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The Power of the Hip Hinge

Sitting down, picking something up off the ground and approaching the tee for your golf swing; what do all three have in common? They should all start with a hip hinge!

A common mistake in a lot people’s everyday lives is the lack of a proper hip hinge. Each time you sit down and stand up out of a chair, you are actually performing a squat. Many times when asked to perform a squat in the office, a functional test that gives a lot of information about bio-mechanics, patients will either start the movement in their knees or will overly round their back. Mastering this concept of hinging over the hips will take pressure off your knees and your low back.

So what is a hip hinge?

The hip joint, where the femur or leg meets the pelvis, is classified as a ball and socket joint. Just as it sounds, the ball of the femur attaches into the socket of the pelvis which allows for movement in a 360 degree fashion. Large muscles off the buttocks and thigh work together to control this joint. Although the joint of the shoulder also falls under the same classification, it is much more freely movable because the muscles that control it are much smaller.

A hinge at the hip is a complex movement and many muscles are required to work together to accomplish it. Starting with stability in the lower back, the core must eccentrically contract to prevent strain on the muscles of the lower back. Once this occurs, the muscles of the posterior chain in back of the legs allow for a backwards movement of the hips without overly bending the knees. Because bending is happening over the hip joint, stress is removed from the back and the knees.

From here, we can perform other movements like a golf swing or sitting down into a chair. If you enjoy lifting weights, this same concept should start all of your movements. Once a hip hinge is established, the very strong muscles of the glutes are able to properly engage as well as the muscles all the way down into the feet. This will allow for an increase in weight as well as a decrease in injury risk! Something that everyone is looking for.

When people come into the office who have hurt their backs, a lot of the time they will protect their back by not putting any motion into it at all but will use nothing but their knees to sit and stand from a chair. Although you have protected your back, the better option is to implement a hip hinge along with an abdominal brace with the breath. If a proper brace is used in the core, you are able to decrease the motion and increase the stability. The brace will also create a stable foundation for you to move from, making the hip hinge not only possible but also much easier.

Here is 3 side by side photos showing the 3 most common patterns when squatting.

Hip Hinge

The first photo shows a knee bender. When motion starts in the knees for a squat, they slowly begin to glide forward. This forward glide puts an increased stretch on the front side of the knees. When under load, possibly with a box or when lifting weights, this stress on the knees can cause injury.

In the second photo, much of the same is true. When all of the motion comes from the back, the muscles have to work much harder. As we bend forward, there is a lot of stress put on the joints in the back and also each of the discs that separate the bones in the back. If load is introduced, even something as light as a purse, strain of the joints or even worse, irritation of the disc is much more likely.

The third and final photo shows an ideal hip hinge. With backward movement of the hips and a generally up-right torso, strain is minimized in the lower back and in the fronts of the knees.  There is slight bend in the knee, but it remains over the foot and does not move in front of the toes. The rib cage is stacked on top of the pelvis and the neck is neutral.

Hanging out in this position will help activate many of the muscles required to properly get into this position. I will also send patients home with a small side to side lateral step once they have mastered the hinge. By promoting the use of the glutes, it becomes easier to use them in everyday life. A proper hip hinge is great for someone who lifts weights, but also for elderly individuals at risk for falling. If we can get them back to squatting more efficiently, they will become much more stable overall. With exercises promoting strength and balance, proprioception is increased exponentially. Although not nearly as much resistance is needed, these concepts are what allows the sense of individuality to last much longer in the aging population.

Now watch me hip and watch me hinge hinge!

-Dr. Kylie

Can you adjust babies and kids?

A very common question we get in the office is can my kids get adjusted? And the answer is yes. The misconception is that they will be adjusted just like an adult. Because they are much smaller and muscles haven’t developed like an adults, adjustments to children require much less force.

DSC_0040

The next question we get is when do you know a child needs to be adjusted? Just like an adult, the joints of the spine are palpated looking for areas where motion is lacking. You as a parent may notice your child getting sick or being overly fussy. This is a good indication that they need to get in to be seen. When the spine is sharing movement properly, the nerve signals can move at optimum speeds and the immune response is much quicker. This is important to not only prevent sickness, but also prevent injury. Just like in an adult, when the spine isn’t moving properly areas will begin to move more, putting that area at risk for injury which is especially important in the developing athlete for preventing repetitive motion injuries like throwing or kicking a ball.

