Welcome Dr. Dan Higgins

The Appleton office would like to welcome Dr. Dan Higgins to our clinic as of 1/2/2020.
He will be working Monday 7-6, Tuesday 8-5, Wednesday 2-6, Thursday 8-5, and Friday 7-5.
He is accepting new patients.

Per Dr. Dan--

I became a chiropractor because as a multiple sport athlete throughout my youth, I learned the benefits of chiropractic first hand. When a broken leg—suffered at the end of the football season—threatened to sideline me for a good portion of the upcoming basketball season, my chiropractor came to the rescue. He worked closely with my orthopedist and cut the normal rehab time in half. His care for me made all the difference, inspiring me to want to do the same for others.

Dr. Dan is delighted to be back in Appleton to raise his family in the same city in which he grew up.  He loves spending time with his wife, son and extended family and friends.  Outside the office, you may find him at the YMCA, coaching football or basketball, or tailgating at Packer or Badger games.  He also enjoys catching the occasional show at the PAC downtown.

Backpack Safety

ACA's Backpack Safety Checklist

One of the fundamental pieces of any back to school ensemble is, of course, the backpack, and although they’re practical, backpacks are a leading cause of back and shoulder pain for millions of children and adolescents.  As students head back to school, the American Chiropractic Association (ACA) offers parents advice on preventing unnecessary backpack pain and injuries.

The ACA offers the following checklist to help parents select the best possible backpack for their children:

• Is the backpack the correct size for your child?  The backpack should never be wider or longer than your child’s torso, and the pack should not hang more than 4 inches below the waistline. A backpack that hangs too low increases the weight on the shoulders, causing your child to lean forward when walking.
• Does the backpack have two wide, padded shoulder straps?  Non-padded straps are not only uncomfortable, but also they can place unnecessary pressure on the neck and shoulder muscles.
• Does your child use both straps? Lugging a heavy backpack by one strap can cause a disproportionate shift of weight to one side, leading to neck and muscle spasms, low-back pain, and poor posture.
• Are the shoulder straps adjustable?  The shoulder straps should be adjustable so the backpack can be fitted to your child’s body. The backpack should be evenly centered in the middle of your child's back.
• Does the backpack have a padded back?  A padded back not only provides increased comfort, but also protects your child from being poked by sharp edges on school supplies (pencils, rulers, notebooks, etc.) inside the pack.
• Does the pack have several compartments?  A backpack with individualized compartments helps position the contents most effectively. Make sure that pointy or bulky objects are packed away from the area that will rest on your child's back, and try to place the heaviest items closet to the body.

The ACA recommends that parents or guardians help children pack their backpacks properly, and they should make sure children never carry more than 10 percent of their body weight.  For example, a child who weighs 100 pounds shouldn’t carry a backpack heavier than 10 pounds, and a 50-pound child shouldn’t carry more than 5 pounds.
In addition, parents should ask their children to report any pain or other problems resulting from carrying a backpack. If the pain is severe or persistent, seek care from a doctor of chiropractic or other health care professional. 

New Service Now Available!

Dr. Will Curtis is now offering cupping as an additional therapy available at the Appleton office.  For those who have never heard of cupping, Dr. Will offers an explanation and demonstration in the video shown below.

We are excited to have this additional tool in our practice!

Will Curtis DC

June 20 at 10:16 AM · 

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:

1) 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

Bird Dog

Glute Bridge

Hip Flexor Stretch

Starting an Exercise Ball Program

Many treatment programs for low back pain incorporate use of an exercise ball (also called a stability or fitness ball) to strengthen the core muscles in the stomach and back that support the spine. Exercise ball exercises clearly work and have been adopted in non-rehabilitation exercise programs by athletes and fitness buffs looking to cross-train and strengthen their core muscles.

This article provides several simple steps to choose, get familiar with, and benefit from using an exercise ball on a regular basis.

Choosing the right exercise ball

Physical therapist, exercise trainers, chiropractors and other professionals have constructed several guidelines to use when selecting the proper exercise ball size.

When sitting upright on an exercise ball:

1.       Feet should be flat on the floor with an even weight distribution.

2.       Knees should be level or slightly lower than the pelvis – creating an angle of 90 degrees or slightly greater at the hips and knees (thighs parallel to ground or pointing down slightly).

