Whether you are dealing with known issues or MUPS, you are going to have to step out of the box to find solutions. Jenifer is living proof of this. The medical community has been guinea-pigging her for decades, leading her to a place that some would say is worse than death. I, however, believe that no matter the problem, there's someone out there who has a solution. It's just a matter of finding them. Help us reach more people with a message of hope by sharing or following on FACEBOOK.
WHIPLASH, NECK PAIN,
& POST-SURGICAL ARTHRITIS
A POTENTIAL BREAKTHROUGH FOR HANNAH
I was diagnosed with loss of cervical curve years ago. I have had multiple car accidents (not my fault - went through a windshield head first as a 4 year old in 1974, whiplash from a rear end accident at age 9, then again at age 18). I have DDD in lumbar spine - failed back surgery x2. I also have idiopathic peripheral polyneuropathy (maybe from Lyme) in my hands, arms, legs and feet. I tend to fall a lot. I tripped the other day and landed head first into a dresser. This of course did nothing for my chronic neck pain!
Anyway I had to change pain management people and my current one is claiming that nothing is ever done for a reverse neck curve and that I am exaggerating the pain from my C5, C6, C7 osteophytes and diagnosed cervical DDD. I have had cervical facet rhizotomy in the past and can no longer look up to the top shelf in the grocery store, nor tip my head all the way back to get the last drop when taking a drink. I have limited side to side movement (being blind in right eye from car accident - I often have to turn my entire upper body around to the right to see out of my left eye). I can't watch TV or sit for too long without using a pillow to prop my head up.
Years ago I used to use a cervical foam collar on occasion for support. I can no longer get it under my chin. I also used to use an inflatable pump collar for traction (over the door traction made me nauseous and dog ate pump). Current provider won't do anything for me (order new collars, etc). She states "it is what it is". I currently get pain medication from her - which is being restricted all over the country so I'm limited in my choices of providers/doctors. (Although her office hung up on me the other day so maybe I should go elsewhere.)
Can you just tell me if indeed I should be concerned with the pain, symptoms and limitations with my neck? I'm 47 and I don't want to spend the rest of my life looking down. Thank you so much for your time.
Firstly, yes you should be concerned about the limitations in your neck because any time there is chronic pain, there is a chance of you ending up with CENTRAL SENSITIZATION. And with the kind of chronic restriction you are describing, there's a 100% probability of ending up with DEGENERATIVE ARTHRITIS (DJD / DDD). Secondly, females are much more prone to most disease processes, and particularly most AUTOIMMUNE DISEASE PROCESSES, when compared to their male counterparts (BLEEDING EVERY MONTH can be problematic as well). Add to this the fact that HEAD INJURIES ARE HEAVILY-LINKED TO AUTOIMMUNITY (a fact seen by the three severe MVA's in her youth), and you can see why this needs to at least be discussed --- especially in relationship to IPP.
IPP (Idiopathic Peripheiral Polyneuropathy) is a NEUROPATHY at multiple sites of the body, with an "officially" unknown cause. The NIH's Periphrial Neuropathy Fact Sheet (What is Peripheral Neuropathy?) shows why various forms of PN can be so devastating, "An estimated 20 million people in the United States have some form of peripheral neuropathy, a condition that develops as a result of damage to the peripheral nervous system. Damage to nerves that supply internal organs may impair digestion, sweating, sexual function, and urination. In the most extreme cases, breathing may become difficult, or organ failure may occur. Peripheral nerves send sensory information back to the brain and spinal cord, such as a message that the feet are cold. Peripheral nerves also carry signals from the brain and spinal cord to the muscles to generate movement. Damage to the peripheral nervous system interferes with these vital connections. Peripheral neuropathies may also be caused by a combination of both axonal damage and demyelination."
Although there were many reasons for said neuropathy listed in this article, the most common was said to be trauma ("such as from automobile accidents..."), while the one with the biggest entry was autoimmune ("Autoimmune diseases can lead to nerve damage. When the tissue surrounding nerves becomes inflamed, the inflammation can spread directly into nerve fibers. Over time, these chronic autoimmune conditions can destroy joints, organs, and connective tissues, making nerve fibers more vulnerable to compression injuries and entrapment."). Relief of neuropathy symptoms can often be accomplished with LOW LEVEL LASER THERAPY. However, long-term regeneration of almost any neuropathy and/or autoimmune condition is going to require a change of diet (be aware that many neurological issues --- including some kinds of neuropathy --- respond quite well to a KETOGENIC APPROACH.
Not sure from her history whether Hannah actually has Lyme Disease or not, but Lyme is certainly a wildcard. Even though there are many claims out there, I am not aware of anyone consistently getting great results with Lyme patients. If she has had Lyme, the standard therapy is to give many months (3-15) of ANTIBIOTICS, hoping that the antibiotics kill the bacteria before it BEFORE THEY MESS YOU UP TOO BADLY (remember that 4/5ths of your body's immune system resides in the Gut in the form of bacteria --- HERE). If I see a patent who has autoimmunity (whether the disease has been named or not --- in many cases they are not because no one knows for sure what the auto-antigen is or how to test for it) or been on hardcore antibiotics, it is time to start thinking about the most potent treatment that few people are familiar with --- FMT. Now for the arthritis.
What we are seeing over and over again in the practice of medicine (I just saw a study on this topic on KNEES yesterday) is that it is almost impossible to look at the results of an imaging test, whether for DISC HERNIATION, DEGENERATIVE ARTHRITIS, or ROTATOR CUFF PROBLEMS, and in most cases, have any real idea whether or not the problem you see on the film is causing the patient's symptoms. This is because said symptoms correlate very poorly (emphasis on poorly) with imaging studies --- yet another of the MANY DIRTY LITTLE SECRETS that Big Medicine doesn't want you to know about. Would I be surprised that Hannah's pain doctor told her that FHP (FORWARD HEAD POSTURE) doesn't mean anything? Certainly not --- no more than I am surprised by dentists who claim that a mouthful of CAVITIES is kind of like death and taxes; just another one of life's unfortunate inevitabilities.
So, beyond addressing these issues systemically (this is done by addressing INFLAMMATION), you'll need to address the neck issue itself. This could be a challenge for you Hannah because if you can no longer get a soft collar under your chin, it tells me that you have a whale of a case of FHP. How do I suggest you deal with this? You cannot start with adjustments. Neither can you start with stretching or strengthening exercises. You will have to go through both PHASE I and PHASE II of the simple rehab protocol I suggest for people with these sorts of issues.
The good news for you Hannah is that this does not have to be one of those scenarios that always seems to end like this --- "the normal cost is fifteen grand, but if you sign up today, we'll give it to you for half that". By the way, it is my experience that medications from the BIG FIVE FAMILY, or procedures like Radio Frequency Ablations (RFA's are otherwise known as Facet Rhizotomies), rarely work for the long-term because they do absolutely nothing to address underlying causes (unfortunately the ablated nerves always grow back, many times with a vengeance).
The cool thing for many of you in the same situation as Hannah is that I have put together a general protocol that will help at least some of you (HERE is the link to our Case Studies). Don't get me wrong, as much as I with it would, I did not say it would help all of you, but best guess is that it's better than a 50/50 --- and it's not going to make you worse. Furthermore Hannah, you are going to have to step out of the box. Making healthcare decisions based largely on what your insurance provider will pay will get you in trouble in way too many cases (the DAKOTA TRACTION UNITS, for instance, are dirt cheap).
To see my GENERAL PROTOCOL for relieving inflammation in those of you struggling with chronic pain, chronic inflammatory degenerative diseases, autoimmunity, or even some conditions that you have probably been told are "GENETIC," simply follow the link and start reading.
WHIPLASH INJURY WITH NEUROLOGICAL SIGNS AND SYMPTOMS OF TBI or MTBI?
A STEP-WISE PROCESS FOR GETTING YOUR LIFE BACK!
Hello, I'm sorry this is a really long read. I had a rear-end collision a little over a year ago, my head had been turned to the left looking at the driver from the passengers seat. We were at a complete stop and this truck rammed our small car going the speed limit from behind. I had my seat belt on, but my head swung really far forward as I slammed into the seat belt, and then slammed right back. I was crying and in pain, though my boyfriend was fine. I went to the emergency room and they ran some x-rays and said I was fine, that it was a "low-impact" collision and I'd be sore for a few days.
They gave me some muscle relaxants for two days and said I'd be ready to go to work after that. I had been laying down those two days so I didn't feel too bad, then I went to work and it was excruciating. I had to leave work and call out for the week. I went back to work and worked REALLY slow, sitting down a lot and not bending my neck. It was painful but I figured I was still sore. Then the pain in my neck and head continued for the next year but I figured it was tension headaches from stress since they said it was low impact and I'd be fine.
But after almost a year it got so bad, I'd constantly find excuses to go to the bathroom or stand in a dark place to lean on stuff. Light and sound became so overwhelming I'd feel like I was having a panic attack. I ended up quitting my job and went into the hospital for a mental breakdown, again thinking this was all just stress. The pain has progressively got worse, and over a month ago it got so bad when I went shopping that my vision was blurry, I was dizzy and disoriented and in so much pain in my neck and head that I couldn't walk straight or see.
I ended up going to the chiropractor figuring I was just really out of alignment and needed adjusted. It helped somewhat though I was extremely dizzy and nauseous and in pain after the adjustment, they told me I'd just be a bit sore the next few days. And it did seem to be somewhat better, the huge knots in my neck lessened, but it got bad again real quick. After my third visit he took some x-rays to see what was up and he said... something was torn (he motions at a tendon/ligament or something that went across my neck at the base of my skull) The curvature in my spine/neck was completely gone, though nothing was deteriorated since I am still young. He also told me I've had two "pseudo seizures", after the pain in my neck and head got so excruciating.
My body and mind can't focus on anything else (it feels like blades from my neck to the front of my head, and like a hydraulic presser is squeezing the front part of my brain). I went to the ER again and again they said it was stress induced and I just needed to "relax and calm down", and that it wasn't a medical emergency, ignoring my indication that my head and neck hurt so bad. I've been hopping around clinics and hospitals ever since trying to find who I need to go to about fixing this this.
Do I need physical therapy? Is there some specialist I need to see? I'm so lost and everywhere I go seems to send me somewhere else. I'm on muscle relaxers and take a friends Fiorinal (to try to keep the headaches at bay), I've resorted to rubbing in cannabis oil in my neck/back, I'm using lidocaine roll on from the drugstore, and have a $50 neck/back heating pad, but all I'm doing is scrambling to treat the symptoms and want to fix the root of it. What should I do?
You certainly hit the nail on the proverbial head when you said that all you are currently doing is treating symptoms. Recognizing this is the first part of actually getting better --- getting to the root of your problem. Be aware that what you've been through is typical --- tests, x-rays, SCANS / MRI, etc.... And then the drugs --- lots of drugs, usually from the family I call THE BIG FIVE.
There are several factors that make this impact worse for you. Firstly, I am not sure how hard the impact was, but the fact that you were stopped and they were doing the "speed limit" suggests that they were going between 35-45 mph, give or take, if the accident occurred in town. Everyone knows that high speed rear-enders cause severe problems --- it's not news. However, the internet is replete with studies on these "low speed impacts" as yours was described --- many of which pertain to impacts of 10 mph or less; the sort of thing that occurs in a parking lot. Just remember that it's not just about the speed differential between your vehicles, it's about the mass differential as well. In other words, a big pickup truck hitting a Toyota Prius is likely to cause much more injury than the other way around, even if the accidents occurred at identical speeds.
Also, it is important to realize that the two biggest injury-magnifiers are being female (especially a tiny female) and not being aware of the impending impact. This is widely reported throughout the peer-reviewed literature, and has been for at least twenty five years. And while seat belts can certainly save your life, they can actually make the whiplash worse by holding your body in place while your neck and head whip violently. In other words, the biggest part of the impact is forced through your neck instead of being dissipated by the rest of your body.
Let's not forget about still another of big injury-magnifiers taking place in this accident --- L's head was turned at impact. The head is designed to be put into a great deal of flexion and extension (forwards and backwards movements) as well as rotation (the ability to turn both right and left). However, it is not nearly as adept at lateral flexion (the ability to tip your ear toward your shoulder). To see why this is a big deal, first tip your head backwards. Now turn your head as far as you can either right or left and then tip it backwards. Bottom line, everything else being equal, a rear-end impact when the head is turned is going to potentially tear lots more tissue than if the occupants are looking straight ahead.
Speaking of tearing tissue; part of the problem is that in most cases the damage ("tearing") done is subclinical. What do I mean by this? Only that because there is often times no overt damage seen in imaging studies it is assumed (at least by many doctors and all insurance companies) that you are malingering --- faking to garner a settlement. When you tear connective tissues such as LIGAMENTS, TENDONS, and especially FASCIA, (or for that matter, MUSCLES), the tearing is not usually "tearing" as we think of the word being used. What I mean is that the tissue is not typically torn in half; it's torn microscopically --- at the cellular level. The medical community actually has a name for the process that occurs after the tear. FIBROSIS. If you want to actually see what this looks like, HERE is a short video.
Fibrotic tissue (I usually refer to this as SCAR TISSUE rather than fibrosis) is bad news because despite the fact it cannot be imaged with MRI (HERE), it's potentially more than 1,000 times more pain sensitive than normal tissue --- this from a tissue that when healthy is widely touted as the most potentially pain-sensitive in your body. And from here it gets even more interesting. If you look at my COLLAGEN SUPER PAGE you'll see that I have included the various phases of healing. Even though insurance companies will tell you that the healing process takes place in 6-8 weeks, you can see for yourself that this is absolutely false. The final stage of healing --- the remodeling phase, where the tissue is made more elastic and stronger --- lasts as long as two years or more.
Beyond the obvious tissue damage, L has obvious neurological damage as well. The tipoff? Language like blurry vision, dizziness, disoriented, couldn't see, couldn't walk straight, can't focus, seizures, light sensitivity, sound sensitivity, headaches, panic attacks, and nervous breakdown that she uses to describe her problem. Just for the heck of it, I plugged these terms into Google as is, and after articles about temporal lobe epilepsy, Valium withdrawal, and brain cancer, I came to a page called Facts About Concussion and Brain Injury. Needless to say, her list encompasses many of the classic symptoms of TBI (TRAUMATIC BRAIN INJURY), sometimes referred to as MTBI (Mild Traumatic Brain Injury).
As far as where to go from here, I must start by saying that post-adjustment extreme dizziness and nausea are both red flags. There are probably certain kinds of adjustments you could tolerate very well (Atlas Orthogonal, Activator, various soft tissue techniques, etc, etc, etc), but any kind of adjustment that heightens the symptoms of your head injury more than very briefly should be discarded for something else. As to the whole "something is torn at the base of the skull" thing; not really sure what your chiro is talking about there (if it were the Transverse Ligament of the posterior odontiod there is no way he would consider adjusting you). Let me just tell you what I would do clinically if a similar scenario had happened to one of my THREE DAUGHTERS.
The first thing to remember is that after an accident like this, you are working against a clock. What I mean by that is that numerous studies show that if you are not "well" or at least significantly improving at 30 days, 60 days, and 90 days, your odds of becoming chronic increase dramatically. Bottom line, THE MOST CURRENT RESEARCH on whiplash is saying that as many as 1 in 2 people injured in an MVA, progress to chronic. Do whatever it takes not to become a statistic.
Because the first few days of the process constitute the "INFLAMMATORY" portion of the healing process, this would be a good time to use cold therapy. And because addressing diminished RANGES OF MOTION is so critical to the long-term prognosis, as long as they can be tolerated, massage, GENTLE ADJUSTMENTS, and simple range of motion exercises need to be added as well. If you can tolerate these things, you can move on to the NORMAL PROTOCOL. If you cannot, there are a couple of things you must do.
Firstly, you need to treat your problem as though it were systemic because as I am going to show you, it likely is. Violent impacts and head injuries are big deals for many reasons. However, one of the biggest --- a reason that seems to not be talked about much in the mainstream medical community even though there are mountains of peer-review backing this assertion --- is that head injuries lead to autoimmunity. Let me take a moment to show you the mechanism as well as some of the other issues that can occur along the way.
- CAN WHIPLASH CAUSE TBI / MTBI PART I? An article in Harvard Magazine called The Traumatized Brain began by talking about an individual who had been in a rear-ender accident, going on to describe the millions of Americans with similar problems as having symptoms that, "extend well beyond the physical injury and can unfold over long periods of time. Unlike the damage resulting from a stroke, which is often localized to one part of the brain, traumatic injuries often affect many areas of the brain in sometimes unpredictable ways." Neurosurgeon dot com says in an article called Whiplash that, "Whiplash injury is the most common injury resulting from car accidents. Whiplash injury symptoms are often chronic problems that persist for years. Microscopic research has shown that irreversible nerve damage can occur even when the head does not strike an object, but instead is only shaken violently as in a whiplash incident. Even in a low speed rear impact collision of 8 mph, your head moves roughly 18 inches, at a force as great as 7 G’s in less than a quarter of a second. The Discovery space shuttle is only built to withstand a maximum of 3 G’s. The force that an accident victim is exposed to is generally two and a half times greater than that which the vehicle is struck. Rapid change in the spinal fluid result in pressure damage to nerve fibers because the forces that occur during a rear impact happen too fast to allow normal fluid exchange." And in case this was not clear enough.....
- CAN WHIPLASH CAUSE TBI / MTBI PART II? An incredible study from a 2012 issue of Rehabilitation Research and Practice (Postconcussion Symptoms in Patients with Injury-Related Chronic Pain) showed that the most common injury --- by at least two and a half times --- that resulted in MTBI was whiplash from a car crash. It's a great (free) study that has a bibliography with many similar studies, some from the early 1990's. Another interesting study, this one from the July 2002 copy of the British Columbia Medical Journal (Purports of Brain Damage Following Presumed Whiplash Injury) went on to say that, "Mild traumatic head injury, with or without direct impact to the head, is a possible consequence of an acceleration-deceleration mechanism of injury (whiplash). Patients may present without a history of significant loss of consciousness and may not demonstrate any short-duration superficial loss of consciousness. Although there may be numerous short-lasting (days) somatic, psychological, or cognitive symptoms following mild whiplash trauma, a tissue damage cause, and a basis on which these symptoms may be demonstrated over a prolonged period of time (months), is a matter of controversy. Patients making claims of brain damage but without the prerequisite unconsciousness and peritraumatic amnesia should not be considered bogus....." In other words, even though there are no great tests for showing soft tissue and related nurological damage, the damage is nonetheless there.
- DO MEDICAL FACILITIES ADEQUATELY DIAGNOSE, DOCUMENT, AND ADDRESS THESE INJURIES? I think we just answered this (there are only about a million studies on this topic), but I found a study I thought was interesting and helpful. At least two weeks post-accident, the September 2012 issue of The Journal of Emergency Nursing (Mild Traumatic Brain Injury: Are ED Providers Identifying Which Patients are at Risk?) looked at over fifty individuals who were diagnosed with whiplash or some sort of MTBI. "Between 1 and 23 MTBI symptoms were reported by 84.6% of the participants. Headache and fatigue were the most common; female patients had almost twice as many symptoms on average as male patients. Of MVC (motor vehicle crash) patients, 83.3% reported moderate severity scores for all 4 Post Concussion Symptom Scale categories, and these represented the highest overall severity scores. Emergency nurses need to be aware patients may have an MTBI regardless of their presenting symptoms or injury severity." Bottom line, this is extremely common and is not being reported nearly as often as it should be. Many of the patients I see complain about essentially being "blown off" when the tests come back negative, which invariably they will.
- CAN WHIPLASH INJURIES CAUSE NEURO-INFLAMMATION? This is sort of a no-brainer because if there is an injury to the brain (MTBI) there will be some degree of INFLAMMATION. Four months ago, the journal Nature Reviews Neurology (The Far-Reaching Scope of Neuroinflammation After Traumatic Brain Injury) concluded that, "The 'silent epidemic' of traumatic brain injury (TBI) has been placed in the spotlight... Neuroinflammation can cause acute secondary injury after TBI, and has been linked to chronic neurodegenerative diseases; however, anti-inflammatory agents have failed to improve TBI outcomes in clinical trials." I've shown you numerous times that THE BIG FIVE (NSAIDS and Corticosteroids included) are not therapeutic but only palliative. In other words, they cover symptoms without addressing underlying pathologies. BTW, with nearly 250 citations, this study's bib is a goldmine.
- INFLAMMATION DISRUPTS THE BODY'S BARRIER SYSTEMS, AND MOST PARTICULARLY, NEURO-NFLAMMATION DISRUPTS THE BLOOD BRAIN BARRIER: There are over 10,000 studies showing that inflammation causes something called LEAKY GUT SYNDROME. But would you have guessed that neuro-inflammation can disrupt the barrier that keeps toxicity out of the brain --- the BBB or Blood Brain Barrier? How big a deal is this? Last April's issue of the FASEB Journal (Blood-Brain Barrier Dysfunction and Microvascular Hyperpermeability Following Mild Traumatic Brain Injury) concluded that, "Brain edema, elevated intracranial pressure and reduced cerebral perfusion pressure occurring in traumatic brain injury (TBI) are attributed heavily to the hyperpermeability of the blood-brain barrier (BBB)." This "hyperpermeability of the brain is widely known as "LEAKY BRAIN SYNDROME". Furthermore, just a few months ago on his blog, Ivy League Neurosurgeon and researcher, David Younger, wrote that, "Treatment options have generally been lacking for the early syndromes and late presentations of TBI and the associated neurobehavioral and neuropsychiatric symptoms. With increasing recognition of the contribution of neuro-inflammation as a major mediating factor in animal models and human translational studies, there is the prospect for improving the understanding of the mechanisms of TBI, and developing therapeutic strategies to improve the outcomes of the millions of people affected each year. Systemic and neuro-inflammatory mechanisms result from disruption of the blood-brain barrier (BBB) that normally delimits its immune privileged status, at the time of, or after the insult, are important mediators of neurological outcome of TBI. The motor, cognitive, emotional, and psychosocial consequences of TBI can be devastating and long-lasting leading to deterioration of one or more domains of adaptive functioning, with loss of independent function and safe performance of activities. The associated symptoms and neurobehavioral changes can mimic the psychiatric manifestation of an endogenous psychiatric disorder." Big words one and all, but just realize that the very symptoms we talked about earlier can be caused by inflammation / neuroinflammation.
- WHIPLASH-INDUCED NEURO-INFLAMMATION AND BBB DISRUPTION LEADS TO GLIAL CELL ACTIVATION: When we think of the brain, we think of nerve cells called neurons. The thing is, there are ten times more GLIAL CELLS in the brain than neurons. Activate large numbers of them and you have problems on your hands. Two years ago last month, the World Journal of Virology (New Advances on Glial Activation in Health and Disease) revealed that, "Astrocytes are the most numerous cells in the mammalian brain. In addition to being the support cells of the central nervous system (CNS), astrocytes are now recognized as active players in the regulation of synaptic function, neural repair, and CNS immunity. Astrocytes are among the most structurally complex cells in the brain, and activation of these cells has been shown in a wide spectrum of CNS injuries and diseases. Astrocytes respond to [are activated by] CNS trauma. After traumatic injury, stroke, infection, or other severe CNS insult, areas of focal tissue damage become filled with inflammatory, fibrotic, and other cells that derive from the perivascular cells, endothelia, bone marrow, and meninges. These tissue lesions become surrounded by reactive astrocytes forming glial scars that serve to separate necrotic from healthy tissue. Evidence has demonstrated that astrocytes contribute to sustained inflammation in the CNS after trauma or infection and growing research implicates sustained glial inflammation in neurodegenerative disorders. Chronically activated microglia and astrocytes can release reactive oxygen intermediates [free radicals], nitric oxide, and inflammatory cytokines, which are toxic to neurons. One mechanism by which astrocytes may contribute to sustained inflammation in the CNS is through upregulation of inflammatory pathways.... triggering a self-sustaining inflammatory loop and long-term glial activation." Glial cells should be activated after an injury, but too much activation creates a viscous cycle of inflammation / damage / glial activation / repeat.