When should I first get my child checked? As a chiropractor, I believe it is important to have your newborn checked as soon as you can. The birth process is the first large stress put on the body, and that is in a non-complicated vaginal birth. If you have ever seen a C-section birth, you will see that once the mom is opened up, baby is then pulled from mom using large clamps on either side of the head. This pull places a lot of stress on the neck and can cause the first misalignment. The same is true for a vacuum excursion and sometimes even just a regular birth when the doctor has to give a little pull on babies head during delivery.

There are a few other indications that your newborn may need to be checked. Improper latching during breastfeeding, overly fussy, troubles sleeping, difficulty passing stools, increased spit up and even if you notice your baby does not like to turn to one side or the other. Although there may be other factors involved with each of these cases, a chiropractor can get some of your questions answered and get you to the right place.

Dr. Kylie with a 12 month old newborn.

Dr. Kylie with a 12 month old newborn.

An adjustment to a newborn also looks much different than even an adjustment to a child. Because they are so delicate, the amount of pressure needed to correct an alignment is as much pressure as you can handle when pressing on your eyelid. In the neck, there is almost always no thrust and although the baby may be fussy with their head being held, once the adjustment is performed you can actually see their breathing and temperament change. During adjustments to the pelvis, pumping mechanisms are used to decrease the amount of force needed. In the cases of difficulty passing stools, some moms report the “blow out” as early as on the drive home.  Newborns who don’t like to turn there head to one side, which can include even nursing on one side, have better range of motion once the upper neck is free from fixation.

Newborns and kids are some of my favorite patients to work with. Kids will be very blunt most of the time and tell you how they feel after getting adjusted. It is also extremely rewarding to hear back from parents who report an improvement in behavior at school or improvements in breast feeding once treatment has started.

Because the nervous systems of little ones is so delicate and areas of decreased motion are much less fixed than in adults with more chronic conditions, and results are also seen much quicker. By getting your newborns and kids adjusted, you are helping them improve their bio-mechanics all the way through development. From lifting the head for tummy time all the way through riding a bike or mastering throwing a football, shared motion in the spine will help develop the proper muscles to keep these kids performing at their highest potential.

Interested in getting your children checked? Call and request an appointment with me, Dr. Kylie today at 704-845-0777. I would love to answer any questions you have and help to decrease your concerns about getting your little ones adjusted. Have an athlete in the family? I also teach preventative exercises, which are best implemented from a young age to help decrease season and career ending injuries!

Happy Tuesday!

-Dr. Kylie

Runners Knee: What you Need to Know

Knee pain is a relatively common complaint we see in the office, especially within the running community. Some may come in with clicking, some have used Google to self-diagnose themselves with IT Band syndrome because it is so common in the running population, some won’t even notice the knee pain until they’re 15 miles into a marathon. But all with knee pain, runners or not, should take a step back and consider a few things.

The knee is a slave to the hip and foot/ankle. What does this mean? It’s located right in the middle and similar to the spine, when the things on either end aren’t working properly, the knee picks up the slack. The knee is also the attachment point for most of the muscles in the thigh as well as the origin for most of the muscles of the calf. All of the muscles intertwine to create the stable foundation which is the knee.

It is takes a very comprehensive and functional evaluation to find the true cause of symptoms. And most of the time we see a combination of muscle imbalances, both in the leg and the lower back as well as joint fixation- sometimes in the foot or ankle and sometimes in the hip or pelvis.

