A very common question that is asked when going to a chiropractor is what does the adjustment or manipulation do to help my spine or other joint have less pain. This can be a confusing concept so I wanted to explain it in a simple way in order to help you understand what an adjustment or manipulation can do for you to help with your pain.

A chiropractic adjustment or manipulation is one of the tools the chiropractors at Accident and Sports Injury Clinic use to help our patients have less pain and increased movement. An adjustment is when we apply a force to your joint in order to get motion to your joint. This can also be known as a manipulation. Adjustments come in different forms (check out our previous blog post) but are characterized by getting movement in the joints and there can sometimes be heard an audible crack or a cavitation. The crack is not necessary for a successful adjustment (even though we like it) but just means that there was movement in the joint allowing for bubble formation in the joint. 

After an adjustments is performed the following are the benefits of an adjustment

1. Increased mobility-Increased mobility of a joint is one of the more obvious benefits of the adjustments. This is one of the main purpose of the adjustment. This is seen due to increased range of motion after the adjustment or manipulation is performed.

2. Decrease of muscle spasm or muscle tension-Decreased muscle spasm or tension happens due to 2 mechanism. The first is due to movement applied during the adjustment we are stretching the muscles of the joint including sensory muscles which are smaller connecting from vertebrae to vertebrae. When the adjustment or manipulation is performed the smaller sensory muscles and bigger muscles are stretched which then causes the nerve endings in the muscles to relax and decrease tension. The 2nd mechanism which be explained with pain as it is very similar

3. Reduce pain-This is perhaps the biggest reason a person goes to the chiropractor, seeking pain relief.  Pain relief comes in a very interesting method after the adjustment is performed. When the adjustment is done there is movement in the joint. This signals to the brain through proprioceptive ​nerve endings that there was movement in the joint. The brain then sends back to area through the nerves to decrease the pain and also to the muscles in the areas to decrease tension.

Now that you know what an adjustment can do for you consider adding chiropractic adjustments or spinal manipulation to your treatment plan. It can really help you get back to doing what you love.

Did you know that Medicare covers chiropractic care? That's right, for as little as just your co-pay you can be treated by anyone of our Roseville chiropractors. That means relief from your headaches, neck pain, lower back pain, sciatica, and even hip pain. Chiropractic adjustments can also help increase mobility if you have arthritis. 

Chiropractic care is specifically covered under Medicare part B. At our office we take most Medicare plans. Some of these plans, including Kaiser and Sutter, may require authorization from your primary care physician. Cost of treatment varies per plan, co-pay, and deductible but generally they are under $20, with some exceptions. For questions regarding Medicare plans and costs call us today at 916-784-2727 and we will be happy to answer your questions.

We hope to see you soon at Accident and Sports Injury Clinic, your Roseville Chiropractor

Electrical muscle stimulation (EMS) which is also known as neuromuscular electrical stimulation is a therapy we use at our office in conjunction with chiropractic adjustments and other treatments. EMS helps with musculoskeletal pain by activating muscles to contract very lightly to help decrease the pain that is coming from that area. When being used at our office we make sure that the muscles are only activated enough to help decrease the pain but not enough to show visible contraction or activation of the muscles. When it is being used this way you will feel a tingling sensation when the electric muscle stimulation is being used. 

If you haven't tried EMS, come in today and we can show you how it works and how it can be beneficial in helping your back pain, shoulder injury, knee pain, neck pain, or whatever pain you are having.

​Did you know that there are different types of chiropractic adjustments available to help you? There are many different types of adjustments that chiropractors use to make sure that you have decreased pain, increased mobility, and increased ability to perform activities. Lets go over a couple of the different techniques available at our office that can help you.

Manual Adjustment - At our office the most common way we adjust our patients is by manually adjusting you. We use a technique called the Diversified technique which is by far the most common technique used by chiropractors to help patients throughout the world. The great thing about manual chiropractic adjustments is that we are using our hands to make sure you get the movement you need in the joints that aren't moving as well. This mean we can change the amount of force we use making sure to either do a lighter adjustment or a firmer adjustment. Along with doing the adjustment we can do it a light version called a mobilization. The difference between a adjustment/manipulation and a mobilization is that the adjustment is usually quicker with more force that may have an audible crack. Mobilization are more slower with light forces that are just focused on getting movement in the spine. Mobilizations usually don't have the audible crack with the adjustment.

One disadvantage with a manual adjustment is that while we are trying to get movement in certain joints we have to lock out other joints by having them be at the end range of their movement. This can be problematic for this with previous surgeries, severe injuries, or other conditions.  Luckily we have other adjustments we can do that may be better suited for these people that allow us to better isolate the less movable joint.

Activator/impulse - When manual adjustments are too much for a patients or cause a lot of soreness another option is using the activator or impulse to adjust you. The Activator or impulse is a hand held tool that does a quick, low force impulse directly on the part of your spine or other bone which allows for movement directly at the joint. This can be very beneficial for those who don't want their neck or back moved manually as there is no twisting involved. In fact we use the activator when you are in a more relaxed position such as laying down or sitting. The activator can also be really helpful for when we want to get one specific joint moving and not any of the others such as after spinal surgeries. It can also be helpful when a lower force is necessary such as when getting movement in the ribs for those with osteoporosis. All of our doctors are well versed in using the activator or impulse tool and can help you get rid of your pain and get movement back in your joints.

