Grand Opening Underway, San Ramon Chiropractor Dr. Dan Perez

Greeting San Ramonians!

We’re still awaiting decorations and reception furniture to add to the ambiance of The Pain and Injury Treatment Center in San Ramon, as well as our credit card terminal, but the office is now operational.  The phone line was installed last week, and the laser and equipment were brought in the week before.

What I’ve envisioned is a conveniently located center in San Ramon dedicated to alleviating or curing conditions involving musculoskeletal pain.   By design, it’s not a very large office; about 500 sq. feet.  This helps accomplish the mutual,  provider-patient experience I want to create.  The surprisingly spacious exam and treatment room is comfortable and has a nice view of a small canyon with creek.

My expertise is in chiropractic and non-pharmacological management of chronic and acute pain.   A central feature of my practice which sets me apart from other chiropractic offices is deep tissue laser therapy featuring the powerful LiteCure(TM) laser.  This laser is used by many professional sports teams to treat their injured athletes, and it gets great results.  When combined with myofascial therapy, muscle activation techniques, and chiropractic adjustments, its effect is multiplied.

I am running a deal through the San Ramon Patch:  $45 for an evaluation, consultation, and laser treatment session, PLUS a follow-up visit for a second laser treatment.  It’s a great way to determine if laser therapy can help you, so make sure to check it out because it won’t last!  By the way, the Patch is a nice community site that works well with such a small, close-knit community like ours.

The office is located at 2641 Crow Canyon Road, Ste. 4 in San Ramon.  If you are traveling on Crow Canyon away from the 680 freeway, you’ll need to make a u-turn at Deerwood Road.   Drive a few yards and the parking lot is to your right.   Residents of Danville, Alamo and Dublin will find easy access as well.

Tip for Instant Improvement of Ergonomics

Chicony Wireless keyboard, model number: KBR01...
Image via Wikipedia

Most of my patients have a job that requires sitting in front of a computer for at least 25% of the day.  It is very important to ensure that the workstation is arranged in such a way to prevent “overuse” injuries, which include tendonitis, carpal tunnel syndrome, and general neck and shoulder pain.

I have been using a wireless keyboard and wireless mouse for a few months now.  It is great to not have to tussle with cords on my desk surface.

But the best thing about a wireless keyboard and mouse is that it enables more freedom to place in a comfortable, ergonomic position.

Here’s what to do if your desk is not ergonomically optimized due to not having a keyboard tray, or not being able to adjust your chair or desk height to the ideal level:

Buy a wireless keyboard and wireless mouse.  You can find them in most office retailers like Staples, Office Max or Office Depot; or you can buy them on Amazon.com.

Logitech Wireless Desktop MK320 with Keyboard and Mouse

Also buy one of those lap boards made for computer laptops.  They usually have a soft cushion that goes over your lap.

Place the lap board on your lap.  Install the wireless keyboard and mouse (easy to do, it comes with a small USB chip that you simply plug into your computer).  Put the keyboard and mouse on the board, and you’re ready to go.

Remember, when you’re typing for long periods keep the keyboard and mouse low (not on your desk surface in most cases).  This allows you to keep the upper shoulder and arm muscles more relaxed.

Dan Perez, DC

San Ramon Chiropractor

(925) 788-6253

Enhanced by Zemanta

The San Ramon Patch -Check it Out

Just discovered a nice little community website that covers news and events in our wonderful town.   Great resource to find things like concerts, plays, fairs, local school events, classes, garage sales, and so forth.  If you are a business owner, you can advertise as well.

Here’s the link:  http://sanramon.patch.com/

How to Prevent Lower Back Pain from Setting In

Lower back pain afflicts hundreds of thousands of people in this country.  For most, it gradually sets in without no apparent cause.  I get this a lot in my practice.

One common denominator in many patients who have lower back pain is a sedentary job.  These patients sit for the most part of their workday, usually at a computer station.  Although it seems harmless, sitting for extended periods sets the stage for problems to occur.

For one, sitting inactivates the postural muscles along the spine.  These are the muscles that move your back in precise angles.  If you spend years sitting at a desk, muscle coordination weakens, and the next time you reach down to pick something off the floor, your back muscles can fail you, resulting in a strain injury.  The back muscles need to be engaged most of the time for proper function.

According to James A. Levine, MD, PhD and Mayo Clinic researcher, the “physiology of inactivity” results in a variety of immediate, undesirable effects. For instance, inactivity impedes the ability to metabolize fat and sugar and it also elevates triglycerides, potentially raising the risk for cardiovascular disease. Prolonged sitting weakens muscles, which can lead to back pain, arthritis and joint problems. Previous research has demonstrated that sitting for long periods suppresses lipase, an enzyme involved in fat metabolism that is produced only when leg muscles flex — low levels are associated with heart disease and other illnesses. Sex hormones, including estrogen and testosterone metabolism, also are affected, Dr. Levine noted, adding that “these impact all aspects of physical and emotional states.”