Consider this common example: there is a fixation in the tibiotalar joint. Meaning: there is lack of motion where the tibia or shin comes down and attaches to the talus or ankle bone. Most of the time the talus will shift forward, ever so slightly and stick there. When this occurs, the ankle is unable to fully flex and the shock absorption mechanism of the ankle is diminished. Down the chain of events, this will cause an increase forward glide of the knee which causes even more stress to the front of the knee; compensation for the lack of motion in the ankle. Over time, trigger points will form in the calf and the outside of the lower leg. Once this occurs, it is more likely for a simple fixation in the ankle to travel further up the chain and cause symptoms into the lateral part of the thigh or even into the hip. Even if there is never any pain in the knee! A mid-foot striker may never notice they have a difference in this area of the foot side to side, until they are put through a deep squat screen and notice they struggle to maintain one heel on the ground.

tibiotalar

IT Band syndrome, or an overly tight lateral thigh can be caused by a number of things. The large ligament located in the side of the leg gets blamed a lot and is the catch-all diagnosis for runners.

What you may not know is that there is actually a muscle embedded in the top of that ligament that lays over top of the glutes. The most lateral portion of your quad has insertions into this band as well as the lateral portion of the hamstring, from the front and back of your thigh respectively. As the IT band attaches into the knee, it crosses over the joint and inserts where the hamstring and the quads do as well as where the lateral calf muscles originate from. The purpose of this very intertwined group of ligaments, crossing over each side of the joint is to create stability.

itband

When there is tightness in any of the aforementioned muscles, there is increased stress on the IT Band. If the hip joint is overly tight in the posterior aspect (common among all athletes) the same is true. The pelvis, which is where this large ligament originates, plays a role as well. When there is lack of motion here, it will pull on the IT band from the top, creating symptoms all the way down the course of the ligament.

Recent research also shows that using a foam roller or lacrosse ball to loosen this muscle is fine and dandy before a run, but a dynamic stretch or even getting on an exercise bike actually accomplishes this much more efficiently. Why? Because you are warming up all of the muscles surrounding the ligament, which is much more effective than simply focusing on the IT Band itself. Get to squatting, lunging and inch worming!

Proper glute activation in runners plays a big role as well. The largest muscles in your body for a reason, these muscles of the buttocks will create stability into the knee as well as the ankle when activated properly. When there is a break the in chain down the leg, the proprioceptive feedback is lost which is needed for proper balance and coordination. This is seen most easily on a one-legged balance or squat test. After having the ankle and hip adjusted, the results are 2-fold. Balance is restored and much of that is due to the increased signal to the brain allowing the glutes and other muscles to work together more properly. There is also proper shared motion through the leg and ankle, allowing for a smoother and easier movement which is lacking when there is fixation.

As muscle imbalances begin to decrease, simple exercises are able to be given to further help increase all of this stability and get rid of some of the unnecessary tone. If you are a runner, you will notice yourself feeling much more stable through each stride as all the muscles work together properly and joints move as they are supposed to.

If you want to take things to the next level or have questions about any of these concepts, feel free to stop in for a free consultation with me, Dr. Kylie. I would love to be able to help you meet and exceed your goals and keep you running better, longer!

Until next time,

-Dr. Kylie

 

I have TMJ, now what?

I love when patients come in and tell me they have TMJ. My reply is usually, “Really? Because I have 2!” A common misconception is that TMJ is a diagnosis when actually is describes a piece of anatomy. The Temporal-Mandibular Joint, or TMJ is the joining of the jaw to the skull. TMJ Dysfunction is a more accurate term for the diagnosis which may include pain or clicking in the jaw.

TMJ

As seen in the photo above, the condyle of the mandible or jaw is separated by a thin disk from the articular fossa of the temporal bone or skull. The 2 thin muscles show are the medial and later pterygoid muscles, which help create movement of this hinge and gliding joint. The temporalis muscle, named as it is located on the temple and can be felt when clenching the jaw here. Another large muscle is the masseter, which can be felt on the side of the jaw. All of these muscles work together for chewing and speech.

So, why is my jaw clicking or in pain?

To better understand this, we have to look at what each of these muscles does more closely. When used bilaterally and together, the temporalis, masseter and lateral pterygoid all close the jaw. The temporalis and masseter allow for lateral movement to the same side when only the right or left is used. The medial pterygoid is the main muscle used in opening the jaw and also retracts or brings the entire jaw backward when used bilaterally. Opposite of retraction, we have protraction or jutting forward of the jaw, which is controlled by the lateral pterygoid. Both the medial and lateral pterygoid muscles will allow for side to side movement when only the right or left is used, but will actually push the jaw to the opposite side unlike the temporalis and masseter.

