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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Migraines and Magnesium

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This is a repost from Chiroup. I found the info good and wanted to share. Beyond Chiropractic, vital in reducing fixations in the upper cervical vertebra thus reducing upper neck muscle tonicity, adding Magnesium is a good choice. Dr. Terry

There are more than 150 types of headaches and “migraine” is one of the most common. In addition to moderate to severe headache, the presence of nausea, disability, and photophobia are the most significant predictors for migraine.

A self-administered screening tool called ID Migraine ® poses the following questions to help confirm the diagnosis:
1. Are you nauseated or sick to your stomach when you have a headache?
2. Has the headache limited your activities for a day or more in the last three months?
3. Does light bother you a lot more when you have a headache?

An affirmative response on 2 of 3 questions yields high sensitivity (81%) and specificity (75%). (1)

Magnesium deficiency has been strongly associated with migraine attacks. A recent study by Chiu demonstrates the positive effects of magnesium administration both orally and intravenous for migraine symptoms.

“Intravenous magnesium reduces acute migraine attacks within 15 – 45 minutes, 120 minutes, and 24 hours after the initial infusion and oral magnesium alleviates the frequency and intensity of migraine. Intravenous and oral magnesium should be adapted as parts of multimodal approach to reduce migraine.” (2)

Although the studies comprising this meta-analysis used varying dosages and formulations (Magnesium Citrate, Magnesium Sulfate, Magnesium Oxide) the most common adult dose was 400-600mg/ day. This dose should be sustained for 8-12 weeks before assessing effectiveness.

1. Lipton RB. A self-administered screener for migraine in primary care: The ID MigraineTM validation study. Neurology. 2003;61:375–382.
2. Chiu HY, Yeh TH, Huang YC, Chen PY. Effects of Intravenous and Oral Magnesium on Reducing Migraine: A Meta-analysis of Randomized Controlled Trials. Pain Physician. 2016 Jan;19(1):E97-112.

Review of Literature: A risk assessment of Cervical Manipulation vs NSAIDS for the Treatment of Neck pain

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by Dr. Terry Weyman

Many times I get asked, “How safe is a cervical manipulation” or I hear, “my neck hurts, I will just take an Advil”. I often wonder why MDs don’t refer more patients with neck or back pain to Doctors of Chiropractic? Over the years I have heard comments such as “there is no science that supports that it is safe”, or “don’t let a Chiropractor touch your neck as they can cause a stroke”. Yet, they refer to a physical therapist who has very little training in manipulation and most of their Manual Manipulation techniques involve a lot of rotation which can cause the most damage to the surrounding cervical structures. Now, I am not putting down the profession of Physical Therapy as I am a big user and believer in what they do. In fact, when teamed up, the DC/PT combo can be extremely beneficial to the patient.

Chiropractic has been reviewed for decades and proven safe, but just as a facial tissue is sometimes referred to as a “Kleenex” (a brand name vs the actual product) a manipulation can be performed by many people from Doctors to friends, yet most often, according to the literature, when an incident is recorded, it is recorded as a Chiropractic adjustment, whether or not the manipulation was performed by a Doctor of Chiropractic.

Back in 1995, the prestigious Journal of Manipulative and Physiological Therapeutics (JMPT), did a full Literature Review. In this review they evaluated the risk of serious injury or death resulting from cervical manipulation and to assess the evidence that cervical manipulation is an effective treatment for mechanical neck pain. They also reviewed the literature to assess the risks and effectiveness of Nonsteroidal anti-inflammatory drugs (NSAIDS), which are often used as the “conventional” first-line treatment for similar musculo-skeletal conditions.

Their conclusion? “The best evidence indicates that cervical manipulation for neck pain is much safer that the use of NSAIDS! That is saying having your neck adjusted is safer than taking an advil. IN FACT, they concluded that its safer by as much a FACTOR OF SEVERAL HUNDRED TIMES. They further concluded that there “is no evidence that indicates NSAIDS use is any more effective than cervical manipulation for neck pain. (J Manipulative Physiol Ther 1995; 18:530-6)

So why do most people grab a handful of Advil (which has side effects) instead of simply going to the Chiropractor? Lack of knowledge or ignorance? Someone once told me it was due to cost. My answer to that was spend a little now or wait and spend ALOT later.

We only get one body, please take care of it and treat it for what it is, your most PRIZED possession.

