Treatment

Chiropractic Treatment and Techniques

At Advanced Spine and Joints Center we realize that each patient and their pain is unique. We create a customized treatment plan for each patient, leading to lasting results.

  • Restricted joints are mobilized or “manipulated” with chiropractic techniques
  • Unstable joints are stabilized through rehabilitation
  • Nerves are asked (nicely) to calm down
  • Tight, fibrotic, or ropy muscles are stretched or “released,”
  • Trigger Points are often released through Dry Needling
  • Weak or inhibited muscles are strengthened or “facilitated”.
  • The key is an accurate assessment!

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Chiropractic Adjustment

Manipulation is shown to help with a host of back, neck and extremity pain.  To a skilled Motion Palpation chiropractor, joints that will respond well to manipulation, just feel different.  They feel stuck; not springy, but blocked. Dr. Zach has a dynamic and gentle way for assessing the spine or other joints. When the adjustment is applied to the right regions, less force is required.

Chiropractic adjustments safely and effectively restore motion to restricted joints.  This helps normalize body movements as a whole. Adjusting involves placing the body into a safe position to encourage the desired movement and applying a quick, specific push or pull. Well executed manipulation is an effective tool in alleviating pain and improving athletic performance.

 

Dynamic Neuromuscular Stabilization

Dynamic neuromuscular stabilization (DNS), is rehab and therapy based on the developmental movement patters of a healthy baby in the first year of life.  Dr. Zach is the only DNS trained physician in southwest Missouri.  This model of rehab builds on the body’s natural movement patterns.  We retraining muscles that might be weak, or uncontrolled, and culminate in movements that can challenge the entire body. Chiropractic treatment, that focuses on the adjustment, will fail to provide lasting results.This patient centered, active model of care is the foundation for Advanced Spine and Joint Center.

In DNS we often refer to exercises in terms of developmental positions, 3 month prone, or 8 month side lying for example. We focus on ideal stabilization patterns that baby develops as they have this simultaneous maturation of the musculoskeletal system AND central nervous system, as well as respiration, and joint centration.  To learn more about DNS, please read this blog Dr. Zach wrote.

 

McKenzie Therapy and Neuromobilizations

Nerve pain coming from the spine is common and very painful.  This includes sciatica, as well as carpal tunnel or other cervical radicular syndromes.  These two therapies are almost always used in conjunction to treat nerve pain. See this video for the cervical spine:

McKenzie technique, or mechanical diagnosis and treatment, focuses on finding "direction of preference." This means a position that causes the nerve pain to reduce, and return to the spine.

Neuromobilization techniques involves the treatment of nerves in and down the arms and legs. The goal is to 'slide' the nerve back and forth, in a pain-free way, to increase range of motion and to decrease nerve sensitivity.

McKenzie Therapy and neuromobilization

Graston Technique

Graston Technique is a popular form of myofascial release.  A stainless steel instrument is used to break up knots, or adhesions, in muscles.  The process is notorious for causing mild bruising. As a more aggressive treatment option, it is not always used, and prior to its usage it is thoroughly discussed.

Graston, or other instrument assisted soft tissue mobilization tools, are popular in athletes and chronic pain patients.  Its origins may traced to both western medicine physical therapy and Cyriax cross friction massage, as well as sharing similarities with Traditional Chinese Medicine's Guasha, or even "hillbilly therapy" old school coining.

Muscles are covered in facia, a connective tissue that helps transmit forces.  Graston involves treating soft tissue / fascial disorders through the use of instruments by treating the kinetic chain, often while performing rehab exercise or positions at the same time. This may include a combination of the above soft tissue therapies while the patient is performing movement patterns or other rehabilitative movements. It is important to state that pain, numbness, or other symptoms may not resolve if the scar tissue is not broken up properly.

Dry Needling

Dry Needling is an effective therapy to treat muscular tension, spasm and pain. It is called “Dry” Needling because there is no solution injected as with a flu shot.  With dry needling, an acupuncture needle is used, and the needle itself stimulates and produces the effects within the tissue.

FDN uses a small, solid filament needle which is inserted in a contracted painful knotted muscle to create a local twitch reflex.  This is both diagnostic and therapeutic and is the first step in breaking the pain cycle. Research shows this will decrease muscle contraction, reduce chemical irritation, improve flexibility and decrease pain.

Dr. Vahldick recieved his Functional Dry Needling training through Kinetecore

Kettlebell training

Kettlebell Training is an ancient art of strength training that has made a well-deserved comeback in recent years. It is part of a larger movement in strength and conditioning that moves us away from stationary machines and isolated muscle work, to larger global patterns such as PUSH, PULL, LIFT, CHOP, and CARRY. The Kettlebell swing is the foundation of kettlebell training, and it has been shown to be beneficial for many kinds of lower back pain

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