A blog from Schubbe Resch Chiropractic and Physical Therapy.

Monday, June 25, 2018

Yesterday I made my first attempt at "No Sit Tuesday". Driving in the car was tough to say the least. (No I didn't stand in the car.) What I did do however, was stand all day at work and then perform all my normal duties that would require sitting at a desk or doing notes in the seated position, standing. Fortunately I am blessed with a very active job but what I didn't realize is how much I do end up sitting throughout the day.
I CHALLENGE you👉 to choose to perform one activity today that you would normally do sitting and stand instead.

Sitting in a nutshell contributes to:

Image may contain: 2 people, including Will Curtis DC, people standing and indoorImage may contain: 1 person, standing and indoor1) Shortened (tight) hip flexors
2) Deactivated (Weak/turned off) gluteus musculature 
3) Increased lumbar intradiscal pressure
4) Increased incidence of pelvic/lumbar misalignment

Our bodies are creatures of habit just like our minds, they don't like change. If you sit all day, your body thinks that is it's normal position and then 👆 happens.

Give "No Sit Tuesday" a try and for extra credit mix in some hip flexor stretching and glute activation exercises throughout your day.

Also, Follow/Friend request Will Curtis DC on Facebook for more helpful lifestlyes tips.

As always,
A body in motion, stays in motion
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Bird Dog
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Glute Bridge
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Hip Flexor Stretch

Monday, June 4, 2018

Introducing Sarah Pierre, PT

The Appleton office would like to welcome Sarah Pierre to our physical therapy staff!

In Sarah's words -

I was born and raised in Wisconsin.  Upon graduation from UW-Stevens Point, I entered the US Army and was fortunate to be assigned to the US Modern Pentathlon Olympic Training Team and competed in the event for three years.  During that time, I became well acquainted with the Physical Therapy staff due to training injuries.  Shortly after I retired from the sport, I attended the US Army-Baylor PT Masters program.  I spend most of my PT career in Texas and Arizona.  I recently relocated to Appleton to be closer to family.  I enjoy most outdoor activities but especially hiking, kayaking and paddle boarding.  I am excited to integrate my PT experience with Schubbe Resch Chiropractic clients.

Friday, March 2, 2018

Postural Reset Seminars

What are Upper Crossed Syndrome and Lower Crossed Syndrome?

Join Dr. Will Curtis on Thursday, March 15th and Thursday, March 29th to learn about two of the most common postural related syndromes affecting people today.  Dr. Curtis will be presenting a two part series discussing the causes of Upper Crossed Syndrome (UCS) and Lower Crossed Syndrome (LCS).  He will break down the causes of these two syndromes, demonstrate his favorite exercises/stretches for each issue, and discuss treatment protocols.  There is no need for any scientific background or knowledge as seminar will focus on easy to understand terms and descriptions.

The whole family is welcome and everyone can benefit from this information - especially teenagers who are constantly on their cellphones! The talks begin at 5:30 and will last 30-45 minutes with time for questions at the end.  This is also a great opportunity to learn more about chiropractic!

Seminar highlights and benefits:

  • Learn the most common posture related mistakes people make each and every day
  • Stop dealing with constant low grade pain
  • End the daily headaches
  • Decrease muscle tension and tightness
  • Increase range of motion
  • Learn the proper exercises and stretches for the upper and lower back that will help you lead a more healthy, pain free life.
  • Learn how to RESET your posture
You can sign up for one or both of these free seminars by calling 920-738-0200, emailing or registering online here

Monday, February 5, 2018

Lumbar Disc Degeneration

Lumbar disc degeneration is exceptionally common. It affects up to 16% of 20-year olds with an age-related progression involving 80% of patients over age 40, and 98% of those over 70.

There are many factors at play when it comes to lumbar disc degeneration and each person is unique. Genetics play a large role in the progression of disc degeneration as well as activity level, nutrition, biomechanical stressors and posture. Proper joint motion throughout the spine is essential for maintaining disc health and mitigating disc degeneration. So what can you do today to help yourself move better, feel better and help mitigate lumbar disc degeneration?