3.       Pelvis, shoulders and ears should be in a vertical line; the body should not be leaning in any direction as a counter balance. Bouncing up and down lightly will usually produce this alignment.

Exercise balls generally come in five different diametrical sizes to be accordingly used by people of differing body compositions.

It is important to note that height alone is not the only factor in determining ball size. Because the exercise balls are flexible and offer resistance, weight is also an important factor.

A general guideline for height correspondence to diameter of exercise ball is as follows (assuming average body weight is proportional to height):

Ball diameter	Your height
45cm	5’ and under
55cm	5’1” -5’8”
65cm	5’9” -6’2”
75cm	6’3” -6’7”
85 cm	6’8” and taller

If body weight to height or larger than the average proportion, sitting on the exercise ball will compress it down more, so try using the next larger exercise ball size in order to maintain the 90-degree rule. Another factor to keep in mind is that most exercise ball sizes have some adjustability to them. If the angles at the hips and knees are much greater than 90 degrees, some air can be released to compensate and vice versa.

Bear in mind, releasing air from the exercise ball will cause it to lose air pressure. As the ball flattens out, this will actually make it more stable, as it has a larger contact area with the resisting surface and the body. This means that stabilizing and balancing exercises will become easier and will lose some effectiveness.

Exercise balls also lose pressure because of stretching from regular usuage. Therefore, as the ball ages, it may require further inflation. On the other hand, adding excessive air to the exercise ball will increase the difficulty of balancing and stabilizing, as the contact area decreases.

Starting an exercise ball program

Just siting on an exercise ball is active and requires the core body muscles to work to hold the body upright and balance on the ball. Until sitting on the exercise ball feels comfortable, it is often a good idea to not have the ball fully inflated;a slightly deflated exercise ball is more stable.

·         Sit in the center of the ball with both fee firmly on the ground about shoulder width apart, if this is difficult, than us a wider stance.

·         The knees should be in line over the ankles

·         Shoulders should be in line over the body (not hunching forward) and the head squarely over the next (not leaning forward).

One can easily sit on the exercise ball while working at a desk or computer workstation and use it as an alternative to a tradition office chair. Others prefer to sit on it while watching television. Whatever the use, sitting on an exercise ball as some point of the day is helpful to strengthen the core muscles that support the spine.

Beginning stretches

There are several stretches that are easy to do when starting to use an exercise ball. These stretching exercises help with proprioception, of the sense of the position or parts of the body relative to the rest of the body and with balance. Each of these stretches should be done slowly 8 to 12 times.

·         Move the hips from side-to- side. While sitting on the exercise ball (as described above) and keeping the knees still, move the hips gently from side to side. Pause for a second as the end of each sideways movement to allow for a gentle stretch.

·         Move hips from front – to –back. While keeping the knees still, place hands on the knees and rotate the hips forward by tucking the buttocks first under the pelvis and then push them out behind the pelvis. All the motion should be limited to the hip area, not the knees or chest. 

Does Stress Cause Back Pain?

Could my back pain be caused by stress?

No one would disagree that having back and neck pain causes stress, but what about the other way around? Could stress be the primary cause of back pain?

How does stress cause back pain?

There are a variety of theories about the causes of stress related back pain. Importantly, the overriding tenet in all of these theories is that psychological and emotional factors cause some type of physical change resulting in the back pain.

In most theories of stress related back pain, the pain cycle continues and is exacerbated as the pain leads to the patient becoming timid and anxious about daily activities. The pain cycle is characterized by:

                The patient becomes unnecessarily limited in many functions of daily life, as well as leisure activities

                This decrease in activities is due to the patient’s fear of the pain and injury

                This fear may be made worse by admonitions from doctors (and/or family and friends) to “ take it easy” due to some structural diagnosis (which may actually have nothing to do with the back pain)

                The limitations in movement and activity lead to physical reconditioning and muscle weakening, which in turn leads to more back pain

Of course, this cycle results in more pain, more fear, and more physical de-conditioning along with other reactions such as social isolation, depression and anxiety.

The diagnosis of stress related back pain.

The diagnosis of stress related back pain is often made by a through medical history and physical exam. Patients must be cautious in trying to self diagnose stress related back pain, as there may be a serious medical condition (such as a spinal tumor or infection) causing the pain. A good medical examination can usually rule out the more serious structural causes of back pain in a great majority of patients.

