24/May/2017

Ehlers-Danlos Syndrom (EDS) is an inherited disorder that affects the connective tissues within the body. Connective tissue is a complex mixture of proteins and other substances that provide strength and elasticity to the underlying structures in your body. The most affected connective tissues are the skin, joints, and blood vessel walls. Many treatment options include drugs, physical therapy, and sometimes surgery. Ehlers-Danlos Syndrome is an issue not often considered as a treatable condition through chiropractic care. However, chiropractic is an excellent choice and has had successful results treating this condition.

There are several types of EDS, chiropractors have had most success treating Type 3 Ehlers-Danlos Syndrome. This form involves joint hypermobility (easy movement beyond the normal range expected for a particular joint). Type 3 affects both large and small joints with recurring joint fixations (joints that stick together because of adhesion) and dislocations (injury in which the bones of a joint are forced out of normal position).

The treatment for a patient with EDS can include small specific mobilization (slower and gentler movement than manipulation) from the chiropractor. This helps to release adhesion (internal scar tissue that is connecting tissues that are not normally connected) and restore mobility in the joints.
The most significant treatment is to restore joint stability. This is done by reconnecting the brain with the tissues of the body allowing for better communication between the brain and affected joint on the joint’s position. Improved joint stability of a specific joint is achieved by releasing overly tight muscles through myofascial release technique (massage) and strengthening weaker muscles through resistance training on even and uneven surfaces.

Written by: Danique Howell, DC, MSHS


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24/May/2017

Have you ever had a “knot” or “tight muscle” that you felt like if someone just massaged, pushed on, or injected it with something it would feel a lot better? If you answered “yes,” then you suffer with trigger points.

Trigger points are defined as “discrete, focal, hyperirritable spots located in a taut band of skeletal muscle. These spots are painful on compression and can produce referred pain, referred tenderness, motor dysfunction, and autonomic phenomena.” (Alvarez & Rockwell, 2002)

Many people suffer with recurring trigger points due to improper body mechanics during every day activity. Poor body mechanics from working at a computer, reading, studying, exercise, playing on our cell phones, and other repetitive motion injuries can cause the muscles in our neck, upper back, shoulders, low back, and pelvic girdle to become tight and tense causing a “knot” to form. This “knot” can then cause referral pain (pain that hurts in one place but is really coming from somewhere completely different) to other locations in the body causing things like headaches or a sore elbow.

 

Treatment Our nurse practitioners are trained to feel the tight muscles to find the trigger points and then inject them with an anesthetic like Lidocaine or Marcaine (medications typically used during surgery and dental work for the numbing effect). When injected into the tight muscles, the medication helps the muscle to relax and makes you feel less tense. Trigger point injections are a wonderful tool to try for overall well-being and maintenance of pain and work with a variety of condistions such as headaches/ migraines, fibromyalgia, and chronic pain.

If you have any questions regarding trigger points or want to see if trigger point injections might help you, feel free to contact either Jessica Cantwell FNP-BC or Sue Wheeler FNP-BC at Apple Health and Wellness.

References

Alvarez, D. J. and Rockwell, P. G. (2002) Am Fam Physician. Trigger Points: Diagnosis and Management. Retrieved Feb. 4, 2016 http://www.aafp.org/afp/2002/0215/p653.html#afp20020215p653-b4


24/May/2017

# 1 Is it safe to be adjusted by a chiropractor when I am pregnant??
Chiropractors are trained to work with women while they are pregnant and fully understand all the bodily and hormonal changes that take place as a woman develops. There are no indications to possible danger while adjusting an expectant mother at any stage of her pregnancy; adjustments are simple non-evasive maneuvers that are used to relieve tension and stress from the mother’s body. Specific tables and equipment are used to make mothers to be more comfortable while being treated.

