

If you have Sciatica, Chiropractic can provide relief! We’ve got some great information to share below.

What is Sciatica?

 

Firstly, the sciatic nerve is the largest nerve in the human body. Sciatic nerves originate from several nerves in your lower back. These nerves branch outward from the spine and then come together at each buttock to form the sciatic nerve, which then radiates down each leg.

 

Secondly, the word “sciatic” is defined as relating to the hip or ischium or to any structure in its vicinity, as the sciatic nerve. The ischium is a paired bone (one on each side) of the pelvis that forms the lower and back part of the hip bone(s).

 

Thirdly, sciatica is defined as irritation or compression of the sciatic nerve that causes pain in the buttock area with radiation to the lower leg. It is a condition characterized by pain along the course of the sciatic nerve.  This is usually a neuritis (inflammation of a nerve) and generally caused by mechanical compression or irritation of the lumbar and sacral spinal nerve roots.

 

Fourthly, many cases have a spinal cause, such as disc herniation/bulge causing impingement of L5 or S1 nerve roots. Other common causes include spinal stenosis, degenerative disc disease (wear and tear arthritis/osteoarthritis), and spondylolisthesis. There are also other causes of sciatica, which are less common. These include piriformis syndrome, trauma, post-operative complications, gynecologic conditions, and herpes zoster (shingles).

 

 Some Causes of  Sciatica

 

  1. Disc herniation

This occurs usually between the ages of 30 and 50. This age range is due in part to the fact that the disc’s nucleus pulposus (central, softer jelly like inner part of disc) dehydrates with aging, leaving little to herniate.  Low back pain with radiation in the leg(s) which travels below the knee is a symptom. Paresthesia or numbness is more commonly found with disc herniations especially in the foot or ankle area.

 

You may have had a twisting injury accompanied by immediate leg pain. The leg pain is often more of a concern than the back pain.  Moreover, pain is often worse with sitting (due to increased disc pressure) and less with standing or walking.  In the past, you may have a history of recurrent episodes of back pain without leg pain.

 

  1. Spinal Stenosis

 

The 50 year old and above with leg pain is more likely to have sciatica due to stenosis (narrowing of the spinal canal). You may have more difficulty with walking or standing because of the compressive effect created by the loading of the posterior (back of) spine where most of the stenosis occurs. Leg pain from spinal stenosis called neurogenic claudication usually occurs with walking and is relieved with rest.

 

So neurogenic claudication is secondary (due) to spinal stenosis.  In other words, neurogenic claudication is usually caused by spinal stenosis in the lumbar spine (lower back). This narrowing of the spinal canal is generally caused by wear and tear arthritic changes in the lower spine.

 

If you have back pain due to sciatica and chiropractic care is your choice, surgery may be avoided.

Dr. Natalie Meiri will examine you and come up with a treatment plan to get you better. Through regular visits, you can get pain relief and improve your back health with chiropractic manipulative treatments without surgery.

“Softer” approaches involving “no rotation” chiropractic manipulative treatments such as flexion-distraction, blocking, and prone (patient face down) drop-table adjusting are available.  Meiri Chiropractic’s technique is to manipulate at sites other than the herniation and unstable areas. Our other therapies, such as soft tissue techniques, therapeutic exercise, electric muscle stimulation, ice/ heat therapies and homeopathic consultations, may also provide some relief for your pain. 

Call our office which serves North Palm Beach, Jupiter, Palm Beach Gardens and West Palm Beach.  Ask to make an appointment or ask about Sciatica: A Chiropractic Center Can Provide Relief at 561-253-8984.

 

 

From Dr. Natalie Meiri’s Clinical Pearl Stories: Chiropractic Care of Neck and Arm Pain After a Car Accident

Author: Natalie Meiri, D.C.        Posted: 8/9/22

 

This was a 18 year old male patient with neck and left arm pain following a car accident.  This patient was involved in a motor vehicle accident while asleep as a passenger.  His car flipped over after being rear ended on the (I-95) highway.  To be HIPAA compliant, I will call him Dustin instead of his real name. 

Dustin had gone to the hospital after the accident and then was released.  This was Dustin’s first car accident.  Moreover, he didn’t have any prior history of trauma or musculoskeletal pain.  Music was his major in college. And the cello instrument was impossible to practice due to his injury.  Furthermore, he had difficulty sleeping due to his pain.  When his neck and left arm injury got progressively worse, he came to see me.