One other key point to mention here is the fact that the lateral pterygoid muscle has an attachment into the disk located between the two bones. This will play a factor later on.

As the jaw begins to open, the condyle of the mandible is pulled forward and down which puts pressure on the articular disk. For maximum, pain-free opening to occur, this disk will slide forward slightly to maintain it’s position between the jaw and the skull. The lateral pterygoid controls this action. Near the middle of the opening phase, the jaw will begin to retract or move backward in an arching fashion which allows the jaw to be completely open. Closing the jaw happens in the opposite order, with slight protraction forward through the first half then straight upward movement until closed. Ideally, this will look symmetrical side to side and will happen at similar rates.

A lot of the time when there is pain or clicking, we almost always see a quick move to one side or the other during the opening, closing or even through both phases. What that movement creates is increased stress on one side of the jaw which will cause pain. Side to side movement is almost always caused by spasm of these fine, very tiny muscles of the jaw. When one side goes into spasm, there is not equal recruitment on the right and left through the opening and closing phases. Some patients can feel these muscles in spasm and actually feel very sore and tight on one side versus the other.

Clicking actually has a much different meaning than what most people think. As the jaw opens and there is slight contraction of the lateral pterygoid, the articular disc will move forward. When that thin muscle goes into spasm during opening, it will yank the disc forward and cause an audible “click” within the joint. During the closing phase, there is enough force created by the rest of the muscles to force that disc back into the joint which may create yet another “click.”

So what can I do?

I have taken courses outside of school for rehab and treatment of this very delicate joint. Although painful and slightly uncomfortable during treatment, the results are amazing. Some patients notice a difference immediately in the office. Some will go home and do their exercises and come back proud of how much further they are able to open their mouths; further than they can ever remember! All that I do during treatment is help strip some of the extra tension out of the muscles by using a proprioceptive stretch called PIR. Post-Isometric Relaxation uses the contraction of the muscle to then relax the muscle. In some cases, a light mobilization of the joint is also needed which helps increase the space of the joint and relax the muscles further. The key here being LIGHT. After education on the mechanics of the TMJ along with its muscles, patients are sent home with a handout explaining things to avoid as well as exercises to do in between treatments.

Now this is not an end-all procedure. If you have been dealing with these symptoms for years, there is a chance that a night-guard to prevent clenching may be necessary from your dentist. This is an important factor in many cases, as clenching through the night will cause the muscles that were just relaxed to go right back into spasm. There can also be anatomical variations that can cause these symptoms. Although both are true, conservative care should always be tried before more invasive treatments.

Another thing to consider is extra tension held in the neck or cervical spine. Most of the muscles used for chewing and talking get there nerve supply from the upper neck. They also have attachments here. If the spine is not moving properly, adjustments will help decrease overall tone of the muscles as well as help improve the shared motion throughout the neck.

Consider conservative treatment for the pain or clicking you get in your jaw. It might surprise you how simple and effective it can be! Questions? Call 704-845-0777 for your FREE CONSULTATION with Dr. Kylie today!

Until next time,

-Dr. Kylie

 

Bulges and Degeneration: Why you may not have to worry

'Your infrastructure needs work.'

As advanced imaging is getting more affordable and available, it is important to point out a few things about your most recent MRI. In the last several years, more doctors have utilized both X-rays and MRI’s to better help explain away why a patient is having specific symptoms; both in the neck and lower back. Studies have shown, however, that a certain degree of degeneration is normal. When using this technology on an asymptomatic subject, or someone who has no complaints of neck or lower back pain, images show that even 30% patients in their 20’s will show at least 1 disc bulge. When we get past the age of 50, we see a rise in this number to at least 60% and the degree of degeneration starts to rise. Finally, 77% of patients over the age of 70 will show at least 1 disc bulge and signs of degeneration in people with no symptoms what-so-ever.

So what does this mean for you? What came first? The chicken or the egg?

