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Treatment for Plantar Fasciitis San Diego

Treatment for Plantar Fasciitis | San Diego

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Treatment for Plantar Fasciitis | San Diego

Plantar fasciitis is a frustrating condition that can linger for weeks, months, or even years. It is characterized by pain on the bottom of the heel and even into the arch of the foot. Usually the symptoms are worse when you take your first few steps out of bed. As you move around, symptoms lessen but do not go away. Treatment  is multifactorial, meaning several different approaches usually help fix the issue.

In our sports injury clinic in Mission Valley, San Diego we primarily use Active Release Technique, and Graston Technique treatment for plantar fasciitis. These treatments combined with treatment for plantar fasciitis at home, we see excellent outcomes.

Common Causes of Plantar Fasciitis

There are many causative factors for developing plantar fasciitis. Successful treatment of plantar fasciitis involves discovering the root cause of the injury. Here are the main factors that lead to plantar fasciitis:

  • Standing and walking on hard surfaces for long periods of time
  • Over training, especially with running
  • Excessive forceful jumping or pushing (basketball, football)
  • Ill fitting footwear or shoes without proper support
  • Excessive body weight
  • Congenital foot and lower extremity issues (flat arches, tibial torsion)

    Treatment for Plantar Fasciitis San Diego

 Conservative Treatment in San Diego

At our Mission Valley office, we have treated countless plantar fasciitis cases. Watch the video below to get a full understanding of how we treat plantar fasciitis.

After treatment we work with each and every patient to develop custom exercise programs for patients to perform at home. If a patient is diligent with their home care, patients often see great results.

Check out our blog post Top 7 Ways to Treat Plantar Fasciitis at Home. Usually we recommend a combination of those 7 recommendations to help with continued improvement.

If you have been experiencing heel pain and looking to get it resolved, please do not hesitate to schedule. Our  Sports Chiropractors are trained to properly diagnose plantar fasciitis and other conditions that may be affecting the heel. Our office is conveniently located in Mission Valley near Normal Heights, Pacific Beach, Ocean Beach, and Hillcrest.

Chiropractic Treatment for headaches

Chiropractic Care for Headaches

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Chiropractic Care for Headaches | San Diego Chiropractic

Summary

  • Chiropractors are trained to diagnose the type of headache you are experiencing
  • They are trained in manual therapies designed to treat muscles and joints that are causing or worsening the headaches
  • They will work with you to identify reasons to why the muscles and joints are causing headache symptoms
  • If there is a need for a referral, chiropractors can make sure you are sent to the right physician
  • Our chiropractic office for treating headaches is located near La Mesa, Mission Gorge, Kensington, Serra Mesa, Bay Park, and Clairemont Mesa
  • The types of headaches we treat are migraines, tension headaches, cervicogenic headaches, posture related headaches, trigger point referral headaches

Does Chiropractic Care Help Headaches?

Does chiropractic care help headaches? Chiropractic care can help reduce and even fully eliminate headache symptoms. Many headaches are due to muscle imbalances, and/or joint injury to the upper back, neck, and head region.

What Are Common Causes of Headaches?

Headaches are often experienced after trauma to the head and neck. They can also begin the develop over time as a result of poor posture or repetitive strain (same movements during sport, sitting at a desk 40 hours a week). As repetitive stress continues, the muscles and joints become irritated and start referring pain to the head region.

Pain referral patterns of muscles?

Chiropractic Care treats headaches

Upper Trapezius Trigger Point Referral

Acutely or chronically strained muscles can develop trigger points. Trigger points are hyper irritable fibers within a muscle unit that can cause local and referred pain. An active trigger point, actively causes pain. Example: pain in the muscles at the base of the skull with headache symptoms at eyeball area.

In this example, the muscle itself is sore and painful and is referring pain to the eyeball/forehead area. Another example is the upper trapezius muscle which connects the top of the shoulder to the neck. When that muscle develops a trigger point (often due to postural strain), headache symptoms can begin from the neck area up the side of the head, around the ear and to the temples. It looks like a question mark and headache symptoms can be felt anywhere along that path.

Ever tried rubbing your temples to get your headache to go away? Didn’t work? Try addressing the upper trapezius muscle which refers pain to the temples!