Dr. Terry Weyman is the clinic Director at the Chiropractic Sports Institute located in Westlake Village, Ca

“Its just Pot, at least i am not smoking Cigs”

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By: Dr Terry Weyman

The other statements I hear are “its ORGANIC” or “it helps with the pain” or my favorite, “all my friends smoke it, its not addictive”

Well its been a while since I have written a blog (coming up on a year to be exact). As with anything life got away from me. But with the help of my old friend, Obie 1, I am back. With school back in session and kids trying to fit in, I picked this topic to start it off.

POT, MARIJUNNA, GANJA, MAUI WOWIE, DOOBIE, HASH, HEMP, REEFER, ROACH WEED, ACAPULCO GOLD, MARYJANE not matter what you call it. We all know all about it. Or do we?

I get asked alot in my practice, especially my HighSchool and College kids,”is it bad for you?” From the onset, let’s categorically say that pot is bad for you. The answer to the question has nothing to do with being a teen; pot is simply bad for you, period. Also to note, it doesnt matter how the chemical is injested. Whether you smoke it, eat it or inhale through Vapor oil (e-cigs), its the same chemical.

However, when one looks at a teenager you’re looking at a growing organism, which includes a growing brain. There is overwhelming evidence that pot interferes with short-term memory and therefore interferes with brain function. The more the brain is changing the more concern one has about any chemicals entering the brain. Pot is fat soluble. The brain is almost all lipid, or fat. Therefore, pot gets into the brain. So at one level there’s a great deal of concern about pot affecting brain function.

On a very easy-to-observe level pot will also cause irritation of the bronchial lining. I am always astounded when a patient comes in coughing and does not put two and two together that pot may be the reason for the cough. When I then ask them if we were to take leaves in our backyard and burn then, would our eyes not tear and would we not be coughing, then they understand.

The medicinal use of pot for glaucoma, certain Neurological/Musculoskeletal diseases and nausea is real; it does help, but the only time I have seen pot used in a good way for some patients who hadchemotherapy for cancer and the overwhelming nausea caused by the medication was alleviated by the use of prescribed marijuana. Overall, it’s a 
drug to stay away from. Think of it this way. If it alters your state, it probably is not worth it. For Athletes, why would you EVER want to alter your mental state? If you feel the need to alter your state to combat anger or other issues, Why not seek the advise of a professional to help you to fix the cause and not just treat symptoms?

God only gave you one body. Treat it with respect and care and it will take you on amazing journeys! Until next time. Be well!

Dr. Terry Weyman


Sports drinks, are they good for you and do they work?

