Epidural Steroid Injections Increase Risk of Vertebral Body Fracture

Chiropractor Chapel Hill, NC

Approximately 9 million epidural steroid injections are performed annually in this country for back pain and other conditions.  Steroid injections appear not to be as safe nor as beneficial as some believe, but many people are unaware of the risks associated with this type of injection. At the chiropractic and acupuncture offices of Dr. Lisa Oskardmay in Chapel Hill, NC, we strive to educate patients and potential patients regarding the risk-benefits of different care types while providing effective, safe, and gentle care.  This post summarizes an article in the peer-reviewed medical Journal of Bone and Joint Surgery to clarify some of the severe side effects of epidural steroid injections.

An epidural steroid injection is a technique in which a corticosteroid and a local anesthetic are injected into the epidural space around the spinal cord. The article mentioned above, entitled A Retrospective Analysis of Vertebral Body Fracture Following Epidural Steroid Injections, shows that these injections do not yield long term benefits for patients. Equally problematic, this type of medical treatment increases spine bone fracture risk substantially, as summarized in this medical journal article. The risk of vertebral body fracture increases markedly with each injection received and, since patients frequently get several of these injections over time, this raises many flags. Natural, hands-on chiropractic and acupuncture care may be a better option for many persons.

At Acupractic Natural Healing Center and Acupuncture at Eastowne LLC, Dr. Oskardmay uses low force chiropractic adjustments, thumper massage, and acupuncture with patients who have back pain with the risk of fracture. Spinal mobilization at the hands of a licensed chiropractic physician such as Dr. Lisa Oskardmay improves vertebral motion and function in several important ways. It restores range of motion between vertebrae, reduces adhesions between spinal bones, and removes nerve compression to restore influence to affected organs and muscles. Spinal mobilization also relaxes connected muscles to reduce muscle pain and improve balance while causing the release of endorphins which relax the body-mind naturally.

Dr. Oskardmay is aware that persons who have received steroid epidural injections will be at higher risk of fracture, so she helps patients with pain reduction techniques that promote overall body wellness and pain reduction. As a wellness educator since 1995, when she opened her first chiropractic and acupuncture wellness center in Durham, NC, she teaches patients how to achieve a healthy lifestyle with exercise education, relaxation technique promotion, and nutrition support.

At our new office location at 205 Providence Rd. in Chapel Hill, NC, we are close by and available to help patients looking to achieve a healthier lifestyle with less pain and better overall health and well being. If you or a loved one is considering getting an epidural steroid injection, make sure that you understand the procedure’s risks and benefits. If you choose to receive natural healing treatments, contact our office today to make an appointment with a chiropractor Chapel Hill, NC patients recommend that supports body-mind wellness and reduces pain naturally. Call us at Acupractic.

Chiropractic Care Outperforms NSAID Use

Chiropractor Chapel Hill, NC

Back pain afflicts millions of people and is a significant cause of disability. Medications such as over the counter and prescribed NSAIDs do not provide as much benefit as previously assumed, and they have serious side-effects.  Importantly as well, nerves exiting the spine suffer impingement with many types of back pain, contributing to additional problems that NSAIDS do not correct. At the chiropractic and acupuncture offices of Dr. Lisa Oskardmay, we realize the need for effective back pain care because the spine affects so much of our health. A former researcher herself at the NIH, Dr. Oskardmay, understands the benefits of high-quality medical research and uses this to provide better care for patients every day.

Patients seeking relief from back pain look to their medical providers for assistance, and those providers rely on research to guide their decisions. When providers review high-quality news outlets such as Spine journal for information, they will find that the chiropractic adjustment provides safe and practical benefits for patients and feel comfortable referring patients for chiropractic care for back pain and other disorders.

A Spine article published in April of 2013 is called ‘Spinal High-Velocity Low Amplitude Manipulation in Acute Nonspecific Low Back Pain Versus Commonly Prescribed Nonsteroidal Anti-inflammatory Drugs.’ This study is of high value because it was randomized, double-blinded, and placebo-controlled. The study reviewed several NSAIDs, such as Diclofenac, one of the most commonly prescribed NSAIDs for back pain- the first line of defense against back pain in many medical offices. Other standard tools include rest, PT, and surgery and, increasingly, chiropractic referral.

