It Is Always Something New

You never know what kind of fun you will find at our office including Lego towers bigger than the staff.

Wishing everyone a great weekend!

 

 

League City Health, Wellness and Benefit Fair

We had a great day at the League City Health, Wellness and Benefit Fair today. Enjoyed meeting lots of new people. Thank you to all those who stopped by to get to know us a little better. We appreciate your time.

 

Happy Friday Everyone!

We look forward to seeing you.
Call this lovely lady for your appointment today -
281-337-7000

Happy Father's Day

Happy Father's Day! Hope you all have a great one from all of us at GBC!

TCA's Young Chiropractor of the Year and Convention Recap

This past weekend Dr. Max attended the Texas Chiropractic Association's annual convention in Austin, TX as the State Director for Distric 11 (Greater Houston Area). While at the convention Dr. Max attended various board and committee meetings as well as some continuing education seminars. Some of these focused on topics such as the future of Chiropractic in the state of Texas and nationally, patient access to Chiropractic, financial oversight of the TCA, and leadership development.

On Saturday evening at the President's Banquet it was a great night for District 11. Dr. Vige presented an award to Dr. Devin Pettiet for TCA Director's Award. One of the more prestigious awards given during the banquet is the TCA's Young Chiropractor of the Year Award. This award is given to a Chiropractor under the age of 40 who has been nominated and voted on by previous recipients of this award. This award is given based on service to the TCA.  This award is kept secret from the recipient until it is presented but not their family who are encouraged to attend and surprise the young Doctor. With a very entertaining who could it be presentation, Dr. Tyce Hergert the previous year's award recipient presented this year's Texas Chiropractic Association's Young Chiropractor of the Year award to Dr. Max. The biggest award of the night was also given to a fellow Doctor from District 11 Dr. Ken Tomlin received the Keeler Award for outstanding career achievement in the field of Chiropractic.

GBC is proud of our very own Dr. Max and the two other members of our area who received awards at this year's convention.

 Dr. Max receiving the award from Dr. Hergert.

 Dr. Max with his wife and children.

Dr. Max with Dr. Nicole Geer

Healthy Recipe - Quick On the Go Lunch Wrap

Turkey Lettuce Wraps
Iceberg or Leaf Lettuce ( 1 leaf per wrap)
1 tsp Hummus per wrap
Sliced Avocado
Sliced Turkey
Sliced Cucumber
Seasoning like Mrs. Dash
Toothpicks

Other filler options : Shredded Carrots, Tomatoes, Salsa, Herbs, Tuna

Flatten out lettuce leaf. If midvein is large it can be removed to make wrapping easier. Spread hummus on to lettuce. Layer on the turkey and lettuce until all are on the lettuce. Sprinkle on seasoning to taste. Roll lettuce a quarter inch on two sides to form top and bottom to prevent spillage, then complete by rolling from the sides and securing with a toothpick.
This is a quick lunch or snack that can be made when you are on the go and is a healthy alternative to a hamburgers and french fries.

Hip-flexor Stretches

With the weather warming up more people are out and about getting active. This means more biking, rowing and activities you use your hips to do the work so here are a couple of stretches to help you out.  They are great because you can do each day before you roll out of bed or before you hop into bed in the evening.

Lying Hip-flexor stretch:
A. You can either lie on your bed or a mat on the floor in a fetal position, with your head on your pillow or even a folded towel. Hold your left ankle with your left hand (if you are unable to reach your leg with your hand you can use a towel or strap wrapped around it to hold it and stretch). Keep your right knee at a 90 degree angle (you can hold this leg in place with your right hand if needed).

 B. Take a deep breath and tuck your pelvis under slightly while gently pulling your leg back until your knee is slightly behind you and your thigh is parallel to the floor. Avoid arching your back during this stretch. Exhale and hold the stretch for 5 seconds, then bring your knee back up toward your chest again.  Repeat up to 10 reps on the one side and then switch sides.

Not Out of Bed Hip-flexor stretch:

Lie on your bed on your back looking up at the ceiling. Make sure you are on the edge of your bed side. Stabilize yourself as you lower your foot off the edge of the bed to the floor. This will gently stretch out your hip flexor. Hold this position for 40-60 seconds. Then rotate around on the bed facing the opposite direction and repeat with the other leg. 

Rotator Cuff - Injuries & Treatment

The shoulder is a dynamic and complex piece of machinery. Its design allows us to reach and use our hands in many different positions. However, the trade off for the shoulder joint’s great range of motion, is that it is not very stable. This makes the shoulder vulnerable to problems if any of its parts aren't in good working order.

The rotator cuff tendons are integral to the healthy functioning of the shoulder. They are subject to a lot of wear and tear, or degeneration, as we use our arms. Tearing of the rotator cuff tendons is an especially painful injury. A torn rotator cuff creates a very weak shoulder. Most of the time patients with torn rotator cuffs are in late middle age. But rotator cuffs tears can happen at any age.

