From Dr. Natalie Meiri’s Clinical Pearl Stories: Chiropractor West Palm Beach: Dizziness After a Car Accident

 

This was a 60 year old female patient with a chief complaint of dizziness. To be HIPAA compliant, I will call her Missy instead of her real name. Missy had a history of dizziness and vertigo on and off from various causes for many years. 

This past year, she had suffered dizziness after surgery. So dizziness after surgery is common.  Typically, it is from the anesthesia, pain medication, dehydration, or rapid positional changes. Then a few months later, she was in a car accident and had a whiplash injury.  And her dizziness was triggered again which was much more problematic.  Furthermore, because of her underlying cardiovascular condition, she went to see her primary care doctor.  The doctor ordered a battery of tests (C.T., MRI, blood vessel studies), but didn’t find any cardiovascular issues. In other words, her tests were all normal. Next, the vertigo/ dizziness was so terrible she went to see a ear-nose-throat (ENT) specialist.  This was to rule out any possible complications related to her ear-nose-throat and the dizziness. Missy thought maybe the crystals in her ear were the problem. The canalith repositioning maneuver (e.g. eply) by the ENT specialist wasn’t successful.  Moreover, Missy did the physical therapy/habituation exercises at home.  And She stated, “the exercises didn’t help at all.”

Missy’s Examination & Treatment for Dizziness

Upon examination, I found positive tests for a cervical (neck) sprain with thoracic (midback) myalgia (muscle pain) diagnoses.  Also, a test showed that her neck was causing her dizziness. Missy’s pain in her neck was nothing compared to the dizziness which was her chief complaint.

Firstly, she received chiropractic adjustments/ manipulation to her cervical (neck) and thoracic (mid back) spine.  Soft tissue work (myofascial release, pressure point and various post isometric relaxation procedures) and exercises to continue at home were also rendered as needed. 

Secondly, recommendations were made on diet/lifestyle:

-Distribute food and fluid intake evenly throughout the day.

-Avoid foods and beverages that have a high salt or sugar content.

-Drink adequate amounts of fluid daily.

-Avoid foods and beverages with caffeine.

-Limit or eliminate alcohol consumption.

-Do not use tobacco.

-Ginger may ease vertigo symptoms, like nausea and lightheadedness.

Thirdly, I recommended acupuncture after the 4^th visit to enhance her recovery by working on her peripheral vestibular (inner ear) vertigo.

Missy responded well to her chiropractic treatment for dizziness.  In fact, by the 3^rd visit her dizziness had decreased to 50%. This was a substantial, clinically meaningful improvement.  Missy started her acupuncture treatments along with her chiropractic care and by the 12^th visit her dizziness symptoms subsided!  Missy continued her treatment for her whiplash injury to her neck and mid back thereafter which took more visits to resolve than the dizziness complaint.

Symptoms of Dizziness/Vertigo

You may feel the room is spinning?  You may feel motion imbalance or a lack of coordination while walking? Moreover, you may have lightheadedness or presyncope (sensation of almost fainting)? Symptoms of vertigo are all dependent on each individual. However, some common vertigo symptoms may include:

• Swaying
• Unbalanced
• Headache
• Sweating
• Ringing in ears
• Loss of hearing
• Nausea
• Spinning

Anatomy and Physiology

Your balance and spatial orientation are maintained by an integrated neuronal (relating to nerve cells) feedback loop. Feedback loops are circuits that return output as input to a given system. 

The components of the related systems for balance and spatial orientation: 

(1) The vestibular system includes the parts of the inner ear and brain. It processes the sensory information involved with controlling balance and eye movements.

(2) The visual system constructs a mental representation of the world around us. It includes both the eyes and the brain.

(3) The proprioceptive system is guided by receptors in the body (skin, muscles, joints) that connect with the brain through the nervous system. Proprioception is your body’s ability to sense movement, action, and location.

So a slow adaptation by your nervous system can be made to compensate when input from any of the above components (systems) is dysfunctional.

 

 

Chiropractor West Palm Beach: How Does Chiropractic Help Dizziness and Vertigo?

It is unclear how many cases are due to neck proprioceptors versus the vestibular apparatus or vascular supply to the head and neck. Nevertheless, proprioceptive information from the upper cervical musculature and joints do play a major role in your perception of balance. The high density of receptors in the spine may have effects on these reflexes for balance. Also, if there is damage to the vestibular apparatus, these spinal reflexes may help compensate. 

Firstly, cervicogenic vertigo is a result of cervical joint dysfunction, muscle strain, or injury from trauma such as a whiplash-like accident. Over-stimulation from joint dysfunction, muscle spasm or damage to the upper cervical proprioceptors can result in an imbalance of proprioceptive information. Secondly, the basic science support for this comes from numerous studies that have shown ataxia (lack of voluntary coordination of muscle movements), nystagmus (fast, uncontrollable movements of the eyes), and/or dysequilibrium (sensation of being off-balance) with strained muscles or upper cervical nerve roots. Thirdly, vibration of muscle tendons or the head can create a “postural illusion” leading to nystagmus and motion sickness. 

Lastly, there is an overlap between cervicogenic (spinal) vertigo and other peripheral (not central nervous system) vestibular vertigos such as Benign paroxysmal positional vertigo (BBPV) and Meniere’s disease. In conclusion, the theory is joint dysfunction may produce reflex muscle spasm or alter input to the vestibular nuclei (nerve complex) in the hindbrain. The vestibular nuclei function in the maintenance of equilibrium and posture, the perception of head position and acceleration, as well as general muscle tone. Second, the chiropractic approach is to reduce muscle spasm and free restricted movement through manipulation/adjustments. Research supports a positive effect with cervical adjusting alone or in combination with vertigo exercises to correct this. 

 

Chiropractor West Palm Beach: How Does Acupuncture Help Dizziness and Vertigo?

Firstly, Acupuncture has been used for relief of acute illness, such as pain, dizziness and vertigo in traditional Chinese medicine for thousands of years. One case report demonstrated that acupuncture therapy was very helpful for a patient with peripheral vestibular (inner ear) vertigo. Moreover, it appears Acupuncture may be an option for patients who are intolerant to drug therapy.

Secondly, Acupuncture can reduce balance disorders caused by disorders of the inner ear. Furthermore, acupuncture targets the emotional disturbances or stress.  These are factors that can exacerbate or start an incident of dizziness and vertigo.

