Sports Chiropractor

Turf Toe

May 6, 2014 by Terry Weyman

By Dr. Ciro Errico

In sports like soccer, football, lacrosse, track, and even gymnastics turf toe can be an injury that can occur. Though commonly seen on turf fields it can be seen in a variety of sports due to the mechanism of injury. All these sports include the need to jump, run, ‘cut’ or quickly turn; often times it occurs while the player is on his or her toes. This action causes injuries like turf toe.

So, what is turf toe?

Turf toe is an injury in which the big toe is hyperextend causing a sprain of the ligaments surrounding the big toe. It is often times caused by jamming the big toe, or repeatedly pushing off the big toe during running or jumping.

What are a few signs and symptoms?

When a player has a possible turf toe injury there will be swelling, pain, and limited range of motion in the big toe. The player will have a hard time placing his or her foot on the floor due to the pain of trying to push off while walking.

What can a player do to help treat turf toe?

To treat turf toe the first thing to do is RICE method which includes: rest, ice, compression of the area, and elevating the foot to help reduce the swelling. Receiving professional care like chiropractic care is beneficial; there are many things that a chiropractor can do. Laser treatments help the cells of the damaged ligaments and tendons to reproduce ATP in the body, and allows for a faster recovery. Myofacial release is beneficial: the injured muscles need treatment to reduce inflammation, and also allows the surrounding muscle to not over compensate and cause more problems. MarcPro helps the muscles to flush out the inflammation, and the allows to bring more blood flow to the damaged area; this process of bringing blood to the area of damage allowing oxygen to get to the muscles and help heal the damaged muscle fibers (www.marcpro.com promo code: GOTCSI). Taping the area of damage allows a reduction of inflammation, and provides support to the tendons and ligaments. Adjustments of the foot, ankle, and the spine allow the body to stay aligned, and continue to provide optimal innate care in body.

How to prevent turf toe?

One of the best ways to prevent turf toe is to wear shoes that do not allow a significant amount of bend in the shoe to prevent excess amount of hyperextension and pushing off with the big toe. Working on gait patterns, and finding optimal foot positioning can help prevent more turf toe injuries. Also, exercises, such as the one on www.gotcsi.com youtube channel for big toe work well in strengthening the joint.

Dr. Ciro was a Doctor at Chiropractic Sports Institute, in Westlake Village, Ca. For more info go to their website: www.gotcsi.com

Going through a time of STRESS?

May 6, 2014 by Terry Weyman

By. Terry Weyman

Stress is part of life, its just the way it is. HOWEVER, when the flood waters get a little high, sometimes we need a little help. Stress comes in many forms. And its effects are so strong that even the stress of others can have an impact on your well-being. The American Psychological Association reports that “only 37 percent of Americans feel they are actually doing an excellent of very good job of managing their stress”. Not only can Stress be emotional, it can also be caused by over training!

What are you doing to help your stress? We all have read about stress relieving techniques, from mediation, positive self talk, breathing and changing your environment. However, what are you doing during the stressful times to just get by until the light at the end of the tunnel appears? Here are some quick tips to help.

Supplements to take:

Supplements are just that. They SUPPLEMENT the diet when more is needed. If you are building a house and its time to put on the roof, do you want a few tiles to show up at a time or do you want truck loads to show up when they are needed? The average American diet is CRAP. We are not getting the nutrients necessary for daily survival most of the time, let alone in times of stress. So, when the body needs more, give it more. The basics are:

Vitamin C
B-Complex
Omega #
Valerian (if sleep is a problem)
Passion Flower

Get your supplements from your Doctor of Chiropractic. They carry only top quality, Professional strength Supplements that come from Companies that watch for cross contamination and purity/potency. Most top companies even have a “Stress formula” that has most of the above ingredients in one pill.

Exercises:

Talk to your Doctor of Chiropractic, Your MD, your PT or your personal trainer for basic stretches that can be done at your desk and place of work. Change blood flow and get things moving better.

