Category

Musculoskeletal Health

FREE CLASS: Chronic Low Back Pain

By Events, Musculoskeletal Health

Tired of suffering from chronic low back pain? Come and attend a FREE chronic low back pain class with Dr. Kai Tiltmann, McGill Method Master Clinician. There is a better way to get permanent relief for chronic low back pain than endlessly trying to treat the symptoms. Come find out more!

November 12, 2019
6:30-8:00pm

To register, call (925) 464-3916.

Dr. Kai Tiltmann specializes in patients suffering from chronic low back pain that has been unresponsive to interventions including physical therapy, chiropractic, acupuncture, massage, exercises, yoga, pilates, injections, medication and sometimes surgery. He is a McGill Method Master Clinician with specialized training to assess chronic low back pain triggers and develop rehabilitation plans that help patients on to the path of recovery. 

CW NEWS: New Clinicians Join Our Practice

By In the News, Musculoskeletal Health, Our Practice, Plastic Surgery & Dermatology, Therapy, Women's Health

Seth Eberlin, MD  is a Yale graduate and a board-certified Plastic Surgeon who specializes in body contouring, breast, and facial surgery. Combining his knowledge of the most cutting-edge procedures and techniques with a sharp eye for aesthetics, Dr. Eberlin is able to provide superior care to his patients. He values the importance of understanding and developing a personal, collaborative relationship with each patient.

Learn more about Dr. Eberlin

Simret Nanda, MD, is a Board Certified Child/Adolescent and Adult Psychiatrist. She provides psychiatric evaluation and treatment for children, teens, and adults. Dr. Nanda is an expert in treating eating disorders such as anorexia, bulimia, and binge-eating disorder and has worked in eating disorder residential treatment programs. She specializes in treating major depressive disorder, bipolar disorders, generalized anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder, schizophrenia, attention deficit hyperactivity disorder, and autism spectrum disorder.

Learn more about Dr. Nanda

Emily Noonan, DPT, CMFT, is a Doctor of Physical Therapy, as well as a Certified Functional Manual Therapist (CFMT).  She specializes in the education and physical therapy treatment of pelvic floor health issues for all ages and sexes. Dr. Noonan is particularly passionate about helping women during their prenatal and postpartum journey. She has experience treating common, but not normal, conditions such as diastasis recti, incontinence, and pelvic organ prolapse.

Learn more about Emily Noonan, DPT

Chronic Low Back Pain – Disc vs. Muscle

By Feature, Musculoskeletal Health

Chronic Low Back Pain – Disc vs. Muscle

Do you have chronic low back pain (CLBP) or episodic low back flare-ups? Are you afraid to get into certain positions for fear of low back pain? Do you have low back or hip tightness that lasts for more than a few days? You may be suffering from lumbar disc damage or have a strained muscle. How can you tell the difference? It’s important because treating a disc injury like a muscle injury can prevent your symptoms from improving or can even make you worse.

Here are some key differences between disc and muscle injuries.

Low back muscle injuries:

  • The muscle symptoms should be proportional to the muscle load or strain.
  • When contracting an injured muscle, symptoms increase.
  • Injured muscles are very painful initially, but completely resolve within 4-6 weeks.
  • Treatments like chiropractic, physical therapy, and massage work well.
  • Ice and medications, like Ibuprofen, often alleviate symptoms quickly.

Low back disc injuries:

  • It takes a long time to create a disc injury, unless the force is very large like a car accident or a slip and fall. However, once damaged, seeming innocuous movements can bring great pain. Like bending to put on socks or picking up an infant.
  • The pain can drop quickly after a flare-up dropping from an 8/10 to a 2/10 after just a few hours or days.
  • There may be symptoms down one or both lower extremities.
  • Abdominal bracing can reduce symptoms.
  • Slight hip flexion or extension can change symptoms significantly.
  • Treatments like chiropractic or physical therapy do not provide long-term relief.
  • Disc injuries often present as muscle tightness in the low back, groin, hips and hamstrings and can be mistaken for muscle problems.
  • Symptoms are present for months and years, not weeks.

CLBP is complicated. If you are experiencing CLBP for months or years and traditional treatment has not provided long-term relief, call and set up an appointment with Dr. Kai Tiltmann, a McGill Method Master Clinician.  Experience the 3-hour McGill Method yourself and receive the tools needed to help resolve your pain and regain your life once more.

Dr. Kai Tiltmann specializes in patients suffering from chronic low back pain that has been unresponsive to interventions including physical therapy, chiropractic, acupuncture, massage, exercises, yoga, pilates, injections, medication and sometimes surgery. He is a McGill Method Master Clinician with specialized training to assess chronic low back pain triggers and develop rehabilitation plans that help patients on to the path of recovery.

Beyond the Obvious – Understanding the Source of Pain

By Feature, Musculoskeletal Health

Beyond the Obvious:
Understanding the Source of Pain

Have you ever treated pain in your joints, only to have it return a few weeks or months later?

Knee pain for example. The usual RICE treatment–rest, ice, compress, elevate–will help the knee heal, and hands-on therapy can accelerate healing. But what if the knee problem isn’t THE PROBLEM. What if something else is going wrong in the leg that compromises the function of the knee? In this case the knee pain will eventually come back, usually accompanied by further injury.

This too often is the case, and with knees it is easy to see why. Think about each joint in your leg. Your ankles and hips are made to move in all directions, while your knees only bend in one direction. Most compensated walking strategies involve lateral (side to side) motion in the leg, and because the knees do not bend sideways they tend to be the first joint to feel the strain. Imagine if you walked unknowingly with a small lateral strain on your knee. How long would it take before you became sensitive to the tissue damage?  How much damage might you generate before seeking help? Would treating just the knee solve your problem?

Because the human body is so adaptable, it can be easy to compensate the normal function of your body. For example, all it takes to drive the knee a little sideways is a stiff big toe or weakness in the hip. 

At Comprehensive Wellness we look for these underlying issues when we perform whole body biomechanical exams. Our exams include evaluation of posture, gait, movement, joints and soft tissue quality. By understanding why you move the way you do, we can formulate a holistic healing plan that addresses both the pain you currently have and the root causes or drivers of your pain.

Successful treatment programs typically integrate a variety of methods such as manual therapy techniques, joint rehabilitation, restoration of foundational body skills, and habituation of better movement patterns. It may sound like a lot, but we’re able to focus where you’ll target your work. Most of our patients regularly practice only 4-8 exercises and aim to keep just one body skill top of mind throughout each day. Even the most time-constrained professionals and busiest of moms have been able to integrate this type of programming into their life.

Learn more about our Kinesiology/Movement program.

Jeremiah Dees, CSCS, is a movement specialist with over 18 years of experience specializing in kinesiology. He is a graduate of the University of California, Berkeley where he studied Human Biodynamics and Integrative Biology, while concurrently rowing on the national champion crew team.

Learn more about Jeremiah.

Before you operate, regenerate!

By Events, Musculoskeletal Health

Stem cell treatments aren’t the future, it’s today! 

Orthobiologic regenerative injections may be an option for these conditions:

    Arthritis

    Knee injuries (ligament sprains, meniscus tears)

    Shoulder injuries (rotator cuff or tendonitis)

    Achilles tendonitis

    Plantar Fasciitis

    Tennis or Golfer’s Elbow

Join us for a question and answer seminar at Comprehensive Wellness, with our Director of Musculoskeletal Health, Nancy Rolnik, MD.

Wednesday, May 16
7:00-8:00pm

RSVP

Space is limited. Call (925) 464-3916 to reserve your spot.

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