Thirdly, Acupuncture improves blood flow and calms the nervous system.  Researchers believe when an acupuncture needle is inserted, the sensory and proprioceptive nerves are stimulated. This sends a message to our brain and nervous system. In vertigo caused by abnormalities of the vestibular system, acupuncture can play a role in reducing dizziness through increasing microcirculation in the inner ear.

 

Chiropractor West Palm Beach: Dizziness After a Car Accident

Meiri Chiropractic serving West Palm Beach and the surrounding areas offers excellent chiropractic and acupuncture treatments for dizziness and vertigo. Call us in West Palm Beach at 561-253-8984 to schedule an appointment or to find out more about Chiropractor West Palm Beach: Dizziness After a Car Accident.

 

 

 

This post is about Chiropractor West Palm Beach: Acupuncture for Mid Back Pain Relief.  Symptoms of thoracic spinal (mid back) conditions include dull aches, sharp/stabbing sensations, or burning between the shoulder blades and rib cage. Additionally, you may have muscle stiffness and spasms. This will cause reduced mobility.  Moreover, mid back pain may radiate to the neck, shoulders, or ribs. So Mid-back pain (thoracic spine) may result from poor posture, overuse, or a traumatic injury. Fortunately, if you have mid back pain, acupuncture can provide relief!  We’ve got some great information to share below.

Anatomy of the Thoracic (mid back) Spine and Ribs

12 Vertebrae (spinal bones) compose the thoracic vertebral column or spine. Your spine protects the spinal cord, nerves, supports your thorax and enables movement of your body. The intervertebral discs, along with the laminae, pedicles, and articular processes of adjacent vertebrae, create a space through which spinal nerves exit. A typical vertebra also contains four articular (joint) processes, two superior and two inferior, which contact the inferior and superior articular processes of adjacent vertebrae, respectively. The point at which superior and articular facets meet is known as a facet, or zygapophyseal, joint (synovial joint).  These maintain vertebral alignment, control the range of motion, and are weight-bearing in certain positions. 

Thoracic vertebrae are unique in that they have the additional role of providing attachments for the ribs.  One special feature of thoracic vertebrae is the presence of costovertebral and costotransverse joints, which form the articulations for the ribs. The costovertebral joints (demifacets) are located on either side of the vertebral body to form an articulation with the heads of the ribs. The costotransverse joints are located on the anterior (front) aspects of the transverse processes of vertebrae to articulate with the tubercles of the ribs.

Anteriorly (front), the first seven ribs connect to the sternum (breast plate) directly, and the eighth, ninth, and tenth ribs attach indirectly via the costocartilage. The eleventh and twelfth ribs are free floating, with no anterior attachment. The anterior articulations move mainly because of the elastic quality of the costocartilage. 

 

Chiropractor West Palm Beach: Acupuncture for Mid Back Pain Relief- Research

Firstly, in the treatment of mid back pain, the first option is a conservative approach using conventional medications (CMs) such as nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, opioid analgesics, and corticosteroids. However, these have provided limited pain relief.  Furthermore, these have been often accompanied by adverse effects.  These include dizziness, drowsiness, intoxication, allergic reactions, hepatic and gastrointestinal dysfunctions.

Secondly, results of one study showed that acupuncture may be more effective than NSAIDs (e.g. ibuprofen) in decreasing the patient’s pain level. The study also stated, “acupuncture may enhance the effect of medications in pain relief. To patients with thoracic (mid back) pain, acupuncture points appear more effective than nonacupoints”.

Thirdly, in one study, Acupuncture was shown to be superior to various interventions. In this study, it stated ” BACK PAIN is among the most prevalent health complaints of mankind. It is, therefore, associated with much individual suffering and considerable socioeconomic consequences. Back pain is also the most frequent indication for using unconventional therapies. Survey data suggested that back pain is one of the most common indications for referral to acupuncturists”. Furthermore, collectively, the data suggested that acupuncture is an effective treatment for back pain. (1)

 

 

Chiropractor West Palm Beach: Acupuncture for Mid Back Pain Relief

Acupuncture has been used for over 4000 years to treat pain and other health problems safely and effectively. The acupuncture treatment stimulates the imbalanced pathways called meridians. This activates the body’s natural healing abilities.  Ultimately, this brings balance back to your body. Acupuncture has a beneficial effect when treating many diseases and painful conditions.

Meiri Chiropractic offers acupuncture for mid back pain and many other ailments. Dr. Natalie Meiri is a chiropractic physician, board certified in acupuncture with over 20 years of experience.  Call today for your acupuncture treatment for mid back pain at 561-253-8984.

 

References: (1) Acupuncture for Back PainA Meta-Analysis of Randomized Controlled Trials

Edzard Ernst, MD, PhD, FRCP(Edin); Adrian R. White MD. https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/210231

 

 

West Palm Beach Chiropractor: Acupuncture for Obesity is about the chronic problems of obesity.  Obesity is often a chronic problem.  Being overweight puts limits on daily activities. It can even lead to organ dysfunction.  According to the World Health Organization, in 2022, 2.5 billion adults were overweight.  Of these, 890 million were obese, meaning that 43 % of adults were overweight, and 16 % were obese.  In conclusion, the numbers more than doubled since 1990.

 

Causes of Weight Gain

Firstly, the most common cause of weight gain is an increase in caloric intake or a decrease in energy expenditure.  Secondly, changes in weight are common within a few pounds and generally reflect fluid retention and loss. Thirdly, cyclic fluctuations can occur commonly in women in relation to menstruation. Fourthly, about 10% of obese patients have an underlying neurologic, endocrine, or genetic cause. So hypothyroidism may account for small increases in weight due to a slowed metabolic rate. Fifthly, familial (genetic) obesity and low resting metabolic rates can have an effect. So, the good news is, you or your loved one can do something about loosing weight through acupuncture.

 

Research

Modern research has shown that acupuncture treats obesity.  Acupuncture works with the hypothalamus.  And the hypothalamus coordinates the autonomic nervous system and the activity of the pituitary.  This controls body temperature, thirst, hunger, and other homeostatic system coordination.  Additionally, acupuncture works with the sympathetic and parasympathetic nervous system. This part of the autonomic nervous system manages involuntary bodily functions to maintain homeostasis.  Also, acupuncture helps with the expression of hormones such as leptin (satiety hormone) and insulin.  Finally, this affects metabolism, diet, and many other mechanisms. The number of studies which investigate acupuncture in the treatment of obesity continues to increase.

