Chiropractic Manipulative Therapy

Chiropractic care is an investment into a patient’s health. We know that the “POP” is music to our docs ears and it is what we love to hear, but do you know what makes that beautiful noise!? It is simply gas escaping from the joint space. This can be heard in many joints of the body not just the spine. 

Bones out of Place / Misalignment / Subluxation:  All these words mean essentially the same thing and we receive many questions about this topic. How/why does this happen? These symptoms are typically due to:

  • Poor posture
  • Trauma
  • Poor Biomechanics
  • Muscle Spasms (also can be caused by a subluxation)

Hypermobile vs. Hypomobile:  At PCC we know that the joints need to move freely and properly. When one joint or segment of the spine is not moving well (hypomobility) then other joints have to make up for that loss in range of motion, too much motion (hypermobility) in the segments around it is the compensatory biomechanics. When we start to feel pain we have been relying on this compensation pattern too often. A Chiropractor’s mission is to help the hypomobile joint to move better, to take pressure off the hypermobile joint. This adjustment will be a give and take of motion that needs to be restored.

We take it one step further at our office, incorporating rehabilitation and creating stability so that you can maintain this new neutral after an adjustment. Muscles can be a factor in the hyper or hypo mobility in the body.

What is so great about being a chiropractic physician is that there are many different avenues of education to invest in as a provider. We have chosen what has worked for us. Each person that is a staff member at PCC has had amazing results with these types of treatments and felt the need to learn more and bring it to you as a patient.

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ART® (Active Release Technique)

Active Release Technique has been deemed “The GOLD standard in Soft Tissue healthcare” This treatment is used at most Ironman races across the country to treat these high level athletes. ANYTHING good enough for a high level athlete is good enough for someone trying to stay healthy and get out of pain. What is Active Release Techniques® (ART) to Individuals, Athletes, and Patients?

ART® is a patented, state of the art soft tissue system/movement based massage technique that treats problems with muscles, tendons, ligaments, fascia and nerves. Headaches, back pain, carpal tunnel syndrome, shin splints, shoulder pain, sciatica, plantar fasciitis, knee problems, and tennis elbow are just a few of the many conditions that can be resolved quickly and permanently with ART. These conditions all have one important thing in common: they are often a result of overused muscles.

HOW DO OVERUSE CONDITIONS OCCUR?

Over-used muscles (and other soft tissues) change in three important ways:

  • acute conditions (pulls, tears, collisions, etc)
  • accumulation of small tears (micro-trauma)
  • not getting enough oxygen (hypoxia)

Each of these factors can cause your body to produce tough, dense scar tissue in the affected area. This scar tissue binds up and ties down tissues that need to move freely. As scar tissue builds up, muscles become shorter and weaker, tension on tendons causes tendonitis, and nerves can become trapped. This can cause reduced range of motion, loss of strength, and pain. If a nerve is trapped you may also feel tingling, numbness, and weakness.

WHAT IS AN ART® TREATMENT LIKE?

Every ART® session is actually a combination of examination and treatment. The ART® provider uses their hands to evaluate the texture, tightness and movement of muscles, fascia, tendons, ligaments and nerves. Abnormal tissues are treated by combining precisely directed tension with very specific patient movements.

These treatments - over 500 specific moves - are unique to ART®. They allow providers to identify and correct the specific problems that are affecting each individual patient. ART® is not a cookie-cutter approach.

All of this information has been adopted from the ART page.

ART is utilized in almost all of our treatments due to the success of quick pain relieve it can provide. This implementation of soft tissue work is instrumental in the care of our patients. When a muscle has an adhesion (knot) to ONLY stretch the muscle is counterproductive, it needs to be teased out and brought through its full range of motion actively to achieve the lasting results we desire in our facility.

ART is performed in office on issues like:

  • Plantar Fasciitis
  • Migranes/headaches
  • Sciatica & Low back Pain
  • Nerve Entrapment
  • Knee pain
  • Shoulder pain

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Cupping

This Specific modality works by lifting the skin and fascia that overlies the muscles and allows capillaries (blood vessels) to dilate (expand). When this occurs the affected area of increased tension becomes infused with oxygen rich blood with high nutrient content. This therapy is great for athletes, youth, geriatrics and virtually anyone who wants to move, function and perform better. Aside from the benefits to the tissues that it can have, cupping can be beneficial for relaxation as well as to decrease stress levels.

There are a few different types of cupping that can be utilized, for the most part the big difference is how they are applied to the patient. Using the pump how it is used at 360 we can gage how much suction is applied to the skin if any discomfort is felt.

Cupping can help with many problems and more!

  • Back Pain
  • Neck Pain
  • Fatigue
  • Migraines/Headaches
  • Still muscles
  • Anxiety/Stress

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Instrument Assisted Soft Tissue Mobilization (IASTM)

This type of therapy is an evidence-based form of instrument driven treatment that allows for precise detection of facial restrictions as well as muscle and tendon dysfunction. The instrument used allows for deeper feed back to the practitioner. The difference is dramatic to the patient on how much area can be cover in a small amount to time. The improvement in quality of life contributes to the success of this therapy, Research has demonstrated that patients often experience better, faster results when being treated with this technique.