A disc bulge or herniation is actually a sign of degeneration, along with loss of overall disc height and increased bone growth. But with research showing this occurs even in healthy individuals with no back pain at all, some of this is normal. 37% of 20 year-olds will show signs of degeneration with that number rising to 96% of those over the age of 80. This is important to keep in mind because although advanced imaging is great for catching some of the extreme cases and causes of pain, it is unable to be determined that a patients lower back pain can be correlated with the amount of degeneration seen on films.

There are 2 categories that we use for patients with a disc bulge: A- the bulge is not related to your back pain (the more common finding), or B- the bulge is contributing to your back pain. There are treatments for both and we see them in our office all the time. If you fall into the first category, you will be evaluated and treated just as any other patient would be with lower back pain. Adjustments, muscle work and take home exercise usually to strengthen the core and better stabilize the low back are used. If you fall into the second category, there are a few more things to consider. 63% of all disc bulges actually resorb or get smaller and heal with time. That means that even if you do absolutely nothing, that bulge seen on MRI will shrink if only you give it time.

Don’t think that we can’t help facilitate and speed this process along, however. Most of the time what we see with a disc bulge that is contributing to lower back pain symptoms is actually areas above and below that injury to be fixated or need to be adjusted. When the body is not sharing motion properly through all of the joints, other areas pick up the slack and begin to move too much. That puts the lower back at high risk for injury. After irritation and irritation, inflammation begins to build up,  creating the perfect environment for disc and nerve injury to occur. Other contributing factors may be diet, activity or overall movement level and even something as simple as water intake. A series of take home exercises have been found to decrease symptoms tremendously, along with adjustments to the areas of the spine that need adjusted. Once the initial injury has been addressed and patients are no longer in acute pain, conservative treatment that includes strengthening the area around the healing tissue is a must in order to prevent re-injury.

In a very recent interview of the NBA Golden State Warriors head coach Steve Kerr, someone with on going low back pain who had surgery in 2015, he explained to the world what I am telling patients every single day. “I can tell you if you’re listening out there, stay away from back surgery,” Kerr said. “Rehab, rehab, rehab. Don’t let anyone get in there.” In the last several weeks, he has had debilitating pain that has kept him from coaching. After his surgery, he went through a similar episode that rehab helped him with. In his interview, he reiterated that he wishes he would have never had the surgery and that he wishes he would have found REHAB prior to surgery!

Bottom line here is that not everything seen on X-ray or MRI is a contributing factor to pain. Even if you see degeneration or disc bulges on imaging performed, conservative treatment is still a great first step. Sometimes when things are explained after having these exams done, patients leave with even more questions along with a feeling of impending doom. Not to worry! Give us a call and we can sit down with you to help you better understand what it all means. Do you have a disc bulge and are now wondering if chiropractic can help? We would love to get you scheduled for a complete exam to get a better idea of your biomechanics overall.

Until next time,

-Dr. Kylie

Curious where all this research came from? Check out this article with very easy to read charts explaining results:

W. Brinjikji, P.H. Luetmer, B. Comstock, B.W. Bresnahan, L.E. Chen, R.A. Deyo, S. Halabi, J.A. Turner, A.L. Avins, K. James, J.T. Wald, D.F. Kallmes and J.G. Jarvik. Systematic Literature Review of Imaging Features of Spinal Degeneration in Asymptomatic Patients. 

Self “Adjustments” and How You May be Making Things Worse

After a long day at work or that dreadful morning meeting, we have all done the low back twist and pop. In the same token, we all know that friend who grabs the top of their head and chin and twists their neck until it looks like it’s going to pop off. But what you don’t know is that there is a chance all this twisting and popping could be making things worse.

While there is momentary relief of some achy-ness or soreness, long-term affects of this “self-adjustment” are not ideal. Research has shown that the most common areas to degenerate in the neck are the C4-C5 and C5-C6 vertebral pairings. Why is this important to you? Because they are also the 2 most common levels of overall instability in the neck. The lower back has much of the same to be true, showing that L3-L4 and L4-L5 are first to degenerate as well as being the 2 most common vertebral pairing of instability.