Anatomy: What exactly is the rotator cuff, and what does it do?

Tendons attach muscles to bones. Muscles move the bones by pulling on the tendons. The rotator cuff helps raise and rotate the arm. As the arm is raised, the rotator cuff also keeps the humerus tightly in the socket of the scapula.

Causes: What causes the rotator cuff to become inflamed and/or tear?

• The rotator cuff tendons have areas of very low blood supply. The more blood supply a tissue has, the better and faster it can repair and maintain itself. The areas of poor blood supply in the rotator cuff make these tendons especially vulnerable to degeneration from aging.  This degeneration of aging helps explain why the rotator cuff tear is such a common injury later in life. 
• Degeneration may be accelerated by repeating the same types of shoulder motions. This can happen with overhand athletes, such as baseball pitchers, but even doing routine chores like cleaning mirrors, washing and waxing a car, or painting can cause the rotator cuff to fatigue from overuse.
• Excessive force can tear weak rotator cuff tendons. This force can come from trying to catch a heavy falling object or lifting an extremely heavy object with the arm extended. The force can also be from a fall directly onto the shoulder. Sometimes injuries that tear the rotator cuff are painful, sometimes they aren't.
• The typical patient with a rotator cuff tear is in late middle age and has had problems with the shoulder for some time. This patient then lifts a load or suffers an injury that tears the tendon. After the injury, the patient is unable to raise the arm. However, these injuries also occur in young people. Overuse or injury at any age can cause rotator cuff tears.
Symptoms: What does a rotator cuff tear feel like?
• Rotator cuff tears cause pain and weakness in the affected shoulder. In some cases, a rotator cuff may tear only partially. The shoulder may be painful, but you can still move the arm in a normal range of motion. In general, the larger the tear, the more weakness it causes.
• In other cases, the rotator cuff tendons completely rupture. A complete tear makes it impossible to move the arm in a normal range of motion. It is usually impossible to raise the arm away from your side by yourself.
• Most rotator cuff tears cause a vague pain in the shoulder area. They may also cause a "catching" sensation when you move your arm. Most people say they can't sleep on the affected side due to the pain.


Diagnosis & Treatment:
What tests/treatments will my doctor utilize?
History & Exam: Your doctor will ask questions about your medical history, your injury, and your pain. Your doctor will then do a physical examination of the shoulder. The physical exam is most helpful in diagnosing a rotator cuff tear. A complete tear is usually very obvious.
Imaging: your may want to do an arthrogram, which involves injecting dye into the shoulder joint and taking several X-rays and/or an MRI scan, a special imaging test that uses magnetic waves to create pictures of the shoulder in slices. The MRI scan shows tendons as well as bones.
Conservative Treatment: By diminishing the inflammation, further strengthening and stretching exercises can be performed Stretching of the shoulder rotator cuff muscles is easily performed both as treatment for inflammation and as a warm up before activity. Specific stretches are targeted to the desired activity any any shoulder stretches are available and most are helpful as long as sharp pain is avoided. The doctors at Gateway Chiropractic will use electric stimulation, ultrasound, myofascial release, Graston Technique, manipulation, either combined or separately, depending on the individual case.  Strengthening of the shoulder rotator cuff muscles is best performed by isolating each muscle group and selectively training that muscle.  Shoulder exercises are best performed with relatively light weights and multiple repetitions, your doctor will set up a program specifically for you.
The logic behind stretching and strengthening the inflamed rotator cuff in order to speed healing and functional performance is as follows: the inflamed tissue is characterized by increased fluid between the cells, increased numbers of new blood vessels and inflammatory type cells. As a result of this inflammatory reaction, new collagen tissue is laid down in an effort by the body to heal the injured tissue. If the shoulder is immobilized during this time, the new collagen is laid down in a disorganized fashion, creating scar. The goal of stretching and strengthening is to stimulate the cells to lay down collagen along the lines of stress, forming normal strong tendons. The combination of a good warm up, gentle stretching, strengthening below the limits of pain, icing after working out has been consistently shown to speed recovery time in the strongest possible fashion.

Prevention: Shoulder injuries can be diminished by careful warm-up, stretching, and strengthening of the shoulder muscles. The exercises described above for treatment of the injured shoulder are superb for a general conditioning program. When shoulder injury symptoms begin, early evaluation and treatment can prevent mild inflammation from becoming full blown rotator cuff impingement, or worse, a tear of the rotator cuff. A program of twenty minutes a day of shoulder stretches and muscle strengthening exercises is recommended to increase performance and decrease injuries.


Visit www.gatewaybaycolony.net for more information or to schedule an appointment.