- CHANGES IN PERSONALITY ASSOCIATED WITH MTBI FROM WHIPLASH: I have included this bullet because it seems like L is already here or is headed here fast. A study from a 1996 issue of Brain Injury (The Spectrum of Emotional Distress and Personality Changes After Minor Head Injury Incurred in a Motor Vehicle Accident) started things off by letting readers know that, "This is a systematic presentation of the emotional and personality disorders of 33 patients who incurred minor traumatic brain injury (MTBI) in a vehicular accident." What were some of these changes? I won't go into it here, but suffice to say that almost anything you could possibly think of was on the list. Another study, this one from last September's issue of BMJ Open (Psychological Impact of Injuries Sustained in Motor Vehicle Crashes) searched over 2,500 studies and concluded that, "Elevated psychological distress was associated with MVC-related injuries with a large summary effect size in whiplash associated disorders (WAD)... the negative psychological impact of a WAD injury is substantial."
- WHIPLASH INJURIES LEAD TO NEURO-INFLAMMATION THAT CAN CAUSE AUTOIMMUNITY: Remember the neurosurgeon I spoke of earlier, Dr. David Younger? He said that, "the switch to a second wave of autoimmunity inherent in the adaptive immune response culminates in the infiltration by immune T-cells and B-cells across the disrupted BBB, with the production of antigen-specific antibodies. The importance of heightened cell-mediated immunity is in the possibility of immune reactivation by a subsequent injury such as another neuro-inflammatory stimulus or infectious process that subsequently reopens the BBB, exposing memory immune cells to self-antigens leading to a variety of post-traumatic syndromes." The inflammation causes the gaps that make up the BBB to get bigger so that they let things through that should never get through (Leaky Brain). When the immune system sees various sorts of brain cells in the blood stream due to the injury, because they are not where they should be, the body recognizes these as foreign (antigens) and makes antibodies against and starts attacking. As you might imagine, this is not a good thing. By the way, Dr. Y concluded that, "Early and mild psychiatric symptoms following a TBI may be the best indicator of underlying neurophysiological, neurocognitive, and neuropsychiatric changes of altered brain pathology." In other words, since standard medical tests don't cut it, changes in behavior (psychiatric symptoms) offer as good a diagnostic tool as any. A great overview of this process can be found HERE or HERE.
- THE LIST OF AUTOIMMUNE DISEASES RELATED TO TBI / MTBI IS ALMOST ENDLESS: All one has to do is plug in the name of any AUTOIMMUNE DISEASE (HERE is a short list) alongside MTBI / TBI, and see what comes up. For instance, when I did that with MS, the first thing I got was a study from a 2012 issue of the Journal of Neurotrauma (Increased Risk of Multiple Sclerosis After Traumatic Brain Injury) that concluded that six years post-trauma, "patients with TBI are at higher risk for subsequent MS." Why? Probably because studies like THIS ONE have conclusively shown that, "Impact-acceleration forces to the head cause traumatic brain injury (TBI) with damage in white matter tracts comprised of long axons traversing the brain. White matter injury after TBI involves both traumatic axonal injury and myelin pathology that evolves throughout the post-injury time course." The axon is the long finger carrying impulses away from nerve cells and covered in myelin (an insulating material made by glial cells and known as "White Matter") is the fatty covering of the brain and nerves.
- AUTOIMMUNE PITUITARY, HYPOTHALAMUS, AND OTHER ENDOCRINE ISSUES POST-TBI: A 2008 study from the European Journal of Endocrinology (Antipituitary Antibodies After Traumatic Brain Injury) stated plainly that, "This study shows for the first time the presence of the APA (anti-pituitary antibodies) in TBI patients 3 years after head trauma. Moreover, present investigation indicates preliminary evidence that APA may be associated with the development of TBI-induced pituitary dysfunction." Another study, this one from the May 2015 issue of the Journal of Clinical Medicine (Hypothalamic-Pituitary Autoimmunity and Traumatic Brain Injury) essentially said the same thing about the hypothalamus (a very important part of the brain as well). "Alterations of pituitary function can occur at any time after the traumatic event, presenting in various ways and evolving during time, so they require appropriate screening for early detection and treatment. Anti-pituitary and anti-hypothalamic antibodies were detected using indirect immunofluorescence in a significant number of patients with acute and chronic TBI." This is a huge deal because these two parts of your brain release the hormones that regulate the rest of the endocrine system (HERE). An article from the Feb 2016 issue of Medscape (Post Head Injury Endocrine Complications Clinical Presentation) stated, "Approximately 30-50% of patients who survive post–traumatic brain injury (post-TBI) demonstrate endocrine complications."
- IMMUNE SYSTEM SUPPRESSION FOLLOWING HEAD INJURY: Part of the reason that people develop autoimmunity for any reason is because their TREGS (T-Regulatory Cells --- the cells that keep the immune system in check and help prevent it from attacking itself) are themselves being suppressed. Thus suppressing TREGS causes autoimmunity. However, when the other part of the immune system is suppressed, you are likely to get sick as well; just in a different manner. Two years ago, Frontiers in Neurology (Traumatic Brain Injury and Peripheral Immune Suppression: Primer and Prospectus) said, "infections are a common occurrence in patients following traumatic brain injury (TBI) and are associated with an increased risk of mortality, longer length of hospital stay, and poor neurological outcome. Systemic immune suppression arising as a direct result of injury to the central nervous system (CNS) is considered to be primarily responsible for this increased incidence of infection, a view strengthened by recent studies that have reported novel changes in the composition and function of the innate and adaptive arms of the immune system post-TBI." As an interesting side note to this point, be aware that IMMUNE SYSTEM SUPPRESSION is America's number one form of medical treatment.
- CAN WHIPLASH LEAD TO SEIZURES? Because L was diagnosed with "Pseudo Seizures" it behooves us to answer this question. Although it is doubtful that L has developed epilepsy, the title of this study in a 2011 issue of Cardiovascular Psychiatry and Neurology (Blood-Brain Barrier Breakdown Following Traumatic Brain Injury: A Possible Role in Posttraumatic Epilepsy) makes us at least pause and think. Two months ago the journal Brain Disorders and Therapy published an abstract presented at the 3rd International Conference on Neurological Disorders and Brain Injury held in London saying that, "Abnormal EEG is 37% correlated with seizures and 20% related with memory loss. The patients who experienced seizures after the mTBI were six times more likely to have an abnormal EEG than those who did not experience any seizures." Not sure that this proves anything, but is interesting nonetheless.
- MTBI AND ALZHEIMERS / DEMENTIA: A study from the Journal of Neuropathology and Experimental Neurology (Repetitive Mild Traumatic Brain Injury Augments Tau Pathology and Glial Activation.....) tells the story via its title. Just remember that Tau plaques are the junk that foul up the brain in ALZHEIMER'S DISEASE. Another study, this one from a 1999 issue of the American Journal of Epidemiology (Traumatic Brain Injury and Time to Onset of Alzheimer's Disease) showed that the age that people developed Alzheimer's Disease dropped if they had been exposed to an MTBI. In other words, they developed that disease at an earlier age.
Many of you reading this are no longer dealing with a simple whiplash injury (as if there really is such a thing). You are dealing with a TBI / MTBI that unfortunately, few people in the medical field really understand. This means that it must be dealt with as the systemic problem that it is (HERE). Which brings me to my second point. Because time is of the essence, once you see that things are not coming around but are headed south, it's time to find a FUNCTIONAL NEUROLOGIST trained by Ted Carrick, and well-versed in the work of Dr. Datis Kharazzian.
DAN REYNOLDS, PRACTICAL PAIN MANAGEMENT, AND THE AUTOIMMUNE DISEASE, ANKYLOSING SPONDYLITIS
I am talking today about Ankylosing Spondylitis simply because of the story by Margaret Jaworski (Imagine Dragons’ Dan Reynolds Educates People About Ankylosing Spondylitis) in the recent issue of Practical Pain Management. Not knowing anything about Imagine Dragons (when it comes to music, I'm definitely stuck in a TIME WARP), I realized I had heard at least one of their songs on the radio while in the car with my older kids.
"Early diagnosis and treatment are important to help slow disease progression, which may lead to irreversible autofusing of the spine’s vertebral bodies and joints. Often, the first symptom of AS is sacroiliitis, or inflammation of one or both of the sacroiliac joints. This inflammation can cause diffuse back pain and/or buttock pain that radiates into the thigh. However, those with AS may have other manifestations, including knee pain, dactylitis, plantar fasciitis, heel pain (especially in the morning), Achilles tendon pain, and uveitis."
- GENETIC TESTING: Genetic Testing continues to get both better and cheaper. Unfortunately, research has shown that the majority of people who have genetic testing done don't really do anything about it (I have the peer review on this but couldn't find my link). The point is not merely to tell you that yes, you carry a gene that can lead to a certain disease. It's to get you motivated to act and head as many bad things off at the pass as is humanly possible. Furthermore, genetic testing can provide lots of information about various metabolic abnormalities. For instance, if you happen to carry the MTHFR Mutation, you will have trouble converting the B-VITAMIN folic acid to its usable form (folate), trouble with PHASE II DETOX, and trouble converting homocystine into methionine, which is needed to make GLUTATHIONE -- the body's premier antioxidant. Because we are learning more and more that you are not as condemned by most genetic mutations as we have historically been led to believe, knowing information like this can prove invaluable as far as proper supplementation is concerned (see links).
- GUT HEALTH: The authors of this article show that GUT HEALTH (or more correctly, lack of it) is a probable epigenetic trigger. "There’s also some indication that a bacterial infection or imbalance in the gut may trigger the autoimmune response of AS in those with a genetic predisposition." If you want to see what "bacterial triggers" look like, look no farther than our many posts on DYSBIOSIS or ROOT CANALS. This is why FMT is something I would absolutely recommend Dan or anyone else in his situation take a look at. Speaking of FMT...
- FECAL MICROBIOTA TRANSPLANT: The new frontier in healthcare is the old frontier --- the Gut. Natural healers have been talking about healing disease by healing the Gut for just about as long as we have written history. FMT is critical in this aspect, simply because no matter what your doctor tells you, when it comes to nasty things like AUTOIMMUNE DISEASES (HERE is a list of some of the more common), simply taking probiotics isn't going to get er done (HERE) as far as Git Health is concerned. Once you realize that Reynolds also has Ulcerative Colitis (he was diagnosed two years prior to AS), this issue becomes that much more glaring.
- DIET IS CRITICAL: The author states, "Dan Reynolds is feeling good. Right now, Reynolds is in the “healthiest place he’s been in a long time,” he said. He been off medication for over a year and hasn’t had a major flare-up in months. In the past, he has needed to take a biologic medication to control the inflammation and pain. Since his diagnosis and treatment, he’s gone into remission a couple of times. In fact, he’s now in remission. But AS is unpredictable, he said. “Next year might be a bad year for me. I may have to go back on the biologics. His diet isn’t particularly restrictive. He eats in moderation. He doesn’t drink alcohol and has “pretty much eliminated sugar,” he says, though he allows himself a cheat day now and then." Although they are frequently a miracle drug, biologics certainly have their dark side. These drugs (they almost all end in "mab") block INFLAMMATION (IL-6, TNF-α, and others). Because AS affects the way that antigens interact with T-CELLS, and because these biologics are another in a long line of IMMUNE SYSTEM SUPPRESSORS, it might be interesting to learn what can be done to control this problem via diet. Because sugar is massively inflammatory (HERE), cutting it out is definitely a good starting point. However, when we start talking IBD and AS --- both potentially crippling autoimmune diseases --- diet must go further. For instance, are you aware of the link between Gluten and Autoimmunity (HERE). Also, take a look at my numerous posts on PALEO to see why I feel it provides the best chance of diminishing inflammation while providing ample amounts of quality protein needed for repair, along with plenty of healthy SATURATED FATS for the proper function and repair of the nervous system. Although the article talked quite a bit about the exercise program Reynolds is using, my opinion is that while important, diet is that much more so.
- FUNCTIONAL MEDICINE: The things listed above are just for starters. What's really cool is that if you look around, you can find a good FUNCTIONAL MEDICINE SPECIALIST (maybe one who happens to be a FUNCTIONAL NEUROLOGIST as well). And for those of you who are wanting to go this route but feel you can't afford it since most of these protocols are not covered by insurance, HERE you go.
- OTHERS: The truth is, there are almost an endless number of things that could potentially provide not only relief, but actually aid in the healing / remission process. If money is no object (Reynold's case), invest in the best LOW LEVEL LASER you can lay your hands on. I would also suggest that you make yourself aware of potential triggers. People with Autoimmune Diseases are warned to get their shots (HERE for instance) because their immune systems are so "weak". Believe me when I tell you that vaccinations and MEDICATIONS OF ALMOST EVERY KIND (or HERE) are not strengthening the immune system and are not doing one's Gut any favors. Truthfully, the list of potential aids to healing are almost unlimited; particularly as various forms of ENERGY MEDICINE continue to gain mainstream traction. As for CHIROPRACTIC ADJUSTMENTS, I have treated many patients over the years who have Ankylosing Spondylitis. Most of these folks do quite will if you change your technique a bit and don't try to forcefully "crack" their spine --- particularly if the disease has progressed very much.
This post was not aimed at Dan Reynolds in any way, shape, or form. The article from PPM simply provided a ready platform to address yet another Autoimmune Disease to my readers. It's an important topic because we know that a huge segment of the population (between a third and half) has at least one Autoimmune Disease, dramatically increasing their chances of developing others. Furthermore, the starting point for dealing with most of these is essentially the same. If you are interested in looking at similar CASE HISTORIES concerning Autoimmunity and CHRONIC INFLAMMATORY DEGENERATIVE DISEASES, simply click the link and start reading.
PIRIFORMIS SYNDROME: A CASE HISTORY
I am a 52 year old overweight female with many health issues. I just had foot surgery, but what is pressing me at the moment is constant nagging dull aching pain right on and around my tailbone. I do have Degenerative Disc Disease, and I think a bulging disc in my lower back. I also am type 2 diabetic, and have Fibromyalgia, Rheumatoid Arthritis, and Interstitial Cystitis. I also have Asthma, and Chronic Obstructive Pulmonary Disease. When I am able to walk I felt better but didn't lose more than 5 pounds. I eat well also.
Hello Linda, Of the health issues you specifically mention, I can classify all of them into two groups, CHRONIC INFLAMMATORY DEGENERATIVE DISEASES and AUTOIMMUNE DISEASES. Those in the first category would include ASTHMA and COPD (the first making it difficult to inhale, the second making it difficult to exhale), DDD / DJD, DISC HERNIATION, OVERWEIGHT / OBESITY, and TYPE II DIABETES. The second group on this list (Autoimmunity) contains RA and INTERSTITIAL CYSTITIS. FIBROMYALGIA (a form of ADRENAL FATIGUE) is a wash, with some believing it to be autoimmune and others not (I believe it probably is). Although it's certainly not the most important feature in this lot, I'm going to focus on the weight issue for a moment.
Just yesterday an article about a brand new study from Obesity Reviews was published on LiveScience (There are At Least 79 Obesity Syndromes). To show just how big a deal this issue of "Genetic Obesity" really is, the author stated, "Although lifestyle factors, such as diet and physical activity, play major roles in obesity, research has shown that there's a genetic component of obesity as well. They [researchers] looked through more than 160 studies on genetic forms of obesity [and] identified a total of 79 genetic "obesity syndromes," meaning conditions that result from a genetic change and cause a person to be obese..." According to these experts, "Obesity is estimated to be between 40 and 75 percent genetic...." While this is great news for those who love COP OUTS, I have real reservations of swallowing this study, hook, line, and sinker.
Firstly, we know that everyone reading this carries a plethora of genes related to sickness and disease. The beautiful thing is, most of these diseases are never expressed because these genes are never turned on. That's right; diseases are not nearly as caused by the genetic coding itself, as by whether or not the harmful gene is actually triggered. This, folks, is the field of EPIGENETICS, and is in most cases, a far bigger deal to your health than the field of Genetics. Secondly, most of these syndromes are rare, with the author admitting that, "Indeed, these syndromes are quite rare, with their prevalence ranging from 1 in 565 people to less than 1 in 1 million people."
Thirdly, the numbers don't add up. With nearly 2/3 of our population being overweight or obese, and just under an additional 10% more being MONW ("SKINNY FAT"), the genetic factor fails to account for a huge percentage of people carrying excess weight. This issue becomes even more glaring in light of the fact that just a few generations ago, obesity was as rare as it is now common. Yes, there are some people who have "genetic" obesity. But for scientists to claim that half to three quarters of all obesity fall into this category is not telling the whole story. And lastly, let's be honest with ourselves for a moment. If you are, in fact, one of the those individuals whose weight issue really is genetic, what's your doctor going to be able to do for you anyway? THIS? Protocols like mine offer the best chance of getting off the MEDICAL MERRY-GO-ROUND and staying off.
When Linda says she "eats well," she's probably telling the truth -- at least in her mind. I see lots of people who are STUCK IN THE 1980's when it comes to their diets (HERE). I see this scenario routinely; people who are so adamant that they are doing things right that it's almost impossible to get through to them other than provide them a copy of my CLINIC'S CHECKLIST and hope they actually sit down, read, and figure it out on their own. For the person who simply can't lose weight no matter what, I would make sure there's not an OCCULT THYROID PROBLEM in the picture. The next step is to do an ELIMINATION DIET to find out what might be driving some of their SYSTEMIC INFLAMMATION, then probably try a KETOGENIC DIET to really hit both the blood sugar and the weight. Just remember that the blood sugar issues drive almost everything (HERE).
Someone with this much Systemic Sickness is at the doctor a lot --- probably not just for said illnesses, but to address COLDS, FLU, SINUS INFECTIONS, etc. Unfortunately, this is almost always done using ANTIBIOTICS, which further weaken the immune system. People with Autoimmunity cannot afford to weaken their immune systems. Attenuate; YES. Weaken; NO. Because of this, I would suggest that at the very least, Linda study the issue of FMT. And although I feel that exercise is not nearly as critical as other things in her recovery process, since she feels better when she does, she needs to find some things she can do and do them, whatever those may be --- water aerobics, recumbent bike, Tai Chi, Yoga, etc, etc.
It's no surprise that the drugs haven't been getting it done for you Linda (HERE). Study and create yourself an EXIT STRATEGY --- write everything down and keep it simple enough that you can stick with it. Although breaking your SUGAR ADDICTION will be tough (the combination of female, fibro, diabetes, and autoimmunity is a dead give away), you can't get better unless you successfully address this issue. Work your plan for six months. If you are seeing good changes, great. Continue. If you are not, find someone in your area who specializes in FUNCTIONAL MEDICINE and at least do a consult to see what they have to offer. Oh; make sure to read our other Case Histories as well. Sincerely, Dr. Russ.
FIBROSIS (SCAR TISSUE)
AND SURGICAL IMPLANTS
Each and every day, tens of thousands of surgeries are performed in the United States, with significant numbers of these involving some sort of implanted metal, plastic polymer, silicone, etc. Why is this potentially such a big deal? For one, the rates of infection are scary. In 2015, MedScape published an article about joint replacements called Arthroplasty-Associated Infections, which stated, "Infection of arthroplasty may be among the most devastating complications for the patient, as well as for the surgeon." In a 2013 study from Orthopedic Reviews dealing with BIOFILMS (Prosthesis Infections after Orthopedic Joint Replacement), the authors revealed, "Prosthesis-related infection is a serious complication for patients after orthopedic joint replacement, which is currently difficult to treat with antibiotic therapy. Consequently, in most cases, removal of the infected prosthesis is the only solution to cure the infection. Biofilms are medically important, accounting for over 80% of microbial infections in the body, including prostheses and internal fixation devices. Bacteria usually form biofilm on foreign bodies that are placed in patients for medical reasons, such as peripheral and central venous catheters, heart valves, ventricular assisting devices, coronary stents, arthro-prostheses, fracture-fixation devices, breast implants, intraocular lenses, dental implants, etc."
The website of the American Academy of Orthopedic Surgeons says, "Joint replacement infections may occur in the wound or deep around the artificial implants. An infection may develop during your hospital stay or after you go home. Joint replacement infections can even occur years after your surgery. Infections are caused by bacteria. Although bacteria are abundant in our gastrointestinal tract and on our skin, they are usually kept in check by our immune system. For example, if bacteria make it into our bloodstream, our immune system rapidly responds and kills the invading bacteria. However, because joint replacements are made of metal and plastic, it is difficult for our immune system to attack bacteria that make it to these implants. If bacteria gain access to the implants, they may multiply and cause an infection." A study from the February 2011 issue of Injury (Unexpectedly Increased Rate of Surgical Site Infections Following Implant Surgery for Hip Fractures) further revealed that, "Surgical site infections (SSIs) are the most common nosocomial [IATROGENIC] infections after surgery." Knowing this, it's not surprising I received this comment / question from Lena over at my DESTROY CHRONIC PAIN site on WordPress.
I have recently been fused L4-L5-S1 (Posterior Lumbar Fusion) at the end of January and all went well. To begin with and after 3 weeks I was able to walk for 45-60 minutes. After 4 weeks I began to get excruciating stabbing muscle spasms at the fused area, which almost makes me fall as my legs fold. My surgeon sent me for another CT Scan and said everything looked perfectly fine. I feel he is only interested in the spine and the screws he placed there. I would like to know how the muscles and the fascia work after fusion and if there is anything I can do to prevent the spasms?
I understand they cut through the fascia to reach the spine. How does this heal afterwards? I have been bedridden for 4 weeks now with only little improvement. As soon as I try walking as little as 1/5 of a mile I get flare ups and am back to square one. My back feels weak and the spasms keep me from moving even at snail speed. Would this be normal after a fusion? The surgeon removed my spinous processes and used them for the bone graft instead of getting bone from my hips.
If you could just shortly advise me if my muscle spasms are normal I would be very grateful! Neither the surgeon nor my PT has been able to give me an explanation for the stabbing spasms. I feel like I get stabbed to death several times a day…
Best regards, Lena
Let me first say that this is probably not an infection --- at least not in the sense we think of overt infections. However, as you've already seen, it's tough to know if there is a subclinical infection present (HERE is an example of an "Occult Infection"). We have known since the earliest days of surgery that the simple act of installing foreign substances into people can sometimes --- probably more often than anyone cares to admit (HERE and HERE) --- cause serious problems. A brand new study from this month's biomedical journal Nature Materials (Colony Stimulating Factor-1 Receptor is a Central Component of the Foreign Body Response to Biomaterial Implants) addressed this issue.