 

Dustin’s Examination

Dustin presented to my office with his neck forward in antalgia (away from pain) and guarding/holding his left painful arm with his uninjured right arm.  During the accident he was asleep, and he said, “it happened so fast”, he couldn’t remember much.  However, he remembered being “whipped around” even though he had his seat belt on as the car flipped over.  He said he didn’t hit his head, but knew he had twisted his arm. Multiple abrasions and contusions (bruises) were observed on his neck and arm.

Upon examination, I found positive tests for sprains in his cervical spine (neck), left glenohumoral joint (shoulder) and left elbow joints.  A sprain is a joint injury in which some of the fibers of a supporting ligament are torn or ruptured.  However, the continuity of the ligament (ligaments connect bones to bones within a joint) remains intact. Dustin’s thoracic spine (mid back) had a diagnosis of a strain.  A strain is an overstretching and tearing of musculotendinous tissue (tendons connect bones to muscles).

 

Dustin’s  X-Rays

The x-rays taken in my office showed a reversed lordosis (curvature) in his cervical (neck) spine which was consistent with a sprain.  There was also an anterolisthesis of C5 on C6 vertebrae (small bones forming spinal column). An anterolisthesis is a spine condition in which the upper/front of the vertebral body, slips forward onto the vertebra below. This can often result from trauma due to a sudden blunt force, fractures, an accident or fall.  Of course with Dustin, it was due to the car accident.

The rest of the x-rays for his thoracic spine (mid back), left shoulder and left elbow were noted as “normal” findings for the x-ray report.  So fracture was ruled out.

I would order further imaging (e.g. MRI) if there was no improvement after 12 visits or possibly sooner if necessary.

 

 

 

What Happens During A Whiplash/Car Accident/Rear-end Collision?

 

Acceleration/deceleration (whiplash) injury to the cervical spine is a common mechanism of injury in patients seeking chiropractic care.  There is considerable research to indicate the “typical” phases of events following a rear-end collision.  The biomechanics of whiplash is as follows:

 

Phase OneWhen a vehicle is rear-ended, your torso (trunk of body) is forced back into the seat and at the same time moves upward. This upward movement is accompanied by straightening of the cervical spine (neck) as it is being compressed axially. Axial compression is a type of force, especially on the vertebral column, in which body weight falls centrally on a particular bone, causing bony impaction. The head and neck then begin to extend (tilting head backwards).

Phase TwoAs the head and neck are extending, the vehicle has reached its peak acceleration. Energy stored in the seat from the backward movement of  the body into the seat may add more acceleration to the torso as a “diving board” effect. The upward (vertical) movement of the torso may allow ramping over the headrest, adding an element of extension. And if the driver’s foot is taken off the brake, acceleration may be prolonged.

 Phase Three-Acceleration diminishes while the head and torso are thrown forward. And it may be accentuated if the driver’s foot is reapplied to the brakes.

Phase FourAs the body moves forward, a seat belt and shoulder harness (if worn) will restrain the torso. This allows the head to decelerate forward.

 

Lastly, ” hyperextension” (excessive movement of a joint backwards) may be the most prominent injury mechanism in whiplash. In other words, in hyperextension, the joint has been forced to move beyond its normal range of motion in extension. This then causes the tissues around the joint to be damaged.

 
Chiropractic Care of Neck and Arm Pain After a Car Accident

Dustin started at 3 times a week and then moved to 2-3 times a week for his treatment frequency. The treatments included chiropractic adjustments/manipulation to his neck, mid back, left shoulder, left elbow and associated regions.  Associated regions adjusted were his left wrist and low back. Additionally, soft tissue therapy (myofascial release, pressure point and various post isometric relaxation procedures) and modalities (cold/heat therapy and electric muscle stimulation) were administered as needed. Finally, therapeutic exercises were prescribed and continued at home as well.

Dustin felt better gradually.  After a few weeks of treatment, he was able to slowly resume his cello practice activities. After many months of care, he got his range of motion and function back in his neck and left arm to fully participate in a cello concert. 

 

Extremity (arms and legs) Chiropractic Adjustments

A common question I get asked is, ” How does a chiropractor treat arm or leg pain that’s not coming from the spine?” My answer is, “The same way a chiropractor treats the neck or back”.  At Meiri Chiropractic, we restore normal function/alignment to your spine and extremities. For example, in Dustin’s case, he had a sprain in three areas: neck, left shoulder and left elbow.  By adjusting the various joints of the spine, Dustin’s neck/back healed. Similarly, with his extremity sprains, adjustments were delivered to his left shoulder, left elbow and left wrist joints to align his left arm.

Chiropractic helps you heal without invasive surgical procedures or drugs as in Dustin’s case. It restores your mobility, functionality and overall health.

