Bonsall, DC, DACBSP Diplomate American Board of Chiropractic Sports Physicians-The Family & Sports Chiropractic CenterSports Medicine, Nutrition, Holistic Family Practice Athletes from all disciplines have learned to count on us to not only get them through the training phase of their sport but help improve their game. By applying the principles learned in chiropractic with those in sports medicine and rehabilitation we have virtually everything an athlete or patient could ask for. Treatments
-The number one work related injury is no longer low back pain but has been replaced by Cumulative Trauma Disorders (CTD), carpal tunnel being the most common type of CTD. Carpal tunnel syndrome refers to a condition that occurs when the median nerve becomes entrapped by the carpal bones of the wrist and the transverse carpal ligament. Unfortunately this has become one of the most misdiagnosed conditions in recent years. Many people associate any type of wrist pain or numbness in the hand with carpal tunnel syndrome. The median nerve supplies the middle two fingers, never the thumb, index finger or the pinkie. Treatment in this case involves manipulation of the carpal bones, manually breaking up any adhesions or scar tissue within the transverse carpal ligament using Active Release Technique (A.R.T.) and educating the patient on proper ways to stretch the affected area as well as modifying the work environment to reduce the chances of recurrence. Most of the CTD's that come into this office are from people using computers without being set up correctly from an ergonomic stand point, not taking mini-breaks often enough (every 20-30 minutes) and not stretching. Most are also not true carpal tunnel syndrome, but an entrapment of the median nerve by the pronator teres muscle in the forearm. This entrapment will mimic most of the signs and symptoms of a true carpal tunnel syndrome. The national average for resolving this condition by a credentialed A.R.T. provider is 6-8 visits. Workers compensation case mangers are increasingly utilizing the services of credentialed ART providers because of the success rate at cost savings compared to the decompression surgical intervention route, and missed time from work. In any case not resolved within thirty days, the patient is sent out for a second opinion with a physiatrist for electro-diagnostic testing (nerve conduction velocity testing). Our philosophy of taking a team approach to healthcare has ensured the successful resolution of many difficult and chronic cases. A.R.T(Active Release Technique)
-Active Release Techniques treatment is a hands-on touch and case-management system that allows a practitioner to diagnose and treat soft-tissue injuries. Soft tissue refers primarily to muscle, tendon, fascia, and nerves. Specific injuries that apply are repetitive strains, adhesions, tissue hyposia, and joint disfunction
