Thomas McGillick – Forked River Gazette http://www.forkedrivergazette.com Forked River Gazette Mon, 11 Dec 2017 14:29:42 +0000 en-US hourly 1 http://www.forkedrivergazette.com/wp-content/uploads/2015/08/cropped-Forked-River-Gazette-Logo-32x32.png Thomas McGillick – Forked River Gazette http://www.forkedrivergazette.com 32 32 Feet…..Knees…..Lower Back! http://www.forkedrivergazette.com/feet-knees-lower-back/ Wed, 30 Sep 2015 20:49:31 +0000 http://www.forkedrivergazette.com/?p=19812 Feet…..Knees…..Lower Back!  All three of these parts of your body, your lower back, your knees, and your feet, are very much related.  Many times patients present to this office with lower back pain when in actuality, it is lower back pain that has developed because initially there were foot problems.  After many years of foot … Continue reading Feet…..Knees…..Lower Back!

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Feet…..Knees…..Lower Back!  All three of these parts of your body, your lower back, your knees, and your feet, are very much related.  Many times patients present to this office with lower back pain when in actuality, it is lower back pain that has developed because initially there were foot problems.  After many years of foot problems, lower back problems do develop and can actually lead towards osteoarthritic degeneration and pelvic unleveling, however, the main culprit at times has been in the feet.  During growth, the normal development of the pelvis and the spine can suffer if there is foot imbalance.  Due to feet imbalance, such as pronation, supination, or not walking straight with your toes, or even, unfortunately, utilizing poor support sneakers, this can interfere with spinal functions, which can result in poor biomechanics and accelerated degeneration in the knees, hips, and the spine.  Feet, as most people know, grow faster than the rest of the body; it actually achieves fairly close to its mature length by the time a child is 7-8 years old.  Most problems arise when the feet and legs do not align properly, which is in-toeing or out-toeing, or when the main arch does not fully develop, giving the knee support.  There are many quick methods for checking children and adolescents, or even adults for need for orthotics, which are also known as pelvic spinal stabilizers.  A visual look to the person’s feet to see that they are balanced and equal to each other can show symmetry, as well as asymmetry.  The feet should have an arch support, which allows for the proper walking mechanics in the foot, however, too big or too small of an arch can also lead towards problems.  By observing a few normal relaxed paces, several abnormal gait findings can also be distinguished. 

What I have found in young adults, the most common fault in walking is called in-toeing, which is following some excessive toeing out, which is called foot flare.  Also, inspecting the shoes can tell if there is abnormal wear and tear.  If a person is wearing the same shoes for an excessive period of time, excessive wear on the inside or outside of the shoe can be a sign that they are not wearing properly and they are not walking properly.  This is a red flag with any asymmetrical excessive or lateral wearing down of the heel or the side of the shoe.  Also, watching the knees when a person is walking, they should be even and staying even throughout the walk and many times with a foot problem, you will find that the knees sway from side to side.  In our office, we can benefit from the utilization of an infrared foot scan, which actually shows the entire foot structural balance.  However, outside the office, some things that can be reviewed fairly easily is to have somebody look at your feet.   You will need to stand barefoot, obviously in your shorts or underwear, or you could do this in front of a mirror.  You will need to stand relaxed, normal position, facing the mirror.  Walk in place for approximately ten steps to position your feet naturally.  Look down at your feet.  Do either or both feet flare to the outside?  Do either or both feet flare to the inside?  Are either or both of your knee caps off center?  Now have someone look behind you and look for your Achilles tendon to make sure that it is straight.  Is your Achilles tendon swaying to the side, either way, right or left?  Looking at the bottom and side of the feet, do either or both feet appear to be flat footed, which means there is no arch support?  Or do either or both feet appear to have too much of an arch?  These are all signs that you may be in need of arch supports, which can be done in most chiropractic offices, as well as in your podiatrist office.  If you have any concerns with this, seek the opinion of your local podiatrist or chiropractor, as utilization of spinal pelvic stabilizers, also known as orthotics, can be a very good way to prevent further or accelerated degeneration throughout many aspects of your body.  As the joints in your body bear weight (ankles, hips, knees, pelvic, lower back, neck), this is like links in a chain.  If your feet aren’t balanced, every joint, as well as the connecting tissues, tendons, and muscles, may become injured over time due to unnatural twists and strains on your body.  Pain may occur in other areas, not inclusive of your feet, because of your feet imbalance.  Every time your foot hits the ground, the shock wave will travel all the way through your body.  If your feet are balanced and supported, they can observe much of this shock.  But if your foot is not balanced, and you do not have good cushioning, over time the shock can cause you additional stresses and strains throughout your body.