Dr. Natalie Meiri

 

Chiropractic Physician

Natalie Meiri, D.C.

At Meiri Chiropractic we spend the time necessary to examine, diagnose and treat every neuromusculoskeletal condition and various ailments you have.  Chiropractic is a holistic and natural way to not only treat existing conditions, but to keep your body in its best working condition.  We have been offering effective chiropractic care in North Palm Beach since 2006.  Many of our patient reviews note our excellence.  Call us today at 561-253-8984 to make an appointment or to find out more about Chiropractic Care of Neck and Arm Pain After a Car Accident.

 

 

Reflex sympathetic dystrophy, also called complex regional pain syndrome, is often the result of trauma such as fractures, crush injuries, myocardial infarction, strokes, peripheral nerve (nerves located outside of spinal cord and brain) injury, or certain medication use or after surgery. Reflex Sympathetic Dystrophy is a physical disorder with persistent pain and disability.

Signs and Symptoms of Reflex Sympathetic Dystrophy (RSD)

Firstly, you will report having persistent pain and swelling following an episode of trauma.  Moreover, it will include mainly the distal (away from center of body) extremities (limbs). The level of pain is measured as one of the most severe on some pain scales.

Secondly, usually only one extremity is involved with vasomotor instability (blood vessels are constricting and dilating abnormally). Subsequently, it may lead to Raynaud’s phenomenon.  Raynaud’s phenomenon is a condition that causes the blood vessels in the extremities (limbs) to narrow, restricting blood flow. The episodes or “attacks” usually affect the fingers and toes.

Thirdly, trophic skin changes occur. Trophic is a term used to describe abnormalities in the area of pain that include primarily wasting away of the skin, tissues, or muscle, thinning of the bones, and changes in how the hair or nails grow.  This  includes thickening or thinning of hair or brittle nails.  Furthermore, when trophic changes occur to the bones, it’s called Sudeck’s Atrophy (bone demineralization).

 

Phases of Reflex Sympathetic Dystrophy

Reflex Sympathetic Dystrophy’s first phase may be pain and swelling with an increase in sweating and hair growth in the involved area.

Next, in the second phase (3-6 months later) the skin gradually changes to a shiny appearance that is cool to the touch. In the third phase, eventually (3 to 6 months after the second phase) this may progress to atrophic (degeneration and thinning) skin. 

Finally, there may be limited range of motion, weakness, or other motor disorders such as paralysis or dystonia (involuntary muscle contractions that cause repetitive or twisting  movements). And development of flexion contractures (bent joints) of the limbs may occur due to these motor disorders. Furthermore, when this occurs in the shoulder, it is referred to as shoulder-hand syndrome.

 

Cause(s) of Reflex Sympathetic Dystrophy

There are many theories regarding reflex sympathetic dystrophy.  Most believe that a nervous system dysfunction is at the core of this syndrome.

Definitely, reflex sympathetic dystrophy is a chronic neuro-inflammatory disorder. It occurs when the nervous system and the immune system malfunction while responding to tissue damage from trauma. Although it is classified as a rare disease, up to 200,000 people experience this condition in the United States, alone, in any given year.

Your sympathetic nervous system connects the internal organs to the brain by spinal nerves. In this theory, it is believed your sympathetic nervous system may become hyperactive and/or have misconnections to sensory neurons (nerve cells) leading to reflex sympathetic dystrophy. 

Another theory attributes the disorder to “nerve sprouting” after an injury.  This is when axonal sprouts  (fine nerve processes) grow out from intact axons during healing to reinnervate the denervated muscle fibers.  Sprouting is supposed to sustain the nerve supply.  However, in reflex sympathetic dystrophy, abnormal sprouting may actually be the cause.

 

Treatment at Meiri Chiropractic

Chiropractic adjustments (manipulative treatment) to the spine and extremities (arms and legs) work by normalizing function of the neuromusculoskeletal system.  Therefore, the pain and inflammation go away.  Additionally, some studies show chiropractic manipulation increase distal blood flow.

Our other therapies, such as soft tissue techniques, therapeutic exercise, electric muscle stimulation, ice/ heat therapies and homeopathic consultations provide relief as well. Through regular chiropractic visits, you can get pain relief and improve function.