First and foremost get adjusted!
·         Proper joint motion throughout the spine is essential for nutrient diffusion and mitigating age-related degenerative changes
Eat right!
·         Providing the discs with the proper building blocks necessary to maintain height and fluid is very important (Examples: Increasing Omega-3 fatty acids, Vitamin C and glucosamine sulfate)
Get up and Move!
·         If you work at a desk or are sedentary most of your day, positional changes every hour along with light stretching can help increase blood flow and provide the motion necessary for nutrient diffuse into your discs.

Dr. Will would love to help you reach all your health goals as well as maintain and perform at your highest ability. Weather that means helping you achieve performance goals as an athlete or just having the ability to bend all the way over to get your socks on in the morning! 

Friday, November 17, 2017

Chiropractic Care of the Upper Back

There are many sources of dysfunction in the upper back (thoracic spine) especially when we consider the numerous joints and the interlacing of muscles that comprise the thoracic spine and rib cage. If one muscle or joint is injured or inflamed, it can create a cascade of pain and dysfunction that can be difficult to treat.

Chiropractic treatment and upper back pain
The mid and upper back is known as the thoracic spine, it is the largest portion of the spine, consisting of 12 of the 25 spinal bones (vertebrae). In comparison the neck (cervical spine ) has 7 vertebrae while the lower back (lumbar spine) has 5 vertebrae articulate with ribs and together protect the thorax, hence the name, thoracic spine.
Upper back pain is a phenomenon that affects all age groups. Upper back pain while common receives much less attention than neck and lower back pain.

Thoracic disc herniation
Due to the limited motion in the thoracic spine, caused by the bony barrier of the ribs, Thoracic disc herniations are relatively rare. But when they do occur, they can create much pain and dysfunction.
Whenever practical and safe, conservative (nonsurgical) care, such as chiropractic, is advisable prior to the use of more invasive procedures, such as spinal injections or surgery.
The goal of the chiropractic treatment of thoracic disc herniation is to reduce pain and dysfunction while the body heals itself.
Since most disc extrusions naturally regress in a few months, chiropractors will attempt to reduce the pain and pressure caused by the disc herniation.
Some chiropractors will recommend nutritional support to reduce the pain and swelling associated with a disc herniation.

Myofascial pain syndrome
Fascia is a layer of connective tissue that contributes to the supportive structure of the spine and musculoskeletal system. The fascia invests or surrounds the muscles and allows for the smooth gliding of one muscle upon another. Investing fascia helps to prevent muscles from adhering to each other.
With injury, chronic postural stress or overuse, myofascial trigger points or myfascual adhesions may develop – all commonly referred to as myofascial pain syndrome.
Chiropractors treat myofascial pain syndromes such as myofascial trigger points or adhesions with manual myofascial therapy. This therapy normally includes the use of direct pressure upon the trigger point, or the use of active anchor and stretch myofascial release techniques.

Joint dysfunction
The thoracic spine is a marvel of joint interaction and complex motion patterns. Composed of a total of 220 separate joints, it makes up the lion’s share of the 313 total joints in the entire spine. With this many interactive articulation it is east to see that maintaining normal joint function, motion and position is important. Chiropractors treat thoracic joint dysfunction with chiropractic adjustments.
There are a variety of chiropractic adjustments techniques that can be used to adjust a dysfunctional joint:
                Most chiropractors employ manual adjusting techniques that utilize precise thrusting adjustments to help normalize joint function.
                Chiropractors can also use softer directional adjusting techniques or adjusting instruments to accommodate the needs of the patient

Thoracic outlet syndrome
Thoracic outlet syndrome is a disorder in which the nerves of the brachial plexus and blood vessels are compressed. This compression can cause great pain and altered sensations such as a “pins and needles” sensation in the hands.
Treatment of thoracic outlet syndrome can include stretching, manual trigger point therapy and myofascial anchor and stretch release techniques to the affected muscles. Chiropractors may also include adjustments and postural instruction.

