Fort Myers Chiropractor.com

Information circulating before Super Bowl XLIV was that Indiana Colts Dwight Freeney was using chiropractic care to recover from his ankle injury. He had been seen recently in an ankle boot then soon thereafter walking bare foot on the beach.  The scoop is that he was actually treating with a Chiropractic Physician, Dr. Leon Mellman who was treating his ankle for proper bone alignment and assessing his spine for unwanted side effects from limping on the bad ankle.

Keeping good motion in the ankle joint is a great approach to insure proper healing and function. Keep in mind that the sooner you seek chiropractic care for a sprained ankle or spine… the sooner you will heal and restore proper function. Many problems occur when scar tissue or adhesions develop in the injured tissues that restrict proper function. Use ice, not heat, to reduce swelling and inflammation in the affected area. Apply it multiple times per day for 20 minutes at a time.

A chiropractic physician is the right choice for musculoskeletal injuries like back pain, accident injuries and sports injuries, due to the fact that their medical education exceeds that of other physicians in the area of anatomy and physiology. A chiropractor can diagnose, take x-rays or order MRI studies to successfully treat your injury.

Dr Rob Watkins

Fort Myers/Estero 590-9555

LaBelle 675-8900

Proper office ergonomics can make all the difference in the way you feel at the end of the work day. Reducing little bits of repeated stress from your day equals less stress overall by the end of the day.

The American Chiropractic Association published the following article that gives some great tips on how to reduce stress at work.

By Chris Sorrells

Nearly anyone who has used a computer has experienced discomfort in the neck at some point. The most common cause is overuse of the neck musculature to hold the head up, instead of letting the spine do the job. This occurs when the worker juts the head forward while viewing the screen. People are rarely conscious they are doing this. When a screen is too far away for the eyes to see properly, our heads move closer to the screen to fix the problem. Unfortunately, this creates other problems such as neck strain.

Adjusting the Monitor
In general the screen should be about an arm’s length away; it can be moved within a six-inch range, either way, depending on the worker’s vision. Monitors should always be placed where the user can look straight at them. Constantly looking off to one side to view the screen creates static load in the neck musculature, as well as muscle imbalances that can add up to significant injury. Adjustable monitor arms allow the screen to be placed in front of the worker and then slid out of the way for other tasks.

For users without glasses or for those who use single-vision lenses, the top of the glass screen should be at eye height. This position will let the eyes gaze down on the screen at the preferred angle. Workers who have bifocals will often tilt the head up to view the screen through the lower part of the lenses. The best solution is to discuss single-vision computer glasses with an optometrist. Otherwise, workers should lower the screen a few inches, so they can view the monitor with the head in a straight forward position, without the chin pointing up or down.

Positioning the Chair
A properly adjusted office chair is the most important tool that allows an office worker to work efficiently and safely. If there is insufficient lumbar support, patients can compensate with a back support, rolled towel or small pillow. If the seat is too deep—keeping the workers from being supported—they can use a back support or full-length pillow to take up the extra room.

In addition, educate your patients about how to adjust their chairs:

• Lower the chair until feet are well supported on the ground.  If they are not firmly planted, use a footrest to provide support.
• Adjust the seat depth so there is one-to-three-fingers’ space between the front of the chair and the back of the knee.
• The seat angle and the backrest should allow for approximately a 105-degree angle between the torso and thighs. Sitting too upright increases the pressure in the lumbar intervertebral discs. Leaning too far back will cause the neck to compensate, putting it at risk.
• Adjust the armrests so they are one inch below the forearms. If the patient has any neck issues, bring the armrests up to provide support, without reaching down or up to use them.

Choosing a Keyboard
Design
Most keyboards have a standard design copied from typewriters with a number pad thrown on the right side for increased efficiency. Users typically plop down in front of the computer and center themselves between the side of the keyboard on the left and the mouse on the right.  Now the right arm is externally rotated and reaching to use the mouse and then reaching across the mid-line of the body to type, so it is never in a good position.

The best solutions are to move the mouse to the left or use a keyboard that has the number pad on the left side.  Workers can then center themselves by lining the bellybutton up with the “B” key.

Angle
Due to the variability of people’s shoulder widths and forearm lengths, many workers cannot use a standard keyboard without sustained ulnar deviation at the wrists. This causes static use and overload of the forearm muscles. A keyboard that allows angle and pitch adjustments is the solution to this problem.

Reach
Reaching to use a keyboard that is too high forces the upper traps to fire continuously, creating tension, fatigue and pain. A keyboard tray is the most helpful of the ergonomic tools, as it can fix problems ranging from excessive reach for the keyboard and mouse to improper wrist angles when typing.  Since the proper writing height is several inches higher than the proper typing height, the tray will allow both functions to be performed safely.

Rest Breaks and Task Rotation
To work properly over time, muscles need a break to rid themselves of lactic acid and waste products while delivering oxygen to the tissues to prevent overuse and damage.

