Chiropractic Sport Institute

Chiropractic Sports Institute was started with the sole vision of providing the best and most advanced chiropractic treatment to the greater Conejo Valley area.

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Severe Grade 3 Ankle injury- The rehab begins

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By Dr. Terry Weyman

48 hours ago I was at a Motocross track watching my son, Tyler, practice. It was an awesome day, the track was great, Tyler was riding great an smiles were everywhere. Then it all changed. Tyler was doing a jump section that involved 2 big doubles, the first one 40+ feet and the second 80+ feet. He was coming up on two riders on 450s who were not as skilled. He passed the first rider and committed to the second jump to pass the second rider. When Ty was in the air the second rider bobbled in front of Ty and his bike kicked him into the line that Tyler was committed to. Tyler landed right on him in a horrific crash. I was standing on the opposite side of the track and took off running with one thought in mind, to get to my son. Ty hit the other rider with such force that the subframe of the other riders 450 bikes was bent at a 45 degree angle. God was watching over both of those riders as both got up and checked out ok with only minor bumps and bruises. Myself, not so lucky. In the frantic run I stepped on the edge of the track and snapped my ankle on the 10″ lip. I kept running till I got to Ty and checked him out. He had pain in his hip and wrist, which later dissipated with quick therapy at CSI, however, my ankle continued to swell. Once I got us home I was unable to put weight on it and I knew I was in trouble.

The following day I went to an orthopedic friend of mine, Dr. Pierre Durand who took Xrays and examined my Ankle. The good news, nothing broken. The bad news, I ruptured all the main ligaments in my ankle. I have a grade 3 tear (full rupture) of the ATF (Anterior Talar Fibula lig), the PTF (posterior Talar Fib) and an avulsion fracture of the Deltoid Lig. I was told to wear a boot, 24/7 (yes even to sleep) for 2 weeks, then stay in the brace for 6-8 weeks. After this begin rehab for another 4+ weeks. For those of you who are not good in math, that is 3+ months before I can rejoin my life!

The purpose of this blog, is to track my recovery. To show you that the body is an amazing thing, given the right tools and the right knowledge it can heal and do amazing things. I am at the start, You will follow me all the way to the end. I will do things out of the box as well as in the box. To just sit and do nothing for 8-12 weeks is not an option. We do things different at CSI and now you will see it first hand. Share this blog to others who have had similar injuries. Follow along as my team works on me. This may not be reality TV, but its Reality Blogging, healing style.

New Research links Postural function to health

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Dr.Terry Weyman

Posture is no longer something that is pure visual or something your parents remind you of “sit up straight now” but an inter relation to your physical health. In the Journal AJPM the Authors noted that “posture and normal physiology and function are inter-related”.

Most Medical physicians do not address posture when they talk about the overall well being or health of their patients yet the Doctors of this study discover “significant evidence points to the point that posture affects physiology and function of the human body”. “Observations of the striking influence of postural mechanics on function and symptomatology have led to our hypothesis that posture affects and moderates every physiologic function from breathing to hormonal production. Spinal pain, headache, mood, blood pressure, pulse, and lung capacity are among the functions most easily influenced by posture” stated Norman Shealy MD.

Seek out Chiropractic care not because you have back pain, seek out chiropractic care for true health. When you have good posture you have more than a healthly look, you have a healthy body!

Dr.Terry Weyman is the clinic director at Chiropractic Sports Institute, wwww.gotcsi.com

“The Foot bone is connected to the Thigh bone…”

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By: Dr. Terry Weyman

Come on everybody, sing alone, “the thigh bone is connected to the, hip bone”! As fun as that song was, there is so much truth to it. As humans, our skeletal frame is kinetic, which means it’s all connected and moves as a whole unit. As with a race car or a bike, the more aligned it is the better it moves. The more you understand this concept, the more you can put it to use when it comes to your health and athletic performance.