Thoracic /shoulder dysfunction
The function of the shoulder and the upper back are interrelated. Studies have shown that thrusting manipulations applied to the thoracic spine and ribs have reduced should pain and dysfunction. Chiropractic adjustments to the thoracic region can be beneficial to certain types of should dysfunction.

There are many causes and treatment options for thoracic spine disorders. Chiropractors have a wide range of treatment options for treating these conditions. Chiropractors are increasingly joining collaborative spinal care teams as a drug-free option for treating spinal and musculoskeletal conditions. 

Adapted from Newsletter

Friday, July 21, 2017

What Is A Chiropractor?

A chiropractor is a health care professional focused on the diagnosis and treatment of neuro-muscular disorders, with and emphasis on treatment through manual adjustment and/or manipulation of the spine.
Most chiropractors seek to reduce pain and improve the functionality of patients as well as to educate them on how the can account for the own health exercise, ergonomics and other therapies to treat back pain.
Chiropractic is general categorized as alternative medicine or complementary medicine.

Chiropractors: fundamental beliefs and goals

Chiropractors focus on the intimate relationship between the nervous system and spine, and hold true the following beliefs
                     Bio mechanical and structural derangement of the pine can affect the nervous system
                     For many conditions chiropractic treatment can restore the structural integrity of the spine, reduce pressure on the sensitive neurological tissue and consequently improve the health of the individual.
 The treatment concept of chiropractic is to re-establish normal spinal mobility, which in turn alleviates the irritation to the spinal nerve and or re-establishes altered reflexes.

Conditions treated

Chiropractors use a variety of non-surgical treatments to treat patients with certain types of:
                     lower back and leg pain “sciatica”
                     neck pain
                     repetitive stains
                     sports injuries
                     arthritic pain

While primarily focusing on treating neuromusculoskeletal disorders, chiropractors are not exclusively limited to problems with the nervous system and musculoskeletal system.
When appropriate, chiropractors refer patients to medical doctors or other health practitioners for treatment of low back pain. Many chiropractors have a local referral network or work together with other spine specialist in a multidisciplinary or multi-specialty spine clinic.

Chiropractic Examination

In many regards, a chiropractic examination is very similar to standard examination procedures administered by all health care providers. With that said, how chiropractors examine the structure and function of the spine and then determine specific chiropractic care from other disciplines.

Chiropractic Exam of lower back pain

An initial chiropractic exam for back pain will typically have three parts: consultation, case history and physical examination. Laboratory analysis and x-ray examination may be performed.
Many chiropractors utilize a holistic bio-mechanical concept of treating the bipedal structure in its entirety, in an attempt to balance the structure from the feet upward.
                     Chiropractors are typically trained in multiple methods of assessing lower back pain, including:
evaluation and management services – chiropractors are trained in examine the joints, bones, muscles and tendons of the spine, head extremities and other areas of the body with the purpose of noting any misalignment, tenderness, asymmetry, defects or other problems.

                     Neurologic and other common physical examination procedures- chiropractors are trained to perform a variety of neurologic test (nerve root compression/tension, motor strength, coordination, deep tendon and pathological reflexes, etc) and are skilled in performing orthopedic, cardiovascular and many other common examinations.

                     Specialized assessment- chiropractors are trained to assess range of motion, stability, muscle strength, muscle tone and other assessments with the lower back

                     Common diagnostic studies – chiropractors are trained in use of diagnostic studies and tools such as radiography (x-rays), laboratory diagnostics and neurodiagnositics.

Friday, June 2, 2017

Chiropractic Manipulation of the Cervical Spine

Manipulation of the cervical spine or neck region is a common technique utilized by doctors of chiropractic for many patients complaining of neck, upper back and shoulder/arm pain, as well as headaches. Read more about this first line of treatment for cervical spine conditions.

