2010 New Year’s Resolutions

2009 has come and gone and a new decade is underway. This year, like other years, many people have made New Year’s resolutions. A large percentage of resolutions involve improving health and most of those resolutions involve losing weight. Anyone who is a member of a health club can verify that the club is packed to the rafters with people during the first few weeks of January. And coffee shops stock fewer pastries, and restaurants sell more salads. But for most of the resolution crowd things are back to normal by the time February rolls around. So what can you do to follow through with your health goals, turning them from resolutions into your lifestyle?

Some keys to help follow through on these resolutions include writing down the goal, breaking it into smaller pieces, and finding a partner with a similar goal. With the goal written down, place it where you will see it so that you are regularly reminded of your goal. You can even place it so that you see it at your weak points, such as by the cabinet if you are trying to cut back on mid-day snacking. In addition to just the goal, write down why you want to achieve it. Or put a picture of the bathing suit you hope to wear this summer beside it. Remember this isn’t just about restricting yourself, or doing things that aren’t your favorite, but also about reaching something you want.

Some lofty goals seem out of reach. Seeing people doing a marathon, that might seem like the impossible when you have just done your first 5k. But if you look at a training plan, it is all small steps: just a couple miles farther a week, and then you are there. Treat your resolution the same way. Break it down into smaller goals that are more easily attainable. You want to focus on success each day, not how far you are from the big, overarching goal. That big goal will become just another step.

But what if you are tired, and want to stay in bed just this once? Another motivational tool is to find a friend who has a similar goal, and you can help keep each other accountable and on track. Plan to meet at the gym, or for a walk or run, and it will help you get out the door. Someone is waiting on you, and counting on you to help them. And in helping them, you’ll also help yourself. Don’t worry if your resolution buddy isn’t local enough to meet up with: having a planned phone call can work just as well as a meeting time.

Winter run

Regular exercise is a common resolution

Once on a pathway to an exercise or weight loss resolution, the last thing you want is an injury to derail your progress and keep you from your goal. At Redlands Spine & Sport we specialize in the treatment of athletes and sports injuries. If you are starting an exercise program we encourage you to come in for an examination and treatment to make sure your body is aligned and moving and functioning properly to help prevent an injury.

Help those around you be successful with their resolutions as well! If you have any friends or family members that could benefit from our services please have them mention this article to receive 50% off of their initial examination. This offer is good until January 31, 2010.

Christmas Toy Drive Wrap-up

The 1st Annual Redlands Spine & Sport Toy Drive was a great success. We would like to thank our new patients who donated a new unwrapped toy in exchange for their initial examination as well as our existing patients who also donated . Hundreds of dollars of new toys were picked up from our office by a representative from Childhelp to be distributed to children they assist. Thanks to your generosity, dozens of kids had a much brighter Christmas than they would have had otherwise.

Toys for Childhelp

Toys for Childhelp

Christmas Toy Drive

Every year I hold a toy drive at my office to collect toys that are then distributed to those less fortunate.  In these tough economic times there is an even greater need for these type of donations. This year I am pleased to announce that our toy drive will support the Childhelp organization. Childhelp® exists to meet the physical, emotional, educational, and spiritual needs of abused, neglected and at-risk children. They focus our efforts on advocacy, prevention, treatment, and community outreach. They are a national organization that provides residential treatment facilities for neglected and abused children. The local facility, Merv Griffin Village, provides shelter for up to 80 children between the ages of six and thirteen.
I would encourage each of you to bring a new unwrapped to our office between now and Friday December 18, 2009. We will bring these toys to those involved with Childhelp so they can be distributed to the children.  Furthermore, if you have any friends or family members that could benefit from our services I will provide a complimentary initial examination if they bring in a new unwrapped toy valued at least $20. This examination is a regular $70 value. Please pass this information around so we can collect as many toys as possible.