Twenty five specialists and researchers from the best medical facilities in Massachusetts and Illinois collaborated to learn more about the body's response to the surgical implantation of "Foreign Body Biomaterials". The authors admitted in the first sentence that, "immune-mediated foreign body response to biomaterials can compromise the performance of implanted medical devices." After looking at this problem in light of the two sides of the immune system --- TH-1 & TH-2 --- the authors determined that, "Macrophages, via CXCL13 [a CYTOKINE], lead to downstream B cell recruitment, which further potentiated fibrosis. Interestingly CSF1R is significantly increased following implantation of multiple biomaterial classes: ceramic, polymer and hydrogel." Bottom line, inflammation always leads to fibrosis, which always leads to degeneration (HERE).
After discussing the many types of surgical implants done for a wide variety of health issues, the authors said of them (I put my links in their quote), "The host senses these implants as foreign and mounts an immune-mediated rejection response. This sequence, known as the fibrotic cascade [FIBROSIS], includes tissue injury, immune recruitment [INFLAMMATION], adhesion [SCAR TISSUE FORMATION], myofibroblast induction [HERE & HERE], and fibrous capsule formation [still more scar tissue], preventing interaction with the surrounding microenvironment, including sensing biochemical stimuli such as pH [HERE], oxygen [HERE], blood glucose levels [HERE], and obstructing nutrient flux." Stop and think about this for a moment. This isn't what's happening just in the people who have problems with their implant; it's what is happening in every single case. It's the norm. How do doctors deal with this problem? They SUPPRESS THE IMMUNE SYSTEM.
"Current approaches for immune system suppression or management of long-term biomedical device often involve broad spectrum antiinflammatories. The major immunosuppressive agents used as standard care for implantation procedures are rapamycin, tacrolimus, everolimus, cyclosporine, and corticosteroids. However, many of these antiinflammatory drugs are not specific to individual immune populations, having multiple targets and differential effects.... Additional T-Cell loss made fibrosis worse, perhaps due to the regulatory T-Cell subset important for suppressing over-reaching immune reactions."
In English, this means that TREGS (T-Regulatory Cells that train your immune system what to attack, while likewise training it not to attack itself --- AUTOIMMUNITY), which are responsible for attenuating the fibrosis cascade, are affected by the process. It also means that the drugs used to suppress the immune system (see earlier link) are not very specific, driving any number of ADVERSE EVENTS (side effects) --- side effects that peer-review says are reported, on average, less than 5% of the time (HERE). Some of these were the same drugs used to suppress the immune system in kidney, liver, and heart transplants, so that the body will not "reject" them. And don't forget the CORTICOSTEROIDS. In many cases, there are prophylactic ANTIBIOTICS given as well (an extremely controversial issue when you start looking at studies). Even when necessary, they are harsh drugs one and all.
Fortunately, there's a better way to take care of many cases of degenerative joints. You've got nothing to lose by going this route. Why not? Because firstly --- as I've shown you many times --- it doesn't matter whether we are using MRI / CT / X-RAY or DIAGNOSTIC ULTRASOUND (or for that matter, examining someone for a POTENTIAL DISC HERNIATION) --- it's all but totally impossible to match the patient's symptoms with their imaging findings. Secondly, be aware that clinics are springing up all over the place to take advantage of this information. What are they doing? While many are doing some very cool things to help people with degenerative joints avoid surgery, the great thing is that YOU CAN'T GO WRONG by doing at least some of the basics on your own --- provided for you free of charge on our site (HERE). Worst case scenario, you get healthier and lose some weight in the process, and then go get the joint replaced --- with less systemic inflammation and a better chance of healing the right way.
If you've been told you need to get a joint replacement, what do I recommend you do first? Firstly, get your weight under control. With almost 80% of our citizens either OBESE or METABOLICALLY OBESE, this is not only a massive driver of inflammation, it compromises your joints, whether your own or replaced. People tend to say that they can't lose weight because they can't exercise due to their degenerative knee or hip. I disproved this myth years ago (HERE). If you simply start addressing the potential drivers of the inflammation, you might be surprised at what happens with your OSTEOARTHRITIS. I have personally seen this approach work for dozens of patients (not all of them mine). One last thing I would consider would be to purchase a COLD LASER to treat yourself with post-surgery. No, I can't tell you where to get it, but I can tell you that as the technology improves, it gets cheaper and easier to find for the general public.
And as for Lena; while muscle spasms are certainly common --- especially after certain injuries or procedures --- they are never normal. It is very difficult to say what might be causing this situation --- at least in part because it is all but impossible image Fascia with standard imaging tests (even though there is at least one non-standard test that's been proven quite effective --- HERE). But the bigger problem may be; even if you could see it, what are you (or whatever doctor, therapist, chiro, etc you are seeing) going to do about it? The good news is that there are people out there with the solution to your problem --- it's just a matter of finding them.
TRIGGER POINTS OF THE LEVATOR SCAPULAE AND SURROUNDING MUSCLES
A CHRONIC PAIN / AUTOIMMUNITY CASE HISTORY
TRIGGER POINTS are small bundles of muscles that are innervated by the same nerve branch, which for any number of reasons, get turned on and refuse to turn themselves off. My suggestion to you if you deal with TP's, watch the ten short videos in the link. Somewhat boring, at times quite technical, but short, and in the end, you'll understand why watching was important. Also, if you look at the other posts filed under the link, you'll notice several ways to deal with Trigger Points. It won't come as a surprise to learn that the mixture of Trigger Points with the C1 vertebra is problematic for many people.
It's almost like if you stuck a long knitting needle straight through from front to back (or vice versa --- not that I am recommending it mind you), you could pierce both. Oh; one more fun fact. Problems with Pec Minor also happen to be heavily involved with both RADICULOPATHY (numbness and / or tingling into the arms) and TOS (Thoracic Outlet Syndrome). And even if there is no radiculopathy involved, when a Levator TP goes into hyperdrive, it can pull hard enough at C1 to totally lock the neck --- especially in left and right rotation (common).
Although ET can take many forms, it can be done both over a ball (helps address trunk and upper back flexion --- see link), or with a Dakota Traction Device. The Dakota is a simple, inexpensive, tool you use at home to specifically address FORWARD HEAD POSTURE (FHP). THIS shows just how critical dealing with FHP really is for most people struggling with CHRONIC NECK PAIN of many kinds. By the way, after a person has been through PHASE I and had their SCAR TISSUE and FIBROSIS addressed, the Dakota is the cat's meow for dealing with SCM TP's.
CASE HISTORY WITH LEVATOR TRIGGER POINTS
AND OTHER SOURCES OF CHRONIC PAIN
The first injury that I can remember was in 3rd grade. I was skiing with a fanny pack on…with some bubble tape gum in the fanny pack… I went off a jump and landed flat on my back. I was done for the day. It hurt really bad, especially for a 3rd grader who would be pretty resilient. When 5th and 6th grade came around I was playing JR football. This was where I discovered that I could not do a sit up without someone sitting on my feet due to pain. Doing leg lifts and sit ups, were painful. Fast forward to high school… My lower back always seemed to hurt when running sprints during basketball.
After graduating high school in 2001, I was skiing later that year. It was incredible skiing conditions, very deep snow, my dad and I were at the top of the mountain… I took two turns and one of my ski’s popped up (in a weird way) hit me in the left temple (the ski did not fall off). Long story short, I ended up being airlifted after skiing down to the medical room and showing signs off head injury. CT scans came up clean and I suffered a bad concussion. The first odd thing I noticed, post-concussion, was that when I did a “leg curl”, you could visibly see that big cord (tendon or ligament?) pop over. It wasn’t painful, but it did limit the strength of the leg.
2003/2004/2005. I started to show signs of pretty bad low back pain. In 2005 I can remember getting out of my office chair and actually falling to the ground as a result of losing feeling in my left leg. This happened several more times over the next couple years at random. I had self-determined that I must have sciatica. The lower back pain was now affecting my day to day life. I would complain all the time to my wife… who of course said “everyone has back pain”. I basically just dealt with it and didn’t see a doctor.
In 2005/2006/2007. I would go skiing and have excruciating pain in my feet. So I went to an expert ski boot fitter. After working with me for a couple months he told me that he’s never had someone like me that he couldn’t get fit properly. I determined that it probably wasn’t my feet, but my lower back and my legs and feet compensating for the back pain. By 2008 I gave up skiing because it was too painful.
2008/2009/2010. The back pain just kept getting worse. In January 2010 I went to a chiro through a referral who was well known for seeing professional athletes etc. He was an honest guy and told me to give him 23 visits and he’ll be able to get to the bottom of it. Well, after a couple months of going to him 2-3 times per week… he proceeded to tell me “man, you’re messed up!” He didn’t think he could help and said that it was very likely that an MRI would reveal a subluxation or herniated disc(s) in my lower back… but he felt there was no point. He would hate to see someone my age get surgery.
In January 2011 I went to Seattle see a NUCCA doctor (Neurological Upper Cervical Chiropractic Association). This guy really helps tons of people and is tops in his field. He only adjusts the Atlas. I went to him from 2011 until 2015. I couldn’t hold an adjustment for more than three weeks max (usually 1-2 weeks). He told me that he has only had a handful of patients like myself that could not hold an adjustment. [Roger moved a few years ago and has not been able to find a NUCCA practitioner that has helped him].
In 2009 I had to quit doing anything physically demanding such as Flag Football, Basketball, etc. I couldn’t run without having bad pain in my lower back. I’ve continued to play golf, as it’s one swing at a time and not terribly painful.
Since 2010 the pain and pain locations have increased. I tried Pilates in September 2014. The instructor commented on my incredible strength & range of motion… and then I told her that I felt like certain motions would simply tear my muscle or whatever. She observed and said that I shouldn’t do Pilates until I got that figured out. I have a couple different foam rollers and some trigger point therapy balls and workbooks. Doing this mostly seems to exacerbate the symptoms.
When people look at me they guess my weight always to be between 175-195… I weigh around 210/215 due to incredibly high muscle density. My massage therapist has commented many many times about how she hasn’t come across anyone like me with how thick my muscles are and how tight they are. I get told to relax… and I respond with how relaxed I already am! I guess I have those twitch muscles. I was always the quickest on any team I’ve played on. At 5’10” I dunked in a high school basketball game. I have never worked out… I’ve been to the gym and screwed around with buddy’s, but have never actively lifted weights.
- I did notice that my hair really wouldn’t grow around my left sideburn / lower temple area too well. That was kind of weird.
- I’ve had times were I would be talking and just start choking and not be able to talk. This has only happened 6/8 times
- I’ve had times were swallowing was difficult, like there was something stuck in my throat.
- This hasn’t happened in a while, but there was times when I would open my mouth too wide or at the wrong angle and it felt like my jaw was going to be ripped off my head. The worst feeling.
- Lower back pain, mid back pain, upper back pain, neck pain, left jaw pain, hip pain
- Weakness & Atrophy in my left arm
- If I flex my left arm, it trembles.
- Weakness & atrophy in my left leg (calf)
- Sensitive to the touch
- Left bicep, left forearm, left armpit, left inner thigh, left hamstring, left inner knee, left back of knee, left inner calf, lower back, mid back, upper back near right shoulder blade
- My bones pop and crack all the time. Even sometimes when I take a deep breath.
- I can pop just about anything… and then in a short while, I can pop it again.
- Whole body seems to be out of alignment
- Left jaw cracks when I rotate it to the left side
- Left inner ear is uncomfortable
- Left tonsil is different than right tonsil (visually from inside of mouth)
- Upper right back near shoulder blade has something deep that I can’t get out (massage can’t get it out etc.)
- I’m very flexible… but at the same time very tight.
- I crack my neck all the time
- Doing a bench press, my left arm will “short out” on me.
- Poor sleep
- Randomly dropping things (ex: subconsciously loosen grip & drop my keys)
- Whole left side of body is weak.
- Can’t run (shooting pain)
- Tightness everywhere. I wish I had a personal Trainor to stretch me out everyday
- Starting to see mild symptoms on my right side over the past year.
- Absolutely cannot do any ab exercises at all. Very painful.
- Doing physical work such as doing landscaping in my yard, hurts after a short time period and has lasting implications for a week.
- Sciatica or something
- I cannot hold an adjustment.
- I’m 33 going on 53.
I have done extensive Tissue Remodeling on Roger with excellent effect. He says that he is probably 80% better than when he first came in. While he is defintely much much better, my opinion is that 80% might be pushing it a bit. One of the really cool things I was able to successfully address on Roger's first visit was his THORACOLUMBAR FASCIA --- it was pure gristle. Not that I recommend situps (HERE), but Roger hadn't been able to do a situp since he was a little kid --- it hurt too bad. After his first treatment, not only was that pain gone when doing situps, but he could sit and ride without pain. His biggest complaint now seems to be the Levator Trigger Points, which he is dealing with.
As for the dense muscles, I'm not sure what the solution is for that. I have one other patients with similar, who has a wide array of problems himself. Both these individuals have muscles that are not necessarily tighter than other people I routinely see, but just plain dense. This might provide some of the basis for Roger not bouncing back from early injuries, and not recovering like others (especially young others) might.
Another interesting fact in this case (like many others) is autoimmunity. HEAD INJURES are intimately linked to people developing autoimmunity --- often against their own brain. Roger's problems seemed to get far worse shortly after the ski-to-the-temple concussion he incurred. While this kind of damage likely won't show up on a BRAIN SCAN (CT), it's not an uncommon problem, even though it seems to be little discussed in the mainstream. And although the not-being-able-to-grow-hair-in-the-area-of-injury situation is intriguing, it's not terribly uncommon and sometimes indicative of neurological injury.
Having noticed a patch of psoriasis (an autoimmune disease) on his foot, autoimmunity was confirmed. Why is this potentially a big deal? Autoimmunity is a huge problem even though is not a problem with the tissues, cells, enzymes, organs, etc, specifically being attacked. It's a problem with the immune system that's doing the attacking. THYROID PROBLEMS are a great example of this phenomenon. Even though about 80-90% of all thyroid problems are autoimmune (Hashimoto's / Graves), people take their thyroid meds faithfully and think everything is under control. Until they start developing other autoimmune diseases (HERE is a great example of numerous autoimmune diseases attacking in a pack --- like hungry wolves).
Furthermore, even though we can sort of check for autoimmunity via the ANA Test (Anti-Nuclear Antibodies), it's not the most accurate and it doesn't tell us what's being attacked. Although we have put names on quite a number of autoimmune diseases, there are an almost infinite number of tissues, proteins, and enzymes that the body could and does sometimes choose to attack. This is why when I see people with ADHESED FASCIA virtually everywhere, my first thought is that their problem is likely systemic (HERE) --- quite possibly autoimmune. A failure to address these problems systemically means you never really get to the root of the problem (temporary relief only).
I bring the whole autoimmunity thing up so that Roger can pick some low-hanging fruit. The easiest thing to address in a situation like this is diet. Why is diet important in autoimmunity? In a word; INFLAMMATION. Your diet is either driving it or squelching it. Controlling inflammation is the primary reason I recommend the PALEO DIET (or something similar) to my chronic patients. whether CHRONIC PAIN or chronic illness. Not to mention, science has been talking about the relationship between GLUTEN AND AUTOIMMUNITY since the 1930's. Once you understand the whole Gluten, Autoimmunity, LEAKY GUT / LEAKY BRAIN connection, doing an ELIMINATION DIET starts making a lot of sense. Especially knowing that Non-Celiac Gluten Sensitivity is mostly neurological as far as its symptoms are concerned (START SKIMMING POST TITLES).
Lest we leave without addressing Roger's nervous system a bit deeper; because of his history and the fact that everything seems to be left-sided (right brain, left cerebellum) --- including the weird hamstring tendon thing, I would suggest a visit to a FUNCTIONAL NEUROLOGIST. While I know there are any number of capable individuals in his neck of the woods (none I know personally), if you can pull it off, the guy to see would be BRANDON BROCK. Likewise, since Roger has had good results previously with Upper Cervical Technique, realize there are other techniques equally as effective as NUCCA -- Blair, Sweat (Dr. Roy Sweat), Grostic, HIO, Kale, etc, etc. And as always, if you have any questions about anything Roger, shoot me a line. I am rooting for you and would love to see you well enough for me to school you on the basketball court!
SCAR TISSUE, ADHESED FASCIA,
CHRONIC PAIN, AND AUTOIMMUNITY
A PAIR OF CASE HISTORIES
Oh dear God, PLEASE help me with my right hip pain. It stated aged 19 and I'm 39. I don't take pain killers for it and never have. It's enough to drive anyone crazy. I don't complain about it but anyone else I know would at least have gone to their GP and would be whining about it non-stop. I just get on with it. I've been to so many physios (and one GP). I even went to a sports medicine physician (who sent me to a physio).
It starred when I got glandular fever. At the time I had anterior thigh pain and a very very very very tight IT band with it. I then developed foot drop and urinary incontinence. I was sent to a neurologist and waited over a year for a T-L MRI. I've never had a hip x-ray, and as I dislike the amount of radiation, no one has scanned me.
I have muscle wasting down my whole medial right leg. At the time and for years I had fasiculation right up to my right eye. My right toe still catches on the ground. The pain back then and for ages also went to my knee and the sole of my right foot and right great toe. My hip is tender always. I have not the same strength in my right-sided glutes as left.
I also had pain from the middle of my back across my right scapula, under my arm in to my elbow and right wrist then. I also had intense pain where you would describe the gallbladder to be. I've tried everything (so far have declined steroids or surgery). I can't externally rotate or abduct. I can't do yoga. Sitting, standing, walking, running, and high heels hurt. I can't even sit in the yoga position. I finally have to admit that I have chronic pain.
Up until that time I played sport for my country, and enjoyed immense immense immense fitness, and intense success in sport. It was easy for me. At club level, the coach used to run me extra / separately and had me training with him. And he was at his peak fitness. I was ridiculously fast and had ridiculous stamina and flexibility. It feels like my life changed overnight. I remember no injury.
Now I'm lethargic and overweight with a sugar addiction. A shadow of the athlete that I was. Truth is I am now finally admitting.... this has made me depressed. Thank you for any help you can give! Jane.
Let's start at the beginning. Glandular Fever is the Aussie's name for mononucleosis (Mono), which is most often caused by either the Epstein Barr Virus (Herpes Virus 4) or Cytomegalovirus (Herpes Virus 5). If you spend any amount of time looking at message boards or talking to people in FUNCTIONAL MEDICINE, you'll find that while these two infections are usually self-limiting, they have the potential to do some crazy things and cause some ugly problems --- problems that are not well understood inside the mainstream medical community.
Part of the reason for this is that all herpes virus have the ability to lay dormant for decades, raising their ugly heads when given an opportunity (some sort of IMMUNE SYSTEM DYSFUNCTION). You can see this with things like cold sores, HPV, SHINGLES, etc. The other thing about these two virus is that they are both associated with Guillain Barre Syndrome. According to Wikipedia....
Guillain–Barré syndrome (GBS) is a rapid-onset muscle weakness caused by the immune system damaging the peripheral nervous system. The initial symptoms are typically changes in sensation or pain along with muscle weakness, beginning in the feet and hands. This often spreads to the arms and upper body with both sides being involved. The symptoms develop over hours to a few weeks. Some are affected by changes in the function of the autonomic nervous system, which can lead to dangerous abnormalities in heart rate and blood pressure. The cause is unknown. The underlying mechanism involves an autoimmune disorder in which the body's immune system mistakenly attacks the peripheral nerves and damages their myelin insulation. Sometimes this immune dysfunction is triggered by an infection or, less commonly, surgery or vaccination.
Simply do a Google search of "Epstein Barr, Cytomegalovirus, Guillain Barre Syndrome" and look at the freaky amount of freaky information that comes up --- some of it brand new and some of it fifty years old --- much of it from the peer-reviewed literature. In other words, this connection is not a reach and it's not anything new. Honestly, GBS is a simple diagnosis to make, so I doubt that you actually had GBS. However, you most assuredly had something along those same lines --- something in the same family (there are many many neurological reactions and autoimmune issues that are unnamed --- can anyone say MUPS?). This tells us that you are not dealing with just a simple hip issue.
This stuff may affected your left brain / right cerebellum on some level, and undoubtedly attacked your lumbar plexus. You have radicular symptoms on the right side (foot / toe drop, muscles not firing, sciatic-pain, etc). Also, your bladder is neurologically controlled (at least partly) by nerves that come from about the L3 level down through the sacrum --- the same area that makes up the SCIATIC NERVE. If you look at myotomes and muscle innervation charts, you'll see that these are the same levels that innervate the muscles around your hip, quad, and certain other areas of the lower extremity, thus, the reason they wanted an MRI of your (TL area) THORACOLUMBAR SPINE (BTW, you are correct about CT being dangerous). It's important to be aware that it's very difficult to correlate what's found on the imaging with real-world symptoms (HERE).
So; getting down to fixing (or at least addressing) this beast. I think your approach has to be three-pronged. You'll have to address the AUTOIMMUNE ISSUE, you'll have to address the occult (hidden) viral infection (HERE'S a common example of this phenomenon in a different arena), and you'll have to address the neurological issue (undoubtedly you are in SYMPATHETIC DOMINANCE). This is not just a matter of strengthening and stretching; the reason that your PT was unhelpful.
The very first thing you are going to do is to do an ELIMINATION DIET to figure out if there are foods you are reacting to (Gluten is assumed with autoimmunity --- HERE). The next thing you'll have to do is get off the sugar (BREAK THE ADDICTION) simply because it, along with PROCESSED AND EVEN WHOLE GRAINS, are the single most inflammatory things we collectively tend to put in our mouths all day long (HERE). You'll also need to get started on a PALEO DIET because nothing squelches INFLAMMATION better. And depending on your lifetime history of ANTIBIOTICS and OTHER SIMILAR MEDICATIONS, you may even need to contemplate an FMT. All of this info can be found HERE.
As far as addressing the virus, there are all sorts of cool things out there that help a lot of people assess and address the occult virus hiding in their body. For instance, I have a patient (HERE) who has been able to win world championships in off-road triathlon, despite having Lymes Disease (bacterial). She underwent ozone therapy from an MD in Florida (Ozone Sauna among other things) with great success. And as far as the neurological aspect; hands down, I would make a trip to see DR. RANDY BECK --- an instructor and author for the CARRICK INSTITUTE. Don't know him personally, but if he is teaching for Ted Carrick's group, he's sharp.
God Bless and hope this helps. I want an update in six months Jane. I also commend you for recognizing that "THE BIG FIVE" is not going to help you with this problem.
**** From her response to this post, I learned that "Jane" is a physician --- 'Dr. Jane'. Her (edited) response to me can be found near the top of my TESTIMONIAL PAGE.
This next Case-History comes from an OUT OF STATE PATIENT I treated for CHRONIC NECK PAIN, upper back pain, RIB TISSUE PAIN, and pain around her shoulders. She also has TMJ issues. "Sally" wrote to me saying....
I worked as a cashier for 3.5 years beginning in Feb. 2014. During this time, I began having shooting pain in my ribs on the right side. Then I could start feeling it in my chest. I was seen by a few Chiros briefly with very little improvement. The areas between the ribs are tender. I was told by an ER Dr it's costochondritis.
Next, My shoulder blades feel like they do not lay correctly, and my left shoulder is so tight. It does not relax when I sleep. I eventually thought this was being caused by repeated motions at work. Eventually I had joint shoulder pain and nerve pain across the collar bone region and down my arms, along with numbed arms and fingers. I looked into Thoracic Outlet Syndrome. A surgeon said I didn't have that. A work comp doctor said I have a fascia problem with some scapular winging, but didn't provide any assistance. I had 12 PT sessions while still working that did not help at all.