So, to reduce your chances of developing lower back pain and all the other problems Dr. Levine mentions, get off your chair and move– make it habitual; do whatever it takes to break away from your desk and do some brief stretching.  It will pay off in big dividends.  Getting your spine adjusted periodically is also a good, preventative measure.  Chiropractic adjustments physically move restricted vertebrae,  promoting  joint hydration and lubrication.

Dan Perez, DC

San Ramon Chiropractor

Enhanced by Zemanta

Rainy Season is Approaching – Drive Carefully

A car accident in Tokyo, Japan.

Image via Wikipedia

We’ve been getting intermittent days of rain here in San Ramon over the past couple of weeks.

Once the rainy season starts, please make sure you drive with extra caution.  The first rains of the season loosen the previous months’ buildup of oil on the roads, making them extra slippery.  It’s a good idea to check the treads on your tires and see if you are due for a new set.   Also, keep a longer distance between you and the car in front of you.

Unfortunately, you can only control your actions on the road; not other drivers.  If the person behind you is not as careful, and hydroplanes into you at a stoplight (very common during the rainy season– I get this a lot), you will most likely suffer a cervicothoracic sprain strain injury to your neck and upper back.  More commonly known as whiplash, this injury occurs when the body is quickly accelerated, then decelerated (which is exactly what happens to the body in a rear end car collision).  The construction of the neck allows the head to arch backwards at a sharp angle, and then whip forward, and then back again following the impact.  The action causes microtears to the soft tissues surrounding the cervical spine (neck vertebra).  Symptoms typically include neck pain and stiffness, peaking 1.5 to two days after the accident; fatigue, and headaches.

If you have the misfortune of getting into a minor car accident and experienced whiplash, make sure to get checked.  There is a proper treatment protocol for whiplash to ensure that the injury heals properly, and the neck alignment is restored.  If not treated properly, the risk of chronic neck pain is greater.

Enhanced by Zemanta

Ten Heart Attack Symptoms You Should Know About

גיאגרמת התקף לב בעברית (Heart attack diagram)
Image via Wikipedia

Heart disease is the number one killer of Americans each year.  This helpful article recently came out.  Please familiarize yourself with these symptoms, whether you have risk factors for heart disease or not:

How to Tell if Someone Is Having a Heart Attack

Don’t let that happen to you. Here, 10 heart symptoms you’re likely to ignore — and shouldn’t.

1. Indigestion or nausea

One of the most oft-overlooked signs of a heart attack is nausea and stomach pain. Pay attention when anything seems out of the ordinary, particularly if it comes on suddenly and you haven’t been exposed to stomach flu and haven’t eaten anything out of the ordinary.

2. Jaw, ear, neck, or shoulder pain

A telltale sign: The pain comes and goes, rather than persisting unrelieved, as a pulled muscle would. This can make the pain both easy to overlook and difficult to pinpoint. You may notice pain in your neck one day, none the next day, then after that it might have moved to your ear and jaw. If you notice pain that seems to move or radiate upwards and out, this is important to bring to your doctor’s attention.

3. Sexual dysfunction

Having trouble achieving or keeping erections is common in men with coronary artery disease, but they may not make the connection. Just as arteries around the heart can narrow and harden, so can those that supply the penis — and because those arteries are smaller, they may show damage sooner. One survey of European men being treated for cardiovascular disease found that two out of three had suffered from erectile dysfunction before they were ever diagnosed with heart trouble.

4. Exhaustion or fatigue

A sense of crushing fatigue that lasts for several days is another sign of heart trouble that’s all too often overlooked or explained away. Women, in particular, often look back after a heart attack and mention this symptom. More than 70 percent of women in last year’s NIH study, for example, reported extreme fatigue in the weeks or months prior to their heart attack.

The key here is that the fatigue is unusually strong — not the kind of tiredness you can power through but the kind that lays you flat out in bed. If you’re normally a fairly energetic person and suddenly feel sidelined by fatigue, a call to your doctor is in order.

5. Breathlessness and dizziness

When your heart isn’t getting enough blood, it also isn’t getting enough oxygen. And when there’s not enough oxygen circulating in your blood, the result is feeling unable to draw a deep, satisfying breath — the same feeling you get when you’re at high elevation. Additional symptoms can be light-headedness and dizziness. But sadly, people don’t attribute this symptom to heart disease, because they associate breathing with the lungs, not the heart.

In last year’s NIH study, more than 40 percent of women heart attack victims remembered experiencing this symptom. A common description of the feeling: “I couldn’t catch my breath while walking up the driveway.”