 

 

Being obese carries some increased risk in several areas of health 

Mortality rates are higher for obese patients compared with normal-weight individuals. The risk of death was higher from all causes including cardiovascular disease, cancer, and other diseases if you are obese such as:

-3 to 10 times more likely to develop adult-onset diabetes (insulin resistance increases with weight gain).

-Higher incidence of cardiovascular disease, hypertension, dyslipidemia (imbalance of lipids), and stroke.

-More likely to have sleep apnea or hypersomnolence syndrome (medical conditions in which you repeatedly feel excessively tired during the day called excessive daytime sleepiness) or sleep longer than usual at night. It is different from feeling tired due to lack of or interrupted sleep at night. Hypersomnolence carries with it the risk of arrhythmias, hypoxemia (oxygen levels in the blood are low), or pulmonary hypertension (high blood pressure effecting lungs).

-More likely to have degenerative joint disease if you are obese, especially in the hips and knees. It is also a risk factor for low back pain.

-Increased risk for cholelithiasis (reduced bile flow), thromboembolism (blood clot), and varicose veins.

 

West Palm Beach Chiropractor: Acupuncture for Obesity/ Weight-loss 

Indeed, there are many centers that specialize in weight loss. These centers do not focus on diet alone, but address issues of mental attitude, motivation, and exercise. Quick fixes with diet drinks or fad diets are not effective. Statistically, most people who diet eventually gain back weight in about a year or two.

There is a definite need to control the rising of obesity. In conventional medicine, obesity is treated through lifestyle interventions, medications, and surgeries. In complementary/alternative medicine, acupuncture is widely used around the world.  In one case study, a 53 year old 300 pound woman  with a “voracious appetite and shortness of breath which was worse on exertion” presented for acupuncture. After the first 2 treatments in the first week, she felt very well.  Her appetite was reduced. Her body weight was reduced by 4 pounds. She felt confident. With more than 20 treatments, her weight was reduced by 3–4 pounds each week and in total 42 pounds. The symptoms of palpitations and shortness of breath disappeared. She was advised to be on a diet of more vegetables and less oily food, and do more exercises. She was in a good mood through out the process.(1) 

Moreover, acupuncture is used in various forms, including body acupuncture, electro-acupuncture and auricular (ear) acupuncture. Different forms of acupuncture may be beneficial for weight loss.

 

 

 

West Palm Beach Chiropractor: Acupuncture for Obesity

Acupuncture can drastically improve your quality of life. Perhaps there is something you are not doing in life due to your weight gain?

Overall, it’s best to think of your acupuncture visits as part of an overall healthy lifestyle. If you’re looking to lose weight, you’ll have to incorporate other parts of that healthy lifestyle.  For instance, a balanced diet and regular exercise is crucial.  Loose weight and get healthier!  Don’t you think you deserve it? Call 561-253-8984 today to make an appointment or to find out more about West Palm Beach Chiropractor: Acupuncture for Obesity.

 

References: (1) TAN XIAOHONG’S MEDICAL RECORD; Zhu, Bing; Wang, Hongcai. Case Studies from the Medical Records of Leading Chinese Acupuncture Experts (International Acupuncture Textbooks, 2011

 

 

An American survey of nearly 1,000 people with Multiple sclerosis found that 1/5th had used acupuncture.  And it was mostly for pain or anxiety. About half also said that fatigue, depression, spasticity and sleep problems were improved with acupuncture. (1).  Many people dealing with Multiple Sclerosis (M.S.) think they have very few options for managing their pain.   Acupuncture maybe the answer!

 

What is Multiple Sclerosis (M.S.)?

Typically, M.S. patients are less than 55. And it is more prevalent in women than men. MS appears in patients who reside in temperate climate zones and are of western European ethnicity. Relapses commonly occur in women 2 to 3 months after childbirth.

MS is characterized by episodic attacks that initially resolve, but eventually leave residual neurologic deficits. The initial episode often will resolve in days.  Next, the patient may remain symptom free for months or years. Eventually, however, symptoms recur.  Symptoms usually will involve a region of the body. And it consists of numbness, tingling, weakness, diplopia (double vision), dizziness, or urinary sphincter dysfunction (urgency or hesitancy).

 

Cause of Multiple Sclerosis

The cause of MS is unknown, but scientists think it may be an immune disorder (condition in which the body attacks itself by mistake).

There is an apparent genetic relationship due to the association of MS and HLA-DR2.  The human leukocyte antigen (HLA) is a family of genes found on chromosome 6 which provide the instructions to make a group of proteins known as the HLA complex. The HLA proteins are present on the surface of cells, and they help the immune system to distinguish foreign invaders such as viruses and bacteria from the body’s own cells and tissues. 

The primary role of the HLA complex is in the regulation of the immune system to defend against disease. Your individual HLA type is inherited from your parents. In MS, the immune system fails to distinguish between the body’s tissues and foreign proteins.  This results in your body attacking your own central nervous system. 

Demyelination

Firstly, MS attacks myelin as if it were foreign. And Myelin is an insulating layer, or sheath that forms around nerves, including those in the brain and spinal cord. Secondly, MS is a disease characterized by patchy demyelination with reactive gliosis.  Gliosis is a process leading to scars in the central nervous system that involves the production of a dense fibrous network of neuroglia (supporting cells) in areas of damage.  Thirdly, this occurs in the spinal cord, optic nerve (nerve for transmitting visual images), and white matter of the brain.  Lastly, Gliosis is a prominent feature of many diseases of the central nervous system, including multiple sclerosis and stroke.

 

Diagnosis and Findings on Imaging

No single test can diagnose MS. The medical history, neurologic exam and lab tests helps rule out other diseases and confirm MS. For example, Laboratory evaluation may reveal mild lymphocytosis (increased white blood cells) or increased protein count in the cerebrospinal fluid (CSF). Immunoglobulm G (type of antibody) are more often seen in the CSF.

Furthermore, Magnetic Resonance Imaging (MRI) will demonstrate multifocal areas of patchy demyelination in the brain or cervical (neck) spinal cord.  

 

Management of Multiple Sclerosis

First, there is no cure for MS. Definitely, lifestyle is important for MS patients.   For instance, stress management, exercise, and proper nutrition are recommended.

