Friday, November 2, 2018

Video Case of the Week: Carpal Tunnel

Check out our Video Case of the Week: Carpal Tunnel
If you would like us to show our innovative approach to other common pain problems, or your diagnosis.... please comment and stay tuned!

Thursday, October 25, 2018

Get Up, Stand Up... at your desk

Let's address the need for a sit-stand desk. This topic has become increasing popular for good reason. Many people have back pain! I frequently recommend a sit-stand desk for patients who present with impaired function, pain and degeneration of the low back. Today we discuss if you are a candidate for this type of load management strategy.
Why a Sit-Stand Desk?

A sit-stand desk is important. Sitting increases the load on discs in your low back. The sit-stand desk is a workstation that allows you to do both, sit or stand at your work station reducing load on your low back. People who sit for four or more hours in a day have a 9x increase in low back pain, compared with people who sit for one hour(1). There are only 168 hours in a week. The average person spends 64 hours a week sitting(2). How much of your life do you spend sitting down? 

Low back disc problems
Low back disc problem
How does a sit-stand desk help me?

This setup reduces the load on your lumbar spine. With my experience treating thousands of low back pain patients, reducing pain needs a specific plan. This plan requires a combination of restoring muscle function, improving movementbalancing strength and managing the loads on the low back. 

I recommend that you sit for 30-45 minutes and stand for 15-20 minutes. It's time to switch to standing if you are uncomfortable and find yourself shifting around to avoid pain. In fact, I recommend that you subtract 20% off the time it takes to hurt and switch before your back begins to be irritated.
Sit Stand desk
Sit-Stand setup

Do I need a Sit-Stand Desk?
There are multiple factors that must be considered for you to be a candidate. First do you have impaired function, pain or a known diagnosis regarding your low back? Any request must be a reasonable accommodation request. Do you have a legitimate request backed by a note from a doctor? Would the request cause your employer undue hardship? Managing the load on the lumbar spine with a sit-stand desk is vital to maintaining health, slowing degeneration and minimizing both pain and missed time from work. If you suffer from low back degeneration, give us a call at 678-1362 to schedule a consultation.
Evolution man - computer
Occupational Evolution
References: (1) Tucker, J. "Give your patients the ergonomic advantage." Dynamic Chiropractic, April 2017.
(2) Yeager, S. "Sitting is the new smoking- even for runners." Runner's World, July 20, 2013. 

Tuesday, October 23, 2018

Improving Your Patient Experience at Roc Spine + Sports Chiropractic

Improving Your Patient Experience

Every day we hear about people frustrations with health care. We believe in a process of constant improvement to serve you better. This applies not only in the treatment room but with all aspects of our interactions with our patients. You may notice these changes in our new faces, new voices, streamlined patient experience and better results.  
New faces: Meet Nikki

Nikki recently started as an office assistant. One of her roles is to help our patients feel like royalty while in the office. She was born in England so she has first hand knowledge on what this means. 

Nikki Office Assistant
Nikki- Office Assistant
New voices

During business hours our phone lines will be answered by Lauri or Nikki. We  received feedback regarding frustration in reaching the office directly. This change will resolve the issue. Open hours can be found here

Furthermore, all new patient consultations and initial examinations will have to be scheduled by calling the office directly at 678-1362.  New patients will not have access to these types of appointments on the online scheduling system. 

Streamlined patient experience

Dan, our clinical assistant has played an essential role in improving our Manual Adhesion Release treatment through improved focus, and precise motion bringing better results with every encounter. He is trained on how to perform all of our functional test measurements and rehabilitation exercises.  Dan will be entering the room to gather test results prior to Dr. Matt Buffan entering the room.  

Better results
We have added new equipment.
Integrative Diagnosis Lumbar Flexion Table
The lumbar flexion bench enhances our ability to reduce adhesion in the muscles of the low back.  If you have a back pain and have not been treated in our office since the acquisition this equipment in June, your back is not as healthy as it could be.  We are improving function, solving pain, providing freedom. Give us a call today at 678-1362 to experience Rochester's only certified Manual Adhesion Release™ treatment provider with the best equipment available.
Low back muscle treatment - Manual Adhesion Release

Thursday, March 1, 2018

Restricted Mobility: Your Bodies Warning Sign

Can you move with ease and comfort? 