This treatment can also be utilized with movement to help stimulate that patients specific biomechanics so that changes can be made while treatment as well as rehabilitating a move.

Some offices with use ultrasound therapy, while this is a great way for deep heat penetration we often use the IASTM to help warm up the muscles before a rehabilitation session. This can be crucial to help with scar tissue break up in joints.

What IASTM Can Help:

  • Plantar Fasciitis
  • IT Band syndrome
  • Shoulder Pain
  • Medial and Lateral Epicondylitis
  • Shin splints
  • Lymphatic Draining

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Functional Tape

The tape can be left on for several days even after a shower or swim workout- the tape still sticks, and is gentle to most skin types too! We utilize this tape for a little reminder, if you will, when you leave the office to help you hold your position. This specific tape is unlike regular white athletic tape or a brace, this moves with the body to help the reeducation of stability but still allowing full range of motion. Among all of these benefits tape helps with promotion of blood flow as a recovery component to the tissues.

Our doctors have specifically used it for:

  • Postural support
  • Strains & Sprains of various joints
  • Tissue recovery
  • Neck & Back pain
  • Knee and Ankle support
  • Shin Splints

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DNS (Dynamic Neuromuscular Stabilization)

The nervous system establishes programs that control human posture, movement and gait. This ‘motor control’ is largely established during the first critical years of life. Therefore, the “Prague School” emphasizes neurodevelopmental aspects of motor control in order to assess and restore dysfunction of the locomotor system and associated syndromes.

  • The “Prague School” of Rehabilitation and Manual Medicine was established by key neurologists/physiatrists, all of whom were giants in the 20th Century rehabilitation movement: Professors’ Vaclav Vojta, Karel Lewit, Vladimir Janda, and Frantisek Vele.
  • Based upon the groundbreaking neurodevelopmental and rehabilitation principles described by these mentors, Pavel Kolar has organized the next generation of clinical protocols that are designed to restore and stabilize locomotor function. This new rehabilitation approach is called Dynamic Neuromuscular Stabilization (DNS).

This information on DNS has been taken from the DSN website.

DNS is the ultimate reset to how the brain is being trained; therefore helps the body to regain a neutral position of joint centraion and muscular rehabilitation. Utilization of the technique at 360 is to help in the recruitment process of muscles that are not being utilized properly during global movements as well as small intricate patterns. This is how we help our patient to “hold” the adjustment that may have been provided during treatment.

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Neurodynamics

Neurodynamics is an assessment intertwined with a treatment that evaluates the length and mobility of various components of the nervous system. Performed by the therapist placing progressively more tension on the component of the nerve that is being tested and are divided into upper and lower limb tests. This is good a good way to have an at home program to continue therapy in between your treatments that are in office.

  • Carpel Tunnel
  • Sciatica
  • Plantar Fasciitis

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Ultrasound

There are 2 different types of ultrasound. There is diagnostic and therapeutic. We practice the therapeutic technique; a deep heat that is penetrated into the muscle tissue to help our patient gain mobility, decrease swelling, as well as aid to decrease inflammation.

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Electrical Stimulation

Electrical Stimulation: also known as e-stim can be of great benefit to patients at PCC. This can help to decrease your pain by applying electrodes to your body over painful areas. The intensity of the electricity will be adjusted to block the pain signals traveling from your body to your brain.

Interferential current: Interferential current (IFC) is often used by physical therapists to decrease pain, decrease muscular spasm, or improve localized blood flow to various muscles or tissues. It is often used to decrease low back pain and muscular spasm. Interferential current typically uses 4 electrodes in a crisscross pattern. This causes the currents running between the electrodes to "interfere" with one another, and allows your PT to use a higher intensity current while still maintaining maximum comfort for you.

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Massage Therapy

There's no denying the power of bodywork. Regardless of the adjectives we assign to it (pampering, rejuvenating, therapeutic) or the reasons we seek it out (a luxurious treat, stress relief, pain management), massage therapy can be a powerful ally in your healthcare regimen. Experts estimate that upwards of ninety percent of disease is stress related. And perhaps nothing ages us faster, internally and externally, than high stress. While eliminating anxiety and pressure altogether in this fast-paced world may be idealistic, massage can, without a doubt, help manage stress.

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Orthotics

Our custom foot orthotics are unique and specific to each patient’s individual needs. Unlike many stores and practitioners who look only at the feet when recommending orthotics Porter County Chiropractic realizeses that your feet do not act alone. We know that your feet are just one part of the whole body just like one piece of a machine and that proper gait analysis and assessment are just one crucial part of the “big picture” of each patient.

We will take an imprint of your feet so that the custom orthotics can be uniquely designed for you. This also is covered by many insurances!

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