Cupping Technique

26 Sep 2016 Your Overall Health ,

Cupping has gotten a lot of press lately, especially after the Olympics.  Many athletes were pictured with large, unsightly round bruises on various parts of their bodies and the benefits of cupping were widely discussed.  So here are the basics.

What is cupping?

Cupping is an ancient Chinese practice used to relieve many ailments.  Today it is most commonly used for muscle aches and pains, though it can also be used for chest colds, skin conditions, arthritis and more. Cups are placed in specific areas on the body and suctioned tightly to the skin.

What does cupping do?

In Traditional Chinese Medicine most cases of pain are diagnosed as qi and blood stagnation.  The reason for the stagnation depends on the patient but common causes are repetitive use of muscles, scar tissue, and inflammation/injury. A healthy body is one in which the qi and blood moves freely and without obstruction.  When muscles knot or enflame or when scar tissue blocks one or more channels, the qi and blood cannot move as it should and this causes pain.  By cupping the afflicted area, the stagnation of blood and qi rises to the surface of the skin and out of the damaged tissues helping to release tension and promote blood flow.

Does it hurt?

You might feel a tightness or a pulling sensation during the treatment and the circles that result may be a little tender for a day or two.  Generally, people feel much better following a treatment.

How long do the circles last?

It depends on the patient.  It is like a bruise.  So, expect it to take as long as a bruise would take to heal.

Is it safe?  Are there side effects?

Cupping is very safe. It is important to have the treatment performed by a licensed practitioner so that proper application is used. Side effects include mild discomfort and bruising.  Blistering can occur if the cups are too tight or are left for too long. This is uncommon though.

Thank you to all the athletes who wore the (temporary) brand of our medicine!

Chiropractic adjustments for Ear Issues

26 Sep 2016 Your Overall Health ,

What is the Ear?

The external ear is called the auricle. It is the pretty part of the ear that we see on the outside of the body and where we hook glasses or wear earrings. The mechanics of the ear exist inside the hole in the head into the auditory canal that proceed to the middle and inner ear. This is where most ear issues occur. The labyrinth is the organ of hearing inside the internal ear.
What are the most common ear problems?

  • Ear pain
  • Dizziness
  • Tinnitus (ringing in the ears)
  • Fluid in the Ears
  • Allergies

What is the Cause of Ear Pain?

Ear pain is most commonly caused by infection in the external ear (otitis externa) or the middle ear (otitis media). The infection itself can appear due to the following reasons; cold virus, secondary infection and/or swimming. Other causes of pain can be due to allergies that will cause fluid build up and pressure behind the ears themselves.

What is the Cause of Dizziness?

This is commonly a cause due to a spinal misalignment, allergies/ fluid in the ears and allergies. Some infections of the ear will also cause dizziness and nausea.

What is the cause of Tinnitus (ringing in the ears)?

It can occur due to age related hearing loss, fluid in the ears, a circulation problem or injury to the ear itself (physical trauma). Some head trauma has also been known to cause what is perceived as ringing in the ear.

How are ear conditions diagnosed?

The ear exam goes with a physical exam of the external ear. The doctor uses an otoscope and looks into the medial can and the eardrum to see if fluid is present. The doctor will look at the ear canal to determine if it is red and swollen or any damage like a scratch or foreign body is in the canal. If a patient has too much ear wax for the doctor to see, they will use an ear curette to remove the wax. The next part of the diagnoses comes from symptoms. Here is a short list of symptoms that accompany ear problems:

  • Headaches
  • Ear Pain
  • Tooth pain
  • Vertigo
  • Fullness in the ear
  • Ear itching
  • Tinnitus or ringing in the ear
  • Loss of hearing
  • Loss of balance

The doctor will then evaluate whether any of these symptoms are due to virus or infection by checking past history of illness or trauma and taking the patient’s temperature.

What are the common Diseases of the Ear and how are they treated?

  • Ear infection: Topical medication and/or oral antibiotic ( herbal alternatives available) and Chiropractic adjustments of the neck to drain fluids.
  • Vertigo: Chiropractic adjustments, acupuncture and Epley’s Maneuver
  • Tinnitus: Chiropractic adjustments or acupuncture (if these fail to relieve the ringing a neurologic exam is often warranted)
  • Meniere’s Disease: medication, acupuncture, or rehabilitation and in extreme cases surgery
  • Allergy related ear fullness: medication, acupuncture and massage

Chiropractic Adjustment for the Respiratory System

8 Aug 2016 Your Overall Health

Our office used to have people suffering with terrible allergy symptoms during the spring and winter months . But this article was written in the summer because in California more and more people are having allergies due to growing climate changes and our fire season. One surprising solution to provide relief for breathing issues is chiropractic adjustments. Here are several ways how chiropractic helps on a mechanical level and on the level of the nervous system specifically the autonomic nervous system.