# 2 What are the actual benefits of seeing a chiropractor??
Chiropractors are holistic practioners. We are concerned about entire health not just mechanical; but nutritional, emotional, chemical, and psychological. These all play an important role in the overall health of the mother and her baby.
– When your body is creating another life, the communication between your brain and body is vital to the correct development of your baby, chiropractic manipulations keeps that channel of communication open so that clear instructions can be sent from the mothers nervous system to her body as it uses nutrition and hormones to direct fetal development. This is a complex process, driven by the right materials and the correct time and use of such materials.
– Improves the mother’s immune system decreasing the chance of her getting sick.
– Water retention is a common result of pregnancy, adjustments help to disperse water evenly throughout the body so that you minimize the amount of swelling to the hands (presents as carpal tunnel like symptoms) and feet.
– Elevated hormone levels in pregnant women increases the laxity within the joints, allowing more movement of bones contributing to increased musculoskeletal pain. (lower back pain, abdominal pain, neck pain) Also, the quick and drastic shift in weight placed on the pelvis as your baby grows leads to lower back pain. All of which can be eased through chiropractic treatment.
– Breech pregnancies benefit from chiropractic care. Adjusting opens the pelvis and allows for more space, so that the baby has more room to turn into the correct position on its own. It is a natural and extremely less volatile method than manually turning or cesarean section.
– Shortens the time of labor, when the pelvis is adjusted and balanced more space is created for the baby to get into the birth canal.

Written by: Dr. Danique Howell, DC, MSHS


24/May/2017

Spring is right around the corner which means that seasonal allergies are upon us! You may have already noticed some of the physical signs of allergies such as coughing, sneezing, itchy eyes, a runny nose, a scratchy throat, and headaches.

According to the Asthma and Allergy Foundation of America (2016), approximately 50 million people in the United States have some nasal allergies {http://www.aafa.org/page/allergy-facts.aspx]. Allergic disease, including asthma, is the fifth leading chronic disease in the U.S. in people of all ages. Asthma is the third most common chronic disease in children under 18 years old [American College of Allergy, Asthma, and Immunology. Allergy Facts. http://acaai.org/news/facts-statistics/allergies (Retrieved April 8, 2015)].

Here at Apple Health and Wellness we have a solution!

We are partnered with Allergy 1-2-3 (http://www.allergy123.com), an allergy treatment program designed with patients in mind. Instead of coming into the office twice a week for costly allergy shots, the treatment serum can be administered at home on your schedule. Treatment is a simple three step process:

  1. Test: One simple 15 minute test will identify 58 of the most common allergens. This stage of treatment is obligation free. You can test and find out what you are allergic to and then choose whether to go through with treatment or not.
  2. Diagnosis: Once we have your results we can determine which allergens are the worst. Possible patients eligible for allergy testing include those suffering from asthma (must be well controlled), chronic cough, sinusitis, allergic rhinitis, and conjunctivitis.
  3. Treatment: Patients are taught to do self-injections with a small diabetic needle in our office under the supervision of our Nurse Practitioner. Then, after the patient is comfortable with self-injecting, the patient will receive enough serum to perform injections at increasing doses at 6 week intervals until maintenance dose is achieved. Patients self-administer subcutaneous (under the skin) doses 2 times a week for 12 months. After the 12 month program the patient is retested. The goal of immunotherapy is to see a reduction of allergen reaction with the second test.

This program is immunotherapy at its best! Our team only uses the highest quality serum to ensure the best possible results. It is designed so that patients continue to take daily anti-histamine so that they will not suffer from allergy symptoms while the body is building up antibodies to the allergens. Also, costly copays are minimized because the patient only needs to check in with the Nurse Practitioner every six-seven weeks. It is ideal for business travelers who cannot commit to an office-based immunotherapy schedule, children (5 and up) who cannot afford to miss school twice a week for shots, individuals living in rural areas where there is not an allergist, or anyone who says they do not have the time or money for allergy treatments.

Allergy 1.2.3 is covered by most insurance providers and can be done right here in our office. Call us a 865.691.3155 to schedule your allergy test today.

Written by Jessica Cantwell, FNP-BC


24/May/2017

Massage therapy has many physical and mental benefits. What most clients experience is the feeling of relaxation, and isn’t that what most people think it is designed to do? Lets look at some of the other aspects and benefits you might not be aware of.

Background: Massage therapy is derived from eastern practices but then combined through western ideals it has been developed to not only help people relax but also to benefit the body itself.

