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  Chiropractor


Dr Nico Goosen Chiropractic
Appointments @ 012 991 0283




INTRODUCTION
Dr. Goosen graduated in 2008, through the University of Johannesburg and has since been in his own practice in the Optimum Care Centre in Faerie Glen. Dr. Goosen provides Chiropractic care for the whole family. He has a keen interest in Chiropractic pediatrics, especially during the first year with infants suffering from colic . Dr. Goosen completed his thesis in the stability of the sacro-iliac joint (lower back) during form closure and force closure. Hence he would like to communicate the importance of good spinal biomechanics and sufficient muscle tone. He has also been privileged enough to work at the comrades Marathon (2008), the Pick& Pay and 94.7 cycle challenge (2006 and 2007) and is currently working with the South African Olympic athletes.

 

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WHO CAN BENEFIT FROM CHIROPRACTIC CARE
Everyday activities and events—car accidents, sports injuries, repetitive stress activities, even prolonged sitting—can result in painful joint, muscle and nerve dysfunction. In attempting to compensate for such dysfunction, many people worsen their pain and discomfort by putting unhealthy stress on other joints, nerves, and muscles. This is one of the most common and underestimated sources of health problems. Chiropractic care aims to correct the underlying causes of pain and dysfunction—without the use of potentially harmful drugs or surgery.
The goal of chiropractic care is the detection, treatment, and prevention of these problems. Dr. Goosen’s goal is to have you leave our office feeling better than when you walked in.
Each patient’s treatment plan is unique, and will generally involve a combination of modalities, which may include:
• Chiropractic Adjustments
• Active Release Technique Therapy
• Massage and Deep Tissue Work
• Dry Needling
• Ultrasound
• Interferencial Current (IFC)
• Traction
• Mobilization
• Stretching Regime

Because Chiropractic is a non-invasive treatment option, virtually anyone can benefit from Chiropractic care. More specifically:

• Babies and Children:
Who is suffering from spinal problems, as they grow older and their nervous system which constantly need to adapt.

• Pregnant woman:
Chiropractor can help with an easier delivery and minimize backache.

• Office-bound workers
Individuals sitting in front of a computer for a prolonged period of time. Extended computer work often results in back and/or neck problems due to poor posture.

• Factory workers
Individuals performing repetitive activities for most of the day

• The Elderly
With years of wear and tear on the body

• Athletes
Constantly striving to improve their performance and who often push their bodies to the limit in order to achieve their goals



WHIPLASH

Whiplash is most commonly received by passengers in a motor vehicle that is struck from behind by another vehicle. When the head is suddenly “jerked” back and forth beyond its normal limits, the muscles and ligaments supporting the spine and head can be overstretched or torn. The soft, pulpy discs between spinal bones can bulge, tear or rupture. Vertebrae can be forced out of their normal position causing stiffness, pain and nerve damage. The spinal cord and nerve roots in the neck can become stretched or irritated. This is all possible even with little damage to the vehicle. In fact, research shows that increased “crushing” (as seen with higher-speed impacts) of the vehicle actually absorbs some of the shock of the impact and can lessen injury to the car’s occupants. When “crushing” does not occur (as seen with lower-speed impacts), nearly all of the shock is transferred to the driver and passengers.

Symptoms Associated With Whiplash
Whiplash symptoms may include headache, dizziness, blurred vision, pain in the shoulder, arms or hands, reduced ability to turn and bend, and even low back and leg problems. These symptoms may appear immediately following the accident or as much as 2 weeks after the injury.
The human body will attempt to immobilize injured areas following a trauma. This usually begins with “protective” muscle spasm (as the name implies, the spasm is attempted to prevent further harm by immobilizing damaged joints and muscles). If function is not restored within 4-8 weeks, then scar tissue will be laid down at the site of injury hampering the return to full function. This will eventually lead to increased bone growth with the joint causing joint degeneration. All of this, however, can occur with little to no pain.
A study stated that an individual involved in a motor vehicle accident is nearly 7-times more likely to suffer neck degeneration within 7-years of the accident, than individuals that have not been involved in an auto accident. The goal of chiropractic care is to return the injured joints, muscles and nerves to complete, healthy function thereby reducing this increased risk of degeneration.

Common Problems Associated with Whiplash
• Headaches
• Neck Pain
• Low Back Pain
• Disc Injuries
• Shoulder Pain
• Rotator Cuff Impingement
• Tendonitis

COLIC
Research shows that 90% +, of all babies with ," Colic-type " , symptoms, which include cramping, difficulty passing winds etc, that was not the result of infection or congenital conditions responds to chiropractic treatment within two weeks. In three recent international studies, 10 000 children with colic showed that spinal adjustment with parental education on postural care and activity modification had remarkable positive results.