Note: we don't use the activator technique, we use the activator on the joints that aren't moving as they need to.

Drop Table - Another alternative is using the drop table to get movement in the joints. The drop table is a special chiropractic table that allows for certain segments to rise up and go down with an adjustable force. One great thing about the drop table is that it is a hands on adjustment but with the addition of the drop. This allows for us to do a lighter force or a firmer force if necessary. The drop table can be very beneficial because it doesn't involve any twisting when trying to get movement in the joints such as in the lumbar spine or sacroiliac joint. It can also be used in conjunction with manual techniques to help get more movement into the joints. Dr Zachary Owens uses the drop table at our office and he finds it very beneficial for those who don't enjoy the twisting movement with lower back manual adjustments but can handle some more force in the lower back.

Traction - Therapeutic traction is a technique that involves stretching of the spine. It involves pulling at in long axis distraction to help alleviate tight muscles, reduce muscle spasms, and relieve pressure off the discs and surrounding structures including nerves. This can be done at the neck or at the lower back to help relieve pressure off the discs and facet joints of the spine. Our chiropractors may use traction along with adjustment to help relieve pressure at your neck or at your lower back by pulling on your legs.

​Blocking - Using blocking for your lower back at the sacroiliac joints can help to get movement in your joints by using gravity instead of with a direct force on your sore areas. It can be helpful as it can be done for your lower back while either laying on your stomach or on your back and doesn't require any twisting to get movement. It is low impact and can be a great alternative to get movement in your SI joints.

As you can tell there are lots of different types of adjustments or manipulations that can be done to help make sure you are moving better and have less pain. If you have questions about these different techniques you can always ask your chiropractor to see if a different type of adjustment is better suited for you.

A while back I was talking to a patient of mine who has been dealing with back pain for a couple of months. She had been feeling better with chiropractic adjustments and exercising but had a bad flare up. She was concerned that she wouldn’t be able to help out around the holidays with cooking and decorating since it required a lot of standing and lifting which made her back really hurt. She asked if she should buy a back brace and if that would help with her back pain. I want to go over what I told her and when you should and should not get a back brace. 

Firstly let’s go over what a back brace does. The most common area to use a back brace is in your lower back or lumbar region of your spine. A back brace is meant to help stabilize your lower back with outside support. It does this by wrapping snuggly around your lower back and core muscles. By doing so it does decrease movement in your lumbar spine. This can help provide stiffness and help you experience less pain when doing moving around. It also helps encourage keeping your back straight and helps to maintain your posture.

I have no problem with the use of back brace when necessary, however, I see the use of back brace as a crutch not as a long term solution. Normally your lower back muscles and abdominal muscles which combine as your core muscles are what stabilizes your spine. By having strong core muscles your lower back should have more stability which will allow you to get rid of most lower back pain and prevent pain in the future. When using a back brace you are using the brace to stabilize your core which bypasses your stabilizing muscles. That can be ok short term if your are severe acute pain, however, over reliance on the back brace can cause your core to be weak and for a dependence on the back brace. 

Back to the story. I explained this to my patient and as she had been working on her core stability already I had recommended her not to get the back brace. I didn’t want to her lose the progress that she had been making. I also reminded her that it is normal to have flare up but with adjustments as needed and keeping up with regular strengthening exercises the flare ups will get fewer and farther between. 

If you have questions about whether a back brace will be helpful for your condition call today to make an appointment and we can go over this together. 

With the New Year just days away everyone is talking about how 2020 has been terrible and how they are looking forward to 2021 being a better year. I want to add to this and say that we should look forward to the new year hopefully as a new opportunity to grow and accomplish more of our goals. I would also implore you to take an account of this last year so you can grow from it.

With this year there were a lot of changes with the coronavirus pandemic. We are now more conscious how close we are to others, wearing masks is a normal thing, and we have definitely used more hand sanitizer than ever before. Many have lost their jobs and are struggling financially and many more are struggling emotionally due to not seeing loved ones. However, let us use what we learned this year to go forward. Recognize the things that didn't go well this year and make a goal to improve the coming year. Take what went well this year and continue doing that in the coming year.

One important note I want to make is that when looking back this year don't dwell on the past. Too many people will dwell on the past whether it is on better days or old arguments. We need to only glance back so we can be better now and in the future. After our glance backwards we must face forward and go forward to accomplish our goals living the best life we can.

I hope everyone was able to learn something from this year good or bad and use that to make 2021 a much better.

One common misconception about chiropractors is that we only focus on the spine and not on other parts of the body. While we are experts in back pain, neck pain, sciatica, and headaches we are also knowledgeable about injuries that happen to other areas to the body. Injuries to the shoulder, ankle, and knee are especially common in sports settings. These sports injuries can heal very well with chiropractic adjustments or manipulation, physiotherapy treatments, exercises, and stretches. Lets go over some common sports injuries that chiropractic care can help.