Second, acupuncture is a popular CAM (complementary alternative medicine) treatment for symptom relief of M.S. 

Third, Traditional Chinese acupuncture and scalp acupuncture appear to help.  It improves the symptoms of multiple sclerosis.  In one study, acupuncture helped fatigue, neural functional deficits, pain, gait impairments, and help reduce relapses. Researchers found the advantages of acupuncture reflected in regulating the nervous system and immune system.  Patient’s experienced a better quality of life.  Also, with acupuncture there was a delay in the progression of the disease, and reduction of relapses.(2)

Therefore, acupuncture could be used as an integrative therapy in patients with MS.  

 

 

West Palm Beach Chiropractor:  Acupuncture for Multiple Sclerosis

Are you seeking a natural treatment to help relieve Multiple Sclerosis (MS) symptoms and improve function?  Your chiropractor, certified in acupuncture in West Palm Beach, Florida can help you manage your symptoms and improve your overall quality of life. Find out more about West Palm Beach Chiropractor:  Acupuncture for Multiple Sclerosis.   Call 561-253-8984 today to make an appointment.  

 

References:

 (1) https://www.sciencedirect.com/science/article/abs/pii/S2211034822002309

(2) https://pubmed.ncbi.nlm.nih.gov/35259684/

 

From Dr. Natalie Meiri’s Clinical Pearl Stories:

West Palm Beach Chiropractor: “Pinched Nerve” from a Pickleball Injury

 

This was a 68 year old patient who had a chief complaint of aching pain in his right leg and low back. Additionally, on his pain diagram, he indicated radiation of pain up the front of his thigh from his knee and down his right leg from his right knee. To be HIPAA compliant, I will call him Wilbur instead of his real name. He stated it seemed “bearable” during the day.  However, at night, he couldn’t sleep due to the intense pain.  It had started after he twisted and flung forward during a pickleball game a week ago.  He stated, “this is the first time I have ever been to a chiropractor and I think I have a pinched nerve”.  Furthermore, he had never had any back or leg problems previously. 

Wilbur presented to my office with intense pain. He had no history or symptoms of any systemic condition that could cause a neuropathy (i.e. diabetes).  Wilbur was taking over the counter drugs such as acetaminophen (for pain) and a NSAIDS (Non-steroidal anti-inflammatory drug for inflammation).  The meds seemed  to help very little after the injury.

 

Wilbur’s Examination and X-rays

Upon examination, there were positive tests for his low back, right hip, and right knee. Apparently, he had an entrapment neuropathy in the lower right extremity (leg) of his peroneal nerve.  After that, I sent him out for x-rays for his lumbar spine (low back) and right knee. Findings on his x-rays were mild to moderate degenerative joint disease or osteoarthritis (O.A.).  This is a wear and tear type of arthritis. Wilbur had a moderate amount of O.A. in his low back and right hip. However, his right knee x-ray showed very mild Osteoarthritis. Wilbur’s diagnosis was Pain of his lumbar spine and Peroneal Neuropathy in his right leg.  Neurodiagnostic testing (EMG/NCV) would be ordered if there was no improvement within 12 visits for the peroneal neuropathy.

Is Peroneal Neuropathy a type of pinched nerve?

Firstly, the term “pinched nerve” is a colloquial term.  Wilbur described his condition as a pinched nerve. The pinched nerve term is not a formal, literary or true medical term.  Pinched nerve is used to describe one type of damage or injury to a nerve or set of nerves. Neuropathy, or nerve damage, occurs when peripheral nerves outside the brain and spinal cord are injured.  It may result from compression, constriction, or stretching of the nerve(s). Symptoms can include numbness, “pins and needles”, burning sensations, and pain radiating outward from the injured area.

Secondly, the common peroneal nerve, also known as the common fibular nerve, is a branch of the sciatic nerve and supplies the leg. Injury to the common peroneal nerve results in a foot drop described as slapping or tripping. Pain and parethesia (pins and needles) may occur at the site of compression as well as distally (further down) into the lateral leg. At times there may be a radiation of pain into the thigh. Numbness and tingling can occur along the lateral leg and dorsum (upper surface) of the foot. Peroneal neuropathies occurring at the fibular (outer of two bones of the lower leg) neck (upper part of fibula) affect the DPN (deep peroneal nerve).  The SPN (superficial peroneal nerve) entrapment occurs in the lower leg at the ankle frequently due to a twisting of the ankle.

Thirdly, so Wilbur had the peroneal neuropathy or “Pinched nerve” at the fibular head of his right knee.

 

Wilbur’s Chiropractic Treatment for Lumbar Spine Pain and Peroneal Neuropathy

Wilbur’s treatment consisted of chiropractic adjustments of the low back, right hip and right knee. The areas were misaligned (subluxations or intersegmental dysfunctions) due to the injury he had. Additionally, soft tissue therapy (myofascial release, pressure point and various post isometric relaxation procedures) to the soft tissues/muscles were provided. For example, the muscles involved were the peroneus longus/brevis, tibialis anterior, and extensor digitorum longus. And modalities (cold/heat therapy and electric muscle stimulation) were administered as needed. Finally, he was given therapeutic exercises for stretching and strengthening. And recommendations for ergonomics/activities of daily living (i.e. proper gait/posture) were provided.

 

 

Chinese medicine is a system of healing that has been around for thousands of years.  Remarkably, Chinese medicine is based on ancient texts and the result of continuous clinical documentation and testing.  There are many aspects to this system of medicine.  For instance, this includes acupuncture, cupping, herbal medicine and manipulation.   

Traditional cupping dates back to 3,500 years ago! Indeed, thousands of years in traditional Chinese medicine indicate it has helped with blood disorders, pain relief, inflammatory conditions, physical relaxation, and general physical and mental well-being.  Also, it was even present in ancient Egyptian, Asian, Greek and Indian civilizations. 

Chiropractor West Palm Beach: Myofascial and Moving Cupping is about a specific type of cupping for neuromusculoskeletal conditions.

Acupuncture and Cupping

Firstly, Acupuncture is a treatment that has been used for over 4000 years to treat pain and other health problems. It is a painless technique used to affect what the ancient chinese practitioners called Meridians (energy channels) in your body under the skin. Traditional acupuncture is based on the belief that an energy, or “life force”, flows through the body in these channels called meridians. This life force is known as Qi (pronounced “chee”).

