Causes can result from altered movement in the neck joints, disc degeneration and arthritis, poor posture, shoulder problems and even restricted motions in the hips and legs. Even with arthritis or disc bulges/herniations/degeneration, gentle manipulation restores movement in restricted joints, increasing range of motion. This allows synovial fluid to lubricate the joint again with healing and anti-inflammatory nutrients. In addition to this process, muscle stretching, physiotherapy, low level laser and acupuncture could be used to help stimulate the healing process. Correcting contributing stresses from other parts of the body are addressed. Once pain is relieved and mobility restored, then home exercises and postural recommendations help to maintain the restored motion. Pain down the arms from nerve irritation can also be relieved through manipulation and decompression therapies.
There are many types of headaches that can originate from many different areas.
- Typical “tension” headaches or cervicogenic headaches result from restricted movement in the cervical spine causing muscle tension, especially at the base of the skull. These respond quickly to specific manipulation to the restricted joints followed by trigger point therapy and stretching of the muscles, even if they have been there for a long time.
- Migraine headaches can originate from vascular (blood vessel) dilation within the skull. This can also involve hormonal fluctuation during menstrual cycles or during menopause. These headaches can also be of a toxic origin involving the gut (large and small intestine) or the liver. Foods may also need to be evaluated as possible triggers for migraines. Because of the varied origins, an in-depth history and examination is needed to discover the causes of these headaches. Depending on the cause, nutritional intervention through detoxification may be needed as well as diet modification. Acupuncture can also be used to help balance the body’s energy system. However, many times the headache that is termed migraine may just be a severe form of the tension headache that is quickly relieved by manipulation and muscle treatment. This form of headache can also be a trigger to a migraine or a major contributor to migraine pain.
- Other sources of headaches can be the sinuses causing forehead pain and the jaw joint causing pain on the side of the face or head. The doctor must also consider more serious causes of pain in the head such as aneurysm, stroke or arthritis.
This is the jaw joint located just in front of the ear. Pain can come on gradually or quickly, often without obvious cause, and causing localized pain in front of the ear, in the ear, generalized pain in the head or upper back. Popping or cracking of the jaw joint can be present. Through the Activator Methods Protocols for evaluating motion in this joint and the examination of muscles and movements learned through the Central Institute for Human Performance, Dr. Weber can find the cause and specifically treat the condition through very gentle manipulation and specific muscle relaxation and strengthening techniques. Low Level Laser Therapy and/or Acupuncture could also be used to control inflammation and pain.
Inflammation of the sinus cavities located in the forehead (frontal) and cheek bones (maxillary) can cause a great deal of pain. Many times these patients are treated over and over with antibiotics providing limited relief especially through the winter months. Dr. Weber has had great success with the use of Acupuncture in managing this condition which helps to control the inflammation in the sinuses that can lead to infection. Dr. Weber also evaluates the cervical spine and skull for possible irritation aggravating the condition. The gut is also evaluated because the tissues of the sinuses and the intestines come from the same tissue early in fetal development and continue to have energetic relationships in the human body. Treating dysfunctions in the stomach through digestive enzymes and healing the gut through nutrition can be part of the treatment of the sinuses.
Back pain can have multiple causes and is one of the most common reasons for an office visit to any physician. The most common is mechanical low back pain in which the joints in the lower back or pelvis (sacroiliac joint) become dysfunctional (don’t move the way they were designed or get caught off guard and a sprain occurs). This problem responds very well to specific spinal manipulation which restores the mobility to the affected joints allowing the body to heal much faster. One reason for chronic lower back pain can be deconditioning or improper muscle balance across the body and from front to back placing uneven stresses on the spine making it more vulnerable. Dr. Weber utilizes functional movement screening learned through training with the American Chiropractic Rehabilitation Board (Level I Certification) to help determine which muscles are not functioning correctly, and then prescribes corrective exercises to rebalance the body. Dr. Weber stresses and instructs patients in correct bending posture (hip hinging) to help prevent using the lower back in stressful and vulnerable positions. This is much more than just bending your knees. Other causes of lower back pain can be disc degeneration and arthritis. His experience with these conditions has demonstrated that improving the mobility of the spinal joints can provide a great deal of relief and motion in spite of the arthritis. "Motion is Lotion." With lower back pain, Dr. Weber also keeps in mind other possible remote causes such as abdominal aneurysm, bladder infection and cancer.