Dr. Michael S. Donia, D.C., CCSP

Plantar Fasciitis

Plantar fasciitis usually presents as pain in the arch of the foot or on the underside of the heel. The pain is often worst during the first few steps in the morning or after sitting for extended periods as the fascia tightens up overnight or while in a non weight bearing position. The pain may cause runners to cut their long runs short due to the increase in heel or arch pain. As the condition worsens the pain may be felt throughout the day. Left untreated for extended periods of time may actually lead to the formation of a heel spur where the plantar fascia tissue inserts onto the bottom of the heel bone (calcaneus). Plantar fasciitis is most common in sports which involve running, dancing or jumping. It occurs most frequently after an increase in training mileage or intensity.

Anatomy:    The plantar fascia is a fibrous band that runs from your heel to the ball of your foot. It is one thick band at the heel that splits into five sections that attach to the metatarsal heads.

What causes the injury?    Plantar fasciitis is usually an overuse injury. With every step we make our foot pronates to absorb the impact of our weight hitting the ground. Each time the foot pronates it places stress on the plantar fascia. This fibrous band lacks flexibility and as such is prone to tear if an undue amount of stress is placed on it. Many people that suffer with plantar fasciitis actually overpronate which increases the amount of stress on the fascia. After the fascia is injured it repairs itself with scar tissue. Scar tissue is easily inflamed and is even less elastic than the fascia. As a result it is even more prone to rearing and a nasty cycle develops. Tightness in the calf muscles (both gastrocnemius and soleus) also contribute to this injury as they pull on the calcaneus, effectively causing the plantar fascia to be even tighter.

How is it Treated? There are a number of aspects involved in the treatment of plantar fasciitis. Rest is imperative with this injury to allow healing to begin. Runners are often encouraged to water run, cycle or swim rather than run until the pain has subsided. Initially ice and anti-inflammatories are used to decrease the inflammation. Ultrasound and myofascial release therapies help to break up the scar tissue that has formed along the fascia. This helps restore the normal cellular structure and alignment of the fascia and its regular inherent elasticity. A thorough examination and gait analysis should be performed to determine the need for specific pronation control shoes or orthotics. Taping the arch of the foot to provide support for the fascia is often helpful in the initial stages of treatment. Flexibility exercises are crucial for long term success of a treatment program. Stretching of the plantar fascia, the calf muscles and the hamstrings helps decrease the stress on the plantar fascia. A night splint will prevent the fascia from tightening up overnight to decrease the re-injury and pain felt during those initial steps in the morning. Towel exercises are very beneficial for strengthening the foot. In this exercise the patient is seated on a chair with a towel laid on the floor under their foot. Curl the toes to pull the towel towards you. Afterwards, used your toes to push the towel away from you.
In severe cases, anti-inflammatory injections such as cortisone shots may be required to reduce the inflammation. In the worst cases surgery may be a last resort to ultimately relieve the problem.

As a runner and triathlete I have had to deal with most running injuries myself at some time during the last 20 years. As with many injuries it is not just the treatment modalities used but how and when they are used for the treatment to be most effective. As a Certified Chiropractic Sports Physician I have acquired extensive post graduate training to determine the treatment protocol best suited to your specific case. Not only to alleviate the pain but to prevent the problem from reoccurring again in the future.

Jerry Rice endorses chiropractic care

Chiropractic care helps millions of people heal from their injuries so that they can continue to work, play and live their lives to the fullest. Click on the following video to watch Jerry Rice tell his story about how chiropractic care helped him in his life.

Ironman Canada 2009

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On August 28th Kylie and I traveled up to Penticton, BC to volunteer at Ironman Canada and register for next years race. We were also able to cheer on many of our friends who were competing this year. While Kylie worked in the transition area helping athletes with their bikes I had the opportunity to work in the Ironman Medical Tent. As you can imagine, there were more than a few athletes that required our attention after an event of this magnitude. Each athlete was quickly assessed after they crossed the finish line to determine whether they needed to head into the medical tent or if they could go to the food and massage area. I worked in the first area of the tent where we monitored each athlete, taking vitals, making sure they replenished their fluids and arranging for their dry cloths to be sent to the tent. Once they stabilized and could get up and around on their own we would release them. If they wouldn’t improve or started to deteriorate we would have them taken over to the other side of the tent where the medical staff could arrange IV’s, medications or transport to an area hospital if needed.