First of all if a rib is not articulating with the mid back vertebrae correctly, there is a mechanical impingement of the rib cage which directly affects the ability to take a full breath. Sometimes if we have a rib misaligned we may never realize there is a problem unless we try and do some deep breathing and realize we are limited. Other times we may have pain that prevents the full breath in and so be restricted that way this may even feel like a sharp pain while taking a full breath in that stops us short.

Secondly, any adjustment that stimulates the nervous system will also stimulate the autonomic nervous system which is split into parasympathetic (relaxation side) and sympathetic (stress response side). In the case of asthma or allergies there is constriction of the bronchi and mucus formation in the trachea. Stimulation of the sympathetic nervous system will help by bronchodilating and reducing mucous and this stimulation comes from stimulating a sympathetic chain located in the thoracic vertebra from T1 to L3.  Sympathetic stimulation for the trachea is T1-T4.

Current research states that a chiropractic adjustment will affect the autonomic nervous system when done in the thoracic spine causing a reduction in mucus and bronchodilation. (McCorry, Laurie K., PhD. “A Physiology of the Autonomic Nervous System.” American Journal of Pharmaceutical Education 71.4 (2007): n. page Web 12 Feb 2013)

So here is how to do a quick check on yourself:

  • Sit up very straight and put your hands on the lower part of your rib cage and take a deep breath in and out. Does your rib cage move evenly if no or unsure?  You would benefit from an adjustment.
  • Can you take a full breath in?
  • Do you have pain with taking a full breath or pain in your rib cage when lying on your side?

If you did answer no to any of the above questions and you also have allergies and asthma, we recommend a semi-regular adjustment especially during the allergy season. It can help manage your symptoms.

Headaches & Acupuncture

14 Jun 2016 Pain, Your Overall Health

Many people suffer from frequent headaches. There are many types of headaches. For treatment to be beneficial it is necessary to differentiate the causative factors. Acupuncture is a safe, drug-free alternative headache treatment without side effects.

Stress induced/tension headaches

Busy lifestyles and work schedules can create high levels of stress. When the body is in a constant or frequent state of stress, blood and qi stagnates in the body. Often, this manifests as a headache. It is important to incorporate stress-reducing activities in your daily life to keep the blood and qi moving smoothly throughout the body. Acupuncture has been shown to greatly reduce stress and promote relaxation. For more on the science behind acupuncture and stress relief, check out this article: http://www.huffingtonpost.com/2013/03/16/acupuncture-could-help-prevent-stress_n_2883996.html

Also, poor ergonomically designed work spaces can create tension in the upper back and neck which can lead to headache. Acupuncture can help headaches caused by postural issues by needling, cupping, or using gua sha to release the affected muscles. However, it is important to note that it will often come back if the posture isn’t corrected.

Migraine

The cause of migraines can be varied and complex. Therefore, the diagnosis and protocol decided upon by your practitioner can be quite varied as well. It is important for the patient to notice patterns and signs associated with their migraines as acupuncture can be a very effective preemptive tool to prevent the full onset from occurring. At the first sign, call and get an acupuncture appointment as soon as possible.

In treating other types of headaches, it is quite common for needles to be placed on the head and neck. For migraines, the protocol can be quite different. As acupuncture needles promote qi and blood circulation into whatever area of the body they are placed, with migraines we want to draw the energy out of the head and down into the body and lower limbs. If the migraine is especially severe, the patient may not be able to tolerate needles on the head as well.

Headache related to sickness (Head cold/flu)

Varying symptoms guide us to the pattern with which the patient is presenting. Chinese Medicine is very centered around the idea of opposites (i.e. yin/yang, hot/cold etc.) so symptoms such as fever vs. chills (or both alternating) or dry vs. productive cough help to point the practitioner in the right direction. Once the correct diagnosis is made, herbs and points can help address the symptoms and many others including headache.

The location of the pain on the head indicates which channels are affected. Needling specific points along these channels can greatly and in many times instantly alter, decrease, or eliminate the headache.

