Archive for the ‘Uncategorized’ Category

Exercises and Stretches to Reduce Lower Back Pain

February 18, 2010

I recently found a few YouTube videos designed to teach you easy ways to reduce lower back pain. Check out these easy to do stretches and exercises! Try them once or twice a day.

IT Band
Tightness and Stiffness in the IT Band can cause knee pain or lower back pain.

Psoas
Tightness in the psoas is a common cause of lower back pain and hip pain. Use this standing stretch to reduce or prevent pain.

Lumbar (Low Back) Paraspinals and Quadratus Lumborum
Tightness in the muscle of the lower back, particularly the paraspinals, the large muscles that run up either side of your spine can create low back pain, as well. Quadratus Lumborum helps you twist your torso, so golfers frequently have pain here. This video helps you stretch both of these large low back muscles.

You can buy a roller foam at Academy or the Relax the Back store. Also check out Amazon.com if you want to buy online!

Let me know if you have questions!

Mid Back (Thoracic) Pain

November 9, 2009

Mid Back or Thoracic Pain occurs a lot less frequently than lower back or neck pain.  It’s my theory that it occurs less often because the mid back is protected by the ribs, as well as, because it has less range of motion than other areas of the spine.  More protection, less motion, less risk of injury.  (The Dr. Funk theory…lol!)

Mid Back pain can usually be one of four things.

  1. Simple back pain
  2. Rib pain
  3. Spinal nerve root pain
  4. Serious Red Flag pain

Simple Back Pain

Simple Back Pain means that pain is occuring due to relatively minor problems with the muscles, ligaments and joints of the thoracic spine.  There is no spinal nerve root  or vertebral disc involvement (pinched nerves or disc bluges or herniations).

Simple back pain can take up to six to eight weeks to heal and usually involves healing of the soft tissues around the thoracic spine.  You can expect your chiropractor to perform spinal manipulation in the area, as well as other modalities, such as myofascial tissue therapy or deep tissue massage, stretching, and rehabilitation.

In some cases, your chiropractor may refer you to your medical doctor to get a muscle relaxant or pain med so you will be more comfortable during treatment.

Rib Pain

Rib pain can be extremely painful.  If a rib head has moved or “popped” out of place, you will find that taking a deep breathe is extremely painful.  This is also (but not always) a sure sign of rib involvement, when your mid back is hurting.  Rib pain can be classified as sharp pain radiating along the rib to the front of the chest.  In some cases, you may have fractured a rib, so depending on the mechanism of injury, your chiropractor may get an x-ray to rule this out.

You can also expect about a six to eight week full recovery time with a rib.  You also want to avoid sleep on the side of pain, as to take pressure off the area while it is healing.

Spinal Nerve Root Pain

Spinal nerve root pain is much more serious and the signs and symptoms are different than simple mid back pain.  Nerve root  irritation or compression is always associated with signs of radiating pain, tingling, numbness, and weakness.

Serious Red Flags

If you are experiencing any of these signs and syptoms, you should have more concern.  You will want to see a specialist (your chiropractor can give you a referral, if needed) to help solve the problem.

  • Acute trauma (IE.  car accident or fall)
  • Constant progressive pain
  • Previous history of cancer
  • History of drug abuse or HIV
  • Past history of a Spinal Inflammatory Disease
  • Recent unexplained weight loss
  • Severe restriction of bending forward
  • Widespread neurological changes such as
    • Recent inability to urinate
    • Loss of anal tone that make defecate impossible or difficult
    • Numbness affecting the anus, perineum and/or genitals
    • Widespread or progressive loss of strength in the legs making walking difficult
    • The appearance of a sensory level on pinprick testing in the buttock or leg area.
  • Structural deformity noted in your spine

Most thoracic pain is benign in nature, but you will want to visit your chiropractor to rule out more serious conditions if pain is persistent and does not go away in a few days.