Since quitting the cashier job that made me repeat my motions and over-extend my shoulder blades, the nerve pain and numbness have mostly gone away. But the overall pain across my shoulder blades, joints, and ribs remain. And I have bad "flare ups" when I use my arms too much, or experience bouncing motions of exercise like running or jumping jacks. Putting up the Christmas tree at work caused a week of extra pain and discomfort. My primary MD mentioned fibromyalgia to me, and I ran the other direction.
Along with all this, I've experienced neck/throat spasms on my left side. Currently, I have a knot on the underside of my jaw/neck area that's been there for a couple months. It's causing my jaw and mouth muscles to tighten. My dentist is creating a special mouth guard to help with TMJ, but she said I need PT help to improve posture. I wondered if it was a swollen gland, but the dentist swears it's a knot in the SCM muscle. I fear opening my mouth too wide while yawning, singing, etc.
I'm at a loss. I cannot/have not laid on my sides in over 2.5 years. Instead I lay on my back using a wedge pillow that helps keep low back pain away. Tonight I had shooting chest pain that also shot across my ribs to the left of my breast under my armpit region. I'm scared and need help. Please let me know if this is anything you could help with?
Because in my mind, this was all being driven by some sort of SYSTEMIC INFLAMMATORY ISSUE, I told her that I doubted I could help, not realizing she had been addressing these systemic issues for quite some time as you'll notice momentarily. For the record, the costochondritis diagnosis she had received was a commonly-seen cop out from someone who surely knew better, as was the FIBRO. Sally responded with this email.
Dear Dr. Russ,
That is the opposite of what I thought you would say. I read your website, and I see myself in your patients as well as your extensive information. Chronic pain patient. Slowly losing mobility. Fascia is inflamed and needs work. I thought that is what you treated? This pain has taken over my life.
I replied thusly. "I might (emphasis on might) be able to help you, very difficult to say. I'm sure what I do would help you for at least awhile. The thing is, your problem sounds systemic. What are you currently doing to deal with systemic inflammation?" I included THIS LINK with my email Sally replied...
I've seen a functional medicine Dr for the past 6 years. He has tested me for hypothyroidism, insulin resistance / hypoglycemia, estrogen dominance, and other hormone imbalances including sex hormones and cortisol levels. My insulin resistance and hypoglycemia symptoms are gone. My insulin and glucose levels are in healthy ranges. My thyroid is in range. I dropped 40 lbs through dietary changes. My diet is predominantly organic and grass-fed meats, vegetables, healthy fats, little fruit, some nuts and seeds. I developed food sensitivities overtime, which included grains, dairy, soy, and yeast; all of which I cut out of my diet. I still experience some PMS and PMDD symptoms. I haven't had my cortisol tested in a while, but my energy levels are better than ever and I sleep well. My yeast sensitivity caused 1.5+ years of constipation, which has recently improved. I no longer drink kombucha. I believe it was a big part of the constipation problem. I'm trying to figure out what else to do. I am considering acupuncture.
Sally ended up coming and getting treated. She was loaded with SCAR TISSUE all over the place. This factor alone (along with the history of HASHIMOTO'S THYROIDITIS --- itself an autoimmune disease) makes me think that she might also be dealing with one of the myriad of unnamed autoimmune diseases that work against connective tissues FASCIA, LIGAMENTS, TENDONS, etc) and maybe MUSCLES (so many remain unnamed because no one has figured out what the auto-antigen is --- the possibilities are limitless). The thing you must remember about autoimmunity is that it is never primarily a problem with the thyroid, fascia, or whatever other organ or tissue is being attacked --- it is an immune system problem. Fail to address overactive immune system (HERE) and before you know it, you'll be fighting half a dozen autoimmune diseases --- like THIS PERSON was before I got involved.
I have a hunch that Sally has PCOS, although she was never tested (her functional doctor had been doing things that would have addressed this anyway). After talking with her, I suggested that she do an Elimination Diet with NIGHTSHADES since she had not done that yet. As far as what might have caused some of her FIBROSIS other than hidden inflammation (Inflammation always leads to fibrosis --- HERE), she was in two relatively harsh MVA'S a number of years ago, as well as falling off the top of the monkey bars flat onto her back when she was about ten.
I treated Sally (broke the FASCIAL ADHESIONS and then gave a MANUAL ADJUSTMENT which she had not experienced before). I then got her started on THE DAKOTA TRACTION DEVICE. Below is her one-week response to treatment that I received yesterday.
Russ, I would say maybe 50% better? Maybe a little less. I can tell there's a difference involving the fascia/scar tissue, so that's great! But the pain and tightness I am feeling is strong. My collar bone area is angry.
That collar bone area is where muscles like the SCM and PLATYSMA attach (BTW, TRIGGER POINTS in the SCM can be tricky), creating a strong propensity for FHP (Forward Head Posture). Interesting how the kombucha was causing her CONSTIPATION --- undoubtedly the same sort of mechanism that leads to VITAMINS or even PROBIOTICS causing various sorts of DYSBIOSIS. It's why anymore, my mind almost automatically turns to FMT when known or suspected autoimmunity is involved (Sally couldn't remember whether her ANA test was positive or not).
I want you to know that I am rooting for you "Sally" and that I thoroughly enjoyed our time together. Keep me in the loop. Wishing you the best, Russ BTW, once Sally got started on a regimen of Pilates, her pain virtually ended.
SEVERE MOTOR VEHICLE ACCIDENT LEAVES PATIENT IN CHRONIC PAIN
OPTIONS & POTENTIAL SOLUTIONS
"I was in a car accident just short of 2 years ago and I'm still getting treated. I was hit by someone who ran a red light traveling at least 55mph while I was stationary. I was hit on the front passenger side of my vehicle. The whiplash I incurred went sideways. My accident happened on a Sunday, I was sore afterwards, but on the following Wednesday I woke up in pain from head to toe."
The first thing I want you to understand is that every study that comes out, shows that healing takes longer than the study that came out before it. Although insurance companies love to tell their insured that "research says" healing of soft tissues takes no more than 4-6 weeks, this is patently untrue as seen in the latter part of THIS LINK. Although the FIBROSIS (the medical word for SCAR TISSUE) is laid down in that amount of time, your body must remodel said tissue into something functional, which takes much longer --- current research says as long as two years or more. Furthermore, Brenda has at least two of the biggest factors that potentially make WHIPLASH INJURIES worse working against her --- she's female and her impact was from the side as opposed to coming from either the front or the back (both found HERE). On top of everything else, having pain show up days or even weeks after the accident is not at all an uncommon phenomenon (HERE).
"I suffered from daily migraines, blurred vision, sensitivity to light, could not sit, stand or lay comfortably. My whole body felt like I was plugged into an electrical outlet. The immediate care doctor I saw the day after my accident prescribed muscle relaxants and ibuprofen. By Friday I was at my doctors office. He is an integrative medicine doctor, therefore no more muscle relaxants, no pain meds prescribed. As much as I laid wishing I had them, I'm grateful I did not. The amount of pain I was in I'm sure I would have become addicted. I saw a chiropractor 3 times a week for 3.5 months with a 1/2 hour massage once a week. My eyebrows were so tight on my face you couldn't pull them away. I was told the muscles in my back were like ropes with knots underneath. I have bulging discs from T4-5 to T10 and broad base to moderate disc bulges in my lumbar/sac."
The first sentence tells me that you had a MTBI / TBI, as all symptoms you list --- including MIGRAINES --- are well known sequelae of such. It is extremely common for people who are in these sorts of accidents become heat-intolerant as well. Typical pharmacological fare for these sorts of injuries includes THE BIG FIVE (with the ANTI-DEPRESSANTS usually coming a bit later). In the acute part of the injury, you'll need lots of care, including massage. As for your "tight eyebrows," make sure you look at my articles on FACIAL FASCIA. As for the discs, some of these may or may not be a source of your pain. And as to the argument that they were pre-existing (invariably this is what the insurance company will say), how can this be proven one way or another without a previous MRI? Even if these disc injuries were pre-existing, the accident took a stable situation (HERE) and destabilized it (HERE).
"Still to this day my legs still buzz. I can feel it in the back of my upper legs and then it encompasses both lower legs from the knee to my toes with my left side worse. Sometimes I also have tingling on the back of my left arm and into my last 2 fingers. I also have issues with my left knee that comes from my tight hip flexors. After seeing the chiropractor for so long and eventually being told, "I can't fix you (and it's not because he didn't give it 125%) I saw a myofascial release therapist. I finally starting getting some relief. The treatments were painful; I screamed at times, had tears from the pain but the next day I felt relief."
Let me take this time to address your low back pain. Many insurance companies will tell you that low back pain after motor vehicle accidents is rare. Hogwash! According to any number of studies (not to mention notes from Dr. Dan Murphy's 24 hr Whiplash Seminar), it's the third leading symptom of these sorts of accidents, just behind NECK PAIN and HEADACHES. Also, RADICULAR PAIN and SCIATICA can take on many forms, often leading to paresthesias ("abnormal nerve sensations"). As for the tight HIP FLEXORS, adjustments, while extremely important, don't, in and of themselves, have the ability to solve this or any of the other major "SOFT TISSUE" components of the injury. The soft tissue parts of the injury will almost always require some sort of bodywork.
When it comes to bodywork, there are two different kinds. There is what I call rub-a-dub, which is the feel-good stuff you can get at the spa to help you relax. This is great for people not experiencing any majorly painful problems. However, as I have talked about previously (HERE, HERE, HERE, and HERE), bodywork often needs to be harsh, because if it's not, the threshold for breaking the adhesed fascia is not being met. Thus, sub-threshold treatment is not breaking down the Fibrosis / Scar Tissue, which is why I sometimes say of this sort of treatment, 'a whole lot of nothing is still nothing' (see links).
"I tried working for the 1st three months after my accident, but sitting all day (and trying to learn a new job), I eventually had to go on Medical Leave for six months, or risk losing my job due to call offs. Since I had no pain meds prescribed, I would take 3 ibuprofen upon waking, then 2 extra strength Tylenol at noon, followed by 3 more ibuprofen early evening and then 2 Tylenol pm's to fall asleep. I did this for 9 months, before I said enough."
In many cases, especially cases where you are able to constantly move around without having to do heavy or repetitive jobs (especially on CONCRETE), the best thing you can do is go back to work. However, so many jobs require people to spend their days hunched over a desk or computer screen (or an assembly line) that it creates it's own set of problems (CHRONIC TRUNK FLEXION and FORWARD HEAD POSTURE). And as for the TYLENOL and NSAIDS (Ibuprofen), clicking on the links reveals their own unique sets of associated problems, many of which can be deadly or at least debilitating.
"The myofascial release was helping until insurance said no more visits. What do they know? And how could they judge me and my condition sitting at desk wherever they are? I eventually ended up back with my myofascial therapist a few months later for another 12 visits they OK'd. Once again, I was getting better, then insurance stopped it. I tried going back to the activities I enjoyed prior to my accident. Aquatic exercises. Tried riding my bike, and would have mid back spasms later in the day. I have a horse and have enjoyed riding for 45 years. I got back to the barn again to enjoy everything that comes with caring for a horse, mucking stall, brushing, riding and once again back spasms and soreness. I love hiking/walking. I'm a photographer."
What do they know? Insurance is evil. In our society it's a necessary evil, but an evil nonetheless, whether run by private enterprise or our government (a government that has proved time and time again that they are incapable of most of what they are charged with --- HERE for instance). Sounds like there was a huge amount of ADHESED FASCIA created by this accident. This is a good time to mention that as unfortunate as it is, a significant number of those injured in MVA's (some studies actually say as great as 25%) never fully recover, being left to deal with varying degrees of CHRONIC (TYPE III) PAIN. My goal is always to keep my patients from falling over that precipice into the pit of despair.
"I now felt as if my ovaries hurt, my left knee was bothering me, I would get up all stiff and sore and limp for several steps. I saw my PCP and asked him should my ovaries hurt if I'm in menopause? My left knee is bothering me too and I still have the buzz in my legs. He has me get up on the table and raises my legs up and down. The left leg was turned "on" I experienced a large electrical current throughout my whole leg with buzzing, pins & needles and tingling all the way to my big toe. He said you might have piriformis syndrome. That leg raise must of woke up a nerve somewhere. Within a couple of days I experienced daily headaches again, culminating into a migraine, my knee hurt worse and the buzzing was worse. I ended up seeing a different chiropractor that specializes in Active Release Technique (ART). It's working and I'm getting a full body deep tissue massage weekly. I'm feeling better but still have the same issues."
Depending on how much nerve irritation you have (PIRIFORMIS SYNDROME can certainly be a factor), this could not only cause the radicular symptoms, but the abdominal pain as well since nerves from your LOW BACK control your sex organs (HERE). Also be aware that right along with the hip flexor issue, it's not uncommon to end up with FASCIAL ADHESIONS of the lower abdomen (HERE). By the way, ART is fantastic stuff for lots and lots of people.
"The buzzing in the legs to my toes is still here but my knee does feel better most of the time. Forgot to mention along with the knee pain I was also experiencing plantar fasciatis too. My chiro thinks I should get an EMG. I go to a 3rd neurologist and he tells me he thinks my issues go deeper than any of the medical equipment locally could read and suggests I try a university setting. Do I need a referral? No; well yes I do, or insurance will not pay. Three weeks later I'm still waiting on the referral."
Your neurologist is probably a fantastic individual. He / she is also likely leading you on about your local university having "special" equipment that is going to show this problem. Unfortunately, the most abundant, pain-sensitive, and commonly injured tissue in the body does not show up with standard imaging, including MRI (HERE). And as for an EMG providing an "ah ha" moment.... Not to be a party-pooper, but after 25 years of practice, I would go "all in" betting against it. As far as a neurologist is concerned, because you are so close to Chicago, you should have no problem finding a Functional Neurologist trained by DR. TED CARRICK to at least evaluate you. DR. JAY ROHLEDER is in your state and I would consider him to be tops in his field. I've sent patients to him with great results, and know him personally as he was the Valedictorian of our chiropractic class of 1991. Great guy; great doctor.
"The last couple of my massage visits she could feel my knots or lumps whatever you call them. She tried working them out, and it was painful. My right side of my back still has the stringy rope going down it and I could feel it all the way into my elbow. The lump of tissue on the left side of thoracic is still here 2 years later and is very stubborn. I would really like to get to the root of these problems, I don't want a doctor to tell me 10 years from now, that you should have done this or that. Is there any hope for me? By chance do you have any insight on what I should do next? I'm going to be 57 in a couple of months, prior to my MVA I was very active, limber, felt as if I could do anything I wanted. I wanted to go into my senior life with a younger body. You know the saying "move it or lose it"."
The knots you are referring to Brenda are called TRIGGER POINTS and are miserable by anyone's definition. I commend you for wanting to get to the root of the situation. However, it can be tough to do --- even if you know exactly what's wrong. Which brings me to the next part of this post; what would I do if I were in your shoes?
Firstly, because head injuries are associated with crazy things like LEAKY BRAIN SYNDROME, INFLAMMATION, and autoimmunity (HERE), I would take a long hard look at doing an ELIMINATION DIET, which I think is far more accurate than any sort of sensitivity testing. Secondly, a middle-of-the-road WBV MACHINE might prove invaluable as far as a way to both exercise and stretch (it actually provides exercise to your brain). Thirdly, because the cost of virtually all technology continues to plummet, a LASER for home use might prove invaluable for you. Otherwise, I would read THIS POST (as well as looking at the links I provided for you today). Certainly, not everything I've included is going to pertain to you, but some of it will. If you can possibly find a hidden source of inflammation, it could prove highly beneficial as far as getting to that "root cause" of your problem.
IF YOU HAVE CHILDREN OR GRANDCHILDREN
READ THIS POST
Jan 27, 2016
My 13 year old daughter was diagnosed back in May with costochondritis. At that time she had been battling multiple bouts of strep throat and possibly a second mono infection (she had mono at age 10). She didn't do anything strenuous over the summer (no camp, no theater, no dance, no amusement parks, etc). She tried cheerleading for the first time in years in August and it set her way back.
We went back to her doctor who sent us to pain management (for the chest pain). They gave her lidocaine cream and advised physical therapy. PT advised she was hypermobile and had weak muscles. He worked a lot on her hips to get them aligned. She came home from physical therapy bruised and swollen at times.
This prompted a visit to a Rheumatologist who didn't do much other than order an MRI, which showed Pectus Excavatum. She had been seeing an acupuncturist which provided a little relief but wouldn't last. It was a good counter to the pain caused by Physical Therapy. Her echo-cardiogram came back okay, and we are awaiting her results from the pulmonary function test.
Her orthopedist thinks that musculoskeletal disruption from an acrobatic move she did months prior to the costochondritis diagnosis is causing her pain. She felt / heard a click or pop, and it hurt a couple of days but then she was okay. While we wait for an appointment in late February for pain management (mind you, we only gave her Advil and topicals, and the Advil caused esophagitis so she had to stop taking that and start taking Zantac instead) we have started seeing a chiropractor. The first gentle thing he did provided some relief (placebo effect?). She was the best I had seen her in some time. Shortly after he started working muscles, and she isn't feeling so great.
What I have learned so far during this is that all these things are kind of related yet they tell me they are not the cause of her problem. She is hypermobile, has pectus excavatum, may or may not have costochondritis, has muscle spasms, her spleen tip is palpable again (mono) but they didn't seem concerned, the chiropractor thinks she might have a hiatal hernia, X-rays and MRI seem okay other than pectus excavatum, mild scoliosis that orthopedic doesn't even consider scoliosis because it's so minor........
Is she a candidate for what you do? You are a long way away but I would consider it. Our chiropractor is following the pain for now but even he says he really hasn't dealt with something like this before.
Jan 28, 2016
A couple things. Firstly, unless it is grossly severe, the PE has nothing to do with anything. Secondly, she would obviously not tolerate what I do. It sounds to me like a systemic thing --- probably autoimmune (commonly triggered by viral infections such as mono --- EBV / Cytomegalovirus --- or any number of other reasons). Sounds like there's probably a history of lots of antibiotics as well. Tons of info on my site about addressing these problems. Read my post called "EXIT STRATEGY".
Jan 28, 2016
Thank you for responding and for being upfront that she wouldn't be receptive to your treatment. She seemed to do well with the electric stim and the basic adjustment, but not so much with the muscle work. I will look up your web site. Thanks again. I do appreciate it.
Feb 12, 2016 (After spending a couple of weeks studying)
Oh my goodness,
After your initial response I have been reading your Facebook and website pages, and it brought me back to when my daughter was an infant - colic, severe and was given prescription drops. She also had baby eczema. Her first breathing treatment at an ER was when she was 10 months old. She was later diagnosed with asthma.
My daughter has dealt with GI issues forever. As a young child we finally went to a GI doc and went the psych route at the same time. Celiac was negative and she was only mildly lactose intolerant so specialist said it was probably IBS, made worse by anxiety. So we went with that to no avail.
Psych meds had terrible effects on her - all the SSRI's [antidepressants] with the worst being Zoloft. I swore never again (so if the pain management clinic we go to in a couple of weeks even tries this road again they can forget it). She was able to tolerate Buspar [anti-anxiety] but it did not help her GI problems at all. Things got worse for a while with the start of her menstrual cycle, and for about a year she would get diarrhea, and a day or two later she would throw up --- then the following week she would have her period like clockwork.
After that first year I thought the stomach problems subsided a bit. Now I am thinking she just got used to it. I am noticing she still has bouts of loose bowels and bouts of constipation, I guess she just doesn't complain as much about it. Any nausea complaints get dismissed by her doctors as a consequence of the pain.
I have since bought some items in the gluten free variety, and just today downloaded the FODMAPS diet. I don't know if any of this will help her rib/sternum pain, but it might help her stomach. If our current chiropractor is correct and she does have a hiatal hernia, I'm sure eating better will help that as well since she has been on the typical terrible teenage diet the last couple of years.
Today you posted about NSAIDS and I almost commented but decided against it (for privacy issues I guess) but you may post the info if you like.... It was ibuprofen use (the thing the doctors told her to take) for her pain, which was round the clock during physical therapy, that caused esophagitis. That pain was probably worse than her original pain and scary for her because she felt like she couldn't get a good breath and had to find awkward positions to lay in to get some relief and rest. I knew long-term use could cause stomach problems and possibly an ulcer but I thought that would be very long term use. I had no idea that it could irritate the esophagus in such a short period of time.
So I want to thank you again Dr. Schierling. I enjoy reading your pages as you are not selling anything. Other pages I have visited with similar postings all seem to be selling their own supplements or services. I reached out and you were honest about my daughter not being a good candidate for your form of treatment. I'm not gonna lie, I wish you were closer to my area anyway.
MY TAKE ON LORI'S DAUGHTER'S CONDITION:
Let me first say that the following is entirely speculation --- an "educated guess" if you will. The cool thing is that even if I am wrong, the method I recommend to start her down the path of solving her problem will be quite similar. And unlike the numerous drugs she has taken, there are no real side-effects from using THIS APPROACH.
Due to her history of ECZEMA and IRRITABLE BOWEL SYNDROME, we can be pretty sure that she is AUTOIMMUNE (does she have a positive ANA blood test? --- not a great test but a start). The ASTHMA could possibly be due to Antibiotics taken as an infant (HERE and HERE). Coupled with her symptoms of Rhinitis, it might indicate Lori's use of ACETAMINOPHEN when she was pregnant. It might also be the result of her daughter's ANTIDEPRESSANT use (also in previous link). It could also be the result of VACCINES. Please note that I am not picking on Lori here, as all of these things are promoted by the average physician as completely safe, whether pregnant or not.
Add COLIC and ANXIETY into the mix, and we can rest assured that Lori's daughter has some pretty serious GUT HEALTH issues (I would be surprised if she does not have both DYSBIOSIS and a LEAKY GUT). Although these problems are easily tested for, they are rarely tested for in mainstream medicine, mainly because 99 times out of 100 they are caused by the very drugs being used to treat them --- the worst offender being ANTIBIOTICS. Particularly disconcerting once you realize that 80% of your body's entire Immune System is made up of the BACTERIA THAT LIVE IN THE GUT (aka your 'Microbiome'). On top of everything else, the fact that this girl has had mono twice, tells me her Immune System is extremely weak (Mayo's website says, "Most people who have infectious mononucleosis, or mono, get it only once. Rarely, however, mononucleosis symptoms may recur").
All of this leads me to believe that she probably has something called HYPOCHLORHYDRIA (not enough stomach acid). Because the symptoms are erroneously believed by most doctors to be caused by too much stomach acid instead of not enough, she was given a PPI DRUG (Zantac), which in reality, makes the problem worse. Now add in NSAIDS, whose number one side effect is destruction of the GI tract, and you have a living, breathing, nightmare on your hands --- a nightmare that the average doctor is clueless about solving. As you can see from her history, they love to order tests like MRI'S, but don't understand basic physiology, like the importance of having plenty of strong Stomach Acid (see link at top of paragraph).