Pain Referral Patterns of the Joints

An inflamed and painful joint in the neck may also refer pain to various points of the neck, upper back, and head. Joints are normally injured through whiplash type injuries or quick movements without proper stabilization. Degenerative joints can also be a source of headache symptoms. As the joints wear down from past trauma and age, the degenerative joints compress the local tissues which then can refer pain.

There are plenty of referral patterns that result in headache symptoms. A chiropractor will evaluate the muscles and joints of the neck, shoulder, and upper back to identify the likely culprits. A proper referral will be made if the presenting symptoms are found to be outside of the musculoskeletal system.

Chiropractic Care for Common Headache Symptoms

In our San Diego based chiropractic office, we use a handful of therapies to treat common headache symptoms. Chiropractic adjustments or joint mobilization to the neck and upper back help restore motion to stiff, achy joints and relax local muscle tissues. Active Release Technique, and Graston Technique break down trigger points and tight muscles to eliminate muscular causes of headaches. Home exercises are then given to help combat headache symptoms and decrease the likelihood of the headaches returning.

Here is an example of how we treat a patient with neck and headache symptoms.

Why do the joints and muscles keep causing pain after treatment?

Many chiropractors, physical therapists, and other physical rehabilitation specialists claim they treat the “root cause” of your conditions. Many will treat the muscles and joints that cause the headaches as the “root cause”. Yes, that is treating what is causing the symptoms, but what is causing those muscles and joints to become irritated? Proper chiropractic care for headaches will also look at the entire picture. Here are a few likely causes for recurring headaches:

  • Poor Posture
  • Poor movement mechanics
  • Diet
  • Hydration
  • Stress
  • Sleep

Working working those categories, starting the most likely first, will identify the true cause of the headaches and eliminate them from returning!

Get Your Headaches Treated Today!

Our San Diego chiropractic team is trained to evaluate and treat your headaches. We are confident our chiropractic care for headaches will help reduce and even eliminate the frequency, intensity, and duration of the headaches you are experiencing. We are conveniently located in Mission Valley, San Diego near Ocean Beach, Pacific Beach, Normal Heights, and Hillcrest! Call or schedule online today!

Treat Plantar Fasciitis at home

Top 7 Ways to Treat Plantar Fasciitis at Home

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Some of the links in this post are affiliate links. We may earn an affiliate commission if you click on a link and purchase an item we recommend. This doesn’t add any additional cost to you, but helps support our business.

Top 7 Ways to Treat Plantar Fasciitis at Home

Plantar Fasciitis can be a frustrating condition to treat. It can take weeks, months, or even years to fully resolve. Our sports injury clinic in Mission Valley, San Diego specializes in treating chronic injuries, plantar fasciitis included. Check out our other blog post on how we treat plantar fasciitis in our office Plantar Fasciitis: Resolving Foot Pain with Active Release Technique (ART) and Graston. Along with treatment, here are the top 7 ways to treat plantar fasciitis at home.

Trigger Point Release Ball

Using a trigger point release ball and roller to help massage tight muscles of the foot and calf can help ease the symptoms of plantar fasciitis. We recommend the TriggerPoint Foundation Starter Kit  for self massage of the lower legs and feet. It has a durable and firm roller to address the calves and trigger point balls to use on specific points of the calves and bottom of the feet. Using them daily will help improve the quality of the tissues and help treat plantar fasciitis at home.

Calf Stretcher

If you have tight calves, and many of us do, daily stretching of the lower leg will help improve function of the foot and ankle. We recommend a dedicated Calf Stretcher & Foot Rocker  it allows for a really good stretch to the lower leg and foot.  Using it to stretch multiple times throughout the day will help keep the muscles and tendons loose.

YogaToes

Stretching the toes out where the muscles, tendons, and fascia insert can help ease the symptoms of plantar fasciitis. We like YogaToes because they are thick, strong, and durable. Other devices we have found to break easy, or do not offer a good enough stretch in most cases. Where YogaToes when sitting at home, move your toes in a stretched position. They can be very valuable to treat plantar fasciitis at home especially if you have other signs of toe deformity such as bunions.

Heel Cups

One of the ways to ease the symptoms of plantar fasciitis is to stay off of your feet when it hurts. For most people, that is nearly impossible! Tuli’s Heavy Duty Gel Heel Cups are designed to placed in you shoes and absorb shock transmitted to the heel from walking and standing. We also like heel cups as they squeeze your heel together from the sides. This reinforces the heels fat pad to help bolster your natural heel cushion.