Exercises for Low Back Pain

November 5, 2009

Most everyone experiences low back pain at some point in their lives, and if you have, you know it’s no fun!  This blog post although titled “Exercises for Low Back Pain” may as well be called “Exercises to Prevent Low Back Pain”, as you need not wait until you have pain to perform them.  In fact, I prescribe these exercises to patients who are prone to low back pain.  The exercises listed below are easy to perform and will create lumbar (low back) stability and improved posture.

Lumbar Rehab Program

Perform these exercises once or twice a day for best results.

Exercise 1: Bridging

Lie on your back with your knees bent and feet shoulder width apart.  Slowly raise your hips off the ground.  Return to the start position.  Repeat for a total of 10 times.

Exercise 2: Bridging with Ball

Lie on your back with your ankles on the ball.  Raise your bottom off the floor, maintain a neural spine (don’t bend it).  Return to start position.  Repeat- 10 times.

Exercise 3: Land Swim

Lie face down and stretch your arms over head (place a towel roll under your forehead if your neck needs support).  Raise one arm and the opposite leg. Repeat with the other arm and the other leg.  Perform 10 reps.

Exercise 4: Land Swim with Ball

Lie on your top on top of the ball.  Balance on your hands and toes.  Be sure and keep your head neutral for support.  Raise one arm and the opposite leg.  Relax and repeat on the other side.  Continue alternating sides until you’ve completed a total of 10 reps.

Exercise 5: Chest Lift with Ball

Lie on stomach with ball and balance on your hands and toes.  Keep your head in a neutral position.  Raise one arm and the opposite leg.  Relax and repeat on the other side.  Continue alternating until 10 reps are complete.

Exercise 6: Crunches on the Ball

Lie with your back on the ball and spread your feet to balance your body.  Cross your hands over your chest (or for more difficulty place your hands behind your head).  Pick a spot on the ceiling and raise up toward it.  Slowly lower to the start position.  10 reps.

Exercise 7: Obliques with the Ball

Lie on your on top of the exercise ball and spread your feet to balance your body.  Place your hands behind your head and then take one elbow and reach toward the opposite knee.  Repeat on the other side.  10 reps, alternating side to side.

Exercise 8: Squat with Ball (You’re almost done….)

Place an exercise ball between the wall and the small of your back.  Stand with your feet shoulder distance apart then bend your knees and lower your body down until your knees make a 90 degree angle.  Hold for 3 seconds then go back to the start position.  10 Reps.

Exercise 9: Ball Pass

Lie on your back holding an exercise ball in your hands above your head.  Lift your hands, neck and upper body up as your lower body raises up and pass the ball from your hands to between your ankles.  Press the ball with your ankles to contract the inner thigh.  Lower your body down, return your hands above your head and feet down (now the ball is touching the floor.  Then lift up again and pass the ball back to your hands and lower your body down to the start position.  Repeat 10 times.

Wow!  Great job!  And great way to maintain or build a healthy spine that will never have back pain (again).

Disclaimer- If you are experiencing low back pain, check with your chiropractor, physical therapist, or medical doctor to make sure these are safe for your body to perform.

What About My Pillow?

November 3, 2009

Pillow FlowerOne of the most common concerns I get from patients is that they believe their pillow is contributing to their neck pain or headaches. “What is the best pillow for me, Dr. Funk?”, I hear all the time.

I have to be honest. I didn’t learn this in chiropractic school, although you would think that it would be taught. I actually had to do some research on my own to find the answers. And the answer is that you have to choose the right pillow for the way you sleep.

A pillow is designed to support the neck at night while we sleep. Proper alignment of our neck is a must to prevent or eliminate neck pain and stiffness.

Back Sleepers

For individuals who sleep on their back, their pillow should be medium sized so that the head is not at an upward angle.  A pillow that maintains the natural “C” shaped curve of the neck is a bonus, and placing a pillow under the knees will reduce pressure on the low back at night.  One caveat of back sleepers, is that they tend to snore more.  The good thing is that back sleepers develop less wrinkles on their faces over time.  (Hmmm…Snoring or wrinkles…got to weight the risks..lol!)