A couple of observations. Because Lori mentions it, I will second the motion that the TYPICAL TEEN DIET is bad --- probably far worse than most parents can even comprehend (dietary stress, like other forms of stress, leads to ADRENAL FATIGUE). Also, the FODMAPS DIET is a good starting point. Be sure to realize two things. Firstly, that most "GLUTEN FREE" foods are just as bad as their gluten-containing counterparts --- only without the gluten. Secondly, the fact that she did not test positive for Celiac means little more than she is not mounting a wheat-induced autoimmune attack against her own small intestine. If you understand NON-CELIAC GLUTEN SENSITIVITY (far more common than Celiac), you will realize that GLUTEN (or its CROSS-REACTORS, of which milk is one) could be inducing autoimmune attacks against any one of the millions of other tissues in her body besides her small intestine. This is not my opinion. It's what the peer-reviewed scientific literature reveals over and over again.
As for the "costochondritis", it's extremely difficult for me to make a judgement about this. Just guessing, but I am not convinced it is either a RIB SUBLUXATION or a RIB TISSUE PROBLEM (or for that matter, a hiatal hernia). There are any number of points (the 'Liver Point' on the 3rd rib to the right of the sternum, Chapman's Liver / Gallbladder, and Pancreas Points, and Murphy's Point, just to name a few) that indicate pain being reflexed to the chest / upper abdomen from internal problems (often digestive). It could also be part of the whole autoimmune thing. Be aware that because we only have tests for a relatively small number of Autoimmune Diseases (HERE is a short list), many --- maybe even the majority --- go undiagnosed.
Unfortunately, cases like Lori's daughter are common. No; I take that back. They are the norm --- and all too often they are either being caused or heavily contributed to by the medical profession. The crazy thing about the practice of medicine is that even though "BEST EVIDENCE" proves that much of what they are doing on a day-to-day basis is not nearly as "evidence-based" as we have been led to believe. But the band plays on. The prescriptions continue to be written in record numbers. The money continues to pour in. And little seems to change. It's business as usual. And who suffers because of it? The millions upon millions of Americans struggling with CHRONIC PAIN and CHRONIC INFLAMMATORY ILLNESSES.
BTW, Chiropractic Adjustments do much more than deliver a "placebo effect" (HERE is a cool example that I cannot personally take credit for even though I was part of).
I wish you well Lori, and please keep me in the loop as to what you figure out with your daughter. There is likely someone well-versed in FUNCTIONAL MEDICINE quite close to you.
TODAY: FEB 15, 2016
Wow, that was amazing.
I expected a small excerpt maybe about the NSAIDS causing worse problems not the entire history and blog about her. I literally read your blog about the low stomach acid last night! I will absolutely let you know what comes of all this. I will also reach out to a functional medicine practitioner as I think I have an idea of how our pain management visit is going to go.
Thanks so much,
WHAT KIND OF PERSON
COMES TO SEE DOCTOR SCHIERLING?
WHAT DOES A TYPICAL 1ST VISIT LOOK LIKE?
If you are one of the hundreds of millions of Americans dealing with some sort of AUTOIMMUNE DISEASE or CHRONIC INFLAMMATORY DISEASE, you'll have to spend some time studying and pondering what it's going to take to create a personalized EXIT STRATEGY (hint: your doctor has not been able to do this for you because he / she is not trying to 'solve' your problem; just 'MANAGE' it). Although there is no one-size-fits-all approach to health, the good news is that BECAUSE MOST DISEASE PROCESSES HAVE SIMILAR ORIGINS, one size fits most. The bottom line is that if you are not doing something to deal with the INFLAMMATION that is driving your problem(s), sooner or later its effects will catch up with you --- often in ugly and debilitating fashion.
WHAT DOES A VISIT TO DOCTOR SCHIERLING LOOK LIKE?
Maintenance means that you are 'maintaining' something ----- i.e. taking care of it before it breaks --- in the absence of visible symptoms / problems. In my profession, "maintenance" is frequently not really maintenance at all because it's the only thing that controls the pain. Unfortunately ---- JUST LIKE DRUGS --- visit after visit after visit after visit of Chiropractic Adjustments are used to manage instead of solve. Sometimes that's all you can really do. Sometimes, but not usually.
There are large numbers of people whose only real pain relief is through CHIROPRACTIC ADJUSTMENTS (sorry; HYDROS, NSAIDS, and IMMUNE SYSTEM SUPPRESSION don't really count as 'maintenance'). Unfortunately, for a significant portion of this same group, the effects of said adjustments are short-lived. For some of you, the adjustment might last a few weeks. For many of you, it might only be a few days --- or even worse; a few hours (HERE).
What makes a trip to Doctor Schierling different? And what does a visit to Schierling Chiropractic, LLC look like if you've never been here before?
- CONTACT THE OFFICE: If you are considering becoming one of our OUT-OF-STATE OR INTERNATIONAL PATIENTS, you need to send me your history via our CONTACT PAGE. This same page is where you can see what the clinic looks like and sort of kick the tires. Otherwise just call Cheryl at (417) 934 6337 to make an appointment. Walk-ins are always welcome and will be worked in as time allows.
- PAPERWORK: Unfortunately, if you are coming in as a new patient, there will be some paperwork for you to fill out. However, to make things easier, simply go HERE, print it out at home, and bring the completed forms with you.
- CONSULTATION & EXAM: I will bring you back to my office, discuss YOUR PROBLEM(S), then examine you. If I think I can help you, I will help you here and now. If not, I will try and point you in the right direction (OFTEN LIKE THIS or maybe LIKE THIS). If I am UNSURE, I will tell you that as well.
- TREATMENT: Whatever treatment(s) I do; in most cases my goal is to address the UNDERLYING CAUSE of your pain. For most of you, that goal includes making an immediate here-and-now change (HERE are numerous examples of what I'm talking about). Sometimes --- particularly with acute problems --- this is not possible (HERNIATED DISCS are possibly the best example of this). However, with most chronic, long-standing problems, you will know after one treatment whether or not my approach is going to benefit you. This does not mean that a single treatment will necessarily provide the complete solution, but that you will know whether my approach is helpful.
- POST-TREATMENT: Depending on what problem(s) you saw me for and what we did, I may send you out with advice from my website, EXERCISES, STRETCHES, NUTRITIONAL RECOMMENDATIONS, POSTURAL REHAB, HOW TO ADDRESS YOUR OWN BACK PAIN, etc, etc, etc (HERE is my clinic's online checklist of handouts). In most cases, I will not make you a follow-up appointment. If you like what I do and feel it's beneficial, fantastic. Call me if and when you want to come back. If not, that's OK to. I don't claim to be able to solve everyone's problems. What I will do is go out of my way to help you in any way I can (example coming momentarily).
- AS YOU LEAVE THE OFFICE: Because our fees are so low --- typically lower than most health insurance co-pays (adjustments are $35.00 and TISSUE REMODELING is $45.00) --- payment is expected at time of service. For new patients, there will be a $40.00 examination fee. If you have questions about anything else, just visit our FAQ PAGE.
- OUT OF STATE OR INTERNATIONAL PATIENTS: For those who are coming from great distances to see me (HERE), make sure to take a look at THIS PAGE as it will answer almost any question you could ask --- other than "Can you help me with........?" or "Who do you know that does the same thing in.....?"
Things at Schierling Chiropractic, LLC are simple. There is never a sales pitch. And while I do carry a few WHOLE FOOD SUPPLEMENTS in my office, I do not sell them through my website. Neither will you will not hear me chiding you for not coming to see me often enough, or that if you would just let me give you enough adjustments I could solve all your problems. Again, if I think I can help you, I will help you. If I don't, I won't (HERE is an example).
Below is a short transcript of an email conversation I had with a DESPERATE PATIENT earlier this week (I get so many of these --- many in the form of "Blog Comments" over at DESTROY CHRONIC PAIN --- that I cannot possibly answer them all). If I do answer them at length (HERE are several), it's in the form of a blog post so that everyone gets to share in it.
"Dr. Schierling, I had gall bladder surgery last February and never felt like I recovered from the surgery because I have had stomach problems every since. Shortly after, I got bile gastritis that made my stomach inflamed and raw. I also ended up going to the ER one night with pain under my front ribs on both sides. The Dr. Immediately told me it was costochondritis and would heal itself within a couple months. That was 10 months ago and the soreness of my ribs has only spread and now Drs have told me that's not what I have.
No one knows what it is and I am so miserable. It has never hurt me when I cough or breathe deep. Now all across my front ribs hurt and at times I feel like there's a tight band from my left side to my right side. Putting any pressure on any of my ribs in back also is very painful. When I have any extra stress at all, it gets worse and the band across feels tighter and all I can do is lay down with a heating pad which helps a bit but does not take it away.
Drs have prescribed me all sorts of pain medicines but none seem help in any way and I don't like taking them in regards to not getting gastritis again with anti-inflammatory's etc. I'm reaching out for any answers for this. I could live my life the way I want to if I didn't have this misery all the time. It's better at night when I'm sleeping, and when I first wake up to start my daily routine it flares up immediately.
It's only gotten worse since it started last February and no Dr. I've seen has helped me figure it out. I'm so frustrated not knowing what is causing it and how I can get relief from it. I'm desperate now for answers or any ideas of what it could be. What test will show what's going on in my rib cage. I will so much appreciate any help you can give me! Thank you."
Unfortunately, this is probably not something I can help you with.
"In response to my first contact form I didn't go into all the details. Please read and see if this changes anything in regards to what you could possibly do for me.
My gall bladder surgery was due to it being inflamed. Then just short of a month later I got an inflamed stomach. Then my ribs started hurting and the Dr diagnosed me with inflammation /costochondritis which still hurts me daily. My abdomen has hurt me down my right side and all through the middle of my abdomen. I've had all kinds of test for that cat scans, mri's, ultrasounds, x rays, gastropariesis test, ekg's which all turned out with everything normal nothing was wrong. I've been in and out of the ER to no avail. I saw a gastroenterologist for two years. Had two colonoscopy's, two endoscopy's
A stool test last August showed C Diff bacterial infection-inflammation of my intestines. Multiple blood tests showed inflammation. After getting rid of the C Diff infection which took 3 months of 4 rounds of antibiotics I'm still suffering daily throughout my abdomen. All across my ribs and down my right side throughout the middle. I've had two additional surgeries. Appendix removal in 2010, C-section in 1999, then gall bladder Feb 2015.
My Dr. told me after all the tests I've been run through, they have run out of ideas for helping me. I'm so miserable still, something is wrong. I started feeling I was being considered a hypochondriac or something just complaining. The truth is I've been through so much with medical Drs. And hospital ER Drs. That I'm not very trusting of them anymore. I've gotten no where with them helping me find relief from constant pain and misery in regards to all my inflammation.
I also have been dealing with nerves and nerve pain for 6 months on top of this. I have got carpel tunnel too. Was put on medicine for anxiety and depression and I don't like the side affects of the medicine I have no genetics for anxiety or depression. As you can see I'm very very frustrated and don't know where to find my relief. I'm a Mother to five children and am not able to function properly and of course don't like to lay down in bed from pain and misery during the day and suffer through making dinner etc. For my family. I try hard to not show how I feel to my children and my husband has a stack of Dr/hospital bills to pay and I'm still needed answers for relief.
I don't sleep well. My joints started hurting. I feel stiffened when I walk. I feel like my abdomen is swollen and it protrudes. This is all due to lots of inflammation, and Drs have no answers for me since finding nothing with all the tests. I have zero energy. I'm suffering day and night with my ribs and abdomen. I often cry from frustration. My husband will go to any length to get me better. Please reconsider if you can possibly give me any relief at all. I need some relief to at least function a little more than I'm able to now. I love my life and want to enjoy it with out all the suffering I'm going through at this time.
Thank you so much for your time and concern in reading my emails :)"
Hello Jane, I am pulling for you. I am just not convinced that your problem is something I can help you with in my clinic. However, I turned your letter into a blog post for everyone to share in (HERE). Sincerely, Russ S.
MY GOAL IS ALWAYS TO SEE YOU LEAVE WITH A SOLID GOLD BRICK IN YOUR HAND
I also saw a man (Wed) who had been dealing with low back pain since eighth grade and NECK PAIN & HEADACHES for the past three years (as you might imagine, he had received a ton of chiro care and THERAPY both). After discussing his history and examining him, I did Scar Tissue Remodeling on his neck (a lot) and his low back (just a bit), adjusted him, and gave him THIS INFORMATION for his low back, and THIS INFORMATION for his neck and CHRONICALLY TRIGGERED trapezius muscles. The difference was immediate and it was huge. Sure, he will probably need to see me a couple more times. But there's no rush. I told him to call me when his neck, to which we completely normalized his RANGES OF MOTION, starts feeling tight again (Yes, I sent him out with a DAKOTA TRACTION DEVICE so he could get rolling on PHASE II).
Simple. Easy. Inexpensive. Other than the fact that my family never pays for my services, I promise to treat you like I would treat my own family. PUTTING A GOLD BRICK IN YOUR HANDS. It's a pretty good combination. If you are interested in looking at a few of the hundreds of testimonials on our site, HERE is the place to go. If you are wondering what it might take to solve your particular problem(s), look no farther --- it's always a great time to TURN OVER A NEW LEAF.
ARE THERE SOLUTIONS FOR
(Common Causes of Inflammation)
I have one question of greatest interest: Do you know anybody who"s struggled with chronic systemic tendinosis who has achieved lasting improvement?
The way I understand tendinosis, even if I succeeded in stopping/minimizing the root cause of what is causing my tendons to deteriorate like they are, (say an autoimmune reaction which could be regulated with diet, sleep, etc) they would still be afflicted with microtears / scar tissues / etc which, based on my readings, the body is simply unable to heal completely. The scar tissues, if I'm correct, are in fact what the body can do in the way of healing. Though, if my tendons would at least stop getting worse, yes that would be nice. . .
Also, I'm not aware of autoimmune disorders being curable; rheumatoid arthritis, MSC, alopecia. . . I've only heard of symptom management as far as that goes.
One more question, if you have time: I tested negative for gluten intolerance some years back. Do you think those tests are reliable?
So many of my tendons hurt, and they seem to be becoming increasingly vulnerable to physical activity causing permanent increase in the average pain of any particular tendon, (with the inflammatory flair-ups becoming increasingly frequent and severe) that even ordinary daily activities are requiring ever greater amounts of resolve and determination. And I'm only 34. (just to type this, I'm using two wrist braces each with a toothbrush attached) I have very strong convictions in the inherent goodness and ultimate purposefulness of life, so I'm committed to a positive frame of mind and looking for answers. . . though it's gotten to the point that the possibility of recovery is appearing increasingly unlikely. If you have time to answer my two questions, I would be deeply grateful!
Keep doing the good work. I'll keep doing my part in looking for answers and considering new possibilities and lifestyle changes.
Systemic Tendinosis, while not super common, is far from unheard of. In fact, there is a website devoted to helping those who suffer with Chronic Tendinosis (Tendinosis dot org). My experience with SYSTEMIC TENDINOSIS (this link is to an article I wrote for that site ----- HERE, HERE, and HERE are some other similar articles) is that there are two chief causes. The first is ANTIBIOTICS --- all of them, but most specifically the Fluoroquinolones (HERE, HERE, HERE, and HERE). I do not consider myself an expert on this topic, and do not know how to solve it.
It is my opinion that the second type of Systemic Tendinosis is, as you mentioned, a form of AUTOIMMUNITY. Although there are hundreds of named Autoimmune Diseases (HERE are some of the more common), there are many times more that have no name because no one has figured out yet what the auto-antigen is (in other words, the experts are not even sure what tissue, enzyme, chemical, molecule, is being attacked). Regardless, we ultimately need to figure out what is driving Inflammation. Even though TENDINOSIS itself is not considered "INFLAMMATORY" because it does not contain inflammatory cells, Inflammation is ultimately what causes the Autoimmune reaction that can cause the body to attack some aspect or another of the tendons. Below is a list of some of the more common drivers of Inflammation.
- FOOD SENSITIVITIES: This category includes things like GLUTEN or GLUTEN CROSS-REACTORS, DAIRY, FODMAPS, NIGHTSHADES, additives such as MSG or ASPARTAME, or any number of others. Gluten is an especially big deal because of its known NEURO-TOXICITY. However, because Autoimmunity is intimately related to Gluten (HERE), I would stay away from it as a matter of course if you are dealing with a chronic health issue --- or they run in your family (HERE). And to answer your question, I am not convinced that testing is nearly as sensitive as a good ELIMINATION DIET. If a person's Immune System is weakened enough, they will not produce enough antibodies to test positive for Gluten, even though they are massively sensitive. Also, here is my post on ANTI-INFLAMMATORY DIET.
- BLACK MOLD: When it comes to BLACK MOLD, all bets are off. This stuff is nasty, and the more you study its potential effects, the scarier it is.
- HEAD INJURIES: HEAD INJURIES (HERE, HERE, or HERE) are a huge component in developing Autoimmunity. Click the first link to understand why. I have a long-distance patient that I was able to solve several years ago after she had a bike wreck in a cemetery and hit her head on a gravestone. Unfortunately, she just reignited her problem. She was at a nice resort pulling a towel out of a wall-mounted rack. When the towel stuck, she gave it a sharp jerk that pulled the rack (a steel cage) off the wall and into her face. Her all-over pain is back with a vengeance.
- PARASITES: Parasites are one of those things we don't think much about, but have a huge potential to drive Inflammation and Autoimmunity (HERE).
- HEAVY METAL TOXICITY: MERCURY & ALUMINUM (yes, I realize that Aluminum is not a "heavy" metal) and any number of others, have the potential to wreak havoc on the Immune System, as do the VACCINES that so often contain them.
- INCREASED INTESTINAL PERMEABILITY: Also called "LEAKY GUT SYNDROME," not only is this problem caused by Inflammation, it drives it as well, creating a vicious cycle.
- STRESS: When I talk about stress, I could be talking about physical stress, emotional stress, DIETARY STRESS, etc. The bottom line is that stress causes the Adrenal Glands to kick into overdrive, often times burning them out and leading to something called ADRENAL STRESS / FATIGUE.
- CHRONIC INFECTIONS / DYSBIOSIS / POOR GUT HEALTH: Each and every passing day leads to new discoveries in this field (tick-borne infections are a particularly hot topic right now). Antibiotics destroy the MICROBIOME, leading to poor GUT HEALTH and DYSBIOSIS. Because 80% of the Immune System resides in the Gut (HERE), anything that affects the Gut has the ability to cause serious amounts of Inflammation and Immune System Dysfunction.
HELPING YOU FIND AN EXIT STRATEGY
Because of (or maybe in spite of) our technological advances, modern medicine has proved itself the dream scenario for BIG PHARMA and our healthcare system, which it LARGELY CONTROLS. When it comes to DIABETES, HEART DISEASE, CHOLESTEROL ISSUES, ARTHRITIS, CHRONIC INFLAMMATORY DISEASES, INCREASED INTESTINAL PERMEABILITY, AUTOIMMUNITY, as well as a myriad of others, our medical community will tell you that there's no cure. Instead, there's only a lifetime of tests, DRUGS, procedures, EXAMINATIONS, DOCTOR VISITS, MISERY and BRAIN-WASHING. In the words of those two CUT OUT GUYS from the old Guinness beer commercials, "brilliant". What more could the people making billions of dollars off this system ask for than for the American people to live longer than ever, while being sicker than ever as well (HERE)? That's why I created my site.
My goal is to weed through the available peer-review and provide you with a synopsis --- the pertinent information that you and your family should be aware of if you value your health / their health (HERE, HERE, HERE, HERE, and HERE are a few examples of hundreds). And because the starting point for solving chronic health issues, getting out of pain, and getting your life back is essentially the same (only because the causes of most ARE THE SAME AS WELL, I have also provided you with A GENERIC BLUEPRINT for getting there --- an "exit strategy" if you will.
Why is having an exit strategy so important when it comes to your healthcare? As the old cliche says, a failure to plan is planning to fail. If you follow the pack (i.e. do exactly what your doctor tells you to do), you'll never be anything more than what Corporate America (the Pharmaceutical Industry included) sees you as ---- a commodity ---- a dollar sign ---- a gold mine. To them, a chronically sick public is the goose that's perpetually laying golden eggs.
Think about the importance of exit strategies in terms of our national involvement in the wars we've fought since the SECOND WORLD WAR. With today's technology, it's downright easy to go into a country, blow things up, kill people, and generally be destructive on every level. But having a valid / effective exit strategy --- that's much more difficult. It's likewise true in the medical field. It's easy to run lots of tests and chase symptoms by by prescribing drugs or performing unnecessary surgeries (HERE). But getting off the MEDICAL-MERRY-GO-ROUND; that's the real challenge. And unfortunately, it's not something your doctor can do for you. In fact, don't be surprised if your doctor and your family / closest friends are against you even trying (HERE). The truth is, if you want to enjoy life as you get older (or for that matter, now), you'll have to knuckle down and do it yourself.
Is it hard? For awhile it may be the hardest thing you've ever done in your life. But believe me when I tell you it gets easier. the following is an interview / testimonial from Carol. Carol saw her health and quality of life slipping away as she was diagnosed with SEVERAL AUTOIMMUNE DISEASES, including RHEUMATOID ARTHRITIS, SCLERODERMA (an autoimmune disease that essentially causes your entire body, organs included, to turn to fibrosis / scar tissue) as well as am unnamed lupus-like disease. I have a vested interest in this case because Carol is my youngest sister. Pay close attention, because her story --- at least the first part of it --- is not unique. There are many of you out there who will read this and see yourself in her. I have added my links into her letter, which were her emailed answers to "interview" questions.
- WHAT ARE THE HEALTH PROBLEMS YOU'VE HAD? Scleroderma has made me deal with joint pain (whole body), muscle pain, CHRONIC FATIGUE, lack of energy, DEPRESSION, brain fog, Raynaud's (in both hand and feet), swelling that has left me no longer able to totally straighten my fingers, etc. Taking lots of medications has led to GERD AND A STOMACH ULCER. Then I got put on more meds for that (HERE). Just a vicious cycle!
- HOW MUCH DO / DID THESE PROBLEMS AFFECT YOUR LIFE: My pain got so bad that I could hardly function anymore. In two years time I watched myself no longer be able to get on my knees, sit on the floor, do much climbing, etc. MY KNEES were so bad it prevented me from doing those kinds of things. There were some days I needed help getting out of bed, getting dressed, etc. I was not able to partake in outdoor activities when it's cold. Raynaud's makes it too painful...my hands become purple, numb, and sore [Raynaud's is a form of vascular NEUROPATHY combined with SYMPATHETIC DOMINANCE].
- WAS IT COSTING YOU ANYTHING TO HAVE THESE PROBLEMS? Absolutely!! I could no longer live a "normal" life. I couldn't participate in activities my family did because I physically couldn't handle it. It made basic things like walking, sitting, or even lying in bed painful. Very depressing to become a person who can no longer function without pain. I became very dependent on my husband and sons to help me on a daily basis. Financially it's very expensive as well! Medications, Dr. visits, scopes, and lots of other tests are not cheap. Just this past week my rheumatologist ordered an EKG and breathing test. Scleroderma can affect your internal organs, and he wants to make sure they look okay. The whole cycle just never seems to end!
- DID YOU OR YOUR DOCTORS EVER TALK ABOUT AN EXIT STRATEGY? My rheumy basically made me feel like there was no hope. I could never be "cured" of my autoimmune diseases. His goal was just to keep them from progressing by throwing MORE AND MORE MEDS at me. I'm supposed to go to see him every 3 months, keep taking my meds, and do whatever testing he sees fit... for the rest of my life. Doesn't sound like much of a life to me. The thought of an EXIT STRATEGY resonated with me.