A key indicator of health is the ability to use your muscles to move all of your joints without issue. If you begin to notice a limitation of movement in yourself or a loved one, what does this mean? Restricted mobility is the condition where a person's ability to move freely and easily is reduced or impaired. Almost all people will experience restricted mobility at some time in their life. More importantly, what can you do now to minimize any consequences? 
Consequences of Restricted Mobility
Graphic Created by Integrative Diagnosis. Used with Permission.

Let's take a closer look at these issues and their impact on your life and freedom to move. 

Tendon tears:
Tendon Tear- Shoulder
Tendon Tear- Shoulder

Tendons are like ropes acting on our bones. If the tendon gets chronically overloaded, pinched and rubbed, it can tear or fray like a rope. 

We all know someone with joint pain... "It's my arthritic ____ (knee/ hip/ back/ neck/ shoulder/ hand)." Osteoarthritis is mechanical joint breakdown. What if you could identify this issue and slow the progression before severe joint damage occurred?  
Osteoarthritis- Knee
Osteoarthritis: Knee

Disc Degeneration: 
When our back does not move properly it compresses our disc. When repeated for days, weeks, months and years your disc breaks down.
Disc Degeneration- Low Back
Disc Degeneration: Low back

Muscles are supposed to be able to slide & contract, when they are stuck together they are weaker and unable move our body normally.  Furthermore other muscles are forced to compensate, overloading the region.  

Adhesion acts like glue that makes muscles less flexible and weaker. 
Muscle Adhesion
Muscle Adhesion

Trapped Nerves:
Nerves slide and glide through our body like dental floss in our teeth.  If adhesion sticks to a nerve it will entrap it causing numbness, tingling, burning and a toothache type of pain wherever that nerve travels. 
Nerve Entrapment- Sciatic pain
Nerve Entrapment: Sciatica

I have restricted mobility...What do I do?
These consequences sound and look terrible because they are. The best action plan is to identify and acknowledge any areas of restricted mobility. This is accomplished by an Integrative Diagnosis providers evaluation. Dr. Matt Buffan is the Rochester area's only provider with this advanced training and certification.

Once identified, the next step is to restore mobility to the area. An ideal conservative care treatment plan includes an accurate diagnosis, adhesion release treatment, and case leadership to restore mobility and improve function. Our office specializes in providing care to produce results that reduce pain, and slow degenerative changes in order to let you live your life with fewer consequences. 

Thursday, October 26, 2017

Avoid Your Achilles' Heel

The Achilles heel has provided legendary pain and symptoms. Achilles ruptures have been taking down great warriors and athletes for centuries. My heart hurts when I see patients go through the agony of the physical, mental and emotional impacts of this injury. What if these problems could have been avoided or prevented? This newsletter is looking to accomplish just that, a plan for the prevention and reversal of Achilles tendinopathy.

Historically, Achilles pain was diagnosed as Achilles tendinitis. Research on painful tendons in the late 1970s discovered there was no inflammation when looking under a microscope. For decades these problems have been misdiagnosed and mistreated.
The Achilles problem is called tendinosis, which is a degenerative condition resulting from excessive load and decreased blood supply. The tendon becomes tender or painful, the collagen becomes disorganized, and the strength decreases. 
Who is at risk for this type of injury?
People who are in an environment with repetitive use or higher demand. Especially people on their feet all day for their occupation, runners, or athletes that involve frequent jumping (e.g., basketball, volleyball, crossfit).

One in five athletes with Achilles tendinopathy are under 45 years old. When it comes to competitive athletes, one in four will have an Achilles injury in their lifetime. Competitive runners have an even higher risk of tendinopathy, as high as 40-50 percent. 

Why is Achilles Tendinosis important?
Healthy tissue can tolerate the daily activity and training loads. Degenerated, thickened  adhered and weaker tendinosis tissue will not tolerate the load increasing the risk of a full rupture. 97% of all soft tissue injuries and tears happen in degenerated tissue.
Achilles Tendinosis on Left: Degenerated & Thickened
What can I do?
If you or anyone you know have any history of pain in your Achilles, heel, or the back of your ankle… Do this Now.
Action Step: No seriously, stop andcheck yours!