At Meiri Chiropractic we spend the time necessary to examine, diagnose and treat every neuromusculoskeletal condition and various ailments you have.  Chiropractic is a holistic and natural way to not only treat existing conditions, but to keep your body in its best working condition.  We have been offering effective chiropractic care in North Palm Beach since 2006.  Many of our patient reviews note our excellence.  Call us today at 561-253-8984 to make an appointment or to find out more about Shoulder-Hand Syndrome and Lower Leg Swelling: Chiropractic Care of Reflex Sympathetic Dystrophy.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From Dr. Natalie Meiri’s Clinical Pearl Stories: Chiropractic Care of Facial Numbness and Neck Pain After a Car Accident

Author: Natalie Meiri, D.C.        Posted: 7/30/22

 

 

 

This was a 50 year old male patient with a chief complaint of acute left facial numbness and cervical (neck) and cheek pain following a rear-end car accident a few weeks ago. To be HIPAA compliant, I will call him Joe instead of his real name. When he was rear ended during the collision, he didn’t hit his head or loose consciousness.  However, his neck was “whipped” back and forth violently.

 

Joe never had facial numbness or cheek and neck pain prior to his car accident. Now Joe had trouble sleeping and couldn’t exercise or play with his kids due to his pain. Furthermore, he had difficulty working and had to take time off. 

 Joe’s Examination and Imaging

 Upon examination he had painful spasmed muscles and tenderness all around the cranium (head) and cervical (neck) spine. His sensory examination showed a pattern of numbness in his face due to a left sided trigeminal neuropathy. Joe had positive tests to indicate he had not only sprained and strained his neck, but also strained (irritate) his trigeminal nerve. And his cervical (neck) x-rays taken in my office showed loss of cervical lordosis (staightening) consistent with cervical myospasm and a sprain.  If he wasn’t responding to care in a month, I would order a M.R. I. (magnetic resonance image).

The Trigeminal Nerve

The trigeminal nerve is the part of the nervous system responsible for sending pain, touch and temperature sensations from your face to your brain.  You have two trigeminal nerves, one on each side of your head. The nerve has three divisions: the ophthalmic, maxillary, and mandibular nerves.

It is the 5th of 12 cranial nerves. The trigeminal nerve primarily helps you feel (sensory), although the mandibular branch of the trigeminal nerve has both sensory and motor functions. It helps with biting, chewing, swallowing, and facial and scalp sensations.

The trigeminocervical nucleus is a region of the upper cervical (neck) spinal cord where sensory nerve fibers in the descending tract (nerve pathways from face to brain) of the trigeminal nerve called the trigeminal nucleus caudalis are believed to interact with sensory fibers from the upper cervical nerve roots. This functional convergence of upper cervical and trigeminal sensory pathways allows the bidirectional referral of painful sensations between the neck and trigeminal sensory receptive fields of the face and head.

 

Dr. Natalie Meiri adjusts a patient

 

Joe’s Treatment at Meiri Chiropractic

It is common to have numbness and/or pain in your arm and neck pain after a car accident.  Similarly, you can have numbness in your face and have neck and left cheek pain after a car accident as Joe did. 

In Joe’s case, the strain (irritation) on the trigeminal nerve likely occurred at the upper cervical spine, at the nerve’s caudalis, and at the brainstem (bottom, stalk like portion of your brain connecting your brain to your spinal cord). Also, the temporal portion of his cranium (side of the head behind the eye between the forehead and the ear) needed manipulation due to the irritation of the maxillary branch of the trigeminal nerve.  Furthermore, the irritation of the maxillary branch of the trigeminal nerve which is responsible for sensations in the middle part of your face (e.g.cheeks, nose lower eyelids, upper jaw) must have caused his cheek pain.

Chiropractic manipulative treatment techniques applied at the level of the cervical spine, suboccipital (back of the skull) region, and cranial (head) region alleviated Joe’s facial symptoms. This treated the left-sided neuropathy of the trigeminal nerve and the neck sprain/strain.

Our other therapies, such as soft tissue techniques, electric muscle stimulation, ice/ heat therapies and homeopathic consultations provided Joe additional relief. It took about 4 months of care, but the facial numbness and neck and cheek pain subsided. Joe was able to heal without drugs or surgery!

 

We can help you with Chiropractic Care of Facial Numbness and Neck Pain After a Car Accident

At Meiri Chiropractic we spend the time necessary to examine, diagnose and treat every neuromusculoskeletal condition and various ailments you have.  Chiropractic is a holistic and natural way to not only treat existing conditions, but to keep your body in its best working condition.  We have been offering effective chiropractic care in North Palm Beach since 2006.  Many of our patient reviews note our excellence.  Call us today at 561-253-8984 to make an appointment or to find out more about Chiropractic Care of Facial Numbness and Neck Pain After a Car Accident.