Night Splint

Classic plantar Fasciitis symptoms include sharp, dagger like pain in the bottom of the heel. These symptoms are worse during the first steps out of bed in the morning. This is due to the tissues tightening up over night and then getting rapidly/forcefully stretched when you stand up and put weight on the plantar fascia. A Plantar Fasciitis Night Splint helps keep the fascia and lower leg muscles in a stretched position over night to reduce the pain in the morning. It can be highly effective to treat plantar fasciitis at home.

The one complaint we hear from patients is that it is difficult to sleep through the night with it on as it is bulky and awkward. If sleeping is a challenge, then where the brace when you are stationary for extended periods of time to maintain flexibility to the fascia. The next item on the list is a similar device but tends to offer a bit more comfort for sleeping.

Strassburg Sock

The Strassburg Sock is another device to be used when sleeping to help maintain flexibility to the foot and lower leg muscles. One reason we like it better than a splint is that it pulls the toes back to get a better stretch. The two complaints we hear are difficult to sleep with and the sock can compress the calf too much. If sleeping with the sock is too difficult, wear it when you are stationary for long periods of time.

Arch Support

The final recommendation is arch support to help support the plantar fascia. In cases of low arches, extra support to the arch and heel can help ease the symptoms of plantar fasciitis. We recommend Superfeet GREEN Full Length Insole for a couple of reasons. If the goal is arch support, you need something firm enough to actually support the arch. Too many insoles are too soft and do not offer any support whatsoever. Superfeet insoles are made form hard plastic or carbon (depending on models). They support the arch sufficiently. Another reason we prefer Superfeet, is that they have deep heel cups in the insole. This can help bolster the padding around the heel to offer symptom relief.

These are the top 7 ways to treat plantar fasciitis at home. Please keep in mind that these are general recommendations. We always recommend getting a proper evaluation by a health care provider. If you are in San Diego, our injury treatment clinic is conveniently located in Mission Valley. We are located near Hillcrest, Normal Heights, University Heights, North Park, South Park, and Downtown. Our Sports Chiropractors are trained to diagnose, manage, and treat plantar fasciitis. We also offer Acupuncture, Personal Training, and Massage. Please schedule using our online scheduling application or call our office at 619-818-4306 today!

Laptop ergonomics

Laptop Ergonomics | Recommendations

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Some of the links in this post are affiliate links. We may earn an affiliate commission if you click on a link and purchase an item we recommend. This doesn’t add any additional cost to you, but helps support our business.

Laptop Ergonomics: General Recommendations

Proper laptop ergonomics is very important for musculoskeletal health. We live a rapidly progressing digital age. More and more jobs are now performed part or full time remotely. Many people find themselves working from a number of different places and therefore primarily use a laptop.  Laptops are versatile and convenient; they also cause a high amount of physical strain on the body. It is very important to practice proper laptop ergonomics.

Laptops do not put a person’s body into a proper position. Due to the attached key board, small screen, and low height, most users find themselves with poor posture through their backs, neck, shoulders, and arms. At 40 to 80 hours per week, this will result in back, neck, shoulder, head, arm and wrist injury sooner or later. This article will discuss helpful recommendations for proper laptop ergonomics.

Laptop Stand

Goal: Raise laptop screen so eye level is in the upper half of screen when sitting/standing with upright posture.

Reason: Reduce Strain to upper back, shoulders, neck and head by promoting proper posture while working.

Equipment Recommendation: Adjustable Laptop Stand
One the most important elements for proper laptop ergonomics is to raise the laptop higher on the work surface. To accomplish this, use a laptop stand. We recommend a laptop stand that is foldable, light, and is adjustable to accommodate sitting and standing posture. The Adjustable Laptop Stand by Rhino Flex is a stand we recommend for patients who work at least part time from home.

We like this laptop stand for many different reasons. First, it is light and portable so it can be used on the go. You can set it up at home, coffee shops, office, you name it. Second, you can set it up to support a seated position and a standing position. For proper laptop ergonomics, having this ability is key to reduce strain to the body throughout the day. Finally, it has an adjustable leg system with measurements so you can quickly set it up and break it down between travel, seated, and standing positions; just remember the numbers!

Keyboard and Mouse

Goal: Keep arms closer to waist level and a slight downward bend at the elbow when screen is elevated.