Researchers found that the chiropractic adjustment provides superior symptom relief when compared to placebo and when compared to NSAID use. Results were clinically significant and should provide patients and referring providers another avenue to back pain care besides NSAIDs, which don’t work as well and which have substantial adverse side effects. At Acupractic Natural Healing Center and Acupuncture at Eastowne, Dr. Oskardmay has provided quality care since 1995. She appreciates referrals from other local healthcare providers for situations of back pain and other conditions.

This research and other studies demonstrate the benefits of the hands-on chiropractic adjustment that many people have already discovered. The first research article related to chiropractic of this type is published in Spine journal, surprising perhaps since chiropractic is used by many patients worldwide. Nonetheless, medical research into the benefits of chiropractic is growing, and we look forward to additional research in the future.

For more information about chiropractic care, contact a chiropractor Chapel Hill, NC residents recommend. Call Acupractic, we love helping patients get well naturally, and Dr. Oskardmay appreciates the benefits of research to help her help patients every day.

Paddleboarding in the Carolinas Safely for Health’s Sake

Chiropractor Chapel Hill, NC

Paddleboarding started as a new exercise in Hawaii in the 1940s when a surfer grew tired of all the sitting and standing involved with regular surfing. Nowadays, many people perform this activity every day on lakes, pools, deep rivers, even out in the ocean beyond the breaking waves. It is a great way to spend time outside, work the upper and lower body muscles, and the muscles involved with overall body balance. If you are interested in this sport, talk with Dr. Oskardmay about some essential considerations.

Paddleboarding in the Carolinas Safely for Health's Sake

Have Dr. Oskardmay do a spinal evaluation before you go out for your first time to correct any misalignments that could affect balance, strength, and back pain. She may provide some exercises to strengthen weak body areas in preparation, besides, to make your experience safer and more enjoyable. Vertebrae in the neck surround nerves going to the shoulders, arms, and hands; spinal subluxation in the cervical spine can affect upper body strength and also the ability to balance and turn the neck comfortably. Spinal nerves from the lower back lumbar spine travel to the hips, legs, and feet, all crucial areas for paddleboarding and balance. Performed with a flat, buoyant paddle boat made of resin, paddleboarders balance atop the paddle boat and move through the water using one free-standing long-handed oar. The activity requires good balance- even getting onto the paddleboard can be a challenge! Paddleboarders stand in one spot with legs slightly bent for the duration of the event (unless they jump in the water or sit down); this requires adequate leg strength and stamina. Also, the arms get quite a workout from rowing, and boarders need to be able to row using both arms to maneuver the paddle boat. After a fall or jump in the water, getting back on the board requires some strength and flexibility.

Be sure to wear a lifejacket and water shoes or the like while paddleboarding. For your first visit, consider going through a company such as Express Watersports in Murrells Inlet, SC, that provides paddleboard experiences for first-time boarders on the inlet. They supply all necessary gear and the board and give a short, but adequate lesson in how to paddleboard. They even take a photo of you at the beginning that you can get at the end. The author and her husband used this company’s services on their last visit to the Myrtle Beach area and enjoyed the staff’s experience and helpfulness in all areas. The experience can be as short as two hours, which is about right for most beginning paddleboarders.

Paddleboarding in the Carolinas Safely for Health's Sake 2

There are options for more experienced paddleboarders who need to rent equipment, as well. Uwharrie Hoof and Paddle near Uwharrie National Forest in Troy, NC is a family-owned facility that rents paddleboards and life-preservers for full-day (9 am-4 pm)  self-guided tours of Badin Lake in the National Forest. There is ample opportunity to get off the board and swim to cool off and relax on the shore. The company also delivers and picks-up the equipment, very helpful because a paddleboard is quite substantial.

