Patient Questions

Corey Piva is an Expert Contributor on FindaTopDoc. Here are some of their recent answers to patient questions.

Chiropractor
Corey Piva

Push ups are a fantastic exercise to improve muscle tone in your chest, shoulders and arms. As far as using the push up to fix rounded shoulders, it is half of the equation. To compliment the push up you should incorporate a rowing exercise for you back. Often rounded shoulders are the result of tight chest muscles drawing the shoulders forward giving that rounded appearance. Aside from the exercise, you should stretch your back and chest and practice proper posture such as concentrating squeezing your shoulder blades together with your chin back in a comfortable and not exaggerated fashion.

Wear you posture corrector as long as you need in order to form the habit of correct posture. Wearing the device during the day when you are active, seated, standing and moving. You do not need to wear the device at night when sleeping. Think about stretches for your neck and mid back and corresponding exercises of rowing and pushing to compliment your correct posture.

Subjectively, if you feel stiff and achy for more than a few days in a row and stretching is not helping. Also, if you have experience being adjusted by your chiropractor you know the benefits before and after. Objectively, some examples that may infer the body is out of alignment may be, if you notice one side of your pelvis is higher than the other, if you have a spasm in a joint that is affecting it's function and mobility that could be in your spine or an extremity, or having a tension headache that is lasting. Best to be assessed by your chiropractor if you are feeling any of these issues.

Yes, a qualified Chiropractor with knowledge and experience of sports injuries can help treat you for knee tendonitis. The Chiropractor will listen to your history, understand the mechanism of injury, do a thorough exam of the knee to rule out any complicating factors and prescribe a treatment regiment.

Yes, stretching can help with a shoulder impingement. Due to the inflammation and usual tendonitis associated with the impingement it is best to see a professional doctor well versed in sports related injuries who can instruct you with proper stretching techniques and the muscles to stretch to avoid further injury and improve your healing time. Be patient and do not rush the process of resting from aggravating activities and gently stretching!

A shoulder impingement is usually not caused by sleeping on your side. If you do repetitive overhead movements either by occupation or sports this may cause a tendonitis in the shoulder and may irritate the Bursa (a fluid sac in the joint) which would be uncomfortable and painful if you are laying on the involved side at night. If you cannot avoid laying on that side you might try putting a travel pillow between your arm and torso to reduce pressure on the joint. That being said, you should have your shoulder pain evaluated by a professional to accurately diagnose you shoulder pain and discuss a regiment of stretching and strengthening to address your injury.

You really cannot re-create a Chiropractic adjustment at home. If you mid back is tight and not injured you can try laying on a foam roller to ease the muscular tension. After that, try to stretch your mid back by squaring up to the left side of a door frame, grasping that side with left hand over right and leaning back for 10-15 seconds and the repeat on the right side with right hand over left. Repeat the stretch 3-4 times, wait an hour and do the sequence again 2-3 times per day. These are suggestions to try until you can be treated by a Chiropractor.

A chiropractor with knowledge and experience with sports injuries dealing with strains and sprains can help. Seek out a chiropractor that has access to therapies such as Ultra-Sound, Acupuncture and Class 4 laser therapy that can aid in healing the pulled hamstring. First thing is to get examined!

Caution, caution, caution! If you have an injury, you should be careful doing any exercise that may make things worse. A pinched nerve should not be stressed in general. More information is needed as to where your pinched nerve is and what other symptoms you are experiencing to truly answer your question correctly. My advice is to go and have your complaint assessed by a chiropractor or MD.

The doctor to choose for your son's complaint depends on the cause of the injury. You can begin with a Chiropractor to assess the complaint and decide if it can be treated within their scope of practice. If the complaint requires an Orthopedic specialist, the Chiropractor should refer you out.

