Krieger Chiropractic Offices
5225 Sheridan Dr, Williamsville, NY 14221 |
If It's Good For My Business, It's Bad For Your Back

Helping You Keep Your Life in Line
Palmer Graduate
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More Information About Chiropractic in Williamsville, NY

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New Patient Forms

New chiropractic patients: print and complete the following PDF forms. Please bring them with you to your first appointment.

Car Crash Myths and Facts

Crash Facts
  • Most injuries occur at crash speeds below 12mph.
  • Most cars withstand 8-12mph impacts without vehicle damage.
  • More than half of low speed rear-end collisions occur without vehicle damage.
  • There is no correlation between vehicle damage and the severity of injury.
  • The peak acceleration of the head is much greater than the peak acceleration of the vehicle and a 5mph crash typically produces about 10-12g's of acceleration to the occupant's head.
Common Myths
  • Low speed rear impact injuries don't cause injuries.
  • Injuries heal in 6-12 weeks.
  • The patient's pre-injury psychological makeup affects recovery.
  • Litigation has an effect on the patients recovery.
  • Greater vehicle damage equals greater occupant injury.
Crash Facts and Myths was presented at a seminar by Arthur Crofts DC.

Should I Use ICE or HEAT?

I am often asked, “Should I use ICE or HEAT?” The standard textbook answer is ice for 72 hours, followed by heat. If we look deeper, we find that as a result of a musculoskeletal injury, the capillary beds in the muscle and nerve tissue have torn. The capillary beds have a very small opening, usually just big enough for one red blood cell to pass through. If the capillary wall tears, blood cells and plasma begin to leak out and the surrounding tissue fills with fluid, causing swelling. Excessive swelling does not allow oxygen, white blood cells, and nutrients to enter the area and healing slows. In addition, wastes from cellular metabolism and carbon dioxide can build up in the tissue, further slowing healing, and can cause fibrotic infiltration of normal tissue (scar tissue) especially in muscle tissue. Capillary beds take about 72 hours to heal with a small injury, but larger injuries may take several weeks.

With some injuries the patient can keep re-tearing the capillary bed and the whole 72-hour process begins anew. It is my clinical opinion that sharp pain and new capillary bed injury go hand in hand, so I usually tell my patients to use ice until 72 hours after the last sharp pain occurs. Ice acts as an anti-inflammatory, closing off blood flow to the capillary beds, which allows the body to drain away built up fluid/swelling. This is why baseball pitchers ice down their arm after a game. Ice also acts as an analgesic, turning off sensory nerve endings. One must exercise caution using ice and then trying to do activities requiring balance and/or dexterity, as the ice shuts off the nerves to the cerebellum that control movement. The muscle cannot feedback to the brain what it is doing. With ice it is important to watch for frostbite, especially if you are older, have thin skin, or have previously suffered frostbite in that area. I recommend icing the affected area for 30 minutes, 4 or more times per day (sometimes once per hour) especially the heavier tissues located in the trunk and please put some type of cloth between your skin and the ice.

Heat to the affected area is very soothing but if used too early in the treatment, can cause increased swelling and even more pain. Heat promotes circulation to the area, but if you are dealing with torn capillary beds it will result in more leakage of red blood cells and plasma into the tissues, resulting in edema. The increased swelling will slow the healing process. On the other hand, if the capillary bed is not leaking, then the increased blood flow will speed more nutrients and white blood cells into the tissue, allowing it to heal faster and with less scar tissue. Increased circulation, from the heat, helps carry away metabolic wastes produced from the injury and white blood cells.

A recent study in the Archives of Physical Medicine and Rehabilitation reveals that heat wraps give 138% more relief than ice for exercise induced lower back pain. There are 2 types of heat, dry and moist. Moist heat is considered to work better as it can penetrate into the deep structures better than dry heat. Dry heat, such as a heating pad, is more convenient but not as deep penetrating. Moist heat can be applied with a bath, shower or hot compresses. One can also use analgesic creams. I recommend heat for 30 minutes, 4 or more times per day. Take care not to burn yourself and do not use the creams in combination with a heat source. Do not use water near a heating pad unless it is UL tested and recommended for that use. If you are involved in a car accident or hurt at work, treat the injury initially with ice and then call your chiropractor. Chiropractic care is covered 100% for Workers' Compensation and for No Fault (depending on your policy, a small deductible may be required).