Side Sleepers

Side sleepers need more firm and higher pillows.  Again, you want the head to be parallel with the bed, so no pillows that are super high or doubling pillows.  Since your shoulder is in the way when you sleep on your side, a firmer pillow will not only support the head but protect your shoulder as well.  I also suggest a flat pillow in between your knees to keep the pelvis in alignment.  Side sleepers snore less, so if you struggle with snoring, try sleeping on your side.

Stomach Sleepers

If you sleep on your stomach, you may not need a pillow.  If you feel you need one, use a flat pillow, so your neck can maintain it’s proper alignment.  This is the position that I recommend the least.  I think it is the hardest to maintain proper posture.  Many of my stomach sleepers come in complaining of tingling in one or both of their hands when they wake.  This typically happens because your body is not well supported during sleep in this position, and your pectoralis minor muscles can be overstretched.  Tight pec minor muscles will compress the brachial plexus causing a tingling sensation in the hands.

Pillow Types

  • The body pillow is good for pregnant women and the side sleeper.
  • The Memory Foam contour pillow is good for people with neck or spine pain and can be used for back or side sleepers.
  • The four position pillow works well in any position.
  • The U-neck pillow is designed for traveling and supports the neck.
  • Create your own perfect pillow with Select Comfort- Pillow[ology]

If you have any other questions, please feel free to e-mail or comment.

Tranquility Chiropractic Studio

FREE Chair Massage for the Holidays

October 22, 2009

Dr. Misty FunkCome join Tranquility Chiropractic Studio for our upcoming event: Pamper Yourself Before the Holidays!

Free chair massages by Dr. Funk and staff; hand rejuvenation by Rejuvenescense Austin; and spiced lattes!

http://www.TranquilityCS.com

Date: Saturday, November 21st

Time: 2-4PM

Location: Tranquility Chiropractic Studio, 11673 Jollyville Rd, Ste. 202, Austin TX 78759

Contact Number: 512-788-3366

HAPPY THANKSGIVING!

November 26, 2008

thanksgivingHere’s to my amazing patients!  Happy Thanksgiving!

(I am only using first names…so don’t panic…you know who you are!)

  • Kristina- You make me laugh.  I love every minute of your visits.
  • Brock- Thank you for forgiveness.  God knows I need plenty of it!
  • Chrystal- You love to talk and so do I.  I couldn’t wait until your next visit (and now I miss you)!
  • Rachel- I love your stories of Nora and Gus.  I now vicariously have dogs!
  • Lau- I appreciate your loyalty.  Thanks for not giving up on your treatment plan!
  • Chris- Thanks for your amazing design and great advice.  Tranquility has a face because of you.
  • Stephen- Stephen you are amazing!  I have a web presence because of you.
  • David- You are my greatest supporter.  I am always happy to hear about your week.
  • Mike- You are the best researcher.  No one has ever looked up everything I ramble on about.  And thanks for saving from the embarrassment of not knowing who Mack Brown was!
  • Nicole- I LOVE LOVE LOVE talking to you.
  • Tomoko- You are my adventurer.  I admire your courage and passion.
  • Josh- Thank you for telling everyone about me.  You have been my biggest referral source.  Don’t forget to put in the magazine one of these days!
  • Robin- I am always excited to hear about what you are working on.  Congrats on the new house!
  • Adam- You are my talented one.  I am always excited to hear your business is growing.  PS. Watch out!  Robin may just quit her job and become an electrician.
  • Sean- Thank you for listening.  Thank you for caring.
  • Larry- Thanks for sharing your story.  I am very proud of you.
  • Morgan- Thanks for coming in on a Saturday to be my model!
  • Pamela- I miss you so much.  Thanks for sharing all of your acupuncture knowledge.
  • Giselda- You are my ideal patient.  I am so happy to be able to help you.
  • Patricia- Thanks for the copay stickers and all the great advice!
  • Brandon- Thanks for the amazing online review. Several people have become new patients because of you!
  • Paul- It was great to learn more about Canada. I hope you are having fun freezing your tush off up there.
  • Brad- My only patient who loves his exercises. If I had to choose a patient as my child, it would be you. Do you eat your broccoli, too?
  • Nancy- I am so happy I was at the right place at the right time to meet you!
  • Betty- I loved visiting your digs! It’s always great to see you at Starbucks with your son.
  • DeDe- DeDe was famously early for every appointment. I may have you call a few of my no shows and teach them a lesson or two. Lol!
  • Ray- I enjoy our conversations immensely. You fill my office full of politics, spirituality, and class.
  • Camille- Thanks for your referral. I hope you are recovering quickly.
  • Cindy- Limp in one day; Run out the next. You made me feel God-like in my healing abilities! =)
  • Rand- Thank you for driving so far for treatment. You are super dedicated!
  • Eileen- You were one of my first patients. Thanks for helping with my confidence!