When people speak of a "slipped rib" they are usually speaking of strained muscles of their mid back. If trauma is the cause of your pain and /or causing difficulty breathing you should seek medical attention and be evaluated. If it is a strain causing your pain, you can stretch at home. Two stretches a recommend can be done with a door frame. First square up to the door frame on the left and put your hands left over right gripping the door frame and lean back to stretch your upper back. Do this for 10 seconds and repeat on the right with right hand over left this time. Second is to compliment this stretch by stretching your chest by putting both hands on either side of the frame and leaning forward, holding for 10 seconds. Repeat 3 times. Repeat sequence 3-4 times per day. If pain persists seek a chiropractor or MD for further evaluation.

This an interesting question to answer. More of your health history would be needed than just your age and gender to answer your question for you. That being said, at the most basic level there are 2 types of scoliosis. Functional scoliosis can be caused by a muscular sprain/strain, a muscular imbalance or a trauma that has caused a segment of your spine to be pulled in one direction. Structural scoliosis refers to how your vertebra developed, one side developing different than the other causing a curvature. In both cases your body will compensate to try and keep your head over your pelvis. A functional scoliosis can be reversed with adjustments, therapy and stretching. Structural scoliosis depends on the degree of curvature. Chiropractic, exercise, and therapy can help manage both types of scoliosis with the better prognosis being for the functional scoliosis. Best to be evaluated and have an x-ray to distinguish which type of scoliosis you have and then a plan can be discussed between you and your doctor.

If you truly dislocated your shoulder, I hope you have sought treatment by the time you have read my answer. If it is the first time you have dislocated your shoulder and have sensations into the effected arm you should go to an ER as you may have to have your shoulder put into place under anesthesia as a first time dislocation can affect the nerves from you neck and arm pit that provide motor and sensory to that arm. After saying all that, a subsequent dislocation can be treated and put back into place by a chiropractor following a careful examination along with muscle and reflex testing to ensure that there is no damage to the nerves. Seek out a sports chiropractor with experience in extremity adjusting.

Yes, following an exam of the shoulder joint and associated musculature, a Chiropractor can adjust this joint.

Yes, the wrist joint can be adjusted. Have you chiropractor examine the wrist and perform orthopedic tests to diagnose the exact problem you are dealing with. The exam will rule out any problems that me need further evaluation from an orthopedic specialist.

A spinal misalignment or subluxation can be caused by factors that cause a muscle to tighten or spasm and in turn cause the tendon to become taught to the bone it is attached and put pressure on the joint associated with it. Factors that can cause this cascade could be trauma, dehydration, poor flexibility, and/or poor nutrition leading to a vitamin and/or mineral deficiency. An adjustment can help relax the joint and in turn relax the tendon and muscle associated with that segment.

Chiropractic, in my opinion can help reduce aches and pains in your joints and relax your muscles. If your 13 year old is achy and tired from feeling achy, then chiropractic would help. However, a 13 year old typically should not be overly fatigued. My recommendation would be to have him assessed by his primary and evaluate if there are any extenuating circumstances causing the fatigue, such as nutritional deficiencies, poor sleeping habits, too much screen time and hormonal changes. Seek a chiropractor that has expertise in nutritional counseling if you are starting here.

When sleeping with a stiff neck it is important to keep the natural curve of the neck supported. Sleeping on his back with a well supported pillow keep the neck adequately aligned with the shoulders. Make sure there is not to much support that keeps the neck in a flexed position or to little support that that puts the neck into an extension position.

Avoid all exercises that may compress the disc such as Military Presses, Leg Press, Dead Lifts. Also, avoid any exercises that may shear or torque the discs such as Russian twists, Traditional Sit-ups. You can continue with planks and exercises that do not compress or torque the area in question. Hope that helps as a starting point to your question. There are numerous ways to train to strengthen your core, neck and/or your mid to upper back depending on the area affected. My answer is more directed at a Lumbar disc, but avoiding any compressive exercises is key.

In order to realign your posture you will need to practice proper posture. This includes stretching your upper back and chest and standing straight comfortably squeezing your shoulder blades together and bringing your neck back slightly. A Chiropractic evaluation and adjustment may also help to relax you muscles and joints that have become accustomed to improper posture such as head and neck leaning forward and rounded shoulders. It takes practice and eventually it will feel normal and you will stand taller!