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By Dr. Terry Weyman
In a great article by Dr. Robert Silverman, written in the journal “Dynamic Chiropractic”, Dr. Silverman takes an indepth look at Key components of a performance/recovery drink and to see if you are getting what you desire. In this article I am going to summarize Dr. Silvermans findings, breaking it down so that implementation is easy.
Why use a recovery/performance drink?
When you sweat and work out your body gets depleted of vital nutrients as well the cells in your body begin to dehydrate. Drinking just water provides the necessary hydration but unfortunately, it lacks the key nutrients to aid in performance and recovery. If water is not sufficient, is there a sports drink on the market that will work? Dr. Silverman did an extensive review of the various literature looking at the ingredients and efficiency. Even though the “best” sports drink say they have carbohydrates, electrolytes and numerous other “performance nutrition” do they do the job and are they good for you. A good Sports Drink should not only fuel activity, but also aid in recovery.  
What the drinks should have
Carbohydrates: 
“Carbs are a key component for athletic performance, recovery and health. Dr. Silverman recommends 30-60 grams of carbs per hour for an athletic endeavor. The carbohydrate  amount will prevent immunosupression, which naturally occurs during intensive exercise. In addition, this amount enables athletes to maintain blood glucose levels, and to
maintain blood glucose levels, and optimize glucose uptake and oxidation in performance. 
Electrolytes:
Sports drinks should contain electrolytes such as sodium, potassium magnesium and chloride. Magnesium, a key electrolyte, plays a pivotal role in 300 enzymatic reactions. Bisglycinate has been shown to be the best form of magnesium because it is chelated (bonded) to an amino acid (glycine). Magnesium in the form of bisglycinate ensures increased intestinal absorption and prevents diarrhea. Finding a company that formulate Magnesium in this form is hard, hence why some sport drinks cause intestinal issues.
Other ingredients that are important:
Malic Acid– a critical addition to a sports drink formulation since it reduces muscle tenderness and assists in soft tissue recovery. 
Taurine- is an amino acid that helps regulate the level of water and mineral salts in the blood by keeping potassium and magnesium inside the cell. At the same time, taurine prevents excessive sodium from entering the cell. L-Taurine’s properties have been validated in numerous studies.
L-Carnosine- Also,an amino acid, helps fight muscle fatigue in fast twitch fibers and aids in athletic performance. 
In addition, a complete range of complex B vitamins for energy production should be included in the drink as well. 
Maximum Carb Efficiency
“Research has shown that a combination of diverse sugars maximizes carbohydrate absorption during exercise. Since glucose and fructose are absorbed at different rates, both glucose and fructose polymers should be present to optimize multiple pathways of absorption during exercise. Most commercial brands use only glucose polymers.
Literature reveals that a glucose-fructose combination, versus water or glucose alone, is the best choice for carbohydrates in a sports drink. The glucose-fructose combination results in improved power performance, running time, time to fatigue during cycling, and a perceived higher level of exertion during both strength and endurance exercises.”
Does your sports drink make the cut?
“Of the more popular brands, Powerade contains high-fructose corn syrup as a source of carbohydrates; it lacks electrolytes and any recovery ingredients. Gatorade has no vitamins and contains only sodium and potassium. Both these brands rely solely on glucose as a carbohydrate source and lack fructose. Another popular brand, Vitamin Water, has no sodium or chloride and contains only trace amounts of magnesium.
Coconut water has very high levels of potassium without any sodium content, and low levels of magnesium. Analysis of coconut water reveals that it primarily contains sucrose as a main carbohydrate source, rather than glucose and fructose in an appropriate ratio of 3:1.” 
Its Dr. Silvermans professional opinion, that non of these aforementioned commercial brands contain a proper formulation to aid in athletic performance. Instead, they hinder athletic performance.
What to look for in your “Sports Drink”.
“When looking for a good sports drink do your due diligence. You research what kind of food to eat, now its time to research the best sports drink. Look to companies that provide the powder that you mix your own, found in Cycling and performance shops. Talk to your Sports Medicine practitioners for their opinion on what works best for you. Look for the following ingredients when you are reading your labels.
The drink should contain the 4 electrolytes as ingredients and have the appropriate 3:1 ratio of glucose to fructose. In addition, it should include magnesium in the bisglycinate form, as well as malic acid, taurine, L-Carnosine and complex B vitamins to aid in athletic recovery, states Dr. Silverman”
Read your labels, do your work. You are only given one body and its highly tuned and complex. Treat it with respect and take care of it and your body will perform as it was designed to do.
Dr. Terry Weyman is the Clinic Director of Chiropractic Sports Institute, www.gotcsi.com

I just got hurt, Do I see my Chiropractor or my Medical Doctor? Yes!

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Dr. Terry Weyman
 This is a question many people ask all the time. Even some Doctors (both DC and MD) don’t know the answer and some even will argue the point. Why? Both DCs and MDs are on sidelines of Professional Sports teams, share responsibilities at the Olympics and are working in the training rooms of Major Universities working side by side. What do they know that the average person doesn’t? The answer, each Doctor has a DIFFERENT job or responsibility, and when they work together, the Athlete heals faster.
I like analogies, so lets use one of my favorites, The Race Car. Sports Chiropractors are biomechanics experts and look to restore proper joint movement. Since muscles attach to bones, when there is an injury the joint will ALWAYS be affected. Our job is to look at this Kinetic Chain and restore the proper joint movement by “Adjusting” the joints  and opening up the fixations, much like the “Pit mechanic” will work with the car to get the power to the wheels and fine tune the alignment of both the chassis and the motor to make this happen.
Orthopedists are experts in fixing broken parts. When the injury involves a joint that can not be “adjusted” back into place, you need to call in the “repair shop” to fix the broken part. Both Doctors are needed since the “broken” part will affect the entire kinetic chain, much like a damaged wheel can affect the alignment of the entire car. The Sports Chiropractor keeps the alignment working while the MD makes the repairs. This will minimize secondary injuries and allow for a faster recovery.
Internists are experts in the internal workings of the body. Just as if you put bad “gas” in your engine or you got a bug in the motor, your MD/Internist is the expert in finding out the chemical changes and restoring the internal health of your system.
Physical Therapists are experts at balancing the muscles and retraining the body to return to play. Once the joint has been repaired (MD) and the joints have been balanced and the kinetic chain aligned (DC) the proprioception needs to be restored (PT). When the Sports Medicine team works in harmony the Athlete recovers faster and performs better.
Just like there are many members of the ‘Pit Crew” in an Auto race, there should be many members of your “healing” team to provide the care you need to get back to the field. There is a reason you see a “team” of Doctors at major events, it works!

Dr. Terry Weyman is the clinical Director of Chiropractic Sports Institute and is on staff at Pepperdine University. He has also worked at the OTC in Colorado Springs and with the US Olympic Team. Go to  www.gotcsi.com for more information

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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