In other words, when you do the twist and pop, most likely you are moving these areas and increasing the instability even further.

When the body senses an area of instability or increased movement, it gets smart and tries to stabilize that area. Muscle around this part of the neck or back get overly tight and new bone will begin to lay down in efforts to minimize this increased motion. Ligaments begin to ossify due to the increased load and joint spaces start to close down in a last stitch, internal battle. Disc irritation and herniation may also occur, causing symptoms down the arm or leg.

Although this process takes a long time to occur and pain may not show up right away, preventative care is a must to help slow this process.

Chiropractic adjustments are very safe and address areas of the spine or extremities where there is a lack of motion. When fixation occurs in the spine, the motion is picked up by areas that are able to facilitate this motion. In an ideal state, motion is shared equally from the base of your head all the way down to your toes. As the joints move as they are supposed to, deconditioned muscles are able to regain strength and the body is able to re-stabilize itself, functioning the way it was made to.

The most common areas of fixation are actually above and below the areas that are commonly unstable. These areas of decreased motion will cause a feeling of soreness or pain that may be relieved with a self pop. Overly tight muscles can also be a cause or even a symptom of fixation. Addressing both is important to improve function and get you back to feeling like your best self.

When getting adjusted, the audible noise or crack heard is actually an air bubble popping within the joint. Shown in slow motion, you are actually able to see an air bubble form within the joint as it is brought into tension for an adjustment. When the thrust is made, that air bubble will release and that is what causes the noise. The same occurs when you crack your knuckles and it is perfectly safe. The relief that is felt after an adjustment can be contributed to endorphin’s or feel good hormones being released into the body. These chemicals help relax muscles as well as decrease some pain being felt. Feel good hormones are also released when performing a self crack which is why individuals will feel momentary relief. But don’t forget about those long term effects we discussed earlier!

Know anyone who pops their neck or back a few times a day? Pass this along to them so maybe they think twice the next time.

Dr. Kylie Rabe, DC

Pelvic Floor Retraining

new bornTrampolines, funny jokes and roller coasters are all things that mothers tend to avoid. But why?

Leakage. Or fear there of.

I am so thankful to be able to tell these women- YOU DO NOT HAVE TO PEE YOUR PANTS FOR THE REST OF YOUR LIFE! (If you don’t want to) Yes, it will take some effort up front and yes, it is not going to be an overnight fix. But hey, you can’t grow a baby overnight either!

Being a mother- one of the most wonderfully frustrating joys of the world. There are many ups and downs, highs and lows to parenthood; particularly for mothers. Going in for weekly, then monthly visits for the newfound light of our lives. Being asked once, maybe twice how we are doing after giving birth, an incredible difficult athletic event, and if anything in our lives is concerning us. And usually as the doctor is on their way out of the room and they are really just checking for any major signs of depression or potential infection. Putting our health and over-all well being on the back-burner because that’s what moms do and that is how it is supposed to be.

Well I am here to call out bologna.

Yes, your child/infant/toddler/newborn is a top priority in your life. But if you are not taking care of yourself as well, how are you ever going to be able to maintain a healthy life-style for your child? From a mental standpoint, postpartum depression is much more common than most women think, so do not feel that you are alone. Affecting more than 1 in 5 women, these feelings can also last anywhere from a few weeks to a year following delivery. Although appointments to a typical office setting usually revolve around baby, be sure to ask your GP of these concerns.

As far as the dirty “L” word, leakage; this is something that most medical doctors do not have a good answer for. They may send you to someone who specializes in Kegels, which was the only answer for the longest time; but ask any mom anywhere and they will tell you the truth about the clenching. It doesn’t work.

Many times after giving birth, the muscles of the under carriage, or pelvic floor are actually in spasm! That’s right, a Charley Horse right where the sun don’t shine. If you think about the incredible act your body just performed and the stress put on these muscles while bringing a new life into the world, it makes perfect sense. And this is in a normal, easy delivery with no complications! Why am I telling you all of this? Is it to make you feel like there is not any hope?

Of course not!