I love you all!

PS.  If I have forgotten anyone, you will get a complementary 15-minute massage at your next visit!

Dr. Funk

Health Insurance Confusion

September 26, 2008

I am very excited to announce that I have recently been credentialed with Blue Cross Blue Shield of Texas and Humana. So as an added service, Tranquility Chiropractic Studio will now be billing most patients’ health insurance!

What has been interesting about this change, is how little people including myself know about their health insurance benefits.  It is interesting how many of us go to our health care provider and know little to nothing about what will and will not be covered.

Does my plan cover chiropractic?  Do I have a copay or coinsurance?  What is my deductible?  What is a deductible?  If I have a copay, is a chiropractic visit considered an “office visit” or a “specialist visit”?  Do I need my PCP’s referral?  What will I get stuck with after my insurance company pays the doctor?  Am I responsible for the amount insurance company doesn’t pay to my doctor?  Augh!!!!!!!!!!! Health insurance can be very confusing!

I had waited months to become credentialed, and here I was too…confused! In order to better understand how to help my patients get the care they deserve, I met with a billing specialist (as well as called every chiropractor I knew).  I talked for hours and asked a million questions.  Here are a few tips that I think can benefit every person who has or ever will have health insurance.

Common Insurance Questions and Answers

  1. What is a deductible? I like to think of the deductible as your upfront out-of-pocket cost.  Your deductible is the predetermined amount you are responsible for paying before your insurance company will start covering your health care expenses.
  2. How often do I have to meet my deductible? Your deductible starts over again annually, but don’t be shocked if your health coverage isn’t from Jan 1-Dec 31.  I’ve seen other dates (IE Sept 1- Aug 31).
  3. How is my deductible determined? The lower your deductible is, the higher the price of your plan (usually paid monthly).  If you have a lower deductible then your insurance company will pick up a larger portion of the bill.
  4. Who is responsible for billing the insurance company…me or my doctor? Many health care providers bill the insurance company as a service to you, but it is ultimately the patient’s responsibility to ensure that provider is paid for his or her services.  Whoever bills the insurance company has the most risk of revamping the cost of service!  Please remember, if your insurance company doesn’t pay, you may have to! So if your provider bills for you, make sure you understand what amount you are responsible for if the insurance company decides not to pay for part or all of your care.
  5. My insurance company didn’t pay for my treatment and my doctor wants me to pay.  Who’s fault is it…my doctor’s or my insurance company? So you’re in a situation where your insurance company did not pay for part of your services, and your doctor is asking you to pay the amount not covered.  Frustration can arise when you get an unexpected bill, but stay calm.  Either party could have made an error- your doctor’s office may have billed the claim incorrectly or the insurance company could have paid or not pay the correct amount.  If you get a bill from your provider’s office, call and ask why the services were not covered.  But remember, if your insurance provider doesn’t pay, ultimately you are responsible.  Luckily, most doctors are doctors because they love to help people.  So always assume your doctor will work with you to make sure you can afford your care!

For more information, check out these links!

http://www.healthcarecoach.com

http://personalinsure.about.com/od/health/a/aa032805a.htm

http://www.healthatoz.com/healthatoz/Atoz/common/standard/transform.jsp?requestURI=/healthatoz/Atoz/dc/cen/hea/misc/alert10152007.jsp

Taking a little stress out of your day!  -Dr. Funk