Therapeutic devises:

There are battery powered devices on the market such as the Marc Pro (www.marcpro.com) that are FDA proven for tissue recovery! Recover tissue mean increased blood flow. Increased blood flow, means good nutrients in, waist products out. (use the promo code: GOTCSI to save some money-even more stress reduction)

Chiropractic Care

Muscle attaches to bone. When the muscles get tight, they pull on the joints they are attached to, plain and simple. By getting adjusted, the fixated joints are moved and loosened. By decreasing the joint fixation in a proper, non rotational manner, the tension on the muscle is relieved, increasing blood flow and decreasing internal stress.

All these simple tips can be done on the busiest of schedules. Take time to take care of yourself. God only gave you one body and our time on this Earth is limited so live life to the Max.

Dr.Terry Weyman is the Clinic Director at CSI. for more info go to www.gotcsi.com

Concussions- what you need to know!

May 6, 2014 by Terry Weyman

By: Dr. Ciro Errico and Dr. Terry Weyman

Concussions are a big part of every sport. Being on the sidelines of different sports, I see many injuries including concussions. But, what exactly is a concussion?

Before I begin to explain concussions, let me cross out the myth about a concussion being only a direct trauma or hit to the head, and/or a complete loss of consciousness. Another big myth is that a concussion is a bruise to the brain. Both statements are incorrect.

A concussion is a physiological change in the brain induced by a biomechanical force. A force can be applied anywhere on the body causing an ‘impulsive’ force transmitted to the head. This transmitted ‘impulse’ to the head causes a short lived impairment of neurological functions that can resolve spontaneously, but some neurological functions can come on immediately, after several minutes, or hours after a trauma.[1]

Signs and symptoms of a concussion that often go unnoticed are: feeling ‘foggy’, headaches, feeling overly emotional, unexplained sadness, irritability, forgetfulness, slow reaction time, sleepy, and insomnia. When someone is having one of these symptoms (and there is a mechanism of injury that could dictate the reasons), a concussion must be suspected and a proper assessment must be made by a MD, DO or DC. On the sidelines, an ATC or medic can also evaluate an athlete.

What if the symptoms get worse? If a headache becomes worse, if slurred speech occurs, seizure or convulsion, decrease in coordination – the patient should receive immediate medical attention due to the possibility of a deeper cerebral injury.

Concussions also have different degrees of severity. According to the Cantu guidelines, concussions have several grading scales: Grades I, II, and III. Grade I concussions are not associated with loss of consciousness, and post-traumatic amnesia is either absent or less than 30 minutes in duration. Athletes may return to play if no symptoms are present for one week. Grade II is a loss of consciousness for less than five minutes or exhibit post-traumatic amnesia between 30 minutes and 24 hours in duration. They also may return to play after one week of being asymptomatic.Grade III concussions involve post-traumatic amnesia for more than 24 hours or unconsciousness for more than five minutes. Players who sustain this grade of brain injury should be sidelined for at least one month, after which they can return to play if they are asymptomatic for one week.[2]The week begins the day after all symptoms have dissipated.

The reason for the athlete to rest more and be reevaluated is due to the dangers of a possible second concussion also known as Second Impact Syndrome, which is highly dangerous. Here is why: When someone suffers a first concussion, there is a physiological change occurring in the brain that does not allow proper signaling between the synapses. When a second concussion occurs, the brain may lose the ability to properly regulate blood flow causing the brain to swell due to increase pooling in brain. The pooling does not allow the blood to drain causing pressure build-up in the brain ultimately resulting in brain damage and/or death.

So, how do we prevent concussions? Preventing a concussion is hard. There is no real way to prevent a concussion predominantly due to the fact that a concussion does not need to be a direct blow to the head. Concussions can be caused by shoulder charges in soccer, tackling in football, bumping your head on a cabinet door, getting rear-ended in a motor vehicle accident, or even texting while walking and walking into a lamp pole. Concussions, again, are physiological changes in the brain. Headgear and helmets are great for general protection against skull fractures. Mouth guards are also good for preventing an athlete to bite off his tongue, however be aware that when wearing mouth guards, they can cause an athlete to clench his jaw allowing the muscles in the neck and head to tighten up before an impact. This allows less chance of a neck sprain/ strain, but because a concussion is a physiological change in the brain, an athlete may still suffer a concussion. All studies, and including the International Conference on Concussions in Sports, show there are no studies conclusive against protection for concussion.