For cases of stress-related back pain, the history of onset of back pain is often quite variable. The pain may start with an identifiable incident or it may start insidiously. For instance, it is not uncommon for the pain to start with an incident such as a lower back sprain or strain, only to have it continue as the result of emotional factors long after the injury has healed.

In many cases there may be MRI findings such as a “disc bulge” or “degenerative disc disease” when stress-related back pain is the actual culprit. In theses instances, the MRI findings are not clinically significant and ultimately determined not to be the cause of the pain.

The overall characteristics of stress related back pain include symptoms such as: back pain and or neck pain, diffuse muscle aches, muscle tender points, sleep disturbance and fatigue, in many stress- related back pain cases, patients complain of the pain “moving forward”

In general, symptoms of stress related back pain are similar to those of fibromyalgia. 

Treatments for stress-related back pain.

The multidisciplinary approach to treating stress related back pain includes evaluation of physical,emotional cognitive and environmental factors in all types of back pain problems and develops treatments for each aspect. Thus the multidisciplinary formulation will look at the relative contributions of the following  factors :

•                      physical including de-condition and weak muscles, nerve irritation, etc

•                      emotional including depression, anxiety, anger ,etc

•                      cognitive such as negative thoughts, pessimism, hopelessness, etc.

•                      environmental such as loss of job, financial problems, etc.

This approach then develops a treatment program based upon how much each factor is thought to be influencing the pain. A mulch-disciplinary program may include such treatments as:

•                      treating the physical factors using stretches and exercises recommended by you chiropractor

•                      treating the physical and emotional factors through appropriate medications (often including anti-depressants or muscle relaxants)

•                      treating the emotional and cognitive factors through psychological pain management techniques and biofeedback

The idea of multidisciplinary treatment of back pain has been around for at least 25 years. It has been shown to be quite successful; although, the key factor in treatment outcome is the motivation of the patient to complete a rehabilitation approach.

Preventative Chiropractic Maintenance Care

Here is a question I get weekly, if not daily in my practice… Trust me, being in practice for 26 years, I have had many great questions.

Here is the question…

“Hey Doc, why does this back pain keep coming back?” 

My typical response is: well, there are lifestyle activities that may contribute or help prevent relapses:

1.      Posture

2.      Body Mechanics

3.      Regular Exercise

4.      Nutrition and Hydration

5.      Sleep

I then remind my patients, that those lifestyle decisions are “FREE”. 

Many patients do all of those lifestyle activities very well, some not so much.  Regardless, relapses tend to continue. 

So, let’s talk about the next step - Preventative Chiropractic Maintenance Care

Chiropractic maintenance care is treatment received in order to prevent future pain or health problems, prevent a relapse, and to improve quality of life.  Maintenance care is elective, so that means that the choice is yours!! 

When it comes to receiving chiropractic care, patients can be divided into three groups. 

1.      The first group of patient’s recognizes the benefit of preventative care early on and elects to receive maintenance care after they are helped through their first episode of pain.  These patients take a proactive stance on their health.

2.      The next group of patients may decide that after experiencing three or four flare-ups of pain that they would rather not let their condition to get to that point again! They realize that they do not experience as much pain (or as many health problems) when they receive chiropractic care every 4-6 weeks (for example); regardless if they are experiencing pain at that point or not.

3.      The third group of patients never elects to receive maintenance care and typically stops care once they are feeling better.  They usually reserve going to the chiropractor only when they are in severe pain or when they are experiencing a crisis.  These patients take a reactive stance on health care.  While there is nothing wrong with this approach, it does limit the number of benefits that chiropractic care can provide.  They use chiropractic for pain relief only.  

With all this being said, it is still the patient's decision to receive maintenance care.  We cannot, nor do we desire to force anyone into receiving treatment that they do not want.  We let our patients benefit from chiropractic as long as they want.  However, our job is to educate patients on all treatment options so that they can make an informed decision about their health care.

Research shows that regular chiropractic treatment can prevent degenerative changes ("arthritis") from developing.  There are many other benefits that patients report (anecdotal evidence) from receiving chiropractic care on an occasional basis, even if they are experiencing little to no pain. They are as follows:

1.      Better sleep quality - many patients sleep longer and more soundly after an adjustment.

2.      Fewer muscle spasms and numbness - normal moving spinal joints improves muscle and nerve function.

3.      Better athletic performance- symmetrical joint movement ensures that muscles do not have to strain in order to move a joint.  Many elite athletes promoted regular chiropractic care during the peak of their career: Aaron Rodgers, Tom Brady, Michael Jordan, Tiger Woods, Jerry Rice and Joe Montana to name just a few.