Tom McGillick

 

 

This article submitted by Dr. Thomas C. McGillick  Wharfside Chiropractic Center  Forked River, NJ

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The Importance of Good Posture http://www.forkedrivergazette.com/the-importance-of-good-posture/ Thu, 06 Aug 2015 15:01:30 +0000 http://www.forkedrivergazette.com/?p=18389 When it comes time each month for me to write an article for the Gazette I try to think of our present times in our community for ways that some information can be provided to the public. One avenue has always been education and another has information that many would find beneficial. I see on … Continue reading The Importance of Good Posture

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When it comes time each month for me to write an article for the Gazette I try to think of our present times in our community for ways that some information can be provided to the public. One avenue has always been education and another has information that many would find beneficial. I see on a daily basis many patients and people whose bodies and posture has changed from when I first opened practice in Forked River back in 1987.  I’ve been in practice for almost 28 years and in this time I have truly seen different postural presentations on a daily basis. I’d like to share some of these with you. One obvious factor is our present day lifestyle with computers. Computers are a way of life for work and personal habits.  We are bent over daily when leaning over a desk, hunched over on our laptops, sitting on a couch with computers on our laps head down in a rounded shoulder position, as well as utilizing cellular phones as computers in this hunched over position.

What I am finding is amazing as our bodies were not being forced in this position back in the late 1980s as they are in present day. There are so much more hyper kyphotic presentations today than there were twenty years ago.  Kyphosis is your mid and upper back region where there is supposed to be a mild curve that supports your spine while you sit, stand and walk.  This mild curve is distributed from your upper back going towards your lower back and gives you that little bit of a posture then in your upper back. This allows for a proper support for your neck and also your lower back. However, this mid back presentations over the past decade, and certainly over the past five years is becoming more prevalent of a hyper kyphosis (Hyper means increased) especially in young adults. This has aided to what is in the layman’s term called very round shoulders. Very round shoulders (Hyper kyphosis) forces your head to move forward putting excessive pressure on your upper back as well as significant upper back stress between the shoulders. This enhances stress to the upper back, creates pain with difficulty turning your neck and can even increase headaches symptoms. Although medical and chiropractic advice should not be rendered to the public without evaluations and examinations proper sitting techniques as well as posture information can be forwarded in this article. Sitting in a proper chair at 90° is very beneficial. 90° with your feet to the floor.  90 degrees sitting at your knees bent.  90 degrees sitting at your hip in the chair.  Chairs should be comfortable.  A chair for me (6 foot three) would not be the same chair for someone 5’3””.  My chair would have to be a longer chair and higher up with someone at 5 foot three should be a shorter chair so the legs are not being pinched at the knees and feet are able to be square to the ground.  Height of the armrest should also be at 90° so you’re resting your elbows on the armrest without having to lean over.  You should be sitting straight back in chair and should keep your shoulders back while working especially at the computer. If you’re sitting in a soft couch or a chair bent over on the phone you will find yourself bent over forward looking down.  You can prevent excessive strain to your back by placing a pillow on your lap then place phone or computer on pillow to allow your arms to be higher which will prevent your head from looking down so much. This will also aid in preventing stress to the upper back. Try to be conscious when driving and keep your shoulders back up against the seat.  Also, if you are finding yourself all hunched over you can do an easy stretch of reversed shoulder rolls daily. This is elevating your shoulders, bending backwards, then down, then forward and continuing for about ten to fifteen times per session.  This can be done three times a day and should assist in improving rounded shoulders as well as reducing strain to your neck, upper and mid back.  This would also stretch the front of your chest region (pectoral muscles) as well as loosen up your upper back muscles which can aid in improvement of posture.