When managing a concussion, first thing first: parents, coaches, teachers, and teammates need to be aware of the symptoms and get the person properly evaluated. Concussions are difficult to manage due to the severity and, more importantly, due to the physiological changes that occur in the brain. First of all, the athlete or patient should rest. Rest is going to be the key to begin the healing process: this includes resting from training and playing. For young adults, teens, and children resting also means staying home and/or limiting school activities; the information can cause the brain to overwork and as a result decrease healing. Another rest is from technology including video games, TV, computer, phones, and texting because the stimuli that the brain needs to function can overwork the brain resulting in decrease healing time. Secondly, water! Drink plenty of water. Drinking water allows an athlete to stay hydrated, and allows the body to increase healing potential.

What else is available for management? Chiropractic care and adjustments are great with concussions. When someone suffers a concussion there is also a whiplash injury that occurs simultaneously at the upper cervical (neck) area. This causes a physiological change in the muscles surrounding the spine often times causes tightens. It’s putting an extra strain on the neck which in turn will put an extra strain on the healing process for the concussion. Getting adjusted allows less interference on the central nervous system which helps the body change physiologically back to its normal state. Mild Hyperbaric Chamber is another great tool that can be utilized. The hyperbaric chamber increases the oxygen, and pressurizes the body allowing the oxygen to absorb in the body to allow healing to happen at a faster pace.

Concussions affect everyone from the parent to the athlete. For proper healing, it is imperative to understand the first steps to recovery which are understanding what a concussion is and being knowledgable of the best ways for a concussion to heal. When a concussion occurs, it becomes a full effort by everyone to help the athlete reach full recovery.

Dr. Ciro Errico is the Team Chiropractor for California State University-Channel Islands (CSUCI) Lacrosse Team and Newbury Park HighSchool Lacrosse. He is also the Team Chiropractor for Club Sports at California State University-Northridge (CSUN). He is a treating Chiropractor at Chiropractic Sports Institute (CSI)

Dr. Terry Weyman is the Chiropractor for Pepperdine University and works with Extreme Athletes in both Motocross and Mountain bike racing. He is the clinic director of Chiropractic Sports Institute

More info on CSI visit their website www.gotcsi.com

[1]International Conference on Concussion in Sport (Zurich; Nov. 2012)

[2]American Association of Neurological Surgeons

For recovery: Ice, Heat or …? The Marc Pro

April 29, 2014 by Terry Weyman

This months tip, “when to use the Marc Pro” stems from a question asked of me yesterday from a patient of mine who owns one. He is a Hockey player and was asking when is the best time to use it. I asked him when does he use it now? He said “when I think about it, which is once a week”.

So here is my tip. If you worked out once a week, would you get stronger? If you focused on your job once a week, would that help you become more successful? No. then how can using the Marc Pro once a week help your body recover better, faster, stronger?

The answer, it can’t. So when do you use the Marc Pro? Instead of ice or heat, use the Marc Pro. After activity, use the Marc Pro. After long plane flights, long drives, long day at the desk-Use the Marc Pro.

The Marc Pro creates blood flow, using it often creates, Angiogenisis (creation or addition of more capillaries). More blood flow allows the body to detox and new nutrients to flood the muscles and surrounding tissue. Pitchers are using the Marc Pro between innings to keep their shoulders healthy and recovered so they can maintain a good showing on the mound. Cross Fit athletes are using the Marc Pro to recover between WODs. Cyclist are using the Marc Pro after their rides to refresh their legs.

Since its battery powered use it on the drive home, at the office and or on the side lines. For you Motocrossers and rock climbers, use it on your forearms daily to develop more Capillaries to help decrease arm pump.