Pain across and in between the shoulders can be a chronic source of pain. Typically, poor posture contributes to pain in this area. Dr. Weber also needs to examine for pain arising from the rib attachment to the spine and spinal fixation in the area contributing to decreased mobility. Shoulder mobility and shoulder blade (scapula) stability are important factors in the upper back. He also needs to consider that internal organs can also refer pain to this area. Treatment consists of restoring mobility to the spine in key areas, stabilizing the scapula through exercises and instruction on posture control.
The costovertebral joints are located about 1½ inches from the middle of the spine. This is where the ribs meet the transverse process projecting from the side of the vertebra forming a joint that can be sprained especially with a reaching motion. The resulting pain can be stabbing in nature and can even cause shortness of breath because the ribs move when you breathe. There are twelve ribs extending from the base of the neck to the lower back so much of the back is vulnerable. This is one of those pains that never seems to go away – it will come and go – but never really leaves and can persist for months or years. This diagnosis is frequently overlooked. The good news is that it is easily treated with specific instrument manipulation to restore joint alignment followed by Ultrasound Physiotherapy and/or Low Level Laser Therapy to reduce local inflammation and pain.
This is a complicated complex of joints and muscles that require balance and mobility to function correctly. Various sources of should pain can include:
- Rotator Cuff
- Acromioclavicular (AC) Joints
- Loss of Scapular Stabilization
- Biceps Tendonitis
- Sternoclavicular (SC) Joints
- Glenohumeral (shoulder) joint dysfunction
- Trigger points in various shoulder muscles.
All of these conditions can be interrelated.
Examination of strengths, stability, motion and joint dysfunction must be done to understand the origins of shoulder pain. Treatment can consist of specific Manipulative Therapy to restore joint function, Acupuncture and Low Level Laser Therapy to reduce inflammation and pain, exercises to restore muscle balance and posture control to reduce strain on the joint.
Other areas that can contribute to shoulder pain are the elbow and wrist, the neck and even the pelvis or feet. The shoulder may just be the weakest link in the chain where the pain shows up.
The elbow is a hinge joint but also allows for rotation. Pain can be due to Tendonitis on the outside (tennis elbow) or the inside (golfers elbow). Entrapment of nerves can occur around the elbow causing numbness in certain fingers depending on the nerve being pinched. Examination involves evaluating proper mechanical motion of the forearm bones, the radius and ulna, and areas of muscular stress. Treatment, depending on the condition, consists of specific instrument manipulation to restore proper alignment of joints, soft tissue (muscle) release procedures to reduce muscle imbalance and inflammation and bracing to reduce muscle pull and allow healing. Acupuncture or Low Level Laser Therapy can assist to reduce pain and inflammation.
Wrist pain can result from injury (strains/sprains), arthritis, tendonitis or joint dysfunction of one or more of the eight bones that make up the wrist. Examination and possibly X-rays of the wrist will determine the cause of pain. The combination of joint dysfunction and tendonitis may result in compression of the median nerve at the wrist causing numbness and tingling in the hand and fingers, especially at night, which is Carpal Tunnel Syndrome.
When considering a diagnosis of Carpal Tunnel, the complete course of the median nerve from the neck through the forearm to the wrist must be examined to determine other potential sites of nerve compression that can contribute to the hand pain. These must also be treated for successful resolution of carpal tunnel. Treatment can consist of restoring joint mobility through specific instrument manipulation, stretching of key muscles in the forearm and chest, exercising of extensor muscles of the hand and possible bracing of the wrists at night. Acupuncture and Low Level Laser Therapy can be used to decrease pain and inflammation along with anti-inflammatory herbs.
Strains, sprains and arthritic joints are the typical sources of finger pain. Even with arthritic joints, instrument manipulation of those joints along with Acupuncture and Low Level Laser Therapy can provide increased range of motion and decreased pain for periods of time. With any arthritic joint nutritional supplementation with glucosamine/chondroitin and inflammation control with fish oils and anti-inflammatory herbs provide a safe alternative to potentially dangerous NSAID drugs such as ibuprofen or Aleve.