Ankle Sprains - Most ankle sprains are inversion ankle sprains which means the outside of your foot hits the ground causing stress and tears on the lateral or outside ligaments of your ankles. With these type of ankle sprains along with other types of ankle sprains chiropractic care can be very effective. Some common treatments for ankle sprains would be manipulation of the joints of the ankle to help improve mobility, therapeutic ultrasound to damaged ligaments in order to promote healing, and exercises to help strengthen stabilizing muscles of the ankle.

Knee Injuries - There are many structures that can be damaged with knee pain. The knee has meniscus, multiple ligaments, and many muscles that help to stabilize the area. With a impact injury on the knee complex, one of these structures might experience a sprain or a tear. The knee is also a common area where arthritis can occur. With knee injuries knee traction can be helpful to help relieve pressure off the meniscus resulting in less pain and relaxing tight muscles. Along with traction, exercises and stretches of the quadriceps, calf, and hamstring muscles can help get rid of pain.

Rotator cuff strains - The shoulder is a complex joint offering more mobility due to reliance on the rotator cuff muscles to keep the joints of the shoulder stabilized. Due to the rotator cuff muscles doing most of the stabilization for the joint this puts more pressure on these muscles which can result in strains which can vary from small micro tears to complete tears of the muscles. With milder strains we can help you by focusing on maintaining mobility in the shoulder capsule with adjustments, exercises, and stretches. Therapeutic ultrasound is great in helping to promote healing of the damaged muscles along with electric muscle stimulation.

Wrist tendonitis - Overuse of the muscles in your wrist can cause inflammation in your wrist tendons. This can make it difficult to do small tasks while at work or even difficult to return back to playing your sport of choice. With manipulation of the wrists we can help to decrease pain in the wrist and forearm. Along with stretching of the forearm muscles we can help decrease inflammation with therapeutic ultrasound and electric muscle stimulation. We can also do massage to the forearm muscles to help get them to relax which will take pressure off the wrist tendons.

There are many more conditions that chiropractic care can help. If you have any questions about if your condition can be treated with chiropractic care please give us a call. We will more than happily answer your questions and make sure you get the care you need.​ 

We all want to know how much things are going to cost. So it is no surprise that a common question we get is how much will my visit cost? Let's go over a couple of the common payment methods to figure how much things will cost as it may differ depending on the way you pay.

1. Do you take my insurance?

One of the most common ways to pay is using your health insurance to cover the cost of the visit. The great thing about our office is that we accept most major medical insurance that have chiropractic, acupuncture, and massage benefits. You can use your insurance so the cost of your visit will only be the cost of your co-pay and/or co-insurance. A co-pay is a set amount established that you pay for the office visit and a co-insurance is when you pay a percentage of the cost of the visit. Co-pays are usually more common and stay the same for every office visit. Co-insurance can vary on cost depending on the services that you receive.

Here are a list of common insurance plans that we accept at our office
Aetna
Anthem Blue Cross
Blue Shield
Cigna
Health Net
Kaiser-some plans may require a referral from your doctor
Medicare
​Optum health
Sutter health plus
Sutter medical group-plans require a referral from your doctor
​Sutter Select/UMR
United Health Care
Western Health Advantage-through Landmark Health plan

If your insurance is not listed here give us a call as we can let you know if we do take your insurance. Please also note that some of these plans may only cover chiropractic benefits.

2. I don't have insurance. Can I still get treated?

Of course you can still get treated. We offer affordable rates as we believe chiropractic care should be accessible for everyone. Give us a call as we can let you know our cash rates. Please note that our cash rates are only applicable when paying at the time of service.

3. I was in a car accident. What are my options for payment?

Being involved in an auto accident can be very traumatic. It may require several treatments in order for you to get back on your feet and feeling better. There are a couple options that you can choose at our office when in a car accident.

a) Pay at the time of service with your insurance or at the cash rates-This option allows you to not have to worry about payment later that way it is out of mind. 

b) Setting up a lien with an attorney-If you have personal injury attorney we can do a lien agreement which allows you not to have to pay anything until after your case is settled. This allows you not to have to worry about payment until after you are feeling better that way you can just focus on getting treated and finding improvement.

c) Using your medpay from your auto insurance to pay for treatment. Some auto insurances include medical cost coverage after being in an accident. Using this takes the burden off of you as you won't have to worry about the treatment cost. 

We unfortunately do not accept 3rd party payment at our office.

​4. I got injured at work. What should I do?

Work injuries are difficult to get past and can take a while to get better. Make sure to talk with your work about their process so they can file the proper paperwork. Our chiropractors, acupuncturist, and massage therapists can help and we do accept most work comp insurance carriers.  One thing to note is that with work injuries there is usually a primary doctor in charge of your case along with other providers who can help you with treatment. Our chiropractors can be the primary treating doctor helping you with chiropractic treatment and can also help you find treatment with physical therapy, acupuncture, massage therapy, or other types of treatment. We can also help you if you receive a referral for chiropractic, acupuncture, or massage therapy from your primary doctor. For more information on work injuries check out our other blog post below.
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If you have any questions on payment you can always call our office and we can help you figure out the costs for our services.