Teach patients to take a 15-second micro-break each hour. This is an easy solution for employers to accept, which helps gain compliance. During the micro-breaks, the office workers should shake their arms out or do simple stretches you can provide for them. Computer users should also frequently look away from their screen to focus on something about 20 feet away. This allows a break for the eye muscles. If they can’t seem to remember to take breaks, an egg timer can serve as a reminder. A software program such as RSI Guard can also help workers tailor breaks to the amount of work.

People are always concerned about how it will look if they seem to be taking too many breaks or are unproductive. By spreading tasks, like going to the fax and copier, returning phone calls and meeting with co-workers throughout the day, they can still be productive while giving their body a break from the computer.

Starting with these simple adjustments, your patients who work in an office should feel happier and healthier at their jobs in no time.

Chris Sorrells is the president of www.ErgonomicsSimplified.com, a free online resource for health professionals. He can be reached at Chris@ErgonomicsSimplified.com.

Dr Rob

Fort Myers / Estero – 590-9555

LaBelle – 675-8900

Exciting news about chiropractic that has been known for years but has not always been heard by medical ears…

Esteemed authors Niteesh Choudhry, MD, PhD, Harvard Medical School and Arnold Milstein, MD, Mercer Health and Benefits, San Francisco, CA, developed this authoritative report which reviews the existing peer reviewed literature and arrives at the following conclusions:

* Chiropractic care is widely used with almost half of all patients with persistent back pain seeking out this form of treatment.
* “Chiropractic care for the treatment for low back and neck pain is highly cost effective, represents a good value in comparison to medical physician care and to widely accepted cost effectiveness thresholds.”
* “The addition of chiropractic coverage for the treatment of low back and neck pain…will likely increase value-for-dollar by improving clinical outcomes…”
* “We project that insurance coverage for chiropractic physician care…is likely to drive improved cost effectiveness of US care.”
* “Our findings support the value of health insurance coverage of chiropractic care for low back and neck pain at average fees currently payable by US commercial insurers.”

About the Authors:

Niteesh Choudhry, MD, PhD: Assistant Professor at Harvard Medical School and Associate Physician in the Division of Pharmacoepidemiology and Pharmacoeconomics and the Hospitalist Program at Brigham and Women?s Hospital.

Arnold Milstein, M.D, MPH: Medical Director of the Pacific Business Group on Health(PBGH),the largest employer health care purchasing coalition in the US.. He is also Chief Physician at Mercer Health and Benefits, San Francisco, California.

Dr. Rob

Fort Myers 590-9555

LaBelle 675-8900

Chiropractic care is not only a great choice for your back pain but studies show that it is more cost-effective and better than medications for a positive outcome.

The American Chiropractic Association just released an article outlining the results of several studies showing the benefit of Chiropractic care for chronic lower back pain and chronic spinal pain.

“The cost-effectiveness and safety of chiropractic has been documented in several studies. ACA is pleased that insurance companies are starting to recognize the value that doctors of chiropractic and other conservative providers can offer to their members,” said ACA President Glenn Manceaux, DC. “Especially during the health care reform debate, it’s important that chiropractic and other conservative care methods are taken into serious consideration as a cost-effective alternative to the utilization of expensive surgery and hospital-based care,” he added.

Wellmark conducted the Physical Medicine Pilot on Quality in 2008 for Iowa and South Dakota physical medicine providers. A total of 238 chiropractors, physical therapists and occupational therapists provided care to 5,500 members with musculoskeletal disorders. According to Wellmark, data from participating clinicians show that 89 percent of the patients treated in the pilot reported a greater than 30-percent improvement in 30 days.

The pilot compared data for Wellmark members who received care from doctors of chiropractic or physical therapists with a member population with similar demographics who did not receive such services. The comparison showed that those who received chiropractic care or physical therapy were less likely to have surgery and experienced lower total health care costs, according to Wellmark.

Chiropractic is widely recognized as one of the safest non-invasive therapies available for the treatment of back pain, neck pain, headaches and other neuromusculoskeletal complaints. A significant amount of evidence shows that chiropractic care for certain conditions can be more effective and less costly than traditional medical care. Recent research includes:

• A study published in the October 2005 issue of the Journal of Manipulative and Physiological Therapeutics (JMPT) found that chiropractic and medical care have comparable costs for treating chronic low-back pain, with chiropractic care producing significantly better outcomes.
• A March 2004 study in JMPT found that chiropractic care is more effective than medical care at treating chronic low-back pain in patients’ first year of symptoms.
• A study published in a 2003 edition of the medical journal Spine found that manual manipulation provides better short-term relief of chronic spinal pain than do a variety of medications.

Chiropractic care helps millions every year. Let us help you today, call 239-590-9555 in Fort Myers and 863-675-8900 in LaBelle.

Dr. Rob Watkins

Fixing People in Pain!

Our cars are like our favorite shoes. We use them often to get us from place to place. But many forget that cars can be dangerous if not respected for their potential danger. I’m not talking about drinking and driving or road rage, but the dangers inherent in our cars that we may not even be aware of. I am talking about airbags.

Some picture an airbag as a soft pillow that is quickly placed in front of you moments before an auto accident. Although airbags save many lives, they can be very dangerous. Airbags deploy in 1/20 of a second which is about 160 mph, faster than you can blink your eyes. A controlled explosive device is necessary to inflate the bag at this speed creating quite a hard surface to strike.