Be it through an injury, chronic pain, chronic illness, pregnancy, or even maintaining your physical well being massage can and does do all of this and more! Of course there are many different types of massage therapy. 2 of the most common are Swedish massage (massage designed for relaxation ideals) and deep tissue or sports massage (more for athletes and active clients who need to work through soreness and even injuries pertaining to their sport/ hobby).

Relaxation is typically the main result of massage. However, days following massage clients may experience some soreness or aching through their bodies. This soreness stems from toxins and lactic acid that was loosened within the muscles now traveling through the blood stream in order to flush the body of what it does not need or will use. Muscles are mostly storage units for nutrients that will not be used immediately after digestion and our bodies will hold on to them “in case” there is ever a need. Unfortunately, more often than not we do not need to hold on to these extra items and massage helps eliminate and move them out so as to keep replenishing the muscles and body itself. The soreness is just that, our bodies trying to get rid of what we do not need. Water is essential to help flush the systems within the body. Water also help reduce the soreness felt after a massage. After the next day or so clients tend to almost feel the best they have ever felt or maybe just since their last massage.

Mental benefits are felt mostly through clarity. Clients are relaxed or distressed and will have more of a sense on consciousness and focus. When our bodies are functioning better our minds function better.

Massage benefits many people and conditions. These basics are just a start. Listen to your body, and pay attention to how you feel. Consider trying a massage and experiencing what may happen for yourself.

Written by: Jennifer Lusk, CTA, LMT


24/May/2017

Bulging, herniated, or degenerative discs are fairly common conditions in today’s society. The damage to the disc then causes spinal compression (any excess pressure applied to the spinal cord) and often pinched nerves causing pain to radiate into the arm or leg (sciatica). It has long been thought that multiple factors contribute to these conditions including: poor sitting posture, faulty bending and lifting techniques, and trauma. Treatments for these conditions vary from physical therapy, chiropractic care, decompression therapy, spinal injection, and surgery. Surgery is the last resort and is often not recommended for low back disc issues if the leg pain is not worse than the back pain. Common practice is for all conservative measures (i.e. physical therapy, chiropractic care, spinal injections) be exhausted before considering surgery.

Decompression therapy has been shown to be a very effective treatment for degenerative, bulging, and herniated disc in both the cervical (neck) and lumbar (low back) spine. Decompression therapy gently distracts the spine, separating the vertebrae, to help restore the disc and take pressure off the nerve root. Studies have shown that for a single level herniated disc, there is a 82% success rate. Studies have also shown that if the patient feels relief from the initial treatment that success is probable.

Decompression therapy is also combined with exercises designed to strengthen the core muscles around the spine. The goal is to off load the spine and on load the muscles that are designed to support and protect it. Spinal stabilization and strengthening can be started immediately. Short term goals include lowering the patient’s pain by 50% within the first 2 weeks. Long term goals include minimizing the risk of re-occurrence or re-injury. The physicians at Apple Health & Wellness are available to consult with anyone wishing to consider this type of treatment.

Written by Dr Andy Hosenfeld, DC


24/May/2017

A neuroma is a swelling/growth in the nerve between your toes. Neuromas can cause burning and tingling sensation in the toes. They also can cause feelings like a “knot” in the ball of the foot and cause numbness between the toes. The exact cause of neuromas is unknown, however, there is a direct correlation in shoe gear and occurrence of neuromas. A neuroma most often occurs between the 2nd and 3rd toes, however it can happen between any of the toes. Anything that compresses on the forefoot, can cause irritation of the nerve and cause or flare up a neuroma. Avoiding heels and tight toed shoes is important in treating the neuroma.

More conservative treatments include injections to reduce the inflammation in the nerve, ultrasound, and more recently, cold laser therapy. Cold laser is a newer approach to neuroma treatment and in my practice has shown some promising results in reducing pain and inflammation. Cold laser is a form of light therapy that works by flooding the area with photons, energizing the damaged cells and increasing circulation to the area. This causes a cascade of healing through the body that results in a reduction of inflammation and reduction or elimination of pain. This is a painless procedure that typically only take a few minutes to complete. The cold laser works best as a series of treatments done frequently. Each person’s body responds differently to treatment. If the conservative treatment is not successful then surgery to remove the neuroma is the last resort.