6. Leg swelling or pain

When the heart muscle isn’t functioning properly, waste products aren’t carried away from tissues by the blood, and the result can be edema, or swelling caused by fluid retention. Edema usually starts in the feet, ankles, and legs because they’re furthest from the heart, where circulation is poorer. In addition, when tissues don’t get enough blood, it can lead to a painful condition called ischemia. Bring swelling and pain to the attention of your doctor.

7. Sleeplessness, insomnia, and anxiety

This is an odd one doctors can’t yet explain. Those who’ve had heart attacks often remember experiencing a sudden, unexplained inability to fall asleep or stay asleep during the month or weeks before their heart attack. (Note: If you already experience insomnia regularly, this symptom can be hard to distinguish.)

8. Flu-like symptoms

Clammy, sweaty skin, along with feeling light-headed, fatigued, and weak, leads some people to believe they’re coming down with the flu when, in fact, they’re having a heart attack. Even the feeling of heaviness or pressure in the chest — typical of some people’s experience in a heart attack — may be confused with having a chest cold or the flu.

If you experience severe flu-like symptoms that don’t quite add up to the flu (no high temperature, for example), call your doctor or advice nurse to talk it over. Watch out also for persistent wheezing or chronic coughing that doesn’t resolve itself; that can be a sign of heart disease, experts say. Patients sometimes attribute these symptoms to a cold or flu, asthma, or lung disease when what’s happening is that poor circulation is causing fluid to accumulate in the lungs.

9. Rapid-fire pulse or heart rate

One little-known symptom that sometimes predates a heart attack is known as ventricular tachycardia, more commonly described as rapid and irregular pulse and heart rate. During these episodes, which come on suddenly, you feel as if your heart is beating very fast and hard, like you just ran up a hill — except you didn’t.

Some patients confuse these episodes with panic attacks. Rapid pulse and heartbeat that aren’t brought on by exertion always signal an issue to bring to your doctor’s attention.

10. You just don’t feel like yourself

Heart attacks in older adults (especially those in their 80s and beyond, or in those who have dementia or multiple health conditions), can mimic many other conditions. But an overall theme heard from those whose loved ones suffered heart attacks is that in the days leading up to and after a cardiac event, they “just didn’t seem like themselves.”

A good rule of thumb, experts say, is to watch for clusters of symptoms that come on all at once and aren’t typical of your normal experience. For example, a normally alert, energetic person suddenly begins to have muddled thinking, memory loss, deep fatigue, and a sense of being “out of it.” The underlying cause could be something as simple as a urinary tract infection, but it could also be a heart attack. If your body is doing unusual things and you just don’t feel “right,” don’t wait. See a doctor and ask for a thorough work-up.

And if you have any risk factors for cardiac disease, such as high blood pressure, high cholesterol, smoking, or family history of heart disease, make sure the doctor knows about those issues, too.

Enhanced by Zemanta

New Study: Just being a little overweight increases risk of death

Silhouettes and waist circumferences represent...

Image via Wikipedia

A recent study involving about 1.5 million people concluded that healthy white adults who were overweight were 13 percent more likely to die during the time they were followed in the study than those whose weight is in an ideal range.

The study’s conclusions, published in Thursday’s New England Journal of Medicine, are similar to three other large studies, according to lead author, Amy Berrington of the National Cancer Institute.

“Now there’s really a very large body of evidence which supports the finding that being overweight (not obese)  is associated with a small increased risk of death,” Berrington said.

This study, and its recent predecessors should put to rest the notion that being a couple of pounds overweight is harmless.  It is believed that this false and dangerous belief stemmed from the days when food was scarce.  Today, evidence shows that carrying those “extra” pounds can take years from your life.

Two-thirds of U.S. adults are either overweight or obese. Overweight begins at a BMI (body mass index) measurement of 25, obese at 30 and morbidly obese at 40. A 5-foot-6 person is considered overweight at 155 pounds, obese at 186 pounds and morbidly obese at 248 pounds.

If your BMI is 25, play it safe and lose the extra pounds to remove your risk.   Losing weight is best done gradually, but deliberately, without sacrificing proper nutrition.

My practice offers weight loss programs with the assistance of Metagenics nutritionals, a highly regarded line of medicinal foods that can help you reach your weight loss goals safely, and permanently.

Contact Dr. Perez at (925) 788-6253.

Enhanced by Zemanta

Hot Weather and Health

LONDON, ENGLAND - JULY 01:  Members of the pub...

Image by Getty Images via @daylife

With the hot weather we’ve been experiencing in San Ramon lately (and wonderful balmy nights), it’s important to revisit how unusually high temperatures affect health and safety.