Paddleboarding in the Carolinas Safely for Health's Sake 3Paddleboarding provides a superb opportunity to spend time in nature while exercising safely and with social-distancing. Of particular interest to the author is that opportunity to gently and quietly approach parts of life usually only seen in a book or through binoculars. The biggest challenge is learning how to deal with `wakes` created by the wind or other boaters; with a little experience, however, paddleboarding can be a high summer activity. Ask Dr. Oskardmay about how you can add the water activity to your summertime plans.

For more information about how to prepare for paddleboarding safely, contact an experienced chiropractor Chapel Hill, NC residents recommend. Call Acupractic today.

Using Natural Products in Our Homes to Create Relaxation and Healing 

Chiropractor in Chapel Hill, NC

Nature heals. The conclusion of many types of mental health practitioners is to increasingly recommend outdoor time in nature over medications to relieve stress and anxiety.  Stress and anxiety are significant culprits in many ailments- pain is worse with increases in either of these two troublesome conditions. At our chiropractic and acupuncture office here in Chapel Hill, NC, we incorporate natural themes throughout the facility to relax the mind and body. Dr. Oskardmay makes helpful suggestions to help you incorporate nature in your life, as well. Our goal to help you feel better naturally.

Chiropractic and acupuncture are natural health alternatives- they provide nature-based options to traditional medications and drug therapies. These hands-on therapies have fewer adverse side effects and provide practical, lasting relief for many conditions.  Dr. Oskardmay depends on skilled palpation and observation of the patient and thorough patient history evaluation to diagnose wherever possible.

Chiropractic perceives the flow of nerve energy through spinal subluxations- rocky impediments and teetering blockages that deprive downstream muscles, organs, and other tissues of nourishing energy. Dr. Oskardmay removes obstacles to healing via the chiropractic manual adjustment to restore nerve flow. As an acupuncturist and chiropractor in Chapel Hills, NC she uses massage techniques to relax and smooth taut muscles to relax the body-mind, reduce sympathetic flight-of-flight overload, and restore natural health.

Acupuncture treatment has many connections with nature, as well. Yin and yang are essential concepts that, generally, relate to the balance of all energies -hot and cold, fast and slow, hard and soft. Channels or meridians recognized by Chinese medicine acupuncture are wood, fire, earth, metal, and water. The balance and movement of corresponding energies along the meridians reflect regions of imbalance and stagnation, disease, and impairment. Being in nature builds yin, which reduces stress and strengthens the relaxation response. Dr. Oskardmay, like other acupuncturists, uses energetic channels to heal and incorporates natural themes to facilitate the process.

Beyond the outdoors, there are many local businesses with products that aid natural healing.  For instance, Weaver Street Market is a local Food Cooperative with organic foods and herbal remedies and ointments. Fleet Feet Active Feet in Carrboro is a local store that provides client foot evaluation for the best activewear shoe to enhance the outdoor experience. On a smaller scale, Carolina Cairn Company on Etsy sells handmade rock sculptures and other objects to incite relaxation and balance.

Wherever there is natural relaxation, there is a chance for healing. Choose your favorite natural respite to take the edge off; your mind and body will benefit. Call or email our chiropractic and acupuncture offices in Eastowne Hills of Chapel Hill for more information. Call Acupractic today.

Understanding How Chiropractic Care Works

Chiropractor

Chiropractic care from an experienced chiropractor, like from Mid-Atlantic Spinal Rehab & Chiropractic, can benefit a number of people for a variety of problems. From back and neck pain to poor posture, chiropractic focuses on creating uninterrupted pathways between joints. It can help build up the immune system and improve everyday functioning, including mood and attitude, but there are many things it cannot do. Here is how chiropractic care works and what it is specifically for.

Types of Chiropractic Care

Most patients will encounter chiropractic adjustments when they see a chiropractor. Adjustments are movements and pressure applied to joints that are misaligned or causing pain. Spinal manipulation is the most common form of adjustment, which involves thrusting movements to pop vertebrae back into proper alignment. Other types of care include heat and cold applications, massages, diet changes and exercises.