- WHAT ARE YOU DOING TO GET OFF THE MEDICAL MERRY-GO-ROUND? I'm still very much in the process. It all started when my brother, Dr. Russell Schierling, talked me into reading IT STARTS WITH FOOD and doing an ELIMINATION DIET. I guess I had finally reached a point in my life where I felt I couldn't go on like I was any longer. I was sick of the pain and ready for a change. I completed a Whole62 and now strictly eat AIP paleo (AUTOIMMUNE PROTOCOL PALEO). It's amazing how much better I feel when I'm no longer eating out or eating JUNK! I still have bad days, but they happen a lot less frequently. I'm also going to have food sensitivity testing done to see if I can eliminate more pain by finding out what healthy foods don't agree with my body [suggestion: when joint pain is a major issue, take a hard look at NIGHTSHADES. FODMAPS are an issue for many people as well as GLUTEN-CROSS REACTORS].
- HOW HAVE THESE CHANGES AFFECTED YOUR OUTLOOK ON LIFE? I feel like there is hope again! My Dr. may be right in saying I will never be cured of my autoimmune diseases, but I am not going to let them ruin my life any longer (HERE). What I eat and how I take care of myself affects how I feel. I'm no longer going to sit back and do nothing. I'm going to keep moving forward with my new healthy lifestyle.
- DO YOU HAVE ANY ADVICE OR MOTIVATION FOR MY READERS? Find at least one person who is willing to make the journey with you. I have made it this far because of the love and support of my family and a couple good friends. Don't give up on yourself. You are worth it!
Just to let you know, our original conversation was in May of 2015. I saw her on Jan 1 of 2016 for my PARENTS 50TH. Eight months after starting this program, Carol had lost almost 100 lbs and got off most of her meds --- she looked and felt great! Her husband, who followed the same program, lost maybe as much weight, and started riding his bike to work in a town that is 11 miles away. Within a year and a half he has become a serious competitive long-distance bike racer (he just won a big race down in Austin), who is good enough he's been sponsored by a riding team from Kansas City. Way to go guys!
THE CONNECTION BETWEEN PCOS, LOW LIBIDO, UNCONTROLLED BLOOD SUGAR, AND HIGH TESTOSTERONE
"Androgen excess is the most common endocrine disorder in women of reproductive age. Androgens are produced primarily from the adrenal glands and the ovaries. However, peripheral tissues such as fat and skin also play roles in converting weak androgens to more potent ones. Androgen excess can affect different tissues and organs, causing variable clinical features such as acne, hirsutism, virilization [masculinization] and reproductive dysfunction." From the opening paragraph of Dr. Mohamed Yahya Abdel-Rahman's online article called Adrogen Excess. Abdel-Rahman is a Reproductive Endocrinologist at Sohag University in Egypt.
Generally speaking, when men have chronic health problems they end up with low libidos, which is actually one of the first signs of ill health in males (HERE). They are usually told that this is the result of "LOW T" (not enough testosterone), although Low T has a number of underlying causes. Women can likewise end up with low libidos as the result of long-standing generalized health problems. You have heard me say repeatedly that UNCONTROLLED BLOOD SUGAR --- even in the absence of full-blown DIABETES ---- is at the root of almost every health problem you can name.
One of the most visible examples of this phenomenon is something called PCOS. We know that PCOS is heavily linked to both blood sugar and INSULIN RESISTANCE. So much so in fact, that it is frequently treated with Diabetes drugs such as metformin. With PCOS, women's bodies fail to respond normally to insulin (they require more), and on top of this they make much more testosterone than they need. And as you might have imagined from this post's title, this affects the libido, but not in the way that seems obvious from what you've learned so far (SUGAR IS TURNING MEN INTO WOMEN AND WOMEN INTO MEN).
Although some women with PCOS will actually have an increased sex drive (intuitively, this makes sense), the majority will have a dramatically decreased (or even non-existent) libido. As I'll show you in a moment, much of this depends on what's going on with testosterone levels. So, PCOS is not only the number one cause of INFERTILITY in America (it's arguably America's #1 female endocrine problem), but also a huge contributing factor to SEXUAL DYSFUNCTION as well. While the medical community is busy trying to solve this problem with a host of drugs and procedures (including IVF), I would like to show you what you can do to start the process of getting your life, your fertility, and your libido back on track. Why am I talking about this on my blog? Read the email I got from R.F. of the Seattle area just the other day.
Dear Dr. Schierling,
I am at my wits end. I am a 38 year old married female in very poor physical condition. I admit that I am severely addicted to sugar, sweets, and fast food. Although I was an athlete in college and took great care of myself, over the course of the past 15 years (two healthy teenagers), I have gained over 100 pounds (I am 5'7"). I have been to lots of doctors, and although they all tell me that among other things I have PCOS, nothing they prescribe seems to work for me. I am now on antidepressants along with several other medications. I have absolutely no libido and my husband is becoming more distant by the day. What advice can you give me? I am willing to do anything. Just please do not just tell me to eat less and exercise more like my doctor does. That approach does not work. I cannot go on living like this. Thank you for your website and the amazing amount of information you provide.
Sincerely, XXXXX XXXXX
When women end up with high levels of testosterone caused by Insulin Resistance, they also end up making excess Estrogen as well. This is why they not only end up with PCOS, but are thrown into ESTROGEN DOMINANCE at the same time. Because the female hormones get fouled up, one of the common solutions is to get a prescription for certain hormones (bio-identical hormones are particularly hot right now) to "balance" things out (HERE). With women, it is often some sort of HRT, with men, it is taking testosterone for the supposed "Low T". Let me show you why in and of itself, this is extremely short-sighted.
Don't get me wrong, someone who really knows what they are doing with these hormones can make some dramatic changes in symptoms --- at least for awhile. The problem is that virtually all of the hormones in your body are on negative feedback loops ---- the same sort of loop your air conditioner and heater are on. A thermostat has an adjustable set point, and shuts off your heat or air once the desired temperature is achieved. When the temperature changes, the thermostat fires your unit up again. Hormones are on similar thermostat-like feedback loops. When the body has enough of a hormone, it will shut down endogenous (its own) production. This is why bodybuilders who take testosterone end up with shriveled testicles.
THE TESTOSTERONE DICHOTOMY
Your body's tissues / cells communicate with each other via a number of chemicals. These chemicals have interesting names like CYTOKINES, chemokines, interleukins, or any number of others. We like to refer to these chemicals collectively as "Inflammation". Not too long ago I was at a nutritional seminar where the speaker made an interesting statement. When referring to solving chronic disease states, he said, "Inflammation is everything". In other words, find out what is driving INFLAMMATION, and you'll likely be a long way to solving your problem. Sugar is extremely inflammatory, as is JUNK FOOD. For many people, GLUTEN is massively inflammatory. The list is extensive, and can include everything from heavy metals to parasites. In fact, it can be nearly endless.
What does this have to do with PCOS? Listen to what Hethir Rodriguez of the Natural Fertility Info website has to say on this subject. "It has also been found that women with PCOS have low-grade inflammation, which may be a cause for insulin resistance. White blood cells produce substances to fight infection, this is known as inflammatory response. In some predisposed people eating certain foods, or exposure to certain environmental factors may trigger an inflammatory response. When inflammatory response is triggered, white blood cells produce substances that may contribute to insulin resistance and atherosclerosis." If you want to see a list of the "substances" she is talking about, HERE is a post on the subject.
But back to the question at hand. Why do you find some women with PCOS who are obese and some who are not (because 70% of our society is overweight or obese, most of those with PCOS are naturally going to fall into this category)? And why do you find some women whose sex drive is off the charts, while others (the majority) have sex drive that are in the dumps? There are any number of reasons, but I will attempt to shine some light on a few that I am aware of. I am sure that I am just scratching the surface.
- LENGTH OF TIME WITH THE PROBLEM: When researching this post, it seemed that generally speaking, the vast majority of the women touting increased sex drive with PCOS had not been living with the problem for very long. It also seemed like they were not, for the most part, women struggling with the most hardcore PCOS Symptoms. In other words, I am not sure if I recall seeing a post from a woman with all of the PCOS SYMPTOMS saying that she had a raging libido. In fact, many had no other symptoms than high testosterone on their blood work, and the inability to get pregnant (they may or may not have been overweight).
- SHBG: SHBG stands for Sex Hormone Binding Globlulin. Women manufacture testosterone in several places (25% from the adrenals, 25% from the ovaries, and about half comes from the conversion of androstenedione in the fatty tissues). However, when it comes to testosterone, the number that really matters is how much free testosterone is circulating in the blood stream --- most labs will say this is about 30-75 ng/dl, which is only about 1% of one's total testosterone. According to Dr. Mohamed Yahya Abdel-Rahman, some of the things that cause SHBG to "unbind" from testosterone and leave women with increased levels of free testosterone circulating in their bodies includes HYPOTHYROIDISM (sometime take a moment and compare the symptoms of Hashimoto's to PCOS), EXCESS INSULIN / OBESITY (these two go together like peas in a pod), Glucocorticosteroids such as CORTISOL and CORTISONE, as well as excess androgens themselves. An interesting side note is that Estrogen is antagonistic to Testosterone (it decreases it), which is why the birth control pill is a commonly used medical treatment for PCOS. Just be aware that 'The Pill' has an incredible number of potential side effects itself --- particularly with long term use.
- ESTROGEN DOMINANCE: There are any number of reasons that women can have higher testosterone levels in their system, with PCOS being one of many. Some women simply have more T than others. Read the internet message boards on the subject or look at the peer-reviewed literature and you'll find that women who engage in heavy, complex, multi-joint weight lifting also seem to have both high testosterone levels and higher sex drives (HERE). Remember that although there are probably hundreds of reasons that women have androgenic hormones (testosterone or precursors such as DHEA) in their systems, conversion to Estrogen is one of the biggies. Over-conversion ("aromatization") is just one more thing that can lead to Estrogen Dominance, which is an epidemic among American women. And as far as I am aware, you simply do not find women with significant Estrogen Dominance who have heightened normal sex drives (they are always suppressed).
- GENETICS: I would never hope to tell you that genetics play no part in PCOS. However, it is critical that you understand that EPIGENETICS trumps genetics in case after case after case. "It's my genes" has become the excuse du jour. Once you understand that in many (arguably most) cases you have the ability to turn genes on or off via diet and lifestyle, it can be very empowering.
- POLLUTION / TOXIC LIVING: We are exposed to a wide array of pollutants on a daily basis (HERE), the majority of which are considered to be "ENDOCRINE DISRUPTORS" (they are also known as XENOESTROGENS). Along this same line of thinking, having a toxic (or absent) microbiota (POOR GUT HEALTH) is being linked, along with blood sugar, to most health problems as well. This is loosely called "DYSBIOSIS", and along with a LEAKY GUT, is one of the major consequences of our nation's UNBRIDLED ANTIBIOTIC USE. Another point I have to make here is that it will be impossible to correct hormonal imbalances without being able to clear excesses from your body (HERE).
- STRENGTH TRAINING: STRENGTH TRAINING can increase androgen levels somewhat. However, because it is extremely effective at lowering insulin levels and increasing insulin sensitivity, you will never see it associated as a causal or contributing factor as far as developing PCOS is concerned.
Granted, there are many of you reading this that might very well require the services of someone trained in FUNCTIONAL MEDICINE. The thing is, according to any number of experts, DOING THE BASICS on your own will result in great improvement for many of you; probably the majority of you. For instance, you can already imagine what a PALEO or KETOGENIC DIET do for you! For a complete generic protocol (nothing to buy), take a look at THIS POST.
HEADACHES AND DECREASED MOTION
OF THE CERVICAL SPINE (NECK)
According to a 1991 study published in the Journal of Clinical Epidemiology, Tension Headaches account for a whopping 90% of all headaches. The pharmaceutical industry is making a killing on this common problem, with annual sales of these various products reaching into the billions of dollars. Fortunately, the past two decades has produced a great deal of scientific research telling us not only that over the counter pain meds are far more dangerous than we have historically been led to believe, but that there are effective alternatives to these drugs. There is a significant body of evidence (both empirical and anecdotal) for manipulative therapies such as CHIROPRACTIC ADJUSTMENTS being able to people who struggle with chronic headaches.
Although the medical community likes to claim that Tension Headaches are brought on by things like lack of sleep, poor posture, LOW BLOOD SUGAR, eyestrain, or any number of others (stress is the most common scapegoat), this is not completely accurate. Although any of the things listed above can trigger a Tension Headache, I would argue that the underlying cause of the headaches frequently has to do with restricted joint motion. And while it is certainly true that stress can cause the muscular tension that in turn causes headaches, it is also true that the majority of us are under all sorts of daily stress, yet do not struggle with chronic headaches. It's sort of like trying to blame germs for disease. If germs were really the source of all disease, why won't everyone in a third grade classroom get sick when the flu makes the rounds? There are other factors at play. But I regress --- we are talking about ROM and headaches.
CHRONIC HEADACHES & FASCIA ADHESIONS
This has to do with the fact that so many Chronic Headache Patients are (unknowingly) struggling with FASCIAL ADHESIONS. Imagine for a moment what would happen if modern medical technology was unable to image the most pain-sensitive tissue in the body. Now imagine that this pain-sensitive tissue was found literally everywhere in the body --- one of the more abundant of the COLLAGEN-BASED CONNECTIVE TISSUES. This is exactly what is happening. The single most pain-sensitive tissue in the body (Fascia) cannot be imaged with current MRI technology. What does this mean for you? It means that when you go to the doctor(s) / specialist(s) to find out why you are having headaches, you will likely be told (after having gone through $25,000 worth of tests) that there is nothing really wrong with you --- other than, "Well Mrs. Smith, you just aren't as young as you used to be." Or, "Gee Mrs. Jones, no one really knows why some people get headaches and other people do not." Or the newest favorite, "You'll just have to blame your parents for those bad genes they passed on to you."
CERVICAL RANGES OF MOTION CAN BE DECEIVING
(A Case History)
For whatever reason (a hunch maybe; or maybe just experience), I checked her for Scar Tissue despite any real objective findings that would lead me in this direction. Needless to say, she had some of the most brutal Scar Tissue / Fascial Adhesions I have ever seen --- huge tears running one on top of the other from the very top of her neck clear down into the middle part of her back. After treating her, I rechecked Ranges of Motion. When she turned her head to the side, her nose was actually back behind her shoulder bilaterally. She felt an instant relief even though her Range of Motion was technically 'OK' to begin with (HERE). This is just another reminder that everyone is different as far as what a 'normal' range of motion is, and there are few hard and fast rules when it comes to treating patients (HERE).
WEEKLY PATIENT TREATMENT DIARY
SCHIERLING CHIROPRACTIC, LLC
This Blog Post is actually a page that I called "Weekly Patient Treatment Diary" that was taken from my old Destroy Chronic Pain website. It is a page that I did not want to bring over to this site, but I did not want to simply destroy it either. It is quite long, and you will never get thru it all. That's OK. Check it out and enjoy.
HIPAA DISCLAIMER: Neither verbal information nor written records about our patients can be shared with another party without the written consent of the patient, or the patient’s legal guardian or personal representative. It is our official office policy not to release any information about a patient without a signed release of information except in certain emergency situations or exceptions in which, under HIPAA regulations, information may be disclosed to others without written consent. If an individual’s name is given on this page, it means that Schierling Chiropractic, LLC has said individual’s express written consent to use both their name and testimonial.
WEEK OF MARCH 7, 2011:
I successfully treated a middle aged woman who had major scar tissue on the right side of her middle back. She had been through lots and lots of therapy, chiropractic, and home stretching (nearly two decades worth) and still had Chronic Pain in her back. This was her second treatment, and she has been out of pain now for over a month.
I gave a long time patient his second treatment for an elbow tendinopathy. His first treatment was over four years ago —– he is starting to have some problems again and needs a second treatment.
I gave a second treatment to a 12 year old girl with Osgood Schlatter’s Syndrome. Although she had been through a great deal of treatment and doctor visits (unsuccessful), she could squat without pain after her first treatment. She was probably 75% better after one treatment —- I released her after her second.
I treated a middle aged woman for elbow tendinosis. When I started treatment, she could not make a fist. Within 5 minutes, she could nearly squeeze my arm off.
I saw a middle aged male today for the first time in several weeks. He originally presented with chronic neck pain, headaches, and an inability to turn his head to the right. His neck x-rays were clean, showing no real reason his mobility should be so restricted. I treated him twice to break up the scarring in his neck fascia. He just told me that he is about 75% better on a day to day basis than he has been for years.
I saw a very fit, middle aged woman for Achilles Tendinitis (I had previously seen her for Shin Splints). Both problems were essentially “fixed” after just one visit.
I gave the 5th or 6th treatment to a medicare-aged woman with a history of terrible MVA decades ago. She had been through more treatment than you could almost imagine with no relief for her chronic neck & back pain, and headaches. She has just about as bad of a case of Fascial Adhesion in the neck as I have ever seen. She is slowly improving with more ROM and less pain and headache.
I spoke with a woman that I had recently released from care. She had been rear-ended by a semi truck on the ice, and was having lots of pain in her mid back. Adjustments were not holding, so we treated for scarring. Several treatments and she improved quickly and dramatically.
I treated a young runner who had developed a tendinitis of her ankle and could not bear weight or bend it without pain. I found which tendons were giving her problems, and within a few minutes —– she could not reproduce pain; no matter what she tried.
I treated a long term patient for adhesion and scarring in his mid and upper back. I have treated him several times before, and it helps him tremendously. Although he still has some issues, the Tissue Remodeling Treatment has helped him tremendously. he works out on the road and has been to many chiropractors, therapists, and doctors. The tissue work that we do has helped him more than anything.
A middle aged woman drove a significant distance to see us a second time for her neck. Although she had gone to several chiropractors over the years, she never had relief or improved mobility for more than a few days with chronic neck pain and headaches. I had treated her previously a couple of years ago with a big and immediate improvement in both ROM and pain.
WEEK OF MARCH 14, 2011: It was an interesting week for treating Piriformis Syndrome.
I had a woman come in who had fought chronic hip / buttock pain with associated leg pain (sciatica) for over twenty years. On her first treatment, she was dramatically better — instantly!
I had another young woman come in with classic Piriformis Syndrome. She has had chronic hip and buttock pain (bilateral) since the birth of a child. Although she has desperately wanted to exercise, she had not been able to so much as ride a bicycle for over 7 years. After a 10 minute treatment that included working on both piriformis muscles, she got off the table and for the first time since she could remember, could not reproduce her pain no matter how hard she tried.
One of my long-time patients who logs for a living, came in last week complaining again about his Wrist Tendinitis. (The doctors would have probably called it DeQuervain’s Syndrome). Call it what you want, he was about 90% better, immediately after treatment — verified again when I saw him yesterday for his low back. I had fixed his brother’s chronic neck pain several years ago using our tissue work, and suggested he try it for his wrist. He had been messing around with acupuncture for well over a year, and was tired of the on-again, off-again results. He was worried not only about not being able to run his chainsaw, but about being unable to fish. No worries now; he just left for a week of fishing for big bass in Texas!
About three years ago, I had an older, middle aged woman come to me for abdominal pain, low back pain, hip pain, and female-type pain. She had a history of factory work and a 5th lumbar disc that was degenerative to the point of being gone. She was in the process of paying of a “bladder surgery” from several years prior to our first visit that was supposed to fix all this. It did not. Adjustments would help her for a day or two and then she would be in agony again. We started doing tissue work, and literally found problems all over the place. She had some ITB Syndrome, Piriformis Syndrome, as well a generalized Fascial Adhesions in her low back / pelvis area. She has been one of my great challenges, but has seen steady improvement to the point she can now go 2-3 months without pain. I have never seen another case quite like hers in twenty years of practice.
I had a gentleman in his 80′s come in today with what first appeared to be sciatica. He had tripped and fallen over a concrete parking barricade and had pain shooting down the back of his leg. Upon further examination, I realized that he had “torn” the back portion of his TFL / ITB. I found the problem and treated it in about 2 minutes. Although he had walked in with a cane, he walked out under his own power.
I saw a woman for her second visit for Chronic Neck Pain and severe numbness / pain in her hands. It was affecting every area of her life, and since her husband had just seen me for the same problem, she figured that I could help her (they had both been through numerous unfruitful doctor visits). Her neck moved like a hedge post, and was loaded with scar tissue. I could tell by the smile on her face when I walked into the room today that she was better — according to her words; about 90% better —- after just one treatment.
I saw a 13 year old male athlete today with Piriformis Syndrome (very unusual). Treatment worked immediately.
I saw a 50ish year old woman for her third treatment today. She is suffering with Chronic Neck Pain and Chronic Headaches, and has a history of MVA and lots of sports. Although she is in outwardly great physical condition, her cervical ROM was terrible. Adjustments over the years (by other chiros) have been the only treatment that really helped her, but they never lasted (“held”) more than a day or so. Her scar tissue is incredibly better, and she is having about 80% less pain. Her ROM is dramatically improved. Terrible scarring in her SCM’s.
I saw a 40 year old E.R. Physician for elbow (extensor) tendinitis, DeQuervain’s Syndrome (extensor tendinitis of the thumb), and torn fasica of the forearm and lower portion of the upper arm. He had injured the arm doing pull ups over a year previously. After the first treatment he could do pull ups with minimal discomfort. A week later he sent us a testimonial saying that he was 95% better.
I found out today that a youth athlete that I had treated last week is doing well and back to practice. He hurt his mid back last week, and by the time he got to me, he had been through a doctor visit, X-ray looking for broken ribs, and prescriptions. He had a fascial tear in the mid / outer portion of his back about the size of a softball.
I treated a young mother a second time for Pirifomis Syndrome. She had been through all sorts of diagnostic tests, including CT, MRI, Diagnostic Ultrasound, and others. She is seeing positive results after just one treatment. Chiropractic adjustments alone never made much difference in her ability to move, or her level of pain.
I saw a woman in her mid 70′s today who had actually “gone off” on her doctor over her shoulder. She came in two weeks ago with a Rotator Cuff problem, which I treated and said we would re-treat in two weeks. When I walked in the room today, she said that she was 75% better, and was so ticked off at her doctor that she just let him have it. She had been going through repeated X-rays, CT scans, MRI’s, Ultra Sounds, therapy, injections, medications, etc —- for over two years with zero results. I believe the treatment today essentially fixed her shoulder.
Here is a little side note to this issue. Her Medicare (your tax dollars) paid for ALL of her medical care —- thousands upon thousands of dollars worth (maybe tens of thousands of dollars worth). Between the Tissue Remodeling Treatment and adjustments, it cost her under 200 dollars out of her own pocket to get her shoulder fixed. Whose the quack here? If I were to continue treating someone for two years with no results, I would be guilty of malpractice!
I saw a retired rancher for his second visit with a shoulder problem. He has been a long-time chiropractic patient of mine (chronic neck restriction and pain). About two years ago, he agreed to some scar tissue work on his neck. Monster difference immediately! He knew where to come for his shoulder. He could barely move it when he came in a couple weeks ago, but after today’s tx, he could raise it up almost completely. He had a Supraspinatus Tendinitis.
WEEK OF MARCH 21, 2011:
I started off the week with a person who injured his shoulder in the early 1970′s while playing Australian Rules Football —– in Australia. Although the shoulder was not incredibly painful, it did have a lot of restriction. Huge amount of widespread Fascial Scarring and Biceps Tendinosis. Big bruising —- immediate improvement in ROM.