Reason: Decrease strain to wrist, elbow, and shoulder.

Equipment: Logitech Bluetooth Keyboard and Mouse Combo
Most attached keyboards and mouse pads are again, terrible ergonomically. They often force your arms to work toward mid line and the mousing options (pad, stick, ball) are not as easy to use as a traditional mouse. Using a Bluetooth keyboard and mouse combo via a USB receiver on your laptop is the best way to go.

We recommend the Logitech Bluetooth Keyboard and Mouse Combo particularly when combined with a laptop stand. If you only use a laptop stand, then you will be forced to type like a T-Rex as the keyboard will be in front of your chest! This will eventually create issues with your arms, and posture. The mouse is a nice add on as the laptop mouse pads are not as efficient to use. Finally, having both the keyboard and mouse wireless is nice for on the go type of work and will help with proper positioning for your body.

Standing Mat

Goal: Improve cushioning on standing surface while offering different positions to stand in.

Reason: Decrease forces traveling up body from standing.

Equipment: Standing Desk Anti-Fatigue Mat

The last item that is recommended for proper laptop ergonomics is an anti-fatigue mat. Standing on firm surfaces for extended periods of time can cause discomfort to the main weight bearing joints of the body. We recommend a standing desk anti-fatigue mat to help disperse the forces traveling up the body. This particular mat works well as it also offers several different shapes, angles to stand on to further vary your position throughout the workday.

An important reminder for standing desks, vary your standing and seated position throughout the day! Many people transition to a standing desk and then stand all day long in the same position. Try different foot positions when standing, and work seated periodically throughout the day. Variety is key for proper laptop ergonomics.

Laptop Ergonomics: Conclusion

The combination of the above recommendations along with frequent mini breaks during the workday can help a lot with overall strain to the body. It is important to be aware of these fixes early on in your career to keep your body in the best shape possible. If you are suffering from posture related neck, back, head, and shoulder pain, we are happy to help! Our San Diego Chiropractors are conveniently located in Mission Valley. We are located near Downtown, Point Loma, Hillcrest, North Park, South Park, Golden Hill, and La Mesa. Our clinic also offers acupuncture, massage, and personally training. We believe in a well rounded approach to help a patient take the proper steps to optimal health. Schedule online or call our office at 619-818-4306.

Running analysis San Diego

Running Analysis San Diego

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Running Analysis San Diego

Case Study 1- Runner’s Knee

In this running analysis case study, we look at what is exacerbating our patient’s “runner’s knee”. He is a triathlete, who is new to the sport. The knee pain is worse following runs and hard efforts on the bike. Stretching, foam rolling, Active Release treatments seem to help but the pain always returns. He has never had a running analysis, so we put him on the treadmill to see what his running technique looks like.  Watch the complete in depth running analysis below.

Additional Information

Before the running analysis, we performed a physical exam. Our patient is 6’3″ and weighs around 190 lbs. As mentioned in the video, he was found to have a slow cadence, over stride, and demonstrated a cross over gait. Those findings with a runner of his size can create a lot of impact force with each step. To reduce the strain in the knee, it is crucial to get his feet to land closer to his body. In his case, increasing cadence helped accomplish this. It is important to note however that not everybody will need to perform the same corrections to get the foot closer to the body.  This  is what makes a running analysis so valuable; each runner may need to work on different cues to accomplish the same goal.

Future Considerations

Watching the running analysis above, you may think “But he can work on this, and this, and this to help with his form too!”. I believe he can work on more cues and drills to help with his running form. BUT if you give a runner too many cues to work on immediately, they will likely get overwhelmed with the information and not properly execute the cues/drills. Further more, they will likely end up running very stiff, and out of sync making the runs feel terrible!

For these reasons, we will only give 1 to 2 cues/drills to work on at a time. We want our runners to ENJOY running while making beneficial changes to their running technique! So for our patients case, we recommend 4-8 weeks to start working on changing his technique. Then we perform a second running analysis to get a new baseline and then make further recommendations from there.

Schedule your running analysis today at www.peakformhealthcenter.com! Our running experts at Peak Form Health Center in Mission Valley, San Diego have worked with hundreds of runners. We are located near Hillcrest, Normal Heights, La Mesa, Ocean Beach, Point Loma, and Clairemont Mesa. Our exertise will get you back to running injury free and increase your performance!