Problems Treated by Chiropractic Care

While chiropractors generally work with the spine and back to relieve pain, other areas of the body can benefit from treatments, such as:

  • Lower back pain
  • Neck pain
  • Knee pain
  • Shoulder pain
  • Headaches and migraines
  • Hip pain
  • Joint stiffness
  • Whiplash, or other problems following an accident
  • Joint immobility

These are all pain-related issues that can be targeted by a chiropractor and gradually worked out over time. Many patients continue seeing a chiropractor after their first visit since results improve over multiple appointments.

Other Problems

In addition to direct pain, chiropractic care has been proven to improve overall health by boosting the immune and nervous systems. Children who see a chiropractor often experience improved moods and attitudes and get a better night’s sleep.

Safety Concerns 

Many people wonder whether chiropractic care is safe, and multiple studies have been carried out to see how it compares to other medical treatments. The good news is that chiropractic is one of the lowest-risk treatments available for severe pain. This may appeal to patients who are not yet ready to go onto medications or undergo major surgeries to correct an issue. Best of all, chiropractic care is not something you must continue to receive for the rest of your life once you’ve started. If you see excellent results after a certain time, chiropractic care may no longer be needed; but you can return to it if old pain arises again.

If you think a chiropractor might be able to help with your pain, make a consultation appointment to discuss your situation, or ask your doctor. Getting a better understanding of chiropractic can help you make an informed decision on how to best address your pain.

Chiropractic Care for Shoulder and Neck Pain and Sixth Cervical Nerve

Chiropractor Chapel Hill, NC

At Acupractic Natural Healing Center, the chiropractic and acupuncture offices of Dr. Lisa Oskardmay, we heal shoulder and neck pain at its source. A trained chiropractic physician with over 25 years of clinical experience, Dr. Oskardmay has helped thousands of Durham, Chapel Hill, and Raleigh residents reduce neck and shoulder pain naturally, without drugs and surgery. We do this as we focus care on the source of the problem. The spine surrounds and protects the spinal cord. When the vertebral column is misaligned and inflamed, the neck and back and distal innervated areas suffer. The shoulder and neck frequently experience pain together because of this connection. At Acupractic Natural Healing Center, the chiropractic and acupuncture offices of Dr. Lisa Oskardmay, we heal shoulder and neck pain at its source. A trained chiropractic physician with over 25 years of clinical experience, Dr. Oskardmay has helped thousands of Durham, Chapel Hill, and Raleigh residents reduce neck and shoulder pain naturally, without drugs and surgery.

There are seven spinal segments in the neck and eight cervical nerves. The following discussion relates to the sixth nerve that arises from just above the sixth vertebra. Damage and irritation of this region affect many people. The sixth nerve arising from the lower part of the cervical spine sends nerve input to several vital areas, especially the rotator cuff muscles and muscles of the distal arm. Damage of the sixth cervical nerve from spine subluxation can result in nerve impingement. Subluxation will affect the upper trunk of the brachial plexus, a bundle of nerves coming from the lower neck to the shoulder, arms, and hands. The sixth cervical spinal nerve contributes fibers to peripheral nerves, including the long thoracic nerve, the medial and lateral pectoral nerves, the upper and lower scapular nerves, thoracodorsal nerve, medial cutaneous nerve, axillary nerve, and others.

Many people suffer from an impingement of this vital cervical spinal nerve segment due to its position in the delicate neck and overbending or twisting. Dr. Oskardmay understands the cause and implications of neck pain and is able to help with a combination of chiropractic adjustments, massage, and acupuncture.

Irritation of the sixth cervical spinal nerve can affect the function of muscles innervated by the segment via the aforementioned peripheral nerves. For instance, the rotator cuff muscle teres minor allows external rotation of the shoulder, such as throwing a baseball.  The triceps muscle enables us to straighten the arm and extend it backward, such as reaching the car’s back seat. The deltoid muscle is involved in flexion of the shoulder joint and rotating the shoulder inward as in reaching overhead or forward. Loss of any of these motions can indicate irritation of the sixth cervical spinal nerve. Be sure to tell Dr. Oskardmay about any loss of muscle strength as this can mean a level of spinal misalignment she can help fix.