Though airbags save many lives, they often cause a variety of injuries. Most injuries are friction burns from the bag itself scrubbing the arms of the driver when it deploys, but fractures of wrists and arms occur as well.

In the video above I talk about the potential for serious injury due to the improper position of the front seat passenger. Propping your feet up on the dash could pretty much guarantee you severe lower extremity or leg fractures with any airbag deployment. Even if an emergency stop was made while a passenger was in this position and the airbag did not go off, the angle and the direction of the passenger’s weight would cause them to slide underneath the lap belt into the floor in front of them. This would likely cause neck and face injury after sliding or catching under the lap belt. NOT FUN!

Oh, and by the way, if you use the excuse of having an airbag to rationalize why you don’t wear your seat belt… Consider this: some airbags will not deploy unless the seat belt is on.

It didn’t take long to learn that the force of an airbag can hurt those who are too close to it. Researchers have determined that the risk zone for driver airbags is the first 2 to 3 inches (5 to 8 cm) of inflation. So, placing yourself 10 inches (25 cm) from your driver airbag gives you a clear margin of safety. Measure this distance from the center of the steering wheel to your breastbone. If you currently sit less than 10 inches away, you can adjust your driving position in the following ways:

• Move your seat to the rear as far as possible while still reaching the pedals comfortably.
• Slightly recline the back of your seat. Although car designs vary, most drivers can achieve the 10-inch distance even with the driver seat all the way forward by slightly reclining the back of the seat. If reclining the seat makes it hard to see the road, you can raise yourself up by using your car’s seat-raising system (not all cars have this!) or a firm, non-slippery cushion to achieve the same effect.
• Point the airbag toward your chest, instead of your head and neck, by tilting your steering wheel downward (this only works if your steering wheel is adjustable).

The rules are different for children. An airbag can seriously injure or even kill an unbuckled child who is sitting too close to it or is thrown toward the dash during emergency braking. Experts agree that the following safety points are important:

• Children 12 and under should ride buckled up in a properly installed, age-appropriate car seat in the rear seat.
• Infants in rear-facing child seats (under one year old and weighing less than 20 pounds / 10 kg) should never ride in the front seat of a car that has a passenger-side airbag.
• If a child over one year old must ride in the front seat with a passenger-side airbag, he or she should be in a front-facing child safety seat, a booster seat or a properly fitting lap/shoulder belt, and the seat should be moved as far back as possible.

If you have been in an accident, please call for a consultation about your injuries. Prompt treatment is important.

www.DrRobWatkins.com

Fort Myers – 590-9555

LaBelle – 675-8900

How to pick a good Chiropractor Fort Myers, Estero or LaBelle

I find the best way to find any professional, is to ask someone you trust for a recommendation. Often your family and friends can point you to the best chiropractor, doctor, attorney or whichever professional that you are looking for. They recommend them because they have had a positive personal experience.

Other methods can be to review comments posted online or information provided on various websites. Many doctors that want to be open to prospective new patients will post resourceful information about their practice techniques, education and case studies for you to review.

Things to consider when picking a good Ft. Myers Chiropractor:

1. Did they graduate from a school that teaches a variety of techniques? – Different types of cases require different techniques for treatment. There is not “one technique” that will be best for all patients and all cases, so check to make sure the doctor you are looking into is not “locked into” one technique.
2. Are they involved in supporting their profession? – A doctor that is involved in the success and support of their profession is more likely to be on the leading edge of techniques and procedural knowledge to best serve your needs.
3. Are they involved in their church or community? – This is a strong indicator of their personal character traits. This will say volumes about how caring your prospective doctor is.
4. Are their recommendations based on a case by case criterion or do they treat everyone the same? X-rays for everyone, no matter if there has been an auto accident injury or just a strain? Long term treatment plans, no matter the details of the condition? – Your condition is specific for you and the history of your past. It would be irresponsible to try to “cookie cut” a treatment plan to fit everyone, including you.
5. Is the doctor’s staff courteous and considerate of you? – Believe it or not, most people will discontinue with care regardless of how much they like their doctor, if they don’t like the doctor’s staff… You may want to consider how helpful and courteous the doctor’s staff is before investing your time with a doctor’s office.

I hope this short article will help you in your search for a Fort Myers Chiropractor. Remember a chiropractic physician has a medical education similar to that of a medical physician with a primary difference of diagnosing and treating your condition without drugs and surgery. According to the American Medical Association, chiropractic physicians receive more hours of anatomy, physiology, neurology, x-ray and orthopedics than medical doctors receive. Those classes are the ones that pertain to your back pain, are they not?

Yours in Health,

Dr. Rob

Fort Myers Chiropractor

We are proud to announce the first post on our Blog “Fort Myers Chiropractor.”

Future posts will include helpful articles about health conditions like back pain, headaches and nerve pain.

There are many topics to cover and many facts that few know about conservative effective ways to treat them.

Yours in Health,

Dr Rob

Fort Myers Chiropractor