Secondly, Acupuncture treatment stimulates the imbalanced pathways along the meridians to bring balance back.  The goal is to activate the body’s natural healing abilities. 

Thirdly, the stimulation of acupuncture points is most effective through needle insertion. However, Cupping is a Suction technique and another method for stimulating the acupoints along the meridians. Cupping therapy is a therapeutic technique that utilizes a vacuum force created beneath a small vessel (e.g. cup) applied onto the skin’s surface. 

Finally, Myofascial cupping is useful as a complementary, alternative and integrative therapy utilized along with acupuncture and/or chiropractic care for neuromusculoskeletal disorders. 

Myofascial and Moving Cupping

It eases soft tissue restrictions by facilitating its release and mobilization.  It gets improved blood flow and lymphatic circulation. Therefore, this will help with swelling.

Cupping reduces pain by releasing neurotransmitters (e.g. endorphins).  Myofascial cupping enhances mobility by modulating the irritation and pain.  Moving cupping helps release scar tissue and trigger points. Lastly, it alleviates stiffness and viscoelasticity of muscles and soft tissue. 

With myofascial cupping, “less is more” truly applies.  This form of cupping’s should be comfortable for the patient!  Furthermore, the patient cupping treatment can include active, passive and assisted movement. 

 

Chiropractor West Palm Beach: Myofascial and Moving Cupping: Research

Myofascial and Moving Cupping is beneficial for treating various pain syndromes.  Researchers have found cupping helps modulate the pain control systems of your body.  It does this by way of releasing neurotransmitters (e.g. body’s own natural opioids). Studies found cupping increased flexibility and decreased pain and pressure after a single treatment. (1)

 

 

Chiropractor West Palm Beach: Myofascial and Moving Cupping

Meiri Chiropractic offers cupping therapy for neuromusculoskeletal conditions and many ailments. Dr. Natalie Meiri is a chiropractic physician, board certified in acupuncture with over 20 years of experience.  Call today for your myofascial cupping treatment at 561-253-8984.

 

References: (1) https://pubmed.ncbi.nlm.nih.gov/41316623/

 

This post is about Chiropractor West Palm Beach: Acupuncture for Foot and Ankle Pain. On the basis of the existing evidence, acupuncture can be a helpful complementary treatment for foot and ankle pain.  Foot and ankle pain can significantly alter your quality of life.  It effects your mobility and daily activities. Are you seeking a holistic natural approach to pain relief and better mobility? Acupuncture may be your solution.

Studies suggest acupuncture can reduce the frequency and severity of foot pain, and may offer longer-lasting relief than some medications. It’s also safe and cost effective. Lastly, it doesn’t have the side effects as some medications do.  While not a cure, it can be a valuable option for those seeking alternatives or in conjunction with their foot/ankle management.

Problems in the Feet

Most foot complaints are due to lack of proper support or inappropriate footwear. Ill-fitting or irritating shoes is a culprit. It may result in corns or calluses, sesamoiditis (inflammation of the sesamoid bones in the ball of the foot and the tendons they are embedded in) or aggravation of hallux valgus (bunion) at the first toe, or fat pad syndrome at the heel . Moreover, tight-fitting shoes may also cause compression of metatarsals (5 forefoot bones).

Also, if the foot is too mobile (i.e., hyperpronated), there may be a lack of support.  This may cause plantar fasciitis and strain of the tibialis posterior muscle (deep calf muscle). Indeed, proper shoes are important.  And if you have any forefoot (front of foot) or hind foot (back of foot) abnormalities (i.e. varus or valgus) you are more likely to strain your feet.  

 

 

Complicating Factors

Firstly, as the furthest part of your body, your foot is commonly affected by vascular disorders. Arterial occlusive (inadequate blood flow due to narrowing of the arteries) disorders block blood flow. Valvular insufficiency in veins along with gravity may lead to vascular stasis (veins can’t send blood back to heart).

Secondly, neurologic dysfunction associated with metabolic neuropathies can occur.  For instance, as seen with diabetic neuropathy.

Thirdly, being bare footed may lead to trauma. In contrast, the supported foot is susceptible to the pressure effects and biomechanical alterations of footwear. Especially if you are diabetic this can lead to unnoticed and untreated problems due to sensory deficits (i.e. touch, temperature, pain and other sensations).

Common Conditions of the Foot and Ankle

Some common conditions involving the foot and ankle that are biomechanical in nature include the following:

1. First toe-hallux valgus/rigidus (stiff first toe), turf toe (sprain to the main joint of the big toe), and sesamoiditis
2. Metatarsalgia (pain and inflammation in the ball of your foot)
3. Peroneal tendinitis (inflammation in the tendons that run along your outer ankle/foot)
4. Plantar fasciitis (inflammation of fascia tissue on the bottom of your feet)
5. Achilles tendon/heel-tendinitis, bursitis (painful inflammation of small, fluid-filled sacs that cushion the bones, tendons and muscles near your joints) and fat pad syndrome
6. Neuropathy

In addition to the above, ankle inversion and eversion sprains are very common. The most common are plantar flexion/inversion (foot turned inward) sprains. Also, chronic ankle pain and/or instability is not uncommon following repeated ankle sprains.

It is important not only to treat the acute injury, but also to prevent future occurrences. This often entails evaluation of the activity or sport coupled with a post injury rehabilitation program.

 

Chiropractor West Palm Beach: Acupuncture for Foot and Ankle Pain: Research

n one study, the efficacy of acupuncture on foot and ankle disorders for pain intensity, functional status, and general quality of life in adults was investigated. In addition, the incidence of adverse events was also examined. It stated there, “are several existing approaches for treating foot and ankle conditions for pain relief, functional status improvements, and for general quality of life, such as pain medications (e.g., antispastic medications), bracing, orthotics, and corticosteroid injections. However, the research in this area is conflicting and limited, such as in the case of night splints, insoles, and orthotics. It is, therefore, evident that a population of those who experience foot and ankle pain will not find current conventional remedies to be sufficient. When conventional therapies are insufficient or ineffective in pain alleviation, alternative and complementary therapies have been considered”.

The same study concluded acupuncture to be an alternative and complementary therapy for foot and ankle disorders. And “there is some evidence to suggest acupuncture to be a safe and efficacious treatment for relieving pain and improving functional status for the foot and ankle.” (1)

 

Scientist think Acupuncture influences the nervous system, reduces inflammation, and promotes the release of the body’s natural painkillers

Acupuncture improves blood flow and calms the nervous system.  Researchers believe when an acupuncture needle is inserted, the sensory and proprioceptive nerves are stimulated. This sends a message to our brain and nervous system.

