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. 











Osteoarthritis: 
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


Weakness: 
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: 
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.