What Type of Pillow Should I Use?

I have been asked if I can recommend a specific pillow. After a number of years of searching, I have found one that can be used for both side and back sleepers. Side sleepers need to have their head supported so that an imaginary line from their nose to belly button would be parallel to the floor. Back sleepers need a pillow that fills in the c-curve of their neck, but does not flex the chin to the chest. Remember, it's bad for your neck to sleep on your stomach. We sell a pillow with adjustable firmness. For added firmness, just add water. This is called a CHIROFLOW PILLOW.

What Is The Best Height For My Computer Monitor?

This month I will discuss how to set your computer monitor at the proper height. Setting the monitor at the correct height protects your spine by allowing you to sit with good posture and it also prevents eyestrain. According to the American Chiropractic Association and the American Optometric Association use the following guidelines.
1. Adjusting the height of your monitor. Your eyes should be at the same height as the top of the monitor. You may have to raise or lower the monitor as it sits on your workstation or you may have to raise or lower your chair.
2. Place the monitor 20-26 inches from your eyes.
3. When using the monitor face straight ahead so your neck is not rotated.
4. Tilt the top of the monitor away from you at a 10 – 20 degree angle. The center of the monitor will be 4- 9 inches below your eyes at a distance of 24 inches.
5. Keep the monitor clean as this can cause eyestrain.
6. Look forward with your head in a neutral position. Carrying your head with a forward lean can lead to neck pain and headaches.
7. Try to place document holders next to the monitor at about the same height and distance.

The vertebrae of the spine are held together by the muscles and ligaments attached to the spine. With good posture your ligaments do most if not all of the work of holding your neck vertebrae in place. By not maintaining good posture while working at your computer the muscles have to try to compensate. When they become fatigued the fibers that make up the muscles and ligaments begin to stretch and fatigue. The strength of those tissues weakens and now the vertebrae develop abnormal motion patterns. The nerves exiting the spine in this region now become pinched and irritated. This can lead to neck pain, headaches, muscle tightness, pain radiating to the arms and even pain between the shoulder blades. You may even feel like your shoulders are hiked up to your ears. If these symptoms start see your Chiropractor. A chiropractor can help these injuries by adjusting your spine to restore normal motion to the spine and reduce the irritation of the nerves. In addition at our office we do exercises, stretching and trigger point therapy to help the muscles heal. Most importantly we will help you change your biomechanics so that you do not re-injure yourself. In the case of computer monitor neck strain we will advise you how to set up your monitor using the above guidelines.

What Is The Best Chair and Computer Keyboard Height?

This month I will teach you how to set up your chair height and computer key board height. As highlighted in last months tip, alteration of your normal posture can lead to repetitious injury syndrome. Holding your spine in an incorrect position for hours at a time will eventually lead to fatigue of the muscles and ligaments leading to injury. The fibers can no longer hold the spine in proper alignment and during movement thru ranges of motion. This resultant change in biomechanics of the spine leads to pressure on the delicate nerves as they exit. This can result in lower back pain, neck pain, wrist pain, elbow pain, headaches, pain between the shoulder blades and shoulder pain.

Starting at the bottom, your feet should be flat on the floor (or on a slightly angled foot rest) with knees bent close to or greater than 90 degrees. The chair seat should support the legs without excessive pressure on the back of the thighs (pressure means the chair is too high). The back should be snug against the seat to fit your spinal contour. Sometimes you can put a lumbar pillow to support the normal C curve in the lumbar spine. Thigh-to-trunk angle should be 90 degrees or greater. The wrists and hands should line up in a nearly straight line from the elbow to the home row of the keyboard. The preferred work surface height for keyboard use is about 26". The typical desk is 29". This is why most modern desks have a keyboard tray. The monitor and keyboard should be straight ahead. If not remember to swivel your chair. Adjust the keyboard tilt angle so that wrists are straight. If possible the mouse should be about the same height as the keyboard and when possible the rest of the arm should be supported by the arm rest of the chair or the desk surface itself. Remember to take a break every hour or so. If you do develop a spinal complaint call your Chiropractor.