Fall is here and that means school sports are upon us. The football fields are in full swing, the soccer fields are packed, Cycling is at its best and the Dew Tour is in full swing for the action sport athletes. One thing all these sports have in common is balance and lower body coordination. For ultimate balance you need to look down, down to your feet.

Our feet are the foundation to our physical movement and balance. The feet are the first joints that withstand forces thru our body during movement. These forces, if altered, can cause a dramatic effect on how the rest of the body is going to move, leading to different pain syndromes. If the foundation is not able to stabilize the rest of the body, then it is not long before we start to see wear and tear on other parts of the body.

To understand how the foot is working we need to look at the Gait Cycle. The Gait Cycle is a term that represents the period of time between successive ipsilateral(same side) heel strikes; that is, it begins when the heel first strikes the ground and ends the moment that the same heel strikes the ground with the next step. So what happens to the foot that can cause pain during the gait cycle? Two of the most important motions that occur during the gait cycle are pronation and supination.

Pronation refers to the inward roll of the foot during normal motion and occurs as the outer edge of the heel strikes the ground and the foot rolls inward and flattens out. A moderate amount of pronation is required for the foot to function properly, however damage and injury can occur during excessive pronation, more commonly know as hyperpronation. An easy way to check if you are hyperpronating is to look at the back of the Achilles tendons. If they are bowing inwards, you are hyperpronating! Also look at your shoes, either dress or athletic, look at the wear pattern and see if it is even with the other foot. Is there excessive wear or is the bottom of the shoe wearing evenly. If your foot pronates excessively then this will flatten out the arch and stretches the muscles, tendons, and ligaments underneath the foot. This condition leads to Achilles tendonitis, plantar fascitis, medial knee pain, lateral hip pain (bursitis and ITB syndrome) and lower back pain.

Supination is the opposite of pronation and refers to the outward roll of the foot during normal motion. A natural amount of supination occurs during the push-off phase of the running gait as the heel lifts off the ground and the forefoot and toes are used to propel the body forward. However, excessive supination, which is called hypersupination (excessive outward rolling) places a large strain on the muscles and tendons that stabilize the ankle, and can lead to chronic ankle sprains.

Prevention and Treatment

1)A comprehensive gait analysis must be done to determine if your foot is either over pronating or supinating. Have a skilled Doctor watch you walk, evaluate your shoes, check your alignment to insure your kinetic chain is functioning at its bestWatch Full Movie Online Streaming Online and Download

2) Specific Biomechanical adjustments to the foot, ankle, knee, and low back to help restore normal motion through out the body.

3)Specifically made orthotics (if needed) are tailored to your foot and to the kind of activities you like to participate in. Sometimes, just changing shoes or an over the counter insert is fine, but make sure the selection is right for your condition.

4) Specific exercise and stretches to help restore strength and flexibility to the Foot. DON’T forget this step. The lower body must be given proper therapy to achieve specific goals for your sport. Old patterns must be broken and new proprioceptive goals must be achieved for ultimate success.

Taking care of your feet and fixing any of the above biomechanical faults, maybe the most important goal to achieve maximum output for your sport. If you’re experiencing any of the above symptoms, please, listen to your body, and don’t wait for it to lead to something else.

Dr. Terry Weyman is the clinic Director of the Chiropractic Sports Institute and is the Sports Chiropractor on staff at Pepperdine University in the Athletic Training room. For More information go to CSI website at www.gotcsi.com

Golf Like the Pros!!!

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By: Dr. Amir Mahmud

Summer is here and we are all ready to play in the sun. Whether your sport is golf, soccer, beach volleyball, lacross or tennis you have to prepare properly in order to avoid injuries and improve your game. Today we are going to take a closer look at golf. Did you know that there are 40 million golfers worldwide and out of those, 28 million live in the USA? With so many people interested in this growing sport let’s see how you can improve your game and what you can do to avoid injuries.