This condition can result from many different sources including the inner ear, the neck, sinuses, toxic conditions or even stress. The symptoms can range from the room spinning around to just feeling light-headed. Dr. Weber will take a detailed history about your condition and complete an examination to determine the source of the vertigo, including tests for the inner ear and mechanical evaluation of the cervical spine. Treatment is based on the cause and can include repositioning of inner ear debris (ear rocks) to their appropriate places, gentle manipulation of the neck to decrease excess sensory input from irritated neck joints, home exercises and even Acupuncture.
Conditions include reflux, gas and bloating especially after eating, constipation, diarrhea, hiatal hernia or just generalized pain in this area. Through his study with the Functional Medicine University and the Loomis Institute of Digestive Disorders, Dr. Weber has learned ways to examine you to determine where your digestion and intestinal tract is not working properly. He then prescribes specific nutritional compounds and diets to help you heal. The underlying problems in the gut can have effects throughout many parts of your body outside the stomach and intestinal area including the immune system and autoimmune diseases, allergies, sinus problems and general poor health.
At times, the outer wall (annulus) of the disc tears and part of the inner gel material protrudes through and contacts the spinal nerve causing pain and numbness into the buttocks and sometimes to the foot (depending on the herniation). This is not an uncommon condition and Dr. Weber has seen it range from teenagers to the elderly, although it happens more often in middle age. Treatment in the office consists primarily of Cox Decompression Manipulation.
Using special tables (the office has two) designed to assist in the decompression of the involved disc along with specific hand placement. Dr. Weber gently and gradually works the disc material back away from the nerve. The patient is instructed in specific exercises to help this process (McKenzie Exercises) and then spinal stabilization exercise. Instruction in proper use of the back especially in bending is given to help prevent reoccurrence. Disc bulges and herniations are not unusual. MRI studies have shown that about 70% of people in their 50’s have herniations and exhibit no back or leg pain. Rarely, in the case of sustained weakness in the leg or lack of bowel/bladder control or when a fragment of disc has broken off, is surgery necessary to relieve pain.
Hip pain can result from imbalances of muscle around the hip, arthritis in the joint, bursitis or pain originating from the lower back. Examination and X-ray will differentiate the causes. Treatment depends on the cause. Misalignment of the head of the leg (femur) in the hip socket (acetabulum) is also evaluated. Dr. Weber can frequently free up motion in the hip with specific manipulation, mobilization and stretching techniques. Acupuncture has been used successfully to relieve the pain of arthritis (if not advanced). Physiotherapy can help relieve localized inflammation associated with bursitis. Core stabilization of the lower back is essential to provide stability for the hip and is always part of the examination.
Arthritis, misalignment of the joint, ankle, foot, and hip problems can all cause pain in the knee area. Examination of all these areas including the lower back is necessary to determine the cause of pain. In the event of arthritis, Acupuncture, Low Level Laser Therapy, exercises and joint realignment can provide great relief. Stresses from pronated feet can be helped through custom-made orthotics. Pain in the knee area can just be referred from the hip. Pain in the back of the knee (sometimes a Baker’s Cyst) can be effectively relieved with the Physiotherapy Ultrasound. Core stability in the lower back and hip are necessary for the knee to function correctly.
Sprain, arthritis and joint dysfunction (misalignment) can be causes of pain in this area. Examination will determine the diagnosis and treatment. Dr. Weber has provided tremendous relief through specific instrument manipulation to multiple foot and ankle joints, seeing swollen joints diminish very quickly. The Activator Methods Testing performs specific tests to determine which joints are involved. Other treatments for inflammation are Acupuncture, Low Level Laser Therapy and Functional Rehabilitation Exercises. Pronation and other foot problems also need to be considered.
Arthritis, joint misalignment and muscle deconditioning can all contribute to pain. Even with arthritis, specific instrument manipulation can free movement in the many joints of the foot from the toes to the heel, providing a great deal of relief. Exercises are given to rehabilitate muscles of the arch and ankle. Custom orthotics can be helpful in controlling pronation (flat feet/dropped arches). Supportive Taping (Kinesio® Taping) the feet can provide temporary relief. Plantar fascitis and heel spurs can result from stresses and weakening of the foot muscles. In addition to the above treatments, Chinese Guasha and Low Level Laser Therapy have been quite effective for fascitis.