Spinal misalignment and subluxation occur from many causes- spinal injury, overuse, twisting too quickly, sitting in a bent posture, sleep postures, to name a few. Pain in the neck and back at the level of subluxation frequently associates with misalignment, although not always. Additionally, there may be altered sensation- pins and needles, numbness, aches, even sharp pain, along the dermatome and other aspects of the distribution of the affected nerve root. The sensory delivery of the sixth cervical spinal nerve root is the anterior shoulder; many people with irritation of the sixth cervical vertebra level experience altered sensation in that region, though not always. Also, pain stemming from the shoulder joint itself transmits via the sixth cervical nerve root.

A licensed chiropractic physician and acupuncturist, Dr. Oskardmay, uses gentle, effective treatment methods to restore the body to health. Trained in hands-on spinal mobilization and the Activator Technique, she puts your spinal health first and can help reduce pain caused by the spinal disorder and other problems. Additionally, she employs beneficial soft tissue massage and other modalities to enhance treatment goals.

Dr. Oskardmay has helped thousands of Triangle residents learn the cause of their shoulder and arm pain. Contact our office today to see how a chiropractor Chapel Hill, NC locals recommend can help you get back to health today.

Stress and Shoulder Pain Relief With Acupuncture

Shoulder Pain Doctor Chapel Hill, NC

Acupuncture is a type of healthcare that recognizes the connection between the body and the mind. Stress uniquely affects each person; nonetheless, many people experience tightness in their shoulders when they are under pressure. Treatment for stress and shoulder pain and tightness by a licensed acupuncturist benefits the channels that course the shoulder region. Therapy of the channel, also known as meridian or energetic pathway, helps the shoulder as well as similar emotional concerns. Acupuncturists treatment with acupuncture needles, meridian massage, and auriculotherapy provide needed relief.

Energetic pathways passing through the shoulder include the wood channel, the metal channel, and the fire channel. The wood channel relates to the emotions of anger and frustration; the flip side of these sentiments is creativity. Areas of the shoulder connected with the wood element are the top of the shoulder and the neck. Persons experiencing stress related to frustration and anger or blocked creativity who also experience pain and tightness in the upper shoulder region will benefit from acupuncture to these regions.

The anterior aspect of the shoulder and the emotion of grief relates to the metal element or channel. Other features include inspiration and letting go. Persons who experience stress as a lack of motivation and feeling that they can’t let go of an issue, as well as pain or tightness in the anterior aspect of the shoulder, will find acupuncture treatment to the metal channel beneficial.

The fire meridian or channel relates to the posterior portion of the shoulder. Muscle aches and pain and fatigue of this area suggest irritation of the fire element. The fire element’s emotional aspects are bitterness and joy; persons who experience stress with bitterness and lack of joy will find some relief with Chinese medicine and acupuncture to the fire channel.

Acupuncture intake and evaluation rely on criteria somewhat different than western medicine. Traditional Chinese Medicine diagnosis involves asking questions about where pain exists as well as about mood and mental concerns. Other aspects include the evaluation of tongue and pulse because these critical diagnostic criteria reveal a lot about the patient. Other issues revolve around organ function. Be sure to fill out the necessary paperwork and intake forms as completely as possible because answers provide the information your acupuncturist needs to provide accurate and beneficial diagnosis and treatment. Answer any questions your acupuncturist inquires to the best of your ability to enable them to know you better. Acupuncture relies on channel theory to heal the patient, and your participation helps practitioners understand where the imbalance lies and how to treat problems effectively.

Stress frequently accompanies aches and pain in the shoulders or other body regions. Your acupuncturist can help you understand what causes the problem and how to reduce anxiety and stress better. Using small sterile acupuncture needles, acupuncturists unblock areas of stagnation and blocked qi flow. This relatively painless, relaxing treatment benefits the body and mind. Many acupuncturists also incorporate massage such as gua sha and cupping to restore balance further, reduce tight muscles and trigger points.

Acupuncture is an enjoyable, beneficial treatment that has helped millions worldwide reduce stress and pain. Call a licensed acupuncturist today to get the help you deserve.  For more information, contact us today at Acupractic to schedule an appointment with a shoulder pain doctor Chapel Hill, NC residents recommend.

