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A blog from Schubbe Resch Chiropractic and Physical Therapy.

Friday, March 29, 2013

Even Chiropractors Have Training Pain!


Going through pregnancy, labor and raising a 1 year old son made it difficult to find not only the time, but the energy for a one of my passions, running. It took setting a goal of completing the Cellcom Green Bay Half Marathon in May to get me back to lacing up my shoes and hitting the pavement! 
 
I am among many who set lofty goals for themselves and jump right into training.  Whether it's a full marathon or 5K you aspire to complete, injuries can crop up and prevent you from crossing the finish line.  Running injuries are most commonly caused by overuse... too much, too fast, too soon.  They hit both beginners as well as those more experienced.  Being a chiropractor, I was not immune to minor aches and pains from training and was chronically dealing with an achy hip after long runs.  The longer distances were becoming difficult and sometimes not even possible.  After getting adjusted and doing corrective pelvic stabilizing exercises the hip pain is improved and is no longer preventing me from going the distance.   
 
Getting early treatment is by far the best option in order to get back to training asap.  Most running injuries can be prevented.  Here at Schubbe Resch Chiropractic & Physical Therapy Centers we work to keep your body functioning to its best capacity and keep you doing the things to you love!

Friday, March 22, 2013

Bemis Company Case Study - Workplace Wellness

The following Case Study is from Bemis Company's 2011 Corporate Responsibility Report. Dr. Chris Resch has been working with the employees at Bemis on a weekly and semi-weekly basis to reduce their work related injuries.

Dr. Chris Resch works with employees at Bemis Company



Workplace Wellness at TIDI Products of Neenah

Dr. Tony Weyenberg has been working with the employees at TIDI Products.  Read how his input has benefited this manufacturing company:


Quote from Dane Dorn, Manufacturing Manager

Employees at TIDI Products, a medical device company in Neenah, have been utilizing the onsite services of Schubbe Resch for the past couple years. Most recently, Dr. Tony Weyenberg developed a 10-minute daily department-wide stretching routine and tracks each employee's progress by annually measuring their flexibility.
"The feedback from our employees has been very positive. Many have said they look forward to doing the stretches because they feel so much better afterwards. Some have even reported that they no longer have many of their chronic aches and pains," said Dane Dorn, Manufacturing Manager at TIDI. "We put a high priority on health and wellness here and I'm glad we are able to help our employees by providing this service." 
Dr. Tony Weyenberg at the TIDI Products plant


Common Marathon Training Injuries and Their Treatments - By Dr. John Schubbe and Kari Resch P.T.

The training for and actual running of a marathon puts a lot of stress on your body.  Although many people are able to complete these activities with few or no injuries, not everyone is so lucky. We’ve listed the most common injuries below and the treatments we would recommend at our offices.

Active Release Technique


Achilles Tendonitis is an inflammation of the Achilles tendon.  It is one of the more common injuries for the runner, and in most cases is caused by excessive training over an extended period of time.
Recommended Treatment –  Achilles Tendonitis can be treated with calf/Achilles stretching, rest, ice, supportive shoe wear, Kinesio Taping, Graston Technique , orthotics, Balance training, ankle/hip strengthening, and ice massage.

Chondromalcia or Runner’s Knee is a running injury where the cartilage underneath the kneecap starts to soften and break down.

Recommended Treatment –We start by addressing strength deficits and flexibility of the hip and thigh musculature.  It is best at first to avoid high impact exercise as well as kneeling and squatting.  Icing is recommended along with low resistance exercise such as stationary bicycling, pool running, or swimming (flutter kick).  Evaluation of foot wear is essential, and a patellar tracking brace is often helpful.  Finally strengthening and stretching of the quadriceps and hamstring muscle groups is critical for an effective and lasting rehabilitation of chondral malacia patella. Kinesio Taping can also provide relief.

Plantar Fasciitis is an inflammation of the plantar fascia – a thick, fibrous band that runs along the bottom of the foot.  Inflammation can be caused by direct injury or by repeated trauma.

Recommended Treatment – Typical treatment of plantar fasciitis includes calf/Achilles stretching, arch stretching/strengthening, orthotics, Graston Technique, Kinesio Taping, Ultrasound, ankle/hip strengthening, balance training, and ice massage

Iliotibial Band Syndrome The IT Band is a thick tendon that runs down the outside of the thigh and inserts just below the knee.  When the IT Band becomes tight, it pulls the knee joint out of alignment which results in inflammation and pain.