With specific adjustments to the lower back, pelvis and hips, chemicals are released from the body that help relax these muscles. From a bio-mechanical standpoint, if you have an area of your pelvis that is not moving or is fixed, it will cause extra tension to be held in the muscles of the pelvic floor and these muscles will naturally have to choice but to go into spasm to facilitate the extra load. Further muscle work can be performed (with the clothes still on) to also help in assisting the release of these muscles of the pelvic floor. Once these muscles are no longer in spasm, that is when the real fun happens.

I, Dr. Kylie, actually have further education in rehabilitative care for postpartum mothers. This includes low level exercise to help turn back on your core as well as simple take-home activities to help strengthen your pelvic floor! Many of the exercises are very relaxing in nature and also help new moms take a minute to focus on themselves, which is sometimes so difficult. The most basic activity can even be done in your car on the way to work! These exercises can be used both for mothers who just recently gave birth as well as older women who’s children are now grown. I have a lot of Cross-Fit moms who used these exercises and are no longer scared of the dreaded double-under/box jump workouts. Long-distance runners also see major improvements in their ability to hold it all in through the duration of their runs.

But don’t take my word for it. Many of the concepts I utilize actually come from some of the greatest and most researched-based minds at the Prague Institute of Rehabilitation. This is where Dynamic Nueromuscular Stabilization, or DNS, was founded. Everything within the protocol is actually based on the developing child, from infancy all the way through to when baby begins to walk.

Consider this, who taught you how to roll over? Or sit up? Or even stand up?

NO ONE!

That is because the brain is wired to create the best and most efficient over-all stability; concepts a new born baby can tap into immediately. Muscle development is required for a baby to hit all of the landmarks in the first few years. This efficiency is hard-wired into the brain and what I do is give you specific positions and exercises to go through to help re-facilitate and re-strengthen this stability.

Sound interesting? Give us a call at (704) 845-0777 and request your free consultation with Dr. Kylie.

“My approach is simple; perform a complete physical examination with nuerologic and functional tests to get to the root of a patient’s complaint. Through adjustments to the spine, extremities, muscle release and take-home exercises, my goal as a health care provider is to help patients meet and exceed their health goals. Optimal function equals optimal health.I look forward to meeting you and your family!”

 

Dr. Kylie Rabe, DC

What’s Next? Steps to Take Following A Car Accident Injury

Cuple reading accident injury information

Being involved in a car accident is always scary, and it’s even more stressful if you’ve suffered a personal injury as a result. In the aftermath of an accident, you might not know what to do next, especially if you’re still shaken up or recovering from an accident injury.

These steps will be important to make sure you get the medical attention you need and receive the reimbursement you deserve from your insurance company. Keep reading to learn more.

Accident Injury: Next Steps With Chiropractic Health of Matthews

If a car accident results in physical injury, your first priority should be your health. However, the way you deal with an injury can affect the reimbursement you get from your insurance company.

Consult a Medical Professional

For obvious injuries, seek medical attention right away. Some injuries may not present themselves at first, though, so be cautious of symptoms that may appear days after the accident, such as:

  • Pain
  • Discomfort
  • Dizziness
  • Numbness

If you notice these ailments in the days following your accident, contact the professionals at Chiropractic Health of Matthews so that Dr. Mozingo can complete a full accident injury evaluation and create a treatment plan if necessary.

Document With Notes and Photos

Money from the insurance company can’t eliminate your accident injury, but it can ease the burden of paying medical expenses, car reparations, and any other financial entanglements that result from your accident.

Keep a record of your injuries and medical treatments to submit to the insurance company.

  • Names and addresses of doctors, chiropractors, and physical therapists
  • Receipts for medications and equipment
  • Journal about your injuries and care plan
  • Photos of damage to your car
  • Photos of your injuries

What NOT To Do

  • Don’t admit fault
  • Don’t settle on your reimbursement until you are totally healed
  • Don’t talk to people about the case

Seek Accident Injury Treatment in Matthews, North Carolina

We can treat symptoms related to car accident injuries at our clinic in Matthews, without resorting to drugs or surgery.  Contact our team to learn more or schedule an appointment today.