How Chiropractors Adjust Patients Differently

Chiropractor

No two people have the same bodies or physical challenges. Likewise, the way that health care professionals treat patients will vary from person to person. If you’re having back problems, you can turn to a chiropractor for relief. The chiropractor will use a technique called an adjustment to realign your spine and promote healing throughout your body. It’s helpful to understand how this process works.

What Is an Adjustment?

Going to the chiropractor is much more than have someone pop your back and send you on your way. An adjustment is a process where the chiropractor manipulates your spine to put it in the correct place. The chiropractor will have you lie on a table, either on your side or stomach. The doctor then places his or her hands on your back. Using sudden, controlled force, the chiropractor will adjust your spine. The frequency of these adjustment visits will depend on the severity of your issue and other health factors.

What Are the Benefits? 

People of all types can see a chiropractor for an adjustment. The process not only helps relieve back pain but can reduce irritation and discomfort in the neck, shoulders, arms, legs, hands and feet. People with headaches and chronic migraines also get adjustments. These treatments can help a person have better flexibility, mobility and range of motion.

Customizing the Adjustments

Not all adjustments will look the same. The chiropractor will be mindful of unique situations that patients may have. For example, a pregnant patient will have different challenges and needs than other people. In these cases, the chiropractor may place a pillow or cushion under the patient. The doctor may also adjust the level of the table. Instead of lying on her stomach, the woman will lie on her side or sit in a chair. Younger, smaller patients will also require less pressure and force on the back from the adjustment. The chiropractor may also use a tool to manipulate the spine. Patients should keep in mind that any time they feel pain during the adjustment that they should inform the chiropractor. It is always best to share any concerns or ask questions before the adjustment takes place.

If your back or other joints are hurting, get help sooner than later. These pains can affect your quality of life. Luckily, relief is available through chiropractic adjustments, regardless of your age, body type or any other factors.

Reach out to a Chiropractor, like the chiropractors at Mid-atlantic Spinal Rehab & Chiropractic to make an appointment or for further assistance.

Chiropractic Care and the Fifth Cervical Spinal Nerve

Neck Pain Doctor In Chapel Hill, NC

Chiropractic physicians are neuromuscular specialists with emphasis on the spine and nerves. Dr. Oskardmay evaluates each patient’s spinal health as part of a regular treatment plan. She recognizes that each nerve arising from the neck and backbone has the potential to impact particular muscles and organs; each spinal vertebra also impacts posture and back pain. Using careful evaluate she determines where to perform treatment to relieve spinal subluxation and pain.

For instance, the nerve arising in the lower mid-neck region just above the fifth cervical vertebrae is called the fifth cervical spinal nerve. This nerve is part of several larger peripheral nerves that travel to muscles in the neck and shoulder. Misalignment or subluxation of the fifth cervical vertebra that puts pressure on this cervical spinal nerve can impede function of those muscles and cause changes in skin sensation related to the nerve. When you have neck pain or other symptoms such as shoulder irritation or headache, Dr. Lisa Oskardmay can help determine spinal level involvement and she can provide effective gentle treatment.

Peripheral nerves that receive input from the fifth cervical spinal nerve include the dorsal scapular nerve, the long thoracic nerve, the phrenic nerve, the upper trunk of the brachial plexus, and the musculocutaneous nerve. Muscles innervated by these nerves include: the middle scalene muscle that lifts the top ribs, the levator scapalue that elevates the shoulder blade, and the rhomboid muscles that hold the scapula toward the spine. Other muscles include the serratus anterior muscle which is a muscle that attaches the first eight ribs to the scapula, as well as the muscles on the anterior compartment of the arm that flex the arm such as the flexor carpi radialis and palmaris longus muscles, and that flex the wrist and fingers such as the flexor carpi ulnaris and flexor digitorum superficialis muscles. Importantly, the fifth cervical spinal nerve also contributes fibers to the phrenic nerve, involved with breathing.