Gait Analysis San Diego

Gait Analysis San Diego- Cross Over Gait

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Gait Analysis San Diego- Cross Over Gait

A running gait analysis is very helpful when a runner is dealing with an injury. One of the more problematic gaits that we identify during our running gait analysis is a cross over gait. The cross over gait or tight rope gait is present when a runner steps across the position of the previous foot of the opposite leg. They run very narrow in a cross over gait and often appear very wobbly in their legs when running. Take a look at the picture of one of our triathletes below. He has been dealing with knee pain following runs and it was found he runs with a cross over gait.

Running Gait Analysis Cross Over Gait

Signs and Symptoms of a Cross Over Gait

Often times, runners are unaware that they run with this style of gait. The most common signs and symptoms of a cross over gait include:

How to Identify a Cross Over Gait

To properly identify a cross over gait, a run gait analysis is a necessity. A run gait analysis will take a look at the runners run gait from several different views to see what form inefficiencies they are running with. Once the gait pattern is identified, gait cues/corrections are given. With dedication to drills and training, running gait changes will occur.

Can Shoes or Exercises Correct a Cross Over Gait?

Short answer is no.  It does not matter what shoes are worn if you run with a cross over gait. You may notice some improvement with certain types of shoes but it will simply mask the underlying problem and prevent the real cure. Strengthening and stretching may also help manage symptoms of the cross over gait but will not fix the cause of the injury. Strengthening may allow the runner to run further each week but eventually, the tissues will max out and fall back into injury if the cross over gait is present. The only thing that helps get rid of a cross over gait is working on changing running form.

Treatment

Schedule a running gait analysis to get proper identification of what running form inefficiencies are causing your injury. Once they are identified, running cues and drills will be give to stat making permanent changes to your running form. Our running gait analysis is performed at our Mission Valley San Diego office. We are located near the neighborhoods of Pacific Beach, Ocean Beach, Normal Heights, Hillcrest, Serra Mesa, La Mesa, and Tierrasanta. Schedule online at www.peakformhealthcenter.com to get your running form evaluated today!

 

San Diego Running Gait Analysis

Running Gait Analysis San Diego

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Running Gait Analysis San Diego

A running gait analysis helps identify common running form inefficiencies that may result in injury or at the very least decrease running performance. Our running gait analysis program in San Diego California takes a runner through multiple trials of treadmill running with video feedback. Based on the video analysis and other measurements during the running gait analysis, we can make recommendations for the runner to begin working on. We then do more rounds of video analysis to note the changes that occur with those initial running modifications. This step by step approach gives runners significant feedback to begin working on improving their running gait! Check out our brief video below to see our running gait analysis in action!

Running Gait Analysis Goals

With every runner, we have several goals in mind when performing the gait analysis. We aim to:

  • Identify major running form inefficiencies
  • Give patients running cues to start changing their running form
  • Show patients before and after videos so they can visualize the changes
  • Recommend drills and workouts to begin reinforcing those changes

With dedication from the runner, the running form changes will take permanent effect. These changes do not happen over night! Consistently performing the drills and running workouts will slowly make the changes over time. We recommend 6-8 weeks, working on the recommended changes before we do a follow up running gait analysis. This allows enough time to see how they effects have taken place.

A running gait analysis is the only tool that can identify and CORRECT running related inefficiencies. A common misconception is that if a runner works on strength training for certain muscle groups, they will improve their technique. While there are benefits to performing strength training, working on the recommended corrections DURING running is the only intervention that will improve running gait.

Our team of sports chiropractors are trained in using running gait analysis to help prevent and return from running related injury. We are certified by The Running Clinic as experts in running related injuries. Schedule today at www.peakformhealthcenter.com and come see us at our running clinic in Mission Valley, San Diego.

______________

Drs. Kevin and Travis Rose are chiropractors trained in managing sport related injuries. Both are avid runners and triathletes, having competed in numerous races from 5ks to the Ironman World Championships in Kona Hawaii.

 

Active Release Technique San Diego

Manage Triathlon Injuries and Training

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Triathlon season is in full swing here in San Diego. With local races nearly every weekend, many triathletes have trouble balancing time between training, family, jobs, and racing competitively. Many triathletes begin to notice nagging triathlon injuries that are consistently getting worse as the season continues. Should they take a break to heal? Maybe. It depends on the athlete, their goals, and how they take care of their bodies during the season. Below are the top 5 triathlon injury management techniques we recommend to our athletes.