I saw a middle aged woman who had been in Chronic Pain (ankle), since falling off her kitchen cabinet a year ago (don’t ask). She had been through the usual x-rays (2 sets), MRI, and tons of therapy. Nothing worked for very long, and her situation was easily exacerbated. I found the problem quickly (Posterior Tib Tendinosis), and began treatment. Within minutes she was about 90% out of pain. She was so excited that she was literally mumbling to herself that she could not believe it.
A middle aged woman came to me for debilitating Chronic Pain in her neck and upper back, as well as her head. I suspect that her head pain is not just headache, but skull pain (her problem started after hitting her head in an MVA 15 years ago). She has terrible restriction and decreased ROM in her cervical spine, as well as advanced degeneration. Although both chiropractic and acupuncture have helped her in the past, they never made a long-term change in her condition. I broke adhesion in her neck and upper back today, adjusted her, and had her start her stretches (and pull her over-the-door cervical traction unit out of the closet). Although there was no immediate relief, She had mountains (literally — you could feel it) of adhesion. In a week I will check for scarring on the fascial apponeurosis of her skull. We will know within three treatments whether this is going to help.
I saw a middle aged woman with Chronic Pain in her neck and shoulder, as well as headache. She had been rear-ended 4 years previous (MVA), and although she had gone through both therapy and chiropractic, nothing seemed to help long term. She had real trouble moving her neck. She had terrible Fascial Scarring. Not only was she excited about feeling better, she was excited that she could actually turn her head and look over her right shoulder.
I treated a middle aged woman with Plantar Fasciitis that was affecting her ability to perform day to day activities or exercise. She was better immediately.
I saw an 18 year old woman who had suffered with Chronic Pain and severe muscle spasms since she was a little girl (3rd visit). Although she was in tremendous physical condition with no history of major trauma, these spasms and headaches would come over her and debilitate her on a regular basis. She had been traveling 5 hours one way to see a chiropractor who could help her. However, the adjustments he gave would only hold for a few days (which was better than what she had previously). She has much less adhesion / restriction, and her life is better in every way imaginable. I suspect an underlying Gluten Sensitivity or even Celiac as at least part of the problem.
A 16 year old male athlete with a history of dirt bikes and weight lifting came to see me for a shoulder problem. He could not raise it all the way, or push against my hand. In three or four minutes and he was as good as new.
I saw a slightly younger female with the same problem. She had ugly ugly scarring and adhesion of her shoulder / pec / delt junction —- far more than I dreamed I would see, considering no history of trauma or chronic overuse. There was no immediate change in ROM or ability to raise her shoulder after treatment. I will see her after a week of stretching and see what happens.
I saw a middle aged woman for her third treatment for chronic neck pain and headaches. She is not only feeling dramatically better (90% better in her own words), her cervical ROM, that was pathetic when I first examined her, is greatly improved (increased bilaterally by about 35 degrees in rotation). Oh, and she is not having headaches.
I saw a young lady today for the second time. She had low back pain and Piriformis Syndrome. Although her low back will take some work, her “butt pain” is gone after only one treatment.
I saw a young man today with Osgood Schlatter’s Syndrome. He had been having knee pain just below the knee cap for about a month, and knew where to come to get the problem fixed because we had fixed his brother (who had suffered with Osgood Schlatter’s for the better part of a decade before coming to see me) several years earlier.
I treated a logger who had been dealing with a progressively-worsening shoulder problem for well over 10 years. He had terrible Fascial Scarring in his supraspinatus and anterior deltoid muscles, and was better immediately after treatment.
A middle aged woman presented with neck pain and chronic stiffness / loss of ROM. She had the degeneration pattern of the lower cervical spine that I routinely see in people with old “whiplash” injury. Sure enough, she had a history of some ugly falls from her horse. Even though she had used chiropractors before, her ROM was dramatically better after her first treatment and adjustment. Her problem? Fascial Adhesions of the cervical spine — almost a given after whiplash injuries.
I treated a young woman who had been suffering with chronic neck pain and headaches for years. She was at least 50% better after her first treatment, and her cervical ROM was normal after this treatment and adjustment. She is doing her home stretching and exercises and stretches faithfully!
WEEK OF MARCH 28, 2011
I saw a young woman today who was in a severe MVA over a year ago (she fractured her spine). Today was her second treatment. Needless to say, she has been in severe pain. She has had tons of medical tests, been prescribed all sorts of drugs, tried a couple of different chiropractors, had lots of therapy, done massages, and nothing has really helped for very long. One of her chief complaints besides chest pain, was trouble breathing. I started examining her and found Microscopic Scar Tissue on her chest. The impact of the accident caused the under wires of her bra had been “driven” into her chest / ribs by the seatbelt. She had serious scar tissue. She was 60% better after her first treatment a couple of months ago (she does not live nearby).
I saw a gentleman today who has had numbness, tingling, and pain in his arms and upper shoulders. His x-ray showed a neck that looked decent until the C5-C5 vertebrate and disc. He had severe bone spurring and degeneration. I told him that this was caused by some sort of “whiplash” injury that occurred about 25 or 30 years ago and caused scar tissue and subsequent restriction of that specific joint. Sure enough, he was in a serious MVA about 25 years ago. We are now in the process of breaking the fascial adhesions in the bottom of his neck and top of his back.
Stacey Redman gave us a testimonial today. Absolutely Amazing! It can be found under the “comments” section of our Home Page. (name used by permission)
An older woman came in for pain in her mid back. I had seen her about a year ago 2 or 3 times for Chronic Pain in her mid and upper back region. Prior to seeing me (and being pain free for the past year), she had been struggling with this Chronic Pain for over 6 years! Needless to say, she had been through the usual diagnostic testing, and “try this drug — try that drug” routine, with no positive benefit whatsoever. She was eventually told that it was just an age (“arthritis”) issue. Not even close. Her problem was that she could not respond to adjustment because of incredible amounts of scarring in her para-spinal fascias.
I saw a woman for her second treatment today (severe headaches and neck pain that are the result of a fall from a horse 35 years ago, and a severe MVA about 15 years ago). Although her scarring was significantly diminished and her ROM was improved, her headaches were essentially unchanged. I treated the Fascial Adhesions on her skull and was amazed by the amount of adhesion that I found —- right on her head. I am optimistic that we are on track with this. Stay tuned.
A young woman came in with a fifteen year history of buttock pain and sciatica. Guess how long it had been going on? Since the birth of a (very big) baby. It was classic Piriformis Syndrome. She was better after her first treatment.
I saw a 7o plus year old chiropractor today who practices between Rolla and St. Louis. One of his patients had her sister in his office and was telling the story of me fixing her rotator cuff in one visit. This piqued his interest because he has had a shoulder problem ever since a light stroke that he had four years ago (he was sleeping on his back with his hands behind his head when he had the stroke). He has tried the Oxygen Therapy at Dr. Kessinger’s office in Rolla, and does not really feel that the problem is neurological, but is instead musculoskeletal. He had severe fascial scarring in his posterior shoulder area. I will know in a few days if it helped. Stay tuned. (update via email. As of three days later — better shoulder ROM. No change in the pain.)
I saw a middle aged woman for a shoulder problem today. She had been struggling for months, and was a little over a week away from an appointment with an Orthopedic Surgeon. Her problem was not Rotator Cuff, but was instead Fascial Adhesion in her upper chest. Her first words after I treated her and then checked her to see how much she could move the shoulder, “Wow, I guess I need to call and cancel my orthopedist“.
I saw a woman of nearly 80 from Illinois. About 10 years ago, I had fixed a shoulder problem that she had struggled with for a very long time. She came today for Elbow Tendinosis. It had been bothering her for about 2 months. She had major Tendinosis and Fascial Adhesion. Other than some ugly bruising, she was almost as good as new after just one 5 minute treatment.
WEEK OF APRIL 4, 2011:
Today I saw a long time patient of mine for chronic neck pain, restricted movement, and headaches. She had been talked into the treatment by several family members who had tremendous results. Her ROM improved dramatically — in about three minutes! She had a banger of a headache when she walked in, and was headache free when she left. Oh, and she could get her nose over both shoulders.
I saw an older gentleman for a shoulder problem. He took a nasty fall about 6 months ago and broke his arm. His shoulder has been killing him ever since. From the symptoms he was describing I knew right where to look. Although his shoulder was bruised something fierce when we were finished, he could raise his hand over his head and get it behind his back for the first time since the accident. His problem was a Biceps Tendinosis and not Rotator Cuff.
I saw a young woman for her second visit (Piriformis Syndrome). She was pain free until two days ago. She was very worried the treatment was not working. I explained things and treated her piriformis again. The scarring in the belly of the muscle was broken up, but the tendinous attachment point was very scarred and calcified. She came in with LBP and sciatica, she left with neither!
I saw a new patient with a history of headaches and neck pain. Her neck was terribly restricted. I checked her for scar tissue and then adjusted her. She was impressed with the immediate change in the neck pain, increase in ROM, and the fact that her headache was gone immediately.
I saw a young woman today who was having pain in the very front of her pelvis ever since the recent birth of her baby. She was also having Rib Pain. After a few adjustments with no change whatsoever in her condition, I suggested to both her and her mother (who happened to be with her), that her problem might be scar tissue. Her mother understood right away because I had treated her husband (Rotator Cuff) as well as her kids (various Athletic Injuries). Her problem was terrible scar tissue at the ASIS (Tendinosis of her Hip Flexors). Her pain was instantly gone (and she could stand up straight), and I think it could have been the root of her rib pain as well. Time will tell.
I saw a middle aged man for a shoulder problem. He had been told three years earlier that he had Rotator Cuff Tendonitis. He had been through testing, medications, shots, therapy, and who-knows-what-else (The Medical Merry Go Round was spinning). Within three minutes he could raise his arm straight up, and he could not reproduce pain no matter what he did.
I saw a young woman for a case of Osgood Schlatter’s. I had fixed her a couple of years back, but she spent a weekend on her knees tearing carpet out of a house. She was out of pain immediately after treatment. Osgood Schlatter’s is a common condition that I treat.
I saw a Medicare-aged woman who had been suffering with chronic neck pain and restriction. She had recently had an MRI and was told that her problem was, “a little arthritis“. Her ROM was normalized and her pain was gone after a treatment and adjustment (this was a patient that I had adjusted many times before, but never did any tissue work on).
I saw a young woman (second visit) for Piriformis Syndrome. Her first treatment helped tremendously (even though several previous adjustments made no difference), and I am thinking that this treatment may be enough to fix this problem.
WEEK OF APRIL 11, 2011
I saw a gentleman today for his second visit (shoulder). He was injured in a Rugby game back in 1971. His shoulder is about 90% (ROM and discomfort) after just one treatment.
I saw an athlete today who was having low back pain. I noticed that he was walking on the outside of his foot (any alteration of gait will cause back pain) and asked why. He said the top of his foot hurt and he and his mom were concerned with a stress fracture. He had a tendinosis in the flexor tendons on the top of his foot. When he left the office he could walk normally (pain free).
I saw a student athlete today (2nd visit) for a shoulder problem. She is about 50% better after her first treatment.
I saw an older woman today who for two weeks could not turn her head to the right. Her ROM was almost equal, right to left, after about 3-4 minutes of treatment. This was before her adjustment. She had some serious fascial adhesion in her neck and traps.
I saw an extreme athlete today for a shoulder problem. Last year I had fixed both his shoulders (extensive kayaking), and he was in yesterday because he got rammed by a canoe in the back while kayaking whitewater, and hurt one of the shoulders again. When he left the office, his shoulder ROM had increased by about 200%, and he could not reproduce pain.
I saw a mother and daughter — the mother for Piriformis Syndrome, and the daughter for a wrist problem due to a fall (probably a combination of Fascial Adhesion and Tendinosis). They were both immediately pain free after their first treatment.
I treated a middle aged female today for chronic neck pain. She has been to several chiropractors —- always with good short-term results, but never long lasting relief. Her problem? Fascial Adhesions in her neck. Her ROM increased a whole bunch immediately. And this was prior to her adjustment. She said that her neck had never “moved” like that before. I explained to her how areas that are surrounded by scar tissue and microscopic adhesion will never adjust well. And they will never hold adjustment for very long.
I had a long-time male patient (mid 50′s) come and see me for Chronic Pain in his “hip”. One of the first thing that I always try to ascertain form patients is what they mean when they say hip. He had an orthopedic surgery on the hip when he was in grade school that left him unable to walk correctly for four years. We took an x-ray to make sure the hip was not completely worn out and then went to work. He had some ugly Fascial Adhesions as well as Tendinosis. After a five minute treatment, his ROM had essentially doubled and his pain was diminished by far more than that. He had fought this problem for years and had finally decided to try our “Tissue Remodeling“ Exciting stuff!
I saw a medicare-aged woman today for a chronic shoulder problem. Dramatic change immediately.
I saw a middle aged woman for her second shoulder treatment. The first treatment did well, but this one really put her over the top. Amazing changes in both ROM and pain levels. She has canceled her next visit to the orthopedist. Her problem was not so much Rotator Cuff, as it was a combination of both Fascial Adhesion and Tendinosis.
WEEK OF APRIL 18, 2011
I had a “first” today. Even though Piriformis Syndrome is found in women about 15 times more often than it is found in men, I treated two men today with chronic buttock pain related to their pirifomis and not to lumbar disc problems. Both had ugly scarring and both had immediate change in symptoms. On top of that I actually spoke with another male patient who has a Piriformis Syndrome. Strange days indeed!
I treated an almost 80 year old woman today with Chronic Neck Pain. She had been told the usual —- that she was old and worn out (bad arthritis), and her only hope was to take multiple prescriptions. In fact, she was downright frustrated that her last doctor visit consisted of her talking while the doctor sat at his computer and typed. He apparently paid no attention to her, did not examine her, and then got up, gave her four different prescriptions, and exited the room.
When I treated her, she had had a terrible amount of scarring on the right side of her neck as well as the center of her upper T-spine. She had immediate big relief as well as a big change in ROM (this from a long-time chiropractic patient —– before I even adjusted her). Her problem? Fascial Adhesions that had caused the restriction that was causing her Spinal Degeneration. Interestingly enough, the “terrible” arthritis that she was supposed to have, was not nearly as bad on x-ray as she had been led to believe.
I saw a middle aged man today with a Rotator Cuff problem. He has a tear of known severity (75%) and is trying to make it through the summer before having surgery. Much less pain and increased ROM immediately post-treatment.
I saw a young woman today who was in an MVA about a year ago and received a fairly severe whiplash. she had been through lots of therapy, but was still struggling with Chronic Pain in her neck. I broke up the Fascial Adhesions, which were terrible. ROM increased and pain decreased immediately.
I saw a young farmer today who has done heavy, hard work his whole life. He has a long history of Chronic Pain from his neck to his low back. He has been a long-time chiropractic patient, and adjustments have always helped him —– for a day or two. I checked him for Fascial Adhesions and as you can imagine, they were terrible.
I saw a young woman today with a chronic shoulder problem. She had such good results with a recent Piriformis Syndrome treatment, that she decided to have her shoulder worked on. Typical results —- increased ROM and decreased pain.
I saw an older middle aged gentleman today with a history of chronic buttock / hip / SI pain. Although he had some ugly scar tissue present, it was not typical Piriformis Syndrome, but more of a hip tendinosis.
I treated a very athletic middle aged woman with Chronic Pain in her hip area. Upon further examination, I determined that she had Piriformis Syndrome. After her “Tissue Remodeling” treatment (before I adjusted her) she could not reproduce pain.
I treated a retired carpenter who rode 200 miles from Kansas to get treated for Chronic Pain in his shoulder. He had been told that he needed a total replacement of his Rotator Cuff, as well as numerous other procedures on the shoulder. During treatment, he stated that he had not been able to move his shoulder this much or with this little pain in 15 years. Cool! He then told me of a problem in his thumb. It was not DeQuervain’s Syndrome (which I treat a lot of), but was a thumb flexor problem. Since he came such a distance to see me, I treated his thumb. He was instantly able to move his thumb without pain.
I saw a 50ish year old male for his second treatment on a Rotator Cuff. I found a little bit of scar tissue, but most of the adhesion was gone after his first treatment — pain that he had suffered with for well over a decade. He is already scheduled to have his other shoulder fixed next month.
WEEK OF MAY 2, 2011
I was treating a young woman today for Piriformis Syndrome. I had successfully treated one piriformis muscle a few weeks ago, and was in the process of treating her opposite side. She mentioned that it was her uncle who had ridden his motorcycle from Kansas to have his shoulder treated. She and her husband told me that at breakfast one day someone asked for the gravy. They said it was in a big, old “crock” bowl that was extremely heavy (especially when full). They said that their uncle lifted the gravy bowl out at arm’s length and told them that before the treatment for his Rotator Cuff there was no way he would have been able to do that.
I saw a middle aged rancher for his second treatment. He was so excited about what Tissue Remodeling Procedure had done for his chronic neck pain that he wanted his low back treated today. He is a long-time chiropractic patient who is actually holding adjustments for the first time in his life.
I had an older woman come in today for an elbow problem (Tendinosis). She already had experience with our Tissue Remodeling. After having gone through adjustments, CT scans, MRI’s, specialists, and medications of all sorts for a chronic pain in the neck that she was having, she was essentially “cured” of the chronic neck pain in just one treatment. Her elbow problem was a biceps tendon problem and she could not produce pain after her treatment today.
I saw a 13 year old girl today for a shoulder problem. She had fallen in a goat pen and was having trouble putting her arm behind her. She was pain free with a full ROM in about 3 minutes.
I had the privilege of treating a retired combat helicopter pilot today for chronic neck pain. Twenty years of wearing a heavy helmet, complete with night vision apparatus, had really messed his neck up. Adjustment and the Tissue Remodeling has made a world of difference!
I saw a new patient who had recently moved from somewhere else. He was a regular chiropractic patient for over 20 years and said that the only thing that helped him with his chronic pain was chiropractic adjustments (he was in a severe MVA just before starting chiropractic care). However, he also told me that the adjustments (particularly for his headaches and chronic neck pain) would not last more than a few hours at the most. Upon examination, I discovered that his neck moved like a hedge post. I asked him if he wanted to see a huge change in his neck in the next 10 minutes and of course he said yes. Within minutes his ROM was increasing dramatically in all directions. Stay tuned.
I treated an elderly woman for chronic neck pain (2nd visit). Not only was there a big change after her first treatment, we could see immediate changes after her second as well.
I saw a young man today for chronic pain in the front of his hip area. It had been going on since high school and getting progressively worse. He felt like he could gain a few minutes relief from “popping” his hip. But the relief was never long-lasting and soon he would be doing it again. A person he works with finally told him to go see Dr. Schierling. His x-ray showed a very tipped spine / pelvis, and I figured there had to be a reason why. I treated the origin of his left side hip flexors —- brutal scar tissue! It was a combination of Tendiopathy and Fascial Adhesion. He was dramatically better when he left the office.
I saw a middle-aged man who a buddy at work jumped on (goofing around). He hurt his rib cage and could not cough, breathe, or sneeze without pain. I know immediately that it was a rib problem. Adjustment made no immediate difference, so I did a quick check for fascial adhesion. Bingo. He had an area of scarring that was about the size of a quarter. In less than one minute he was pain free.
I saw a middle aged male who had been suffering with Chronic Pain in his upper front leg near the hip. He had been unable to sleep for several nites and his condition was getting worse all the time. Ugly scarring in the origin of his hip flexor muscles (probably a combination of Tendinosis and Fascial Adhesions).
I saw a middle aged woman for a shoulder problem. She had fallen and wretched her shoulder. It was better instantly.
I saw a high school girl who was supposed to compete in district track meet tomorrow in the pole vault. However, her shoulder (rotator cuff) was hurting her so much that she had not been able to practice for a few days. After a 5 minute treatment, she could barely reproduce any pain whatsoever. Good Luck tomorrow!
I saw a young woman for the first time today. She has been dealing with chronic neck pain and headaches non-stop for four years. Although her cervical ROM was not terribly restricted, she had terrible fascial adhesion in her neck. Looking forward to seeing her subluxation free and pain free in a short amount of time.
I saw a middle aged man today for a shoulder problem. I fixed this same shoulder about three years ago, but he was starting to have problems again. He was worried that a bone spur was forming. I worked his shoulder from several angles and found a pattern that I do not see very often. By the time he left the office, he could not reproduce pain!
I saw Gale Hawkins today (name used by permission). Please read her testimonial. She had suffered with Chronic Pain in her hip / buttock for well over two decades. On the recommendation of her husband (shoulder problem), she decided a couple of years ago to try the Tissue Remodeling Treatment that I do. She was suffering with Piriformis Syndrome, and the side opposite the one that I fixed previously was giving her grief. Instantly better! Anyone in the Summersville area who has questions about this treatment for chronic Piriformis Syndrome —- drop by the bank and talk with Gale. She is happy to share her experience with you. Thanks Gale!
My family and I went to Springfield today for the SHEM Homeschool Conference. I met with a couple from Atlanta who had stayed at our home while on a build for a church (Builders for Christ). During their stay, I had the privilege of fixing a chronic shoulder for her. They were on a business trip and I met with them and was able to fix both of their shoulders.
WEEK OF MAY 9, 2011
We had a Pediatric Anesthesiologist from the St Louis area call today to refer a rotator cuff patient to us. I did not ask Tracy when this person is making the 3.5 hr drive down here.
I treated a middle aged woman today for her fourth visit (a combination of neck problems, numb hands, and chronic buttock pain). In her words she is 85% better than she has been over the past few years — and she had been everywhere.
An older middle aged woman came in with chronic neck pain. She had recently moved to the area and tried a different chiropractor and had poor results. Her ROM was dramatically increased and she could not reproduce pain —- after her first treatment.
I had another middle aged female patient come in with chronic neck pain. She had been in multiple MVA’s – the first of which was when she was 5 years old and the last of which was two years ago. She was having numb hands, neck pain, and headaches; all of which were either gone or dramatically improved when she left the office.
I treated a long time female patient who coughed so hard she had put ribs out. For those of you who do not know, rib pain can make a person think they are dying. She had terrible congestion and coughed so hard for one week that she thought she had coughed her ribs out. She had actually torn the connective tissue between a couple of her ribs. After working on the ribs, she could cough easier (not pain free, but greatly improved).
I saw a young woman who has been suffering with regular headaches since grade school (she had tried chiropractic before with basically no results). She had brutal scarring of the fascia in her neck and upper back. Her headache was gone before I even adjusted her.
I treated a middle aged man today who had been suffering with neck pain, dizziness, and headaches for the past several weeks. I had adjusted him a couple of times and it did not help his symptoms at all. He is a big, thick guy, with a neck like a bull. After breaking the fascial adhesions in his neck, his ROM increased and his symptoms dramatically decreased — instantly.
The young man that I treated last week with torqued pelvis and tendonosis of his hip flexors, is between a third to half better (a problem he has been dealing with for around five years). The pain had moved to the SI and Piriformis region. I checked him for Piriformis Scarring and it was terrible (he saw great improvement immediately). Stay tuned — I see him again in two weeks.
I saw a geriatric patient today for a rotator cuff problem. She went from poor ROM to 100% ROM and being unable to reproduce pain — instantly. It worked so well that her husband who was with her, made an appointment on the spot to have his neck worked on
I treated a high school athlete for a shoulder problem (biceps tendinosis). It was her second treatment — good results.