Moreover, our body’s enkephalins and endorphins are released with acupuncture treatment.  These are our body’s natural opioids and can dramatically relieve pain.  Additionally, once these neurotransmitters are moving about, our blood vessels vasodilates. And this gets blood into the affected areas, initiating healing.

Furthermore, recently, a team of researchers led by neuroscientists at Harvard Medical School has looked at the underlying neuroanatomy of acupuncture that activates a specific signaling pathway.  In this study, they specifically investigated acupuncture as a potential treatment for inflammation.  They found “acupoints” or acupuncture points on the body’s surface are mechanically stimulated, triggering nerve signaling that affects the function of other parts of the body, including organs.

 

Chiropractor West Palm Beach: Acupuncture for Foot and Ankle Pain

The acupuncture treatment stimulates the imbalanced meridian pathways to bring balance back.  This activates the body’s natural healing abilities. Indeed, Acupuncture has a beneficial effect when treating many diseases and painful conditions. 

Meiri Chiropractic offers acupuncture and chiropractic for foot and ankle pain and many other ailments. Dr. Natalie Meiri is a chiropractic physician, board certified in acupuncture with over 20 years of experience.  Call today for your acupuncture treatment for foot and ankle pain at 561-253-8984.

 

References: https://pmc.ncbi.nlm.nih.gov/articles/PMC8734447/

The Efficacy of Acupuncture on Foot and Ankle for Pain Intensity, Functional Status, and General Quality of Life in Adults: A Systematic Review

Kien Trinh ^1,✉, Nikita Belski ², Fangwen Zhou ³, Arul Kuhad ³, David Luk ⁴, Eunjae Youn 

 

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From Dr. Natalie Meiri’s Clinical Pearl Stories:

Chiropractor West Palm Beach: Acupuncture for Elbow Pain

 

This was a 55 year old patient. To be HIPAA compliant, I will call him Miguel instead of his real name.  Miguel was doing a project at home to build a “barn door” for his spare room. He stated after presenting to my office, “I have been building my barn door and using my right arm.  Yesterday, my right elbow started to really hurt!”  To make matters worse, the project wasn’t finished and he was planning on having guests over for the holidays. 

Miguel hadn’t gone to urgent care or his primary care, just took some NSAIDS (Non-steroidal anti-inflammatory drugs) without much relief.   On the intake form he indicated pain in his right elbow.

 

Migeul’s Examination and Diagnosis

Firstly, upon examination, there were positive tests for his right elbow. 

Secondly, I explained his diagnosis: right elbow sprain/strain.  I explained that a strain is an overstretching and tearing of musculotendinous tissue. Tendons are connective tissue that attach a muscle to other body parts, usually bones.

Thirdly, a sprain involves a ligament.  It is a short band of tough, flexible fibrous connective tissue.  Furthermore, it connects two bones together in proper articulation at the joints.  A Joint injury in which some of the fibers of a supporting ligament are torn or ruptured is a sprain.  However, the continuity of the ligament remains intact in a sprain.  Grade 1 (mild) sprains cause slight stretching and tiny tears in the ligament. Miguel had a grade 1 sprain of his right elbow. Grade 2 (moderate) sprains refer to partially torn ligaments with pain and swelling.

Thirdly, I explained his prognosis and treatment plan.

 

Miguel’s Acupuncture Treatment

Miguel’s Acupuncture treatments consisted of the insertion of very thin metal needles.  These were inserted into the skin and underlying tissues in the indicated areas.  At first, Miguel came in 3 times a week for 2 weeks.  Next, his right elbow felt well enough to finish his barn door project. And Miguel enjoyed his holidays with his guests and returned to continue his care afterwards. Finally, Miguel’s outcome from the acupuncture was a complete resolution

 

Elbow Conditions Helped by Acupuncture

As the link between the shoulder and the wrist/hand, your elbows are challenged with repetitive activities. These overuse mechanisms account for the majority of elbow pain. In particular for instance in throwing sports and in activities requiring the use of an arm extension device such as a bat, racquet, or club. So the pivot is at the elbow and your forearm acts as the lever arm. These devices increase the medial (toward the center) stress across the elbow by increasing the length of the lever arm.

Additionally, you may also have a fall.  And as with the rest of the upper extremity (arm), the elbow becomes weight bearing during the fall.  An axial (racquet) force (load is applied to the structure along the length) is applied acutely during this fall to your elbow. Furthermore, this can happen chronically with gymnastic maneuvers.

 

1. Lateral Epicondylitis (Tennis Elbow)

Lateral epicondylitis causes lateral (outer or same side as thumb) elbow pain associated with a repetitive sport or occupational activity. Repetitive movements requiring forceful wrist extension (movement of raising the back of the hand), radial deviation (bending the wrist to the thumb), and supination (rotation of the forearm) are the most common causes. Although it is associated with tennis, other sports and occupational activities are also possible causes. Butchers, plumbers, and weavers are examples of those who may be affected. With tennis, novice players with poor backhand technique account for many cases. With professional players, the forehand or serving may be the cause. Obviously, the more frequently an individual plays, the higher the risk of developing tennis elbow. Although, lateral epicondylitis is called tennis elbow, it also occurs in computer keyboardists, carpenters, and golfers.

Cause:

The currently accepted theory is that initially there is tearing of the extensor carpi radialis brevis (ECRB) muscle origin (attachment). This process may extend to the extensor digitorum communis (EDC) or the extensor carpi radialis longus (ECRL) muscles. These muscles in conjunction with the other muscles and tendons in your forearm help move your wrist and hand. The histologic (seen by microscope) description of the change in tissue is called angiofibroblastic hyperplasia. Angiofibroblastic hyperplasia or angiofibroblastic tendinosis describes the pathologic (disease cause) alterations seen in the tissue of tendonitis (inflammation of tendon).

Radiographs (xrays) may demonstrate calcification in as many as 25% of patients with lateral epicondylitis.