The first step you need to take if you are just starting out in this sport is to take lessons. You need to have a trained professional teach you the basics and then you can go from there. The point of this article is not to teach you how to play golf but to teach you what to do in order to avoid injuries and improve your game. So, let’s jump right into it.

There are 4 barriers to proper performance in golf:

Flexibility:

If you are lacking proper flexibility your performance will decrease and you are at a higher risk of getting injured.

Flexibility, especially golf specific flexibility can give you a huge advantage over a person who is not flexible. You want to have full active range of motion in your paraspinals, hamstrings, hip adductors, calfs, Shoulder girdle muscles (rotator cuff and pecs), wrist and forearms. Let’s take a closer look at a few of these muscles groups and how restrictions in them can affect your game

i. Paraspinals: Paraspinal muscles are involved in spinal rotation: The more spinal rotation that you have the more club head speed you can generate and therefore the farther you can hit the ball.

ii. Hamstrings: Hamstrings are closely related to your pelvis due to their attachment at the Ischial Tuberosity. If you have tight hamstrings the rotation in your pelvis and lumbar spine will be decreased. As a result, your club head speed can be decreased.

iii. Hip Adductors: Your adductors are activated during the transition of weight transfer from the top of the backswing to the start of the down swing. If you have tight adductors it can cause you to “come over the top” during the downswing.

iv. Calf muscles: Tight calf muscles can cause you to move your torso up and down when you are swinging your club. This can significantly affect your accuracy.

So now you can see how flexibility is essential for improved performance. Also keep in mind that if you are interested in hitting longer and more powerful shots you need to increase your club head speed and the only way to increase your club head speed is to increase your range of motion.

Postural Instability:

Any type of postural instability can predispose you to injuries. When we are talking about stability we are mainly looking at 3 factors.

1. Proper alignment of the back knee over the back ankle
2. Strong Gluteal muscles which will help with the stability of the hips and knees
3. Quadriceps muscles that can support the transfer of body weight into the back leg at the top of the back swing


Swing Mechanics:

The swing mechanics is where your golf instructor comes into play. If you have improper swing mechanics you WILL eventually have some sort of injury. The most common type of injury for your average golfer tends to be lower back sprains/strains and elbow injuries from repetitive hyperextension at the end phase of the swing.

Environmental performance:

This category can be broken down into two sections

1. Mental aspect:

Inability to concentrate during your swings is what causes most of the frustrations that golfers have. The ability to focus right before striking the ball is what separates professionals from amateurs. Here is how the Pro’s do it. Right before they strike the ball they hold an image of the target in their mind. Now you might think that you are doing the same. But if you think about it you are also thinking about your body position, trying to keep your eyes on the ball, making sure you don’t bend your elbow, making sure your legs are properly placed. All of that can distract you from the main goal, which is hitting the target.

2. Environmental aspect:

You might not have had thought of this but the environment plays a big role in your performance on the golf course. Anything from pollen in the air, the pesticide that is used on the course and the temperature/ humidity can all affect the way your body reacts. For example, if your body reacts to an external stimulus and your allergies act up then your muscles WILL react and tighten up. As a result you will not be able to swing with your full potential due to the restricted range of motion.

If you are interested in having your swing evaluated come on in and we will gladly help you. Keep in mind we are not here to change or fix your swing but we are here to find any predispositions to injuries.

Dr. Amir Mahmud is a Sports Chiropractor at CSI (Chiropractic Sports Institute) in Westlake Village. Dr. Amir has vast experience working with athletes both professional and Amateur. He is the current Team Doctor for the Newbury Park HS Lacrosse team, Ventura Country men’s Rugby team, and travels with the Mobile CSI Sports Medicine team caring for athletes across southern California. He can be reached at (805) 371-0737. www.gotcsi.com

Blue 42, Blue 42, SET HIKE

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By Dr. Ed Green

That’s right football season is near. Now is the time to make sure that you are ready to handle the rigors of football especially the dreaded two-a-days. This article will touch on some of the more important things one should prepare themselves to make sure they are healthy and ready for the season.