How can Dr. Matt Buffan help me solve this problem?
Solving the problem requires three things.
Best method to reduce tendinosis tissue
1. Decreased activity
2. Adhesion release treatment 
3. When the tendon demonstrates healing and tolerance to basic daily activity, eccentric exercise can be added into your routine

If the steps above are not followed in their specific order, your problem will not be resolved and returning to training or daily activity will be delayed. I have worked with patients who go through multiple rounds of poor management, which includes periods of rest as long as two months and/or poor exercise selection. The results for these patients who do not follow the steps in order end up realizing their problem continues when they re-introduce activity.

Are there any other areas where this problem is common?
Yes, lateral elbow tendon (“tennis elbow”), hamstring tendon attachment, and knee tendon.
"Tennis elbow"

Tuesday, February 21, 2017

Stairway to Hamstring Strength

Many people who come into our office complain about their hamstrings. The hamstrings consist of three distinct muscle tissues located in the back of the thigh. The average person spends the majority of their day sitting: at the office, eating, driving or riding in a vehicle, and watching TV. This frequent sitting creates limitations of the hamstrings. Hamstring limitations can lead to over activation of the muscles in the front of the leg, knee pain, poor balance, as well as calf and foot complaints.
Hamstring muscles

In most cases, this limitation is a combination of muscle adhesion and weak muscle issues. The muscle adhesion needs to be resolved with Manual Adhesion Release. The weak muscle tissues can be strengthened with targeted exercise and incorporating mindful staircase climbing into your daily routine. When climbing stairs, skip a step to have your whole foot in contact with the stair. Now drive through your heels with each step. This activates and strengthens the hamstring muscles.

Stairway to Hamstring Strength

Making the choice to take the stairs mindfully, versus using the elevator or escalator, allows you to work towards strengthening your muscles, as well as improving your balance and health. It is a choice of doing what is right for your body, instead of what is easy. 😤

Monday, October 17, 2016

Sciatica: A Pain in the Rear!

     What is sciatica? Sciatica gets its name from where the pain is located, in the back of the leg along the sciatic nerve. Many patients come to the office complaining about pain in their “butt muscle” or their hamstring feels tight. This pain can limit day to day activities.. Pain typically continues when left untreated, including a deep dull ache that never subsides. Tingling and burning can also occur nearby the location where the nerve is stuck. Click on the picture to watch a video and learn more.

Sciatica Symptoms

    Case study: Our approach to solve the problem.  Recently a patient came into the office complaining about pain traveling between her upper leg and knee. The pain had been progressively getting worse over the last month. Simple daily tasks such walking and climbing stairs were a painful challenge for her. The patient had tried physical therapy, however the exercise routine made the problem more noticeable. 

 Within our evaluation, we test the ability to bring the straight leg towards the hip. This patient was severely limited at 56 degrees: 90 degrees is normal. Not only was her range limited, but it provoked the complaint.

After ruling out other potential causes of the pain we were able to confirm adhesion along the nerve located at the back of the hip. At that point, we accurately diagnosed the problem as sciatica, caused by adhesion making the muscle stick to the nerve. The method of treatment to resolve this problem is Manual Adhesion Release (TM) twice weekly until the leg has a range of motion of 90 degrees. When the full range of motion goal is achieved, daily activities (and more) will no longer cause pain.

       Results. After a series of four treatments the patient was able to reach 90 degrees with the straight leg raise test and felt 80% better. The following week, the test maintained the results from the prior week and the patient shared she has returned to pain-free living and had increased activity without any setbacks. She was released from care and was excited to continue hiking and her studies.
Getting the diagnosis correct is important. You can have pain in your back and down your leg from others regions, including breaking down of discs in your back and your spinal cord narrowing.

    Conclusion: If you or someone you know is experiencing sciatica, which often feels like constantly tight hamstrings or the lack of ability to bend forward and touch the floor, you or they should be evaluated for sciatica. Book your appointment today or share this post with a friend who may be suffering.