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Warm Up & Stretching

Brad Farra - Monday, November 09, 2009

If you have ever been a patient of mine you know that I think a warm up before any athletic performance is important. Equally important is the post exercise stretching.

A good warm up should increase muscle and core temperature, increase blood flow, and prepare your soft tissues for work. No one really argues the point that a warm up is important. Warm up allows for a faster muscle contraction and relaxation, improves strength and power, increases blood flow to working muscles, enhances metabolic reactions, and even improves oxygen delivery. Improved injury prevention is probably the most important benefit of a good warm up.

While the importance of a good warm up is not disputed, it seems that we will be arguing about when to stretch and when not to until robots have taken over the planet and there are no more muscles to stretch. Until the humans are dead I'll try to sort through the research to give you some guidelines.

With sports that require an increased range of motion pre-exercise stretching should be performed after warming up. An examples of a sport requiring a maximum range of motion is gymnastics. In other sports static stretching can reduce muscle performance, but the evidence is somewhat conflicting. The most important time to stretch is after your activity. Post exercise stretching facilitates improvements in flexibility and helps prevent injury. I often tell my patients that are runners that if they don't have time to stretch after their run, then they don't have time to run. Stretch after your exercise, you'll thank me and you won't be in my office with an injury that needs treatment.

The Body is the Hero!

Brad Farra - Sunday, November 08, 2009

"It is the body that is the hero, not science, not antibiotics...not machines or new devices...The task of the physician today is what it has always been, to help the body do what it has learned so well to do on its own during its unending struggle for survival - to heal itself".


-Ron J. Glasser MD

Experience what Chiropractic can do to help your body heal itself.

Graston Technique

Brad Farra - Thursday, November 05, 2009

More than 115 professional and amateur sports organizations, some 600 out-patient facilities and more than 6,000 clinicians around the country offer not only the original, but the finest instrument-assisted soft tissue treatment technology available. GT is part of the curriculum in 29 university and collegiate institutions.

I use Graston Technique in my practice for many different types of soft tissue injuries, it's an amazing and effective therapy.

Graston Technique is an innovative, patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively break down scar tissue and fascial restrictions. The Technique utilizes specially designed stainless steel instruments to specifically detect and effectively treat areas exhibiting soft tissue fibrosis or chronic inflammation.

Research has found that the controlled micro trauma induced through Graston Technique protocol, increased the amount of fibroblasts to the treated area. That amount of inflammation to the scar tissue helps initiate the healing cascade. The structure of the tissue is rearranged, and damaged tissue is replaced by new tissue. Ice is then applied to reduce the pain and exercise is implemented to increase function and range of motion.

Other clinical studies continue to document the success of Graston Technique®, generally achieving better outcomes when compared to traditional therapies, and resolving injuries that have failed to respond to other therapies.

Graston Technique decreases overall treatment time, fosters faster rehabilitation, reduces need for anti-inflammatory medication, resolves chronic conditions thought to be permanent, and allows the patient to engage in normal everyday activity or sport.

Gary Null Speaking Out at the NYS Assembly Hearing

Brad Farra - Wednesday, November 04, 2009

I am encouraging people to make informed decisions about whether to get a vaccine or not.

Here is some information to help with your decision making. There are some disturbing facts brought to light by Dr. Null.

Car Accident

Brad Farra - Tuesday, November 03, 2009

I occasionally get a question asking me about how Chiropractic can help after you have been in a car accident:

Chiropractic can help in many ways. Initially the goal of treatment will be to reduce pain and swelling. After the acute phase of healing has passed, the main goal is to get the body moving properly with Chiropractic adjusting (also called manipulation), soft tissue therapies (massage), and rehabilitation. Chiropractic manipulation enables the joints and muscles to move in the correct manner. After a car accident, or any other trauma in which your body is jerked around, soft tissues including muscles, ligaments, tendons, and even joint capsules are injured. The body repairs these soft tissues with scar tissue, which can restrict joint movement and even cause pain. One goal of treatment after this type of injury is to rehabilitate the joints and soft tissues surrounding the joints. Over time, untreated muscle spasms or contracture/tightening of soft tissues can lead to abnormal joint motion and osteoarthritis or degenerative changes in the spine (which is irreversible). I have treated many car accident victims and even snowboarders and skiers with the same types of injuries. Chiropractic care has a lot to offer when it comes to getting you better from these types of injuries.