4.      Fewer headaches- many report less frequent headaches and migraines and if experienced, they are usually less severe.

5.      Less need for medication- Many chiropractic patients report using less medication after starting care. (Especially pain medication!)

6.      Fewer medical doctor & hospital visits- many of our maintenance patients consider us as the primary resource to manage many common musculoskeletal ailments.  Our Schubbe Resch chiropractors treat all the joints and muscles in the body. If more care is needed, a referral can be made when necessary. 

7.      Easier to Breathe- patients often report that after an adjustment they can take a deep breath again.  Mobilizing the mid back and ribs allows for as much as a 30% increase in lung capacity. Asthmatic patients often find that they have fewer attacks and use less medication when under chiropractic care.

8.      Better circulation- Older patients or sedentary patients report feeling like they have better circulation after receiving treatment

9.      Fewer Surgeries- I wish I could document how many patients have dodged a lower back or neck surgery as a result of regular chiropractic care.  Having said that, how many surgeries have occurred due to a decision not to have regular chiropractic care.  It’s like taking vitamins; we will never know what regular positive lifestyle decisions prevent…

     Fewer Health Care Costs- Let’s face it, medical care is expensive.  Being unhealthy is expensive.  Patients are facing higher insurance costs than ever.  High deductibles and co-pays are now the norm.  Relatively speaking, ethical quality chiropractic care is very affordable.  Maintaining your health and preventing future health conditions will save you money and improve the quality of your life.

As you can see, there are many benefits of receiving chiropractic care on a maintenance schedule.  However, the decision to receive preventative maintenance is always up to the patient.  Whatever you decide, we'll respect that decision.

Insurance companies may or may not cover chiropractic maintenance care.  It depends on your insurance plan and your diagnosis.  In the event your insurance does not cover maintenance, both Schubbe Resch offices have “Day of Service Payment Plans” to help make the care affordable.

Please consider Preventative Chiropractic Maintenance Care

School Supply Drive

Schubbe Resch Chiropractic in Neenah will be donating school supplies to the Neenah-Menasha Emergency Society to be dispersed to local schools in need. Please see the list below as to what is needed. Thank You!

·         Backpacks

·         Colored Pencils

·         Markers (non-permanent)

·         Blue/Black/Red Pens

·         Highlighters

·         #2 Pencils

·         Folders (two-pocket folders)

·         Single subject, college rule spiral notebooks

·         1.5” -3 Ring Binders

·         Loose Left Paper-College Rule

·         3”x5” Note Cards

·         Glue Sticks and/or Elmer’s Glue

·         Large scissors

·         Protractor

·         Scientific Solar Calculator (TI-30XA recommended)

·         Metal Compass

·         Ruler (U.S./Metric)

·         Facial Tissue

·         USB Jump Drive

·         Headphones or Ear Buds

Is it Time to Detox?

The transition from summer to fall is a great time to detox.  As the temperature and climate change, you can help your body transition into the new season through detoxification, which eliminates toxic wastes that have accumulated in the body.  Getting healthier is important… and so is feeling your best.

Each year, more than 4 billion pounds of toxic chemicals are released into the environment.  These toxic chemicals can accumulate in your body and affect overall health.  Many health problems may be associated with prolonged exposure to various toxic agents that our bodies may not be able to cleanse completely.  During periods of detoxification, certain nutrients are in increased demand to help turn toxic substances into harmless by-products for elimination from the body with the use of specific supplements and medical food.

Benefits of Detoxification:

1.       Remove toxins from the body

2.       Increase energy

3.       Prevent chronic disease

4.       Enhance immune function

5.       Lose weight

6.       Slow premature aging

7.       Improve skin quality

8.       Improve mental and emotional clarity

9.       Restore balance to the body’s systems

10.   Improve quality of life

Our chiropractors at Schubbe Resch are equipped to guide you through a safe metabolic detoxification program to help you feel your best as we head into the fall.  Schedule an appointment with your chiropractor or call the office for more information.