Submitted By:  Dr. Thomas C. Mc Gillick

Tom McGillick

 

 

 

 

 

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Lower Back Pain http://www.forkedrivergazette.com/lower-back-pain/ Thu, 02 Jul 2015 12:27:16 +0000 http://www.forkedrivergazette.com/?p=17241 By:  Dr. Thomas C. McGillick In a chiropractic office lower back pain probably makes up half of the presentations to the Dr.’s office. There are many causes of lower back pain which some of these causes may include poor or no stretching routines, too much sitting and not enough exercise, structural misalignments, posture problems, poor … Continue reading Lower Back Pain

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By:  Dr. Thomas C. McGillick

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Dr. McGillick

In a chiropractic office lower back pain probably makes up half of the presentations to the Dr.’s office. There are many causes of lower back pain which some of these causes may include poor or no stretching routines, too much sitting and not enough exercise, structural misalignments, posture problems, poor sitting habits, jobs that placed too much stress and strain on the lower back, specific injuries of the lower back, sprains and strains, age that may result in degeneration of the spinal column, as well as associated disc problems.  However, it has been my experience that spinal strain and postural fatigue account for many of my office presentations. For example, lifting a heavy object improperly, or falling, may cause immediate back pain. But poor sitting habits and lack of proper stretching protocols does not create an immediate lower back pain. Postural and spinal fatigue can take months (or even years) to develop and unfortunately many people suffering with this type of pain resort to over the counter medications for relief (or stronger meds) without ever considering healthier options.  Other reasons may not be so apparent and may take a long time to develop a painful condition such as poor sleeping habits, standing improperly, or improper sitting habits.

A basic management plan in the chiropractic office emphasizes a return to normal function or that particular patient’s maximal normal function. Every patient’s potential is different and must be treated individually. Success for the patient in a chiropractic office depends on many treatment plans, but basically there are four stages to recovery of lower back pain that is usually successful.

The first stage in the chiropractic office is obviously to reduce the patient’s pain. Chiropractors will not prescribe medication to mask pain but will instruct patients in correct direction for utilizing cold packs (ice) or hot packs, whichever is beneficial for their particular condition.  Also in the initial stage of treatment chiropractors aid to get an initial proper postural function at an early stage to prevent continued stress on the area of pain. Specific sleeping habits, back supports, therapeutic modalities and specific chiropractic adjustments are very beneficial in the initial phase for the reduction of pain.

Second stage in a chiropractic office revolves around recovery of function stage. The goal is to get the patient to perform basic daily activities without aggravating the patient’s pain. This allows for recovery of normal muscle tone, joint movement and flexibility which can promote and improve flexibility.  Chiropractic specific spinal and extremity adjustments, with associated physiotherapy treatments aid in improving spinal function with the addition at this time of home stretching protocols advised.

The third stage is a rehabilitative stage which is a key therapeutic approaches that often includes continued spinal adjustments with expanded exercise programs, postural retraining, with discontinuation of braces and supports.  Goals of getting the patient back to their daily activities is optimal.

The final stage of treatment for lower back pain patients is a stabilization stage which includes getting the patients to be able to perform their activities without aggravation felt to their lower back.

In our office the application of stabilizing the spine by including rehabilitation procedures inclusive of spinal pelvic stabilizers, also known as stabilizing orthotics are discussed at this point.

Your feet are the foundation of your body, and if your feet are not properly supported, you can have problems anywhere from ankles on up through your neck. Stabilizing orthotics assist in balancing a person’s foundation to keep the body stable as you stand, walk, or run. It’s like putting a shim under the leg of a wobbly table. The shin stops the entire table from moving. Stabilizing orthotics keep your entire body in balance including your back, hip, even your neck and help stabilize many spinal abnormalities which have resulted in painful responses.