Irritation of the mid-neck in the region of the fifth cervical spinal nerve has the capacity to affect many areas as described. When there is irritation to the mid-neck either from injury or chronic degeneration, the spinal nerve suffers, and connected muscles and ligament suffer, as well. Patients may notice symptoms such as headache, shoulder bursitis, and imbalance, back muscle tightness, neck pain, arm and hand weakness or problems with the fingers. Dr. Oskardmay treats problem areas using a combination of supportive techniques.

Dr. Oskardmay adjusts spinal misalignment using chiropractic mobilization techniques. Well trained in hands-on spinal adjustments and Activator technique, she will improve vertebral position and stability. Additionally, massage helps to relax tight muscles; Dr. Oskardmay provides therapeutic massage and other beneficial therapies such as cupping and acupuncture as needed, as well, in order to bring balance back to the system.

The fifth cervical spinal nerve is just one of the spinal segments that benefit from chiropractic care. Whenever you or a loved one suffers from pain and other health problem, contact a neck pain doctor in Chapel Hill, NC from Acupractic Natural Healing Center to help get to the root of the problem.

Spinal Care of the Neck Fourth Cervical Nerve Impacts Neck and Shoulder Pain, Posture and Respiration

Chiropractor in Chapel Hill, NC

Dr. Oskardmay provides gentle and effective care to the spine to improve health in many ways. Nerves arising from between the bony vertebrae comprising the spine suffer when the backbone is not aligned correctly. Additionally, surrounding muscles and ligaments show signs of imbalance- painful tightness and unstable weakness. Using skillful palpation and other diagnostic techniques, Dr. Oskardmay locates areas of subluxation and provides a hands-on treatment that feels good and sustains good health in many ways. One of the critical regions she treats is in the mid-neck. Patients exhibiting pain and tenderness in this region frequently suffer from misalignment to the spinal vertebrae in this region, which creates pain and impairs cervical spinal nerve four discussed below.

Cervical spinal nerve four is part of the peripheral nerve, which controls the diaphragm. This nerve is called the phrenic nerve. The membrane is a large muscle that bisects the upper body from the lower body. The diaphragm muscle attaches below the rib twelve and is the muscle that controls respiration. Major arteries and nerves and the esophagus pass through the diaphragm. Irritation of the nerve controlling the diaphragm can affect breathing, digestion, blood flow, and nerve transmission. Dr. Oskardmay uses palpation and other techniques to assess the diaphragm region, and she will provide therapy as needed, to improve muscle tone to the diaphragm.

Spinal Care of the Neck Fourth Cervical Nerve Impacts Neck and Shoulder Pain, Posture and Respiration

Cervical spinal nerve four contributes fibers to the levator scapulae muscle, a muscle that elevates the shoulder and connects the neck to the shoulder.  The fourth cervical spinal nerve affects neck and shoulder movement; problems in this nerve cause neck and shoulder problems such as shoulder pain and bursitis. Following careful evaluation, Dr. Oskardmay uses the chiropractic adjustment to, and neck restores shoulder balanced motion and strength.

The fourth cervical spinal nerve innervates neck muscles on the front of the cervical spine, engaged in neck flexion. The anterior and middle scalene muscles, the longus colli muscle, and the longus cap8tus muscles receive input from the fourth cervical spinal nerve and help us to incline the head. Anterior head posture is a result of taut cervical muscles. Consequently, anterior neck positioning contributes to spinal problems such as cervical osteoarthritis and headaches and shoulder impingement. Dr. Oskardmay will evaluate and treat these conditions.

Breathing suffers when there is irritation to the mid-cervical region. The fourth cervical spinal nerve innervates the scalene muscles, which attach onto the first rib and assist in breathing. Shallow breathing and lack of full respiration is the result of irritation of cervical spinal nerve four when muscles such as the scalene suffer. Following an adjustment at Acupractic, patients frequently realize improved inhalation and exhalation.

Chiropractic care at Acupractic Natural Healing Center with a chiropractor in Chapel Hill, NC, can help in many ways. If you suffer neck or shoulder pain, gentle, effective relief is available.

Serving the communities of Chapel Hill, Carrboro, Durham, Hillsborough, and the rest of the NC Triangle

205 Providence Rd. Chapel Hill NC 27514 | Phone: (919) 929-1400

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