-Written by Dr. Bradley Gipson, DPM


24/May/2017

Flu season is here again which means it is very important for you to get in and get your flu shot. The Center for Disease Control recommends that everyone over six months old get a yearly flu shot; however, it is especially important for those over 65 who have an increased risks from the flu.

Flu shots are completely covered by most insurance providers. So at zero cost to you, you can get your flu shot and build your defenses against the worst upcoming strain of the influenza virus.

If you are ready to schedule your flu shot, contact our offices at 865.691.3155 (West) or 865.524.1234 (North Central) for same day scheduling!

We are committed to your total body wellness. Schedule today!


24/May/2017

Every day in our office we hear stories about someone who went through the medical system and were prescribed pain relievers to help with their joint pain, especially when it comes to back pain. However, the research has always shown that pain relievers are not an effective way to treat back pain because the medication masks the symptoms instead of dealing with the source of the pain. We provide our patients with an alternative. We can help stop back and joint pain in a natural, lasting way that has been proven to be more effective than painkillers alone.

In the past, insurance companies would cover the costs of medications but would not cover alternative treatment methods; however, all of that is changing. “The only thing that might have been covered in the past was narcotics,” Denise Taray, coordinator of the Oregon Pain Management Commission, says. “But treatments such as acupuncture, chiropractic, massage therapy, physical therapy and rehab would never have been covered.” More and more insurance providers are starting to see the light and it is changing the face of modern healthcare.

It is so important to check your benefits when you are signing up for health insurance to make sure that you provider covers the services that you and your family need. “There should be an array of things for people to choose from,” Dr. David Eisen says, “whether it be chiropractic care, or naturopathic care, or acupuncture, nutrition, massage. Try those things — and if they don’t work, you use opioids as a last resort.” We have patients come into our office whose teeth were completely rotten because of years of prescription painkillers and they were STILL in pain. If you are sick and tired of your painkiller dependency, give our office a call. We can help you find solutions for your joint and back pain that will help you become independent and free from medications.

Call us today at 865.691.3155 for more information.

-Written by Hope Ealey

 


24/May/2017

If you haven’t signed up for our upcoming event, you are missing out!
We are so excited to be partnering up with Dr. Tom Rogers and Performance Medicine so that we can share the latest research in integrative medicine with you! Dr. Rogers is a leader in his field and at next week’s lecture, he will be breaking down hormones and explaining how they affect your entire body.

Healthy hormones are one of the key ingredients to a healthy body. If you have trouble with mood swings, weight loss, chronic fatigue, persistent acne, headaches, or digestive issues, it may symptoms of a larger hormone issue.

This event is completely obligation-free and open to the public. We just want to educate you about your body so that you can make educated health decisions in the future. All of our patients who attend will receive 200 Core Card points for attending!

Understanding Hormones and Weight Loss

September 24th, 2015

6:00-7:30PM

Pinnacle Bank Media Room

1111 N. Northshore Dr., Knoxville, TN 37919

Space is limited so call 691-3155 to RSVP! Dr. Rogers is a true gift to the Knoxville community. Everyone who attends will walk away learning something they did not already know about how their bodies work. Call today!


Western Ave. / I-640

4307 Ball Camp Pike
Knoxville, TN 37921
Office: (865) 524-1234
Fax: (865) 524-2169

Monday: 8am - 5:30pm
Tuesday: 7am - 5:30pm
Wednesday: 7am - 11:30am
Thursday: 7am - 5:30pm
Friday: 7am - 5:30pm
Saturday: 8am - 11am
Sunday: Closed

Cedar Bluff

312 Prosperity Drive
Suite 101
Knoxville, TN 37923
Office: (865) 691-3155
Fax: (865) 694-8093

Monday: 8am - 5:30pm
Tuesday: 7am - 5:30pm
Wednesday: 2pm - 5:30pm
Thursday: 8am - 5:30pm
Friday: 7am - 5:30pm 312 Prosperity Drive
Suite 101
Knoxville, TN 37923
Office: (865) 691-3155
Fax: (865) 694-8093