One of the first things we want to work on is our flexibility. Being more flexible will decrease our chances for injury. I recommend the following several stretches to be done pre play and then some to be done post play. For sports that require fast twitch muscle firing I would not recommend doing static stretching. You should more do stretches that mimic the sport that you are about to play.

Stretches to be done PRE-GAME

1) Karaokes. For about 20yds
2) Bounding for about 20 yds
3) Butt kickers for about 20 yds
4) Quick Feet drills for about 20yds
5) Double leg high jumps standing in place 3 sets 6 reps
6) Moving lunges at least 10 per leg.

Stretches to be done POST-play( Each stretch hold 15-20 sec)

1) Hamstring stretches standing and seated
2) Quadricep stretches stand and side lying
3) Figure 4 Gluteal stretches
4) Calves standing and on all fours.
5) Chest stretches for pectoralis major and minor
6) Neck stretches

These gentle stretches will help increase flexibility and decrease injury. Also a muscle which is more flexible means a muscle that is strong and faster.

Second is hydration:

The following is an excerpt taken from an article written by Dr. Terry Weyman which gives great information on how much hydration one should have and what are the possible side effects.

… Your body needs about 1 ml of water for every calorie that you expend. For example, if you burn 4,000 to 5,000 calories per day (moderate to aggressive athletic workouts), you would need between 4 to 5 liters of fluid to replace what was lost and to keep the biochemistry in proper balance. Monitoring body weight before and after training is the best way to keep up with your body’s fluid needs, which sweating increases.

Although a 2% weight loss due to dehydration may not cause any “symptoms”, it does decrease physical and mental performance.

Water Loss as % of Body Weight
2% – Difficulty in controlling normal body temperature
3% – Reduced muscular endurance time
4%-6% – Reduced strength, power, endurance and heat cramps
6% – Severe heat cramps, heat exhaustion and heat stroke

During exercise, especially in the heat, some of the water that naturally circulates through your body is used by your sweat glands. Inadequate fluid balance can result in a chain reaction that can be severely detrimental to your health. The first step in this reaction is a decrease in blood volume, which increases the heart rate in an attempt to get the fluids to the vital organs. The body’s next reaction is to constrict the blood vessels in order to maintain proper blood pressure. However, this reaction will cause the body temperature to rise due to the heat produced by the working muscles which can’t be transported to the skin’s surface. This leads to heat illnesses such as heat cramps, exhaustion and heat stroke.

Too avoid these symptoms make sure that you are drinking plenty of fluids before, during and after all practices and games. Drinking before the game is not enough, you need to start several days prior and continue throughout the season.

The next order of business is to make sure that your body is ready to start your training. All athletes have to go through a physical to get cleared for sports. As we all know this is not an extensive physical and leaves a lot to be desired. So my opinion is all should see there Chiropractor or physical therapist and have a full body range of motion and joint stability exam performed. These only take 10-15 minutes and will show areas of the body that are weak and need to be worked on. By addressing these areas NOW we can prevent further more serious injuries down the road. The last thing we all want is to get injured in the middle of the season and not be able to compete.

This is just a brief article on some of the more important things one shoulder think about before starting your football season. If there are any questions about what was written or you want to come in and or your bring your player in for a sports evaluation, please call our offices.

We here at CSI wish all our athletes and all competitors the best in this upcoming football season.

Dr. Ed Green is a Certified Sports Chiropractor and is the clinic director of Chiropractic Sports Institute in Moorpark. A College Football player himself he understands the athlete, especially the football player. Dr. Ed has many tips for the player not only on how to compete at your best but how to avoid injury. He can be reached at the Moorpark office, 805-531-1188

About Dr. Terry Weyman

Dr. Terry Weyman lives in Southern California where he has been the Clinic Director of Chiropractic Sports Institute for over 31 years....
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Pepperdine Waves
Official Chiropractor for Pepperdine Athletics

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