Active Release Technique ART San Deigo

  • Sports Chiropractic Care– We may be slightly biased here but this is the reason why we do what we do. We offer the best manual therapy and exercise methods to keep our triathletes swimming, biking and running. Triathlon injuries are managed effectively with a combination of Active Release Technique, Graston technique, joint manipulation and rehabilitative exercise. Have you seen or are you currently seeing a Sports Chiropractor? Sports chiropractic utilizes all the techniques previously mentioned as well advice on training through the injury; you can read more about the difference between a general chiropractor and a sports chiropractor here: Benefits of Sports Chiropractic.DACBSP Certfified
  • Maintain a Self Care Program– After being screened by a Sports Chiropractor and prescribed exercises, it is important that you do them! A daily routine of foam rolling, stretching, strengthening to the areas that have been causing injury. Daily is best but if you can squeeze in 3 times per week to manage triathlon injuries, you will see positive results.IT band syndrome San Diego, Gait San Diego
  • Sleep– It is important when training to stick to an appropriate sleep schedule. Getting quality sleep allows your body to regenerate after you break it down during hard training. In a nutshell, deep sleep allows growth hormone and other rebuilding hormones to be released which will allow you to bounce back faster. If sleep is constantly sacrificed for more work, or more training, the body will become catabolic and slowly break down. When trying to manage triathlon injuries, if you do not allow the body to rebuild, the injuries will never fully heal.
  • Nutrition-  Proper nutrition gives the building blocks to your body to allow for proper recovery.  The more high quality fuel you give yourself, the high quality output and recovery you will get. Just like a sports car, you will not put regular unleaded gas in tank, you will put premium gas in to get the most out of the high performance engine. In general, high quality carbohydrate (lots of veggies, whole grains), lean proteins, and plenty of healthy fats are what you want to strive for! After exercise sessions, especially high intensity interval sessions, drink a mixture of carbohydrate and protein to refuel the glycogen stores in the muscles. 
  • Periodization- We see countless athletes in our office who suffer from over training syndrome. A lot of it stems from the fear of not doing enough to get ready for a race or losing too much fitness between exercise sessions. With a proper training plan in place, you will become fitter, faster, and having to manage triathlon injuries will become a thing of the past. In short, get an experienced coach, or at the very least get a training book and follow it.

Those are the top 5 tips to help manage triathlon injuries and avoid new injuries moving forward. We recommend getting a physical assessment by one of our sports chiropractors located in Mission Valley, San Diego. We are located near the neighborhoods of Hillcrest, Serra Mesa, Clairemont Mesa, La Mesa, Pacific Beach, Ocean Beach, and Point Loma. Our Sports Chiropractors are trained in musculoskeletal diagnosis and treatment, running gait analysis, bike fitting, and can order the proper diagnostic tests if necessary (MRI, X-ray, etc.).

 

Dr. Travis Rose, DC CCSP and Dr. Kevin Rose DC DACBSP are both avid triathletes and are passionate about helping triathletes manage triathlon injuries. Knowing first hand how frustrating a nagging injury can be, both Dr. Travis and Kevin utilize Active Release Treatments and chiropractic treatments to keep them healthy and performing at their best!

San Diego Marathon Running

Get Ready for the San Diego Rock ‘n’ Roll Marathon

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The San Diego Rock ‘n’ Roll marathon is coming up! You are likely finishing your build phases of training and are headed into a much needed taper to help rebuild your body before the big day. Now that training volume has decreased, you have more time to address your body to get it into tip top shape before race day. Beyond foam rolling, stretching, and mobility work, the following are services that can help decrease tightness, soreness, aches, and pains before your big day. Our office accepts most major insurances and offers affordable cash rates. Our San Diego Chiropractors treat runners and running injuries on a daily basis using the following techniques:

Active Release Technique– Our staff is trained in Active Release Technique which is a state of the art soft tissue injury management system. Our chiropractors utilize ART to help reduce tightness and soreness at isolated parts of the body. For example, many runners feel tight in their hips and quadriceps following long runs. One or two ART sessions before the Rock ‘n’ Roll Marathon can help rid the muscles of that tightness.