Types of chiropractic manipulation

The goals of cervical adjustment include reduction of pain, improved motion and restored function. There are two general approaches for cervical spine complaints:
1.                  manipulation-often thought of as the traditional chiropractic adjustment, or a high-velocity, low-amplitude (HVLA) technique
2.                  mobilization – which is a more gentle/less forceful adjustment, or a low-velocity, low-amplitude(LVLA) technique moving the joint through a tolerable range of motion.

A combination of the various approaches varies among patients depending on the chiropractors preferred technique the patients comfort and preferences and the patients response to the treatment as well as both past experience and observations made during the course of treatment.
Adjudicative therapies may include massage therapeutic hear and /or cold application, gentle stretching and strengthening exercises and more

The cracking sound

The HVLA manipulation usually results in a release called cavitation which is created in part by gas escaping from the joint capsule when the joint is moved quickly within its passive range of motion, well within its passive range of motion, well within the tissue boundaries.
This type of chiropractic adjustment creates the typical cracking sound that is often associated with joint manipulation. It sounds similar to cracking one's knuckles.
While this cracking description of a chiropractic high velocity, low-amplitude thrust may give an impression of something that is uncomfortable, many patients find the sensation is relieving and may provide immediate relief of painful symptoms.

Gentle mobilization or adjustment?

There are several reasons a chiropractor may recommend gentle (LVLA) chiropractic techniques, such as:
1.                  Patient preference: some patients do not feel comfortable with the traditional high-velocity thrust manipulation and prefer an approach that does not involve twisting their neck or joint “popping”
2.                  Provider experience: some chiropractors may favor one technique and most chiropractors utilize several approaches and often modify and adapt several techniques to the patient’s needs and preferences.
3.                  Contraindications: some patients may not be able to tolerate the traditional chiropractic adjustment based on past experience or a prior injury or condition.

Gentle techniques

If the patient cannot relax or simply dislikes the cracking feeling or sound a gentle form of chiropractic adjustment may be utilized. Some of these methods include a slower technique performed with in the passive range of joint motion.
1.                  Cervical mobilization – the chiropractor manually moves the vertebra in the neck left to right and vice verse, alternating between the side to side motion and a figure 8 movement, applied at varying degrees of moving the head forward, backward, and to the side and in rotation. This is a smooth, non-thrust type of stretch.

2.                  Cervical manual traction- the chiropractor gently pulls on the neck, stretching the cervical spine often varying the angle between flexion (forward) and extension (backward) based on comfort and searching for the correct angle to most efficiently reduce the tightness.

3.                  Cervical “drop” techniques – the chiropractor places a hand and/or finger over the spinal segment requiring the adjustment. A medium to high velocity, low amplitude thrust, or a non-thrust gradual increasing downward pressure is applied until the drop section/ head piece of the table releases and drops a short distance. The goal is to reduce the fixation or restricted motion of the cervical vertebra assisted by the special table.

Typical cervical problems

                     Mechanical neck pain includes pain generated from muscle, tendons, joint capsules, ligaments and /or the fascia. This type of problem is a common cause of neck pain and stiffness. Most of the time, many of these tissues are simultaneously injured and can cause pain both locally as well as at a distance away from the injury site.
                     Cervical disc problem – tears can develop in the cervical disc and /or the inside of the disc (the nucleus) can herniate through the outer part (the annulus) and trap or pinch the nerve root as it exits the spine.
                     Cervical nerve root irritation can frequently refer pain down the arm and into the hand. Usually affecting specific regions such as the 4th and 5th digits, the palm side thumb to 3rd fingers and/ or the back of the hand on the thumb, index finger side of hand depending on which nerve root is irritated.

                     The above are tow broad examples of types of cervical spine problems that may be treated with cervical spinal manipulation. The patient needs to receive a complete exam prior to cervical manipulation.