I saw an older middle aged patient today for Carpal Tunnel Syndrome. He is a patient who has had great results with Tissue Remodeling Treatment for both chronic neck pain and rotator cuff (he is on our Testimonial Page). He owns his own business and not only does not want to have surgery, but cannot afford to take time off for the healing process and rehab (even though doctors recommended surgery to him years ago). His Carpal Tunnel symptoms were much better immediately.
I had a 60ish female patient from Dallas come in last year for Chronic Neck Pain and Headaches. She had spent the last 30 plus years all but debilitated with Chronic Pain. I saw her twice one year ago and had not heard from her since. She came in yesterday for a Tissue Remodeling Treatment and adjustment. Of course I asked her how she had done. She said that she had not had a single headache that made her throw up, and overall is about 90% better.
I saw an older middle aged man whose relative had bought him a gift certificate for Tissue Remodeling. He had struggled with pain at T5 and been through tons of therapy. He was sick of paying $300 a visit for something that was not really helping. I broke tissue and adjusted him. He said that his back had never adjusted that well before. I explained how Fascial Adhesions were restricting him 24 – 7 – 365.
A young woman came in today with Wrist Extensor Tendinosis. She not only had a Bible Cyst, but a tendinopathy. Her pain was relieved immediately.
I had a young woman come in with shoulder pain that was severe enough to prevent working. she had hurt it a few days earlier and her mother did not want her to start the Medical Merry-go-Round. After a 3-4 minute treatment, she could not reproduce pain.
The young woman that I saw last week with a long time history of chronic headaches and neck pain —- she has not had either all week. She is ecstatic, particularly in light of the fact that she had an especially hectic and stressful week. Her Fascial Adhesion was dramatically less during this treatment, and her neck was not nearly as locked up.
I saw a gentleman today with chronic pain in the middle of his back. He had a patch of scar tissue about the size of a silver dollar. No immediate improvement. We’ll see what happens when I see him next week.
I had a 60ish year old gentleman come in with a history of elbow tendinitis (tendinosis). He has been struggling with this for quite some time, and had received “platelet injection therapy” (no help) as well as corticosteroid injections. He had brutal Lateral Epicondylitis and immediately after treatment was able to grip with about double the power that he came in with.
I saw an older middle aged woman for her second treatment with a shoulder problem. She was much better after her first visit (several months ago), and could not reproduce pain after this visit.
I saw an extremely fit middle aged female athlete with a shoulder problem (over the years, I have fixed various muscle and tendon problems for her). Her shoulder was about 80-90% better, immediately post-treatment.
WEEK OF MAY 16th, 2011
I saw a young woman for the third time with what I initially believed to be a Piriformis Syndrome. She would improve for a while, and then struggle with her problem. She had developed this pain while hiking the Appalachian Trail last year, and after running some checks and talking with her a bit more, I decided to try something just a bit different. I discovered that she had a problem with her Tensor Facia Lata without any of the typical or “classic” signs or symptoms of ITB Syndrome. I will call this week to find out how she did.
I saw an older middle aged gentleman for his third visit for a hip flexor problem due to a major surgery that was done about 45 years ago. His ROM is almost ridiculous compared to what it was, and he is having much less day-to-day pain. However, his pain moved up a bit. I found major scarring in his Abdominal Muscles (which are technically hip flexors). It is truly exciting to watch the improvement that removing nearly half a decade worth of scar tissue will create.
I saw a an older gentleman who had been struggling with chronic neck and upper back pain for many years. He had a palm-sized area of severe scarring right where a great deal of his pain was originating. I also broke Fascial Adhesions in his neck.
I saw a middle aged woman (2nd visit) for chronic neck and upper back pain. She is dramatically better. The Fascial Scarring in her neck was absolutely amazing. She told me that her bruising brought on some “interesting” looks.
I treated an older female for a chronic tendinosis of her groin. She decided to do in on the advice of her daughter whose chronic headaches were helped by breaking the Fascial Adhesions in her neck. She has dealt with this pain for so long that she said it would be a miracle of God if I could help her. The scarring was flat out ugly! She will call in a couple of days to let us know.
I treated a middle aged gentleman for a Rotator Cuff Tendinosis and accompanying Fascial Adhesion that has been going on for several months. Huge change immediately!
I treated an adolescent male who had been struggling with shoulder pain since a drywall job he did about 2-3 months ago. His problem was Fascial Adhesions in the Rotator Cuff. Immediately he could not reproduce pain.
I saw a young man who has been dealing with severe chronic low back pain (non-disc) for several years. His wife prayed, Googled “Scar Tissue“, and there we were. She realized that they were less than a two hour drive from us. He had had a Pilonidal Cyst that was removed years earlier. We will know after one treatment if our “Scar Tissue Remodeling Treatment” can help him or not.
I saw a couple of middle aged women for Plantar Fasciitis and Chronic Neck Pain respectively. Both are better (the neck dramatically so). The woman with the foot issue has a ridiculously high arch, and is getting some custom orthotics made to deal with that.
WEEK OF MAY 23, 2011
We started out the week with a bang! The young man with a Piriformis Syndrome / Hip Flexor problem is making some headway (tricky case). His third treatment today is, I am convinced, going to make a big difference. Stick around. He works out of the area and I will find out in a month.
I saw an older gentleman for Chronic Neck Pain. He was refered in on the advice of his daughter on whom we fixed an old water skiing injury that was also causing Chronic Neck Pain. His ROM increased immediately.
I gave a second treatment to an older gentleman who had been living with Chronic Neck Pain for years. He was probably 50% better after his first treatment.
I gave another “2nd treatment” to an older gentleman who was suffering with Chronic Back and Neck Pain. His chief complaint was pain on the right side of his mid back. He suffered a severe head injury 10 years ago, and despite massive quantities of medical treatment and therapy over the course of the last decade, the pain was worsening. That pain is gone after just one treatment. We moved up and broke Fascial Adhesions in his neck. He was dumbfounded at the immediate increase in ROM.
I gave an older woman her second treatment for a Tendinosis of her groin (10 plus year duration). She was so good after her first treatment that today she wanted her thumb worked on instead (DeQuervain’s Syndrome).
Seven years ago, I was able to fix the shoulder of Mary Simpson (name used with permission). Hers was the usual story — years of suffering and tons of expensive tests and treatments, all while getting progressively worse. She came back today to have her shoulder worked on again. It was instantly better and she could not reproduce pain.
I saw a middle aged female runner for her second visit for Piriformis Syndrome (with possibly a touch of Hamstring Tendinosis thrown in for good measure). She has done very well with the Tissue Remodeling Treatment.
I saw an older female who has been suffering with Chronic Neck Pain and stiffness. She had terrible degeneration in her neck, caused by four decades of Post-MVA Fascial Adhesions (Whiplash). She was dumbfounded that she could immediately look over her shoulder, which she had not been able to do for years.
I saw a middle aged female for her second visit with Piriformis Syndrome. The first treatment was given late last year and helped her a bunch.
I saw a middle aged female today for her first Tissue Remodeling Treatment. She was in a serious MVA, where the other person pulled out in front of her on the highway. She has been suffering with Chronic Neck Pain, and after reading our website, decided that she needed to be checked for Fascial Adhesions. Her picture will be up on our Bruising and Picture Page in a couple of days. Oh, and one more thing. Her neck felt better after one treatment than it had felt in years (I had been adjusting her and it was not holding well).
I saw the young lady on our Bruising and Picture Page for her second treatment. She was involved in a serious MVA over a year ago. Although she had been through lots of diagnostic tests, months of therapy, and lots of suffering; she reported that her Chronic Neck Pain was 50% better after her first treatment.
I treated a middle aged truck driver for Chronic Neck Pain. He had been treated about 3 years ago, and can tell that several old MVA’s and years of heavy hard work are catching up with him.
I saw a young truck driver who has suffered with Chronic Pain between his shoulder blades ever since he was in an MVA (semi) 3 years ago. Nothing he has done (and he has done a lot) has made a lick of difference in his pain. I found incredible amounts of microscopic scarring and Fascial Adhesions throughout his back — instant relief!
I treated a pastor who is in his mid 80′s for Chronic Neck Pain. I had successfully treated him with the Tissue Remodeling Treatment several years ago, but he felt like it was time to do another. I wish I had a pre and post-treatment video of the increase in his ROM.
I had a middle aged man drive over from Illinois for a chronic Hip Flexor Tendinosis. Ugly scarring, Fascial Adhesions, and Tendinosis, at the ASIS. If he will do his stretches, he should improve greatly after one treatment. I have successfully treated one of his sons for chronic Shin Splints and a daughter for Fascial Adhesions sustained in a severe MVA.
I saw a middle aged male for a Rotator Cuff problem. I had fixed his other shoulder about 4-5 years ago, and this one was starting to do the same thing. His ROM tripled in 5 minutes.
I saw an older middle aged woman whom I had been treating for a hip problem. She was dramatically better after several adjustments, but was still having trouble with pain and restriction across her lower abdomen (although she has children, no history of C-section). She had Fascial Adhesions. I should know in a few days how much it helped.
WEEK OF JUNE 1, 2011 (Shortened because of Memorial Day)
Today I saw a long-time middle aged male patient who had been butted in the head by a steer a couple of months ago. Two previous adjustments had made no real difference, and he could not turn his head properly. I checked his neck for Fascial Adhesions. His ROM increased immediately and he could not reproduce pain.
Unfortunately, the young woman that I treated from the St Louis area had a Trigger Point problem. I was suspicious of this at first but she wanted to try a treatment. Triggers will sometimes respond to the Tissue Remodeling Treatment, but most of the time, not too well.
I saw a middle aged woman with bilateral Achilles Tendinosis. Instant improvement after treatment with Tissue Remodeling.
The older woman that I treated for her chronic (15 years or more) Groin Tendinosis was 95% better after just one treatment. I treated the groin again today and told her it was fixed. She is doing things she has not done in years.
I treated a case of bilateral DeQuervain’s Syndrome today. Instant improvement.
I saw a woman whom I treated for a chronic Rotator Cuff Tendinosis several years ago. Before she saw me back then, she had been through thousands of dollars worth of tests and therapy. Nothing helped, including chiropractic. She drove from Springfield on the advice of one of her friends and in one treatment was dramatically improved. The second treatment fixed her. She is starting to have a few problems again and wanted to nip it in the bud. I found some Fascial Adhesions this time as opposed to Tendinosis. She had full ROM and no reproducible pain post-treatment.
After two treatments (and before the third), a middle aged woman told me that on a day to day basis she has about 75% less Chronic Neck Pain than she had for years. After this third treatment it should be more like 90% less.
One of my teenage Amish patients had injured his shoulder in their sawmill. Not a good thing because hay season is here. His father had told him that adjustment would not help the shoulder. I agreed and began checking him for Fascial Adhesions. He had injured his Supraspinatus Muscle / Tendon (Rotator Cuff), and could not reproduce pain post-treatment. His ROM was 100% as well. I told his father to be easy on him in the hay for a couple of days. We’ll see.
I treated a middle aged man who had been helping with the Joplin Tornado clean up. He injured his shoulder, and was having a rough time moving it through normal ROM. One treatment and he full ROM without being able to reproduce pain.
I treated a middle aged man who has suffered with chronic pain between the shoulders for over five years. He was very sore later in the day. Stick around for updates.
I saw Pastor Larry Tubbs today (name used by permission) for his second treatment for a chronic Lateral Epicondylitis (Tennis Elbow). Although he had been through several different kinds of treatment for this (including Platelet Transfusion Therapy), he was 100% better after just one treatment. I expected to treat his elbow, but he wanted his upper back and neck treated instead. He has been in several MVA over the years, and it has taken its toll. Although he has been a long-time Chiropractic patient, he was dramatically better immediately after his first treatment.
I treated a young woman today (second visit) for a volley ball injury sustained over 5 years ago. She suffered with Chronic Pain between her shoulders, and is amazed at how well the Tissue Remodeling Treatment has worked for her.
WEEK OF JUNE 6, 2011
Today, I saw the older gentleman with the Post-Surgical Pain from the removal of a brain tumor 10 years ago (3rd visit). He is about 90% better!
I had a young man come in last week for low back pain. I examined him, x-rayed him, and adjusted him. Because his neck was extremely restricted, I adjusted it also. He complained that any time a chiropractor adjusted his neck, he had severe locking and pain for at least two or three days. I had checked his brother for Fascial Adhesions between his shoulders last week, and he wanted his neck checked today. His ROM and pain levels were about 80% better immediately post-treatment.
I released a middle aged woman from care due to injuries she received in a severe MVA. She is better than when she started (she had some Chronic Neck Pain previously). She is more than thrilled.
I just received news that our adoption (two young sisters from Ethiopia) is going to court. Our court date is July 11th, but we have to be there several days early. Any work on the site will slow to a crawl and this column will slow down or stop until further notice.
The professional piano player / video editor that I treated 10 days ago with Chronic Neck and Upper Back Pain is 80% better on a day to day basis. Still a lot of scar tissue, but the headaches are all but gone, the upper back pain is dramatically improved, and the low back pain is practically gone. The problem was Fascial Adhesions in the upper back and neck.
I saw a retired teacher today for Chronic Neck and Upper Back Pain. she has been a patient for nearly twenty years, and has had several Tissue Remodeling Treatments over the years with very good results.
I saw a middle aged female runner today with bilateral Hamstring Tendinosis. Her pain was in the bottom of her butt. She had tendinosed both hamstrings where they attach to the ischial tuberosities. I told her after treatment (she could not reproduce pain immediately post-treatment) that because the problem was bilateral, it had to do with the shoes she was wearing to run in.
I saw a 15 year old female athlete with a two year history of Chronic Headaches. Her headaches had gotten to the point where she had one every waking moment of her life. She had been through the usual medical rigamarole — lots of tests, brain scans, etc. I checked her for Fascial Adhesions, and bam; she was loaded. I broke them up, adjusted her, and then sent her home to stretch. We will see next week how well she did.
I saw two women and a young man with Piriformis Syndrome today. The man’s problem was actually Fascial Adhesions in the “hip” area (mostly his TFL) caused by an old motorcycle accident.
I saw a young woman today with a sore knee. I had used the Tissue Remodeling Treatment to fix her knee back when she was in high school (5-6 years ago). She was worried that she had done something really bad this time but wanted it checked out here before going for an orthopedic consult. The pain was instantly gone. As an interesting side note, she referred several people in, and because of this, I ended up treating a woman from Springfield for Rotator Cuff problems. You can read Betty Volner’s testimonial here.
I saw two older middle-aged men who have driven heavy equipment for a living. Both had Chronic Neck Pain. Both responded well to Tissue Remodeling Treatment & adjustments.
I had a middle aged truck driver come in for Chronic Neck Pain and Headaches. His cousin (same problem — fixed a year or so ago) had been treated, and he wanted to get better also. He had been in a serious MVA about 15 years ago that killed multiple people in his vehicle and left him with serious injuries (another vehicle ran over the back of his). His ROM was about as close to zero as one can get and still have some sort of function. He had been to chiros and doctors, and no one had been able to help him. His first Tissue Remodeling Treatment left him with a cervical ROM that was about 2/3 normal. His headache was gone immediately.
I released the woman in her 70′s after her third treatment. Not only is she pain free for the first time in years (Chronic Neck Pain), but she can move her head with virtually full ROM (she had almost zero movement when she first came in a few weeks ago, and had been told years ago that it was DJD and nothing could be done about it). She is thrilled to say the least!
I treated a middle aged female for Piriformis Syndrome. Her pain was better immediately.
I saw a high school volleyball player. She has struggled for over a year with shoulder problems. Three MRI’s, one set of x-rays, lots of PT, and several ortho / neuro consults later, no one can tell her what was wrong. I examined her and told her mom that her problem was Fascial Adhesion of the front shoulder (not a Rotator Cuff problem). She was essentially pain free with almost 100% ROM — instantly!
I treated a middle-aged female RN for what seemed to be a combination between Carpal Tunnel Syndrome and DeQuervain’s Syndrome. She had about 50% improvement immediately.
I treated a 40 year old extreme athlete for an Elbow Tendinosis (Extensor). He is always coming in with one thing or another, and has had tremendous results with a variety of problems, including his original problem — a shoulder problem he thought that he was going to have to take to his grave.
WEEK OF JUNE 20, 2011
I treated a young massage therapist for a shoulder problem. He specializes in deep tissue work that is hard on his shoulders.
I saw a middle aged female for chronic lower back, hip / buttock pain. Instant change. I have been telling her for three years that her problem is being cause by Fascial Adhesions (Piriformis Syndrome) and not disc-related.
I saw a young mother today who has dealt with Chronic Neck Pain for the past decade. Immediately post-treatment, she could move freely without being able to reproduce pain. She was a long-time chiropractic patient.
I saw a middle aged woman who had been fighting an Elbow Tendinosis for about six weeks. She had been to the doctor to no avail. As she left the office, she was muttering to herself, “I can’t believe this” over and over.
I gave a teen-aged athlete her second treatment for Chronic Neck Pain and Headaches. She was 50% better when I saw her today. Remember, this was a girl that had been fighting this thing medically (big bucks) for two years.
I treated a young mother for pain between the shoulders. When I first saw her about 5 years ago (right after she had moved here), she came to me and told me that she was a regular chiro patient because a bicycle wreck several years previous had left her with Chronic Neck Pain. She simply does not have that kind of pain anymore.
I saw a young woman today who has absolutely been suffering with Piriformis Syndrome with sciatica for the past year. Ugly scarring!
I treated an older rancher for scar tissue and Fascial Adhesions in his neck. He has had outstanding results, considering he had been on the Medical-Merry-Go-Round prior to finding our clinic about three years ago. His Chronic Neck Pain is gone.
I saw a middle aged truck driver today for Chronic Neck Pain. He has been a long term patient and always complains of the exact same thing. Although he has declined the Tissue Remodeling Treatment to this point, his wife was with him and talked him in to it. The results were not only amazing, they were instant. He had some ugly scar tissue and will do his Stretches while on the road.
I saw an older woman today with both Chronic Neck Pain and severe Degeneration of her neck. She barely had any ROM when I examined her. I broke the Fascial Adhesions in her neck and upper traps, and the results were immediate. Her ROM increased by 50% and her pain was cut in half — immediately.
I saw the nurse again that I had treated with the Carpal Tunnel Syndrome / Wrist Flexor Tendinosis / DeQuervain’s Syndrome combo. She was 50% better — before I started her second treatment! I was able to really break up some scarring today. Needless to say, she is incredibly excited that she can write again without pain.
WEEK OF JUNE 27, 2011
I saw a highschool student who severely hurt his back a week ago while hanging on a basketball goal after a dunk (Pulled Muscles). He could not move or breathe and the adjustment brought no relief whatsoever. I did Tissue Remodeling work and his pain was 75% better immediately.
I treated a middle aged woman who had a combination of Illiotibial Band Syndrome and Piriformis Syndrome. Ugly stuff that was causing serious sciatica. We’ll see next week how she did.
I had a young bodybuilder (ex-Marine) come see me for pain and unleveling in his shoulder and upper back (one shoulder was much higher than the other). His wife had been noticing for a long time that the problem was progressing. I thought I could help him, and had the shoulder levels balanced out in less than 3 minutes.
I treated an ex-Navy pilot today for Fascial Adhesions. The helmet that he wore for over 20 years was extremely heavy and is a known cause of Chronic Neck Pain in that population. I have treated him several times and each time he is a little better.
I saw one of my favorite Old-Timers today complaining of Chronic Neck Pain. He wanted an X-ray, so we took one. The degeneration was terrible. Several areas that were bone on bone. I gave him a Tissue Remodeling Treatment that normalized his ROM and relieved his pain — instantly.
I saw a patient today that I have given several Tissue Remodeling Treatments over the past several years. When she came to me the first time (4 years ago) she had been on a 3x / week chiropractic treatment schedule for approximately 5 years. Although it was the only thing that would bring her any relief, she still carried a Migraine Headache 24-7-365. She now has about 1-2 migraines a year (see her picture on our Bruising and Pictures Page.
I had a new patient come in with an ugly pain in his mid back from an injury that happened a week ago. He works as a mechanic / hauler at one of our local canoe rentals, and needless to say, his job was literally killing him. I examined him and found scar tissue. I broke the tissue up and had him move around. He was immediately better. After adjusting him, he was much better still.
The young beautician that I treated last week for Piriformis Syndrome (over 2 years worth) — she is about 90% better after her first treatment! She is psyched to work and function without pain.
I saw a new patient who had dealt with a shoulder problem for about a year. I am not quite sure what is going on — no immediate change whatsoever after treatment.
I treated a young lady who has suffered with Chronic Migraines. She is dramatically better after a couple of previous treatments.
The nurse that I treated for Chronic SI pain / Piriformis Syndrome a couple of weeks ago —- she’s literally 100% out of pain after her first treatment. Her problem has gone on for years. She has a high arch and Plantar Fasciitis as well that will have to be dealt with.
I saw a middle aged woman who has been struggling with Plantar Fasciitis for a long time. Instant relief after immediately after her first treatment.
I gave a second treatment to the 15 year old volleyball player who had been through 3 MRI’s, months of therapy, orthopedic visits, etc, etc, for her second treatment for a shoulder problem. She was literally 100% pain-free with normal ROM. She has actually been playing volleyball for the first time in months.
I gave an older gentleman a treatment for Piriformis Syndrome that he has been dealing with since he was twenty years old. I am very optimistic.
I saw a middle aged woman for Chronic Forearm Tendinosis. I gave a second treatment to an older woman who has suffered with Chronic Neck Pain. She is dramatically better after her first treatment.
A young man and his wife drove down from Minneapolis last evening (15 hours) and I treated him this morning. He had terrible Fascial Adhesions that were causing Piriformis Syndrome. He was much improved after treatment. However, his arches are so absurdly high that he will continue to have problems unless he visits Shawn Eno (Xtreme Footwerks) in Idaho Springs. Shawn is the only person I am aware of who specializes in orthotics for people with extremely high arches.
WEEK OF JULY 10, 2011
Sorry, no time to keep up with this. But you get the idea. We are helping people with problems just like yours all week every week.
HIPAA DISCLAIMER: Neither verbal information nor written records about our patients can be shared with another party without the written consent of the patient, or the patient’s legal guardian or personal representative. It is our official office policy not to release any information about a patient without a signed release of information except in certain emergency situations or exceptions in which, under HIPAA regulations, information may be disclosed to others without written consent. If an individual’s name is given on this page, it means that Schierling Chiropractic, LLC has said individual’s express written consent to use both their name and testimonial.
Dr. Schierling completed four years of Kansas State University's five-year Nutrition / Exercise Physiology Program before deciding on a career in Chiropractic. He graduated from Logan Chiropractic College in 1991, and has run a busy clinic in Mountain View, Missouri ever since. He and his wife Amy have four children (three daughters and a son).
Brain Based Therapy
Can You Help
Cardio Or Strength
Cold Laser Therapy
Death By Medicine
Degenerative Joint Disease
D's Of Chronic Pain
Evidence Based Medicine
Gluten Cross Reactivity
Ice Or Heat
Jacks Fork River
Leaky Gut Syndrome
Number One Health Problem
Platelet Rich Therapy
Post Surgical Scarring
Re Invent Yourself
Rib And Chest Pain
Scar Tissue Removal
Sleeping Pills Kill
Stay Or Go
Stretching Post Treatment
Tensegrity And Fascia
The Big Four
Thoracic Outlet Syndrome
Whole Body Vibration