For 80-90% of all babies, the birth process, the position in the womb during the last trimester of pregnancy and the first three month's of being nearly human could be very traumatic.

The trauma puts the spine out of alignment which in turn causes a breakdown in communication in the way that the brain talks to the body through the spinal cord. One possible symptom is crying and discomfort without any medical explanation.
We start treating babies when they are 10 days old and have been privileged to experience miraculous results. By manipulating the spine in symptomatic babies, movement in the affected area of the spine is restored which in time allows free communication between the brain and dis-eased structures and organs.

This may sound extreme, but due to the spine's flexibility, the treatment is gentle, safe and remarkably effective.
Colicky babies show a variety of symptoms depending where the limitation in movement in the spine is found. Adjusting the neck normalizes muscle tone and reduces inflammation. This helps to reduce mucous production and allows the baby to breathe normally.
Manipulation of the thoracic spine reduces stomach cramps and bloating. Adjusting the lower spine frees movement in that area and reduces constipation.

Colic however is not the only reason why babies and children should be treated chiropractic. Babies with sleeping problems are often the result of an, "uncomfortable body", due to chronic low grade inflammation. Ear infections that do not respond to medications, are often the result of limited movement in the neck causing inflammation and tight neck muscles which in turn has a negative impact on the eustacean tube preventing it from clearing properly. These are but a few examples.

The use of chiropractic in infant care, is part of a cost-effective international trend to replace reactive disease management with proactive healthcare. Many ailments, even in children, are caused by bad repetitive posture and chronic overuse and abuse of the spine and related structures.

WHAT IS GOOD POSTURE?

Posture is the position in which you hold your body upright against gravity while standing, sitting or lying down. Good posture involves training your body to stand, walk, sit and lie in positions where the least strain is placed on supporting muscles and ligaments during movement or weight-bearing activities.

Proper posture:
• Keeps bones and joints in the correct alignment so that muscles are being used properly.
• Helps decrease the abnormal wearing of joint surfaces that could result in arthritis.
• Decreases the stress on the ligaments holding the joints of the spine together.
• Prevents the spine from becoming fixed in abnormal positions.
• Prevents fatigue because muscles are being used more efficiently, allowing the body to use less energy.
• Prevents strain or overuse problems.
• Prevents backache and muscular pain.
• Contributes to a good appearance.

Proper Posture Requirements

Correct sitting position
• Sit up with your back straight and your shoulders back. Your buttocks should touch the back of your chair.
• All three normal back curves should be present while sitting. A small, rolled-up towel or a lumbar roll can be used to help you maintain the normal curves in your back.
• Distribute your body weight evenly on both hips.
• Bend your knees at a right angle. Keep your knees even with or slightly higher than your hips. (use a foot rest or stool if necessary). Your legs should not be crossed.
• Keep your feet flat on the floor.
• Try to avoid sitting in the same position for more than 30 minutes.
• At work, adjust your chair height and work station so you can sit up close to your work and tilt it up at you. Rest your elbows and arms on your chair or desk, keeping your shoulders relaxed.

• When sitting in a chair that rolls and pivots, don't twist at the waist while sitting. Instead, turn your whole body.
• When standing up from the sitting position, move to the front of the seat of your chair. Stand up by straightening your legs. Avoid bending forward at your waist. Immediately stretch your back by doing 10 standing backbends.

Correct driving position
• Use a back support (lumbar roll) at the curve of your back. Your knees should be at the same level or higher than your hips.
• Move the seat close to the steering wheel to support the curve of your back. The seat should be close enough to allow your knees to bend and your feet to reach the pedals.

Correct lifting position

• If you must lift objects, do not try to lift objects that are awkward or are heavier than 30 pounds.
• Before you lift a heavy object, make sure you have firm footing.
• To pick up an object that is lower than the level of your waist, keep your back straight and bend at your knees and hips. Do not bend
  forward at the waist with your knees straight.

• Stand with a wide stance close to the object you are trying to pick up and keep your feet firm on the ground. Tighten your stomach
  muscles and lift the object using your leg muscles. Straighten your knees in a steady motion. Don't jerk the object up to your body.
• Stand completely upright without twisting. Always move your feet forward when lifting an object.
• If you are lifting an object from a table, slide it to the edge to the table so that you can hold it close to your body. Bend your knees so
  that you are close to the object. Use your legs to lift the object and come to a standing position.
• Avoid lifting heavy objects above waist level.
• Hold packages close to your body with your arms bent. Keep your stomach muscles tight. Take small steps and go slowly.
• To lower the object, place your feet as you did to lift, tighten stomach muscles and bend your hips and knees.