Recommended Treatment – Iliotibial band syndrome is most accurately treated by addressing strength and flexibility imbalances.  We evaluate training errors, improper foot wear, hyperpronation, muscle imbalances and lack of flexibility.  The main focus of this rehabilitation and prevention should be increasing the elasticity of the iliotibial band and restoring the strength of the gluteus medius muscle.  Stretching is usually prescribed, but the IT band, as well as the deep lateral rotators of the hip should be loosened up by deep tissue massage.

Shin Splints is a specific condition called Medial Tibial Stress Syndrome (MTSS). When the muscles that are attached to the tibia and fibula bones are overworked, they pull on the bones and cause pain.
Recommended Treatment – Shin splints can be treated using supportive shoe wear, orthotics, Kinesio Taping, rest, hip/ankle strengthening, balance training, and ice massage.

Any of the above injuries can be treated by one of our chiropractors or physical therapists, or a combination of the two.  Call one of our offices to schedule an appointment to keep you running strong!

Monday, March 18, 2013

Workplace Wellness at Schubbe Resch


On-Site Company Services are provided by our Neenah office.

Overall Goal:  Promote health and wellness with all company employees.

Meet individually with employees who are looking for advice in the areas of:

1.       Proper body mechanics with a work or non-work related activity.

2.       Alternative body mechanics advice when working around another health issue such as a previous knee or back condition.

3.       Office ergonomic set-up.

4.       Home office ergonomic advice.

5.       Home exercise programs are developed.  Advice regarding choosing the most appropriate safe strength exercises.  Advice on choosing the most appropriate safe cardiovascular exercises.  Teach employees safe strength training technique, target heart rate and how to monitor heart rate.

6.       Nutritional advice is given including how to read fool labels as it relates to calories and grams.

7.       Recommendations for the most appropriate splints or braces.  No splints or braces are given.

8.       Conservative recommendations for work related and non-work related “aches and pains.”

 Dave Gunderson will have a consultation with the employee and then give conservative recommendations that may include – posture, body mechanics, home ice/heat application, stretching and strengthening exercises.  No specific diagnosis or treatment is given.

Chris Resch, DC will take a history, examine, diagnose and give conservative recommendations.  The conservative recommendations may consist of – posture, body mechanics, home ice/heat application, stretching and strengthening exercises.  Referral recommendations regarding the most appropriate specialist is sometimes discussed.  No specific treatment is given.


Schubbe Resch also provides the following group presentations:

 Lower Back Injury Prevention – this presentation covers posture, lifting techniques, stretching and strengthening.   All topics are covered in great detail and from multiple perspectives.

Sitting on the Job – this presentation is geared toward the “office worker”.  Topics include- posture, body mechanics, office and work station set-up, common stretches and strengthening exercises.

Common Musculoskeletal Conditions – this presentation covers common conditions of the – neck, back, shoulder, elbow, wrist, hip, knee, ankle and foot.  We discuss common causes, self-treatment and preventative techniques associated with all of these conditions.

 Looking at “Life in Reverse”- this is a health and wellness presentation with a twist.  We discuss the seven most common causes of death prior to the United State average mortality age of 78.5.  Five of these Seven are heavily influenced by life style decisions.   The presentation then looks back at life style decisions that can be made to avoid becoming a mortality statistic.  We discuss CardioMetabolic Syndrome (cholesterol, blood pressure, triglycerides, blood sugar and waist circumference).  The presentation also teaches healthy techniques in the areas of nutrition (protein, carbohydrates, fats, food labels, grams and calories) and exercise (cardiovascular, full body strength and flexibility, target heart rate). 
These individual meetings and presentations are 100% in the best interest of our audience and they do not become a promotional opportunity for our office.  If you are interested in discussing Workplace Wellness, contact our Neenah office at 920-720-0660.  You can also read more about Workplace Wellness on our website.



Friday, March 1, 2013

Testimonial from Dr. Lara Klein's Patient


"Living with pain was not an option for me.  Thanks to Dr. Lara and Tiffany, I am not in pain.  After several spinal adjustments with Dr. Lara and therapeutic exercise sessions with Tiffany, my pain level went from very intense to non-existent.  Dr. Lara was able to locate the source of my pain and with adjustments, eliminate it. Tiffany devised an exercise program specifically made for me that gave me more mobility and range of motion.  Dr. Lara and Tiffany are caring, knowledgable and professional individuals, who will work with you to give you life without pain.  I can now stand, walk, go up and down stairs and dance with out pain!  Dr. Lara and Tiffany changed my life!  I love you both!"
-Janie K. of Neenah