 

2. Medial Epicondylitis (Golfer’s Elbow)

Medial Epicondylitis causes medial (inner) elbow pain following a repetitive activity such as golfing, hammering or use of a screwdriver. In athletes, the inciting activity usually involves wrist flexion (moving wrist down so palm faces arm) and pronation (rotatory movement of elbow where palm faces down). Examples of these include in serving and overhead and forehand strokes in various sports. Obviously, golfing (“golfer’s elbow”) or throwing may also cause symptoms. You may also feel pain or weakness on gripping.

Cause:

Medial epicondylitis is a tendinopathy of the origin of the wrist flexors and pronator teres muscles in your forearm. In chronic cases, an elbow flexion contracture may occur, leading to restrictions of movement (eg. extension). An ulnar neuropathy (compression of ulnar nerve at elbow) may coexist with medial epicondylitis. Radiographs (xrays) may reveal calcifications in close proximity to the medial epicondyle in 20% to 30% of patients with epicondylitis.

 

3. Triceps Tendinitis (Posterior Tennis Elbow)

The triceps is a large muscle on the back of your upper limb. Triceps tendinitis causes pain at the tip of the elbow after a repetitive extension activity or a single event involving forceful elbow extension.

Cause:

Strain of the triceps insertion on the olecranon (bony prominence of the elbow) is usually due to common athletic endeavors performed by boxers, weight lifters, pitchers, and occasionally tennis players.

 

4. Posterior Impingement Syndrome

Posterior Impingement Syndrome usually occurs in an athlete and especially on quick extension of the elbow.  You will have a sharp posterior (back of) elbow pain. Similarly, popping or clicking may occur with extension.  Your elbow may occasionally lock.

Cause:

Firstly, repetitive extension leads to compression between the olecranon trochlea and olecranon fossa (1 of 3 joints of elbow). Secondly, this may simply cause a reactive synovitis. So the synovium is connective tissue that lines the inside of the joint capsule. Thirdly, synovitis  (synovial inflammation) is when the synovium of a joint becomes inflamed (swollen). Lastly, it may progress to degeneration and the production of osteophytes (bone spurs) or loose bodies.

 

Chiropractor West Palm Beach: Acupuncture for Elbow Pain

A Study in China found: “Acupuncture treatment can significantly relieve athletes’ elbow joint pain and locking symptoms, improve joint range of motion, and is beneficial to recovery of special training and high-level competitive competitions. It is a sensitive, effective, and noninvasive method.”(1)

Neuroscientists at Harvard Medical School looked at the underlying neuroanatomy of acupuncture.  Specifically, that acupuncture activates a nerve signaling pathway. The signaling affects the function of other parts of the body, including organs (and neuromusculoskeletal body parts).

Acupuncture has been used for over 4000 years to treat pain and other health problems safely and effectively. The acupuncture treatment stimulates the imbalanced pathways called meridians. This activates the body’s natural healing abilities.  Ultimately, this brings balance back to your body. Indeed, Acupuncture has a beneficial effect when treating many diseases and painful conditions such as elbow pain.

Many people injure themselves every year around the holidays. This could be due to stress or “holiday projects” as in the case of Miguel. Meiri Chiropractic offers acupuncture for elbow pain and many other ailments. Dr. Natalie Meiri is a chiropractic physician, board certified in acupuncture with over 20 years of experience.  Call today for your acupuncture treatment for elbow pain at 561-253-8984.

 

 

References: (1) The Effect of Acupuncture on Elbow Joint Sports Injuries Based on Magnetic Resonance Imaging  Weihua Yang ^1,✉, Fei Wang ²  PMCID: PMC9001099  PMID: 35419078 https://pmc.ncbi.nlm.nih.gov/articles/PMC9001099/

 

 

 

Did you know Acupuncture provides natural care for children?  Many people ask, “is acupuncture safe and effective for children?”  The answer is, “absolutely!” Acupuncture offers its unique ability to help children and it has centuries of evidence of its safety and effectiveness.

Acupuncture is Natural and Has Been Utilized to Treat Children for Many Years!

Acupuncture can be integrated into a family’s routine as a proactive approach to maintaining health. It consists of the insertion of one or several very thin metal needles into the skin and underlying tissues. 

Traditional Chinese Medicine and Acupuncture have been used for over 4000 years to treat pain and other health problems. The acupuncture treatment stimulates the imbalanced pathways along the meridians to bring balance back.  Mainly, the goal is to activate the body’s natural self healing abilities and bring balance back to your body. It’s often used as part of a broader approach to healthcare.

For children with chronic pain and other conditions, acupuncture is a safe, natural way of treating pain. Furthermore, the effects of acupuncture can be noticed immediately. However, often it can take several treatments to see relief in symptoms. Typically, your child should slowly start to feel better with each treatment. 

Acupuncture can be beneficial for children with conditions such as:

• Back pain
• Neck pain
• Headaches
• Musculoskeletal pain 
• Complex regional pain syndrome
• Juvenile fibromyalgia
• Digestive issues
• Mood disorders
• Sleep problems

 

 

How Does Acupuncture Help Children Heal?

Scientists believe acupuncture stimulates the brain to produce chemicals (e.g. endorphins) that activate the body’s own self-healing abilities.  Research suggests acupuncture calms the nervous system, relaxes muscles, tendons. ligaments, and increases blood flow.  With continued regular treatments, acupuncture may decrease the number of medications for your child.  However, acupuncture is a process that takes time.  Realistically, it has taken some time for children’s bodies to become imbalanced to the point that they are feeling these symptoms. So Acupuncture’s gentle healing returns the child’s body to normal functioning gradually.

 

Acupressure Along with Acupuncture

Recent studies in China have shown that acupressure for a child from birth to 4 years of age improves the child physically and mentally. 

Firstly, acupressure keeps children healthier and encourages better growth. Secondly, the child sleeps better after acupressure sessions.  Thirdly, the child’s mood improves with acupressure. Fourthly, the child is more focused, learns faster, and has improved attention spans.

In conclusion, Acupuncture points may be stimulated without using needles through acupressure. This involves gentle stroking of the acupuncture channels with the hands. Additionally, other non-needle methods utilized are with “teishein” tools/balls.

 

 

Chiropractor West Palm Beach: Acupuncture for Children

Meiri Chiropractic offers acupuncture and acupressure for children.  Acupuncture is a great natural alternative treatment alone or along with chiropractic care.  Dr. Natalie Meiri is board certified in acupuncture and has been a chiropractic physician for over 20 years.  Contact us today for an acupuncture treatment in West Palm Beach at 561-253-8984.