It was a great experience, definitely different from what I see in the office on a day to day basis. It is amazing to see how the mind is able to push the body to get to the finish line, and then once it has achieved that goal, how everything wants to shut down and rest. It definitely emphasized the importance of proper training, proper pacingand having a sound nutrition and hydration plan when racing such a grueling event. I enjoyed working as part of the team with the nurses, paramedics and doctors in the tent, but you can be sure I don’t want to see them after my race there next year ;-)

Headaches

A large percentage of our population suffer from headaches. Most people accept these headaches as if they are normal. Although headaches are common, if you are experiencing them on a daily or weekly basis they are certainly not normal. There are different types of headaches, each with its own characteristic symptoms and causes. Headaches may be due to dehydration, skipping meals or the effects of alcohol. The more common types of headaches include migraines, tension headaches and cervicogenic headaches. The vast majority of headaches are associated with problems in the neck.

Migraine Headaches: There are two types of migraines: Classic Migraines (migraines with aura) and Common Migraines (migraines without aura). Classic migraines are preceded by a prodrome which is a progressively increasing blind spot surrounded by flashing lights. Common Migraines do not have a prodrome and account for 80-85% of migraines. Migraines usually affect women and present as a one-sided throbbing headache that is aggravated by bright light and noise. There appears to be a number of triggers including: changes in sleeping habits, environmental pollutants, medications (vasodilators) and certain foods such as chocalate, nuts, wine and cheese.

Cervicogenic Headaches: These headaches are the result of pain referral from soft tissue and spinal structures in the neck. They affect men and women and can occur daily. They may be associated with reduced or painful neck ranges of motion. These headaches usually feel as though they originate at the back of the neck or base of the skull. Poor posture, especially forward head carriage is the prime cause of this type of headache. there is usually associated muscle tightness and tenderness in the neck area.

Tension Headaches: These also occur frequently in both men and women and typically get worse in the afternoon or early evening. Pain is usually felt at the back of the head or over the eyes and my last for days. NSAID’s may provide some temporary relief but do not eliminate the headache. There is often overlap between tension and cervicogenic headaches.

Doctors of Chiropractic specialize in the treatment of the bones, muscles and nerves (the neuromusculoskeletal system). Using a thorough health history and physical examination a chiropractor is able to diagnose the cause of your headache and then recommend the appropriate treatment plan. This plan may include chiropractic manipulation, therapeutic massage, electrical muscle stimulation, ultrasound, cervical traction, dietary changes, and specific stretches and exercises. The goal of the treatment plan is to not only eliminate the headache but to address the underlying cause of the pain.

The New Office

After a number of months of searching for office space, I finally came across this location at 219 E. Olive Ave. I knew right away that this was the perfect space for Redlands Spine and Sport. This post documents  some of the steps in the process of opening our office.  While it took much longer than expected to get to this point  we are very happy with the end result. Please stop by and check it out for yourself.

New Reception Desk

Our new reception desk.

Lead backed drywall being installed in Exam / x-ray room

Lead backed drywall being installed in Exam / x-ray room

X-ray installation

X-ray installation

Our Sign Installed on Front of Building

Our Sign Installed on Front of Building

Therapy equipment begins to arrive

Therapy equipment begins to arrive

Digital X-ray Unit Hooked Up

Digital X-ray Unit Hooked Up

Adjusting Room with computer for digital documentation

Adjusting Room with computer for digital documentation

Reception Area Furniture Finally Arrives

Reception Area Furniture Finally Arrives

Finally Ready to Start Helping Patients!

Finally Ready to Start Helping Patients!