There are many avenues and procedures in all offices for reduction of pain and a return to a normal active lifestyle. Chiropractic approaches specifically involve the patient to achieve the ability to return to an active lifestyle (as much as possible) for each individual patient. A goal of returning to an active lifestyle without the use of continued drugs or medications is one of the initial end goals in a chiropractic office.  With the use of specific postural stretches, chiropractic adjustments, associated therapies, along with the utilization of spinal pelvic stabilizers all assist in keeping patients from having to suffer continued bouts of lower back pain and assist in returning patients back to their normal lifestyle.

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Let’s Go For a Walk http://www.forkedrivergazette.com/lets-go-for-a-walk/ Wed, 06 May 2015 18:56:27 +0000 http://www.forkedrivergazette.com/?p=15569 Now that spring time is among us (thank God) it seems everyone is talking about “going out for a walk.” But there’s more to it than just walking. First off, everyone should know their limitations. When your friend says, “let’s go out for a walk”, you should consider if you are not a walker and … Continue reading Let’s Go For a Walk

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Now that spring time is among us (thank God) it seems everyone is talking about “going out for a walk.” But there’s more to it than just walking. First off, everyone should know their limitations. When your friend says, “let’s go out for a walk”, you should consider if you are not a walker and she is.  What may not be beneficial for you may not be beneficial to her and vice versa.  You should first use clothing that is windproof and comfortable and realize while you are walking your body temperature will heat up. Too much clothing will make you uncomfortable with abnormal perspiration. Stretching beforehand, specifically stretching your calves and your hamstrings will get circulation to lower extremities.

Utilizing loose clothing, especially upper extremities allows your arms to swing back and forth, which can generate more cardiovascular exercise.

However, walking shoes are your most important item of gear. This is not the time to skimp on costs. There are many good walking shoes and walking shoes that are good are the ones that are good for you. There is really no one best shoe for all walkers. The best shoe for you is the one that fits you the best, the one it gives you the proper support, flexibility, cushioning, and compensates for any stride problems you may have, such as over-pronation. Comfort cushioning at the sole of the shoe allows for a cushioned impact and prevents knee and hip pain following long walks, especially when walking on hard surfaces. Look to get a good quality shoe one that will breathe and also one that allows for a little stretching as your feet expand while walking. Also realize what type of surface you are going to be walking on. The harder the surface, such as walking on cement will require you to have a much more cushioned sole than if you were walking on soft ground or grass. Unfortunately, it seems shoe manufacturers put the best design and technology into running shoe styles, while walking shoe styles are designed primarily for market appeal rather than performance.  Make sure that the walking shoe is flexible and able to bend and twist.   When you take walking steps, your heel connects first then transfers through the walk.  If the shoe is too stiff, your foot will fight it with each step. Walking shoes should have a relatively flat heel. Since Walker’s strike with the heel first, you do not want a flared heal. In fact, a slightly undercut heel is preferred. Also realize if you’re going to be a true dedicated Walker, you may find yourself walking in poor weather conditions and getting good quality insoles will prevent you from getting your feet wet while walking. To know if the walking is giving you a true cardiovascular exercise, you should not be able to have a regular conversation while you are walking. If you are walking with a friend, you should have labored breaths while walking as this will get your target heart rate elevated and get you the best cardiovascular performance. A cardiovascular walk of 15 to 20 minutes a day is an excellent form of exercise. Target heart rate is the number of beats your heart takes in a minute that is best for you. Discuss with your medical physician if you have any issues or cardiovascular problems that may prevent you from walking. But if you are of general good health a standard target heart rate is 220 minus your age times 75%. Resting heart rate is the pulse rate when you are sitting for 60 seconds. For example, I am a 57 years old male of good health. My target heart rate is calculated at 220-57×75% which gets me to a 123 beats per minute for 15 – 20 minutes for a great cardiopulmonary exercise. Target heart rate obtained for approximately 15 minutes three times per week is great for overall health and a good walking program.

 

This article submitted by Dr. Thomas C McGillick Chiropractic physician Forked River, NJ

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