Active Release Technique Marathon Running San Diego

Graston Technique– While training for the Rock ‘n’ Roll Marathon, if any injury is long standing, particularly in a tendon, Graston is excellent to get ample blood supply to that area. Our San Diego Chiropractor will sometimes have runners perform movements while using the Graston tools to help facilitate movement between the fascia and muscles. Bascially, your muscles move better so you do not feel tight and sore before your race!

graston technique in san diego Marathon running

Spinal Manipulation– If your back is stiff and lacks proper range of motion, spinal adjustments may be the right treatment for you. Spinal manipulation is an excellent treatment to help restore proper joint mobility. Spine stiffness is a common complaint in runners especially when training for a marathon due to the long hours of training and consistent bouncing motion into the spine.

Massage Therapy– Our massage therapist is an avid runner and endurance athlete. If you have numerous areas of tightness and soreness, schedule a massage to have a nice once over to all of those complaints.

Head into your race feeling as healthy as you can and you will see great results. After the San Diego Rock ‘n’ Roll Marathon, we recommend our runners to receive treatment about once every 4 weeks to help reduce tightness in the common running muscles and joints. Our office is conveniently located in Mission Valley, San Diego near the Rock ‘n’ Roll Marathon course!

Good luck in the San Diego Rock ‘n’ Roll Marathon!

Hip pain running doctor San Diego

Sciatica- Conservative Management San Diego

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Sciatica is a term that encompasses any condition that that can effect the sciatic nerve. Low back and hip injuries are the most common types of injuries that produce sciatica or sciatic symptoms. Less commonly, peripheral entrapment of the nerve around the hamstrings, and lower leg muscles cause sciatica symptoms in the back of the leg. Our San Diego chiropractor at Peak Form Health Center has treated countless conditions that cause sciatica symptoms.

Piriformis Syndrome Sciatica

What causes Sciatic Symptoms?

The sciatic nerve is made up of many different nerve roots from the low back and sacrum (tail bone). The nerve roots are extensions from the spinal cord that exit the spine to form peripheral nerves (ex: sciatic nerve is a peripheral nerve). If you have a back injury like a disc bulge, the disc bulge can press on the exiting nerve root which causes nerve irritation. Nerve irritation symptoms can cause numbness, tingling, hot/cold sensations, shooting pain, loss of sensation, and/or loss of function to the muscles that nerve innervates. Those same symptoms are what are described as “sciatica” but typically patients refer to sharp shooting pain as sciatica. Other conditions that can cause sciatica are:

  • Low back injury- See our post on types of low back pain here: Different Types of Low Back Pain
  • Disc bulge
  • Disc herniation
  • Piriformis syndrome– see our thorough blog post on piriformis syndrome here: Piriformis Syndrome: Overview and Causes Piriformis Syndrome Part II- Evaluation Piriformis Syndrome Part III- Treatment
  • Degenerative Disc Disease
  • Degenerative Joint Disease
  • Foraminal stenosis of the lumbar spine (Bone Spurring)
  • Central canal stenosis
  • Sciatic nerve entrapment
  • Spondylolisthesis 

In rare but serious cases, sciatic symptoms may be due to: tumors, infection, tethered spinal cord, and other neurological conditions.

Conservative Management for Sciatica

First and foremost, a proper diagnosis is required to treat your symptoms effectively. Depending on what the cause is and how long it has been going on, usually a combination of manual therapy, specific exercise protocols, and home education can help resolve sciatica. Let’s take piriformis syndrome as an example. In piriformis syndrome, the piriformis muscles compresses the sciatic nerve. To treat this, targeted Active Release Techique and other myofascial release techniques often results in drastic improvement of symptoms. If however, the sciatica is due to a low back condition, manual therapy to the piriformis muscle will likely not result in significant relief of symptoms.

To reiterate the first point, it is important to see a sports chiropractor or sports medicine professional who will accurately diagnose what is causing the sciatica. Many times we see patients who have been dealing with sciatic symptoms for months and have been doing self treatments that are actually perpetuating their symptoms. Be very wary of a “do this one thing for your sciatica.” type blog post as it may be causing more harm than good.

Our San Diego based chiropractic group treats many different causes of sciatic symptoms. If there is ever concern of a more serious condition causing sciatica, or further investigation is required, we will make an appropriate referral to get the best care for you. Schedule today to get a thorough evaluation. Our office is conveniently located in Mission Valley, San Diego.