The most important thing to remember is that young children, especially infants and toddlers are a lot more vulnerable to hot weather.  Their bodies are not mature and cannot cool as efficiently as adults.  If you have children, keep them away from direct sunlight and make sure they are kept hydrated.  Never leave them unattended in your car when it’s very hot outside.

Generally, if you are exposed to hot weather for several hours it can make you feel more tired.  This may have something to do with dehydration and the body’s energy expenditure in cooling you off.  Heart rate and breathing rate tend to increase in hot weather.  With that in mind, be more careful when engaged in heavy lifting or other activities that requires strength and endurance so as not to slip or throw out your back.  Drink water several times throughout the day to make up for that lost through sweat and your breath (the body’s main cooling mechanisms).

Enjoy the rest of the Indian summer…

Dr. Dan

San Ramon Chiropractor

Enhanced by Zemanta

Walking Barefoot to Prevent Back Pain

My left foot
Image via Wikipedia

I’ve been reading about the benefits of walking barefoot from different sources in the media, and believe the concept has merit.

There is an assertion that walking in shoes can cause foot, ankle, knee, hip and lower back pain in some people, because it inhibits proper movement of the many internal joints of the foot.  Think about it– what is your instinct after having walked in shoes all day?  Taking your shoes off, of course!  And what a great feeling it is– your feet are released from the compressive forces of your shoes and decompress; oxygenated blood rushes into the feet, invigorating the muscles, and the skin of your feet gets to breathe again.   This should be a strong sign that the rest of the body prefers shoeless walking.

Of course, due to societal norms especially in the work environment, walking barefoot is frowned upon due to its informalness.  So here’s what you do:  make it a point to walk barefoot outside, around your house as much as possible; better yet, in a park close to your work during the day.  Walk on bumpy, uneven surfaces as this will serve to exercise the foot muscles and foot joints more than an indoor flat surface.  Your leg muscles will even get exercise from this.

Chiropractors, podiatrists and orthopedic doctors know that abnormal foot biomechanics can over time cause lower back pain to develop.  The foot is a lot more complex than it appears, with many joints interacting to grip the ground properly and help with ambulation.  Just like a wheel misalignment on a car can lead to problems elsewhere, foot dysfunction can lead to problems in the lower extremities all the way up to the neck.  So make sure to make outdoor barefoot walking a daily exercise routine for the purpose of strengthening your feet and helping to prevent low back pain.

Chiropractors can adjust all joints of the feet to help improve joint function.

Enhanced by Zemanta

Preventive Exercises for Your Lower Back

Intrinsic back muscles

Image via Wikipedia

Patients who suffer from lower back pain usually report the cause of their pain as “moving” a certain way, or bending forward.  Fewer report hurting their back while lifting something heavy.

Let me explain why this is so.  You see, your whole body should be viewed as one, continuous unit when it comes to body mechanics.  In other words, don’t think in terms of a lower back, a neck and a mid back.  They are all connected, like a continuous chain.  Damage one area, and there will be an affect to the other areas in one way or another.

Persons who easily hurt (sprain, strain) their back simply by bending forward or twisting probably have weak back and core muscles.  These are the muscles that coordinate overall movement.  When I say “weak” in this sense, it refers to the muscles not being well conditioned to contract and elongate according to a load (the weight of your torso), AND not optimally “synchronized” with each other.  You see, bending at the waist and twisting is not as simple as it appears on the surface.  Your brain sends lighting fast nerve signals to several groups of muscles and causes them to precisely contract a certain way to accomplish the desired movement.  For example, here are the main groups of muscles used when bending the lumbar (lower back) spine:

  • erector spinae
  • multifidi
  • quadratus lumborum
  • iliocostalis lumborum
  • rotatores
  • biceps femoris
  • abdominus rectus
  • abdominus obliques

If these muscles are not well coordinated neurologically, and not conditioned strength-wise, it sets the stage for lower back pain.  This is common to people who do not exercise, are not active either way, and sit at a desk most of the day at work.

To rectify the solution, functional exercises should be done.  Functional exercises refer to those exercises that mimic movements that the muscles were designed to do during a typical day.  These exercises will involve torso rotation with weights, abdominal exercises, and exercises for the legs.   Medicine balls (weighted gym balls) are an excellent accessory to do functional exercises.  For example, choose a 12 pound exercise ball and place it on the floor.  Plant your feet, pick it up and put it on a table; then put it back down.  Repeat ten times.  Then, pick it up and put in on a surface above your shoulders, and do the same.

These are just some of the exercises you can do to not only increase the strength of your core muscles, but also the coordination between them so that your lower back will be extremely responsive to these types of “risky” movements.

Of course, periodic chiropractic adjustments to your low back can help ensure that your lumbar vertebrae are moving properly.

Dr. Perez

Enhanced by Zemanta