When you think about it, with the promo code: GOTCSI, the unit costs 50+ a month (until paid for). This is less expensive than most hour massages, AND you can use it all day everyday. Don’t let your unit collect dust, use it to become a better and more successful athlete! Tell a friend.

For research, info or to order, go to their website. www.marcpro.com

—

Dr. Terry Weyman
www.gotcsi.com

Follow on Twitter for health tips! http://twitter.com/DrTerryW

3 areas you must address when injured!

April 6, 2012 by Terry Weyman

By: Dr. Terry Weyman

What we know is that the body can heal fast or slow. Its up to each individual and their approach to their body and the healing process. The body does not care what we think, just how we act and how well we care for ourselves. The payback? Increased function and achieving your maximum output!

When looking at your health you must consider both the visible world (your surroundings and what you have control over) and the invisible world (what you ingest, absorb and breath in). Health depends on three functions to sustain pure function; biomechanics ,bioenergy and biochemistry. All must be evaluated, considered and treated in order for true healing to take place.

Biomechanical– To have an increase in physical performance we need energy efficient, strain-free movement. Since muscles attach to joints, a full assessment of joint motion and muscle balance must be done. Full body rehabilitation of the kinetic chain must be evaluated to find imbalances, which must be corrected through specific Chiropractic Adjustments. Nerves travel through both muscles and joints. Any form of compression can cause both pain and lack of function. Restoration of the biomechanics and surrounding neurophysiology will provide a strong foundation in order to facilitate the healing process. Once the tension is taken off the structure, complete evaluation of the bioenergy and biochemistry can be evaluated.

Bioenergy- For top performance from your body you need energy efficient, strain-free movement. The more flexible and balanced the living matrix is, the more readily it absorbs shocks and converts them into information rather than damage. Since the living body is a network of cells integrated with each other receiving both mechanical and energetic vibratory continuum, restriction in one part has both structural and energetic consequences for the entire organism. Each healthy cell membrane has an electrical charge of 70 milivolts (mv) while diseased cells such as cancer cells have a potential of 15 mv. The food we eat and the air we breathe is reduced to electrons for electron transport to create ATP (energy) and body repair. Things that decrease electrons in the body are old food, electric fields (cell phones, pagers, etc), dehydration and free radicals. Each molecule, cell tissue and organ has an ideal resonate frequency that coordinates it’s activities. By manipulating and balancing the vibratory circuits we are able to directly influence the body’s defense and repair mechanisms. The use of the Erchonia Laser will help to reestablish cellular communication thus increasing the healing time. The EB 305 is designed to restore the body’s energy, balance and restore the body’s pH.

Biochemistry– The chemical world has a dramatic effect on both the performance of our body as well as its ability to heal. This “world” involves the inflammatory cascade, debrid area, blood flow, connective tissue assembly and nutrient specificity. With any form of injuries (both acute or chronic) the body increases blood flow to the region with a migration of White Blood Cells. The cell permeability increases causing swelling, increased cellular debris and a decrease in pH thus slowing the healing time. The objective of treatment is to: 1. Control the inflammation, 2. Dissolve the injured tissue/dead blood (through the Cold laser, Ultrasound, H-Wave, Marc Pro), 3. Increase the nutrient delivery, and 4. Repair and create new tissue. The course of action needed to increase the healing time is to provide biochemical mediators in sufficient quantities and promote their delivery. At CSI, we use the Erchonia Cold Laser to decrease the congestion in the lymphatic system, the EB 305 to detoxify the body and normalize the pH, and pharmaceutical vitamins/mineral supplements to enhance biochemical stability and free radical reduction.

At CSI we want to get the Athlete back on the field as fast as possible and keep them at their peak. For more info go to our website at www.gotcsi.com

Turf Toe

Going through a time of STRESS?

Concussions- what you need to know!

For recovery: Ice, Heat or …? The Marc Pro

3 areas you must address when injured!

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