Brad Farra - Monday, November 02, 2009

As a Chiropractic Physician I have a lot of people that come to me for help with headache pain. There are many causes for headache pain; most of them are benign, but it's important to speak to a physician about your headaches to be sure there is no life threatening cause. There are several types of headaches that have a link to the musculo-skeletal system, which is to say that there are problems with joints and muscles causing your headache. There can also be link between your headache and your daily activity or posture. Sometimes headaches are hormonally triggered or are brought on by foods and/or environmental triggers.

This video is a good review of some headache types.

New Chiropractic Research

Brad Farra - Wednesday, October 28, 2009

A brand new evidence-based study found that Chiropractic care for low back and neck pain is more effective and less costly than care by a medical physician. The study came out October 12, 2009 and was conducted by a couple of medical physicians, one from Harvard medical school and one from Mercer Health and Benefits of San Fransisco. One of the objectives of this study was to determine if the availability of Chiropractic care improves the value of a health benefit plan. The overall results of this study found that "Chiropractic care is more effective than other modalities for treating low back and neck pain". This study also evaluated the cost effectiveness of Chiropractic care and found that "Chiropractic physician care for low back and neck pain is highly cost effective". Patients that seek Chiropractic care for their low back and neck pain get better without drugs and surgery. This study did not take into account the prescription drug savings that is associated with Chiropractic treatment and estimates that the "cost effectiveness is likely to be understated".

The overall lifetime prevalence of back pain is 85%. This means that 85% of the population will experience back pain in their life. Low back pain accounts for 2% of office visits to medical physicians. The good news is that with studies like this one the Chiropractic benefits included in health insurance plans will only improve.

The Education of a Chiropractor

Brad Farra - Friday, October 23, 2009

Someone asked me today about what it takes to become a chiropractor.

After undergraduate college education to complete pre-med/Chiropractic requirements, Chiropractic College is an additional 4 years of rigorous training with particular focus on the diagnosis and treatment of neuromusculoskeletal conditions. Chiropractors receive virtually the same thorough education as all doctors. It is concentrated on three areas of learning: basic biological and health sciences (anatomy, physiology, histology, biochemistry, clinical and radiological diagnosis, etc.), clinical science and specialized training in the chiropractic discipline, followed by extensive clinical training and experience.

For more specific information go to: www.chiropracticresearch.org/NEWSchiroeduaction.htm

Chiropractic Defined

Brad Farra - Wednesday, October 21, 2009

The word Chiropractic is a combination of two Greek words. Cheiros, means hand. Prakikos means practice. Chiropractic essentially means "done by hand". Chiropractic adjustments are gentle hand movements, applied to the spine, to reduce joint restrictions and nerve pressure. The first Chiropractic adjustment was performed in 1895, but the history of work on bone and joints goes back to ancient medicine. Today there are over 60,000 chiropractors in the U.S. who offer a variety of techniques to diagnose and design a program of care for each patient. There are over 80 different ways to adjust patients. That’s why chiropractic has been successful in caring for infants to the elderly.

Hip Joint Arthritis

Brad Farra - Monday, October 19, 2009

I had a patient tell me the other day that they had hip joint arthritis and their MD told them to be careful with the hip. Yes, of course be careful with the hip. A little further explanation needs to be made here because this patient took these instructions as an order to not use the hip. One of the factors in the onset of arthritis in any joint is immobility or abnormal motion. Getting an order to not use the hip is a recipe to make the arthritis worse. I'm sure the MD's intention was to have the patient not fall on the hip and protect the hip from trauma. What should be done to treat an arthritic hip is to move the joint. Exercise, strength training, and some regular Chiropractic adjusting. There are some amazing studies that show chiropractic adjusting procedures, which essentially remove joint restrictions from the hip, reduce pain and halt the progression of hip arthritis. This makes perfect sense; if you stop moving the hip and motion is restricted you are vulnerable to developing arthritis, but if you keep it moving and there are no restrictions to movement the hip is resistant to arthritis. In my practice I treat a great deal of athletes. Cyclists and runners have a lot of hip problems with muscle imbalance and tension being the top causes for hip trouble. Many of the stretches and exercises I give to athletes would benefit the non-athlete as well.

If you have any questions about hip arthritis and how I can help you don't hesitate to contact me.