What is the best position for sleeping and lying down?

No matter what position you lie in, the pillow should be under your head, but not your shoulders, and should be a thickness that allows your head to be in a normal position.
• Try to sleep in a position which helps you maintain the curve in your back (such as on your back with a pillow under your knees or a
  lumbar roll under your lower back; or on your side with your knees slightly bent). Do not sleep on your side with your knees drawn up to
  your chest. You may want to avoid sleeping on your stomach, especially on a saggy mattress, since this can cause back strain and
  can be uncomfortable for your neck.
• Select a firm mattress and box spring set that does not sag. If necessary, place a board under your mattress. You can also place the
  mattress on the floor temporarily if necessary. If you've always slept on a soft surface, it may be more painful to change to a hard
  surface. Try to do what's most comfortable for you.
• Try using a back support (lumbar support) at night to make you more comfortable. A rolled sheet or towel tied around your waist may
  be helpful.
• When standing up from the lying position, turn on your side, draw up both knees and swing your legs on the side of the bed. Sit up by
  pushing yourself up with your hands. Avoid bending forward at your waist.
• Supporting the spine in its natural alignment while sleeping is important to let the back muscles fully relax and to avoid overextending
  the muscles, ligaments and spinal joints. A supportive and comfortable mattress is important and using a pillow (between the knees for
  side sleepers, under the knees for back sleepers, or under the hips for stomach sleepers) can also help take stress of the spine.

• Lying on side with knees bent - pillow between knees for support:
Lying on your side with the knees bent helps counteract a sway back and can relieve back pain. Using a pillow between the knees helps prevent twisting of the spine.

• Lying on back with knees bent - pillow under knees for support:
Lying on the back with straight legs can cause low back pain. If you prefer to sleep on your back, bend your knees slightly and place a pillow under them for support.

• Lying on your stomach - pillow under the hips:
Lying on your stomach increases the curve of the lower back, leads to shortening of the muscles in your lower back and encourages sway back. If you absolutely must sleep on your stomach, place a pillow under your hips to help support the lower back. However, sleeping on the stomach also can strain the neck and is generally not advisable.

A good mattress will conform to the spine's natural curves and keep the spine in proper alignment.

Computer posture
You will probably spend many hours sitting at your PC and how you do this will have implications on your health as well as your productivity.

Do you suffer from:
• neck pain
• a burning between your shoulder blades
• lower back pain
• headaches
• digestive problems
• breathing difficulties
• eye strain


All of the above could be related to how you sit at your PC for hours at a time every day, barely moving, eyes fixed on the screen with deadlines to meet.

We all know that we should sit up straight, but what exactly does this mean? Most people I see who try to do it invariably end up making matters worse!

Why? Because we've forgotten how to sit properly through years of doing it badly.

Sometimes the smallest adjustment to your desk environment can make a huge difference to your computer posture. Not only does finding the best sitting position relieve your aches and pains, it makes you more productive.

Most companies invest considerable sums of money in ergonomic seating and chairs but even if you have the latest and most expensive model available it won't ensure that you will sit correctly.

So what can you do to ensure the best sitting position?


DO

Check the position of your screen
Have your chair at the right height so your eyes are level with your screen and your knees are slightly lower than your hip joints
Let your wrists rest on the desk
Have you computer in front of you
Let your feet sit flat on the floor and not tucked under your chair
Keep your shoulders back and relaxed
Your back should be relaxed
Take regular breaks away from your PC


DON'T

Try to sit up straight (more below)
Slouch
Fix your eyes on the screen
Lift your shoulders when typing or clicking the mouse
Collapse your neck as you read the screen
Use your PC in low light conditions

 

 



Compare the two photographs above. Even slight adjustments in body position will make a difference to how much stress is put upon the body. In the good computer posture you will see the head is sitting directly on top of the spine and its weight is passed down to the pelvis and into the chair.

In the not so good computer posture, the neck has dropped forward and the weight of the head is no longer completely supported by the chair.

Because the spine is curved forward the muscles in the middle of the back are required to do more (inappropriate) work to keep the head up.

Also to look at the screen she has to pull her head slightly backwards, this over time will cause the spine to curve more.

Early warning signs that should not be ignored.

Any discomfort experienced at your computer is a sign you are doing something wrong. You may not be too concerned if the aches and pains you associate with sitting at your computer disappear at weekends. But prolonged periods (and we could be talking years) of sitting in a poor position will alter your posture gradually until you begin to suffer all the time.

More serious signs that require you to take instant action are tightness or numbness in your fingers, hands, wrists, elbows or shoulders. This could soon lead to upper limb disorders, also known as repetitive strain injury (RSI).

 

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