 

References: https://pmc.ncbi.nlm.nih.gov/articles/PMC6918518/

                       https://pmc.ncbi.nlm.nih.gov/articles/PMC2518962/

 

 

Postherpetic neuralgia (PHN) is a common complication and sequela (residual) of shingles/herpes zoster.  It can termendously affect the life and emotional experience of a person. Chiropractor West Palm Beach:  Acupuncture for Facial Neuralgia from Shingles is about facial pain and dysfunction from PHN. Specifically, acupuncture can provide natural pain relief and restore function for PHN patients.

 

What is Shingles?

Shingles is a viral infection that is not life threatening. Typically, pain, itching, or tingling in the area will develop. Often this may happen several days before the rash appears. Although shingles can occur anywhere on your body, it often appears as a single line of blisters. The blisters usually scab over in 7 to 10 days and fully clears up within 2 to 4 weeks.

Shingles is caused by the same virus which causes chicken pox called the varicella-zoster virus. After you’ve had chickenpox, the virus lies inactive in nerve tissue near your spinal cord and brain. Years later, the virus may reactivate as shingles.  Shingles is triggered by a weakened or compromised immune system. Emotional stress is considered a trigger for shingles because it has been shown to weaken the body’s immune system. This can happen in those who face chronic work or life stress.

 

What is Post-Herpetic Neuralgia?

Post herpetic neuralgia is the most common complication of shingles. The condition affects nerve fibers and skin, causing burning pain that lasts long after the rash and blisters of shingles disappear.

The risk of post herpetic neuralgia increases with age, primarily affecting people older than 60. There’s no cure, but acupuncture can help.

Shingles triggers a painful rash on your skin that follows nerve pathways, causing a massive amount of inflammation and agitated nerves. A trip to the pain management clinic for the unbelievable pain is understandable, but it may not be the solution. All they can do is pump you full of drugs and wait out the virus.

Ramsey Hunt Syndrome/ Peripheral Facial Paralysis

Firstly, the cause of facial paralysis of Ramsey Hunt Syndrome can be reactivation of the herpes zoster virus in the geniculate ganglion. And the geniculate ganglion is a crucial sensory part of the facial nerve (Cranial nerve VII).  It is located in your temporal bone in your skull. The facial nerve carries both motor and sensory fibers.  It is the 7th cranial nerve and carries nerve fibers that control facial movement and expression. The nerve is also involved in taste to the anterior 2/3 of the tongue). Moreover, it carries general sensation (touch, pain, temperature) from the outer ear (pinna), ear canal, and eardrum.It has small branches involved in moderating our sensitivity to noise volume (stapedius muscle). Additionally, it provides motor function for tear/saliva production.

Secondly, in cases like Ramsay Hunt Syndrome there is inflammation.  This causes severe ear pain and facial paralysis. It is the second most frequent cause of non-traumatic peripheral (Nerves outside the brain/spine) facial paralysis. So Ramsay Hunt syndrome occurs when a shingles outbreak affects the facial nerve near one of your ears. Furthermore, in addition to the painful shingles rash, Ramsay Hunt syndrome can cause facial paralysis.  It can even cause hearing loss in the affected ear. Patients with Ramsay Hunt syndrome, may also experience ringing in the ears (tinnitus). And even a sensation of vertigo (spinning or moving). Additionally, because of the difficulty closing one eye, dry eyes can occur.

 

Postherpetic neuralgia/ Trigeminal Nerve Pain

Firstly, an outbreak of herpes zoster, the virus that causes chicken pox and shingles can affect the trigeminal nerve as well. This is the fifth cranial nerve.  It carries sensations from the face to the brain. The trigeminal nerve divides into three main branches, with each leading to a region of the face.

Secondly, the three main branches on each side of the head, with each branch connecting to a region of the face are: Ophthalmic (eyes), Maxillary (upper jaw), Mandibular (lower jaw). The nerve helps control functions such as biting, chewing and swallowing.

Thirdly, symptoms of trigeminal nerve pain include intense stabbing pain.  The facial areas affected can be the lips, eyes, nose, scalp forehead and jaw.  Trigeminal neuralgia often affects one side, but can affect both sides at different times.

 

Chiropractor West Palm Beach: Acupuncture for Facial Neuralgia from Shingles

Acupuncture has been confirmed as an effective and safe treatment for PHN by researchers. And the World Health Organization (WHO) supports Acupuncture for many ailments including PHN.

In one study, a young woman suffered unilateral (one sided) facial paralysis due to Ramsay Hunt syndrome. She received conventional treatment with acyclovir (antiviral medication), analgesics, corticosteroids and eye protection measures 48 hours after the onset of symptoms. At three weeks, due to the lack of improvement of the facial paralysis, acupuncture was started. An almost complete improvement was obtained at 14 weeks since the onset of the condition. The study showed Acupuncture and related noninvasive techniques such as chiropractic may be an effective alternative treatment for PHN.  Moreover, there are very few adverse effects (side effects) with acupuncture.

 

 

How Does Acupuncture Help Postherpetic Neuralgia (PHN)?

Acupuncture has been used for over 4000 years to treat pain and other health problems safely and effectively. Acupuncture consists of the insertion of one or several very thin metal needles into the skin and underlying tissues. The acupuncture treatment stimulates the imbalanced pathways called meridians. This activates the body’s natural healing abilities.  Ultimately, this brings balance back to your body. Indeed, Acupuncture has a beneficial effect when treating many diseases and painful conditions.

Researchers believe when an acupuncture needle is inserted, the sensory and proprioceptive nerves are stimulated. This sends a message to our brain and nervous system. Recently, a team of researchers led by neuroscientists at Harvard Medical School has looked at the underlying neuroanatomy of acupuncture that activates a specific signaling pathway.  In this study, they specifically investigated acupuncture as a potential treatment for inflammation.  They found “acupoints” or acupuncture points on the body’s surface are mechanically stimulated, triggering nerve signaling that affects the function of other parts of the body, including organs.  Ultimately, Acupuncture improves blood flow and calms the nervous system. 

Meiri Chiropractic offers acupuncture for Post herpetic neuralgia and many other ailments. Dr. Natalie Meiri is a chiropractic physician, board certified in acupuncture with over 20 years of experience.  Call today for your acupuncture treatment for PHN at 561-253-8984.

 

References: https://pubmed.ncbi.nlm.nih.gov/32379658/