Cycle-related headache

Some women experience headaches before, during, and/or after menstruation. The timing of a headache in relationship to a woman’s cycle can indicate different pathology patterns. The location of the headache also gives us as practitioners a lot of insight about the channels that are affected. For more in depth information on the varying types of menstrual headaches and useful herbal combinations, go here: http://www.acupuncture.com/Conditions/menseheadache.htm

Red flag headaches

If you have any of the following types of headaches you should seek urgent medical care.

  • Thunderclap
  • Sudden onset with severe pain
  • Headache accompanied by fever or neck pain
  • Onset after the age of 50
  • Neurological signs (confusion, change in personality, unconsciousness)
  • Following a neck injury or adjustment

Tips for avoiding headaches

  • Drink plenty of water
  • Exercise regularly
  • Avoid alcohol, coffee, and chocolate
  • Introduce meditation or other stress-reducing activities into your life
  • Get regular acupuncture!!

As always, with our medicine, prevention is a key component. The more in-balance your body is, the less likely you are to suffer from pain of any kind.

What is a Detox and why should I do one?

14 Jun 2016 Women & Pregnancy, Your Overall Health ,

Our body has a built in detoxification system that allows us to get rid of unwanted particles that build up from our own natural processes – examples include using our muscles, hormones and other naturally occurring duties that our body performs. The goal of a detox is to reduce the amount of toxins we put into our body and thus optimize our bodies own detoxification system.

Why should I Detox?

Doing a detox periodically or setting habits that help you eliminate waste on a daily basis has been found to be essential and only becomes more critical as we have more and more toxins that bombard our bodies in our modern lifestyles. There are also periods of time in our lives where a detox is needed to clear out hormonal changes (menopause, postpartum, puberty) Here is a small list of common items that can cause an increase in toxins within our body that are part of our everyday lives:

  • Plastics
  • Meats – even organic animals will still contain hormones which may be greater than our bodies needs)
  • Rubber
  • Cosmetics and lotions
  • Household products
  • Construction materials
  • Fungus and Mold
  • Pesticides
  • Carpets
  • Dry cleaning
  • Burning Fuels
  • BBQ food

And the list goes on.

What are the different types of detox?

  • The different types of detox’s depend on which organ you are targeting. Here is a list by organ:
    Liver – this is the main blood cleaner in your body so any hormone or metabolite that is in the bloodstream will pass through the liver. This is the main reason a liver cleanse is the most common. Detox’s rich in antioxidants are the best choice.
  • Kidney – Cleanse both blood and urine of toxins allowing things to be processed out through our urine. Detox’s that include drinking lots of water are always a good choice.
  • Gallbladder – This is where bile is stored which breaks down fat and allows it to empty. A detox for this has to contain a good oil most commonly used is olive oil.
  • Intestines – They process food as well as hormones and other metabolites, which clear through the feces. Detox’s that focus on herbs that have a mild laxative effect as well as high fiber are a good choice.
  • Lungs – Lungs are important as they filter anything that we breathe and some of these things can go into the bloodstream. Doing a lung detox is about learning how to do quality breathing using oregano or eucalyptus stems and perhaps a change of location to a place such as by the ocean that has very clean air.

These detox’s can be made more efficient by adding herbs and other vitamins and minerals. Please contact our office so that one of our doctor’s can help you choose a cleanse that is right for you.

How often should I do a detox?

Without knowing each and every one of my patients’ cases, the answer is generally 1-2 times per year, but this number can go up drastically if you have hormone imbalances, illness and disease currently attacking your body. This is something to talk to your doctor about. There are daily detox practices that we do recommend and they are listed below:

  • Exercise – it pumps out waste in your bloodstream and allows you to sweat releasing more toxins
  • Eating Veggies – eat as many as you possibly can forever and always
  • Drinking Lemon Water – start the morning with hot water and fresh squeezed lemon
  • Drink more water
  • Reduce smoke exposure
  • Reduce alcohol consumption
  • Reduce meat consumption

What are the common Detox myths?

  • Liquid diets can push out toxins faster – they can but they are a quick fix so make sure you are doing a long term daily detox.
  • Drinking tons of water will detoxify your body – while it is good for the kidney and liver you can actually over do water leading to fatigue and vomiting.
  • Replacing meals with powdered drinks is a good detox – while smoothies and juices can help. Increase the green veggies which helps detox many of the premade detox powders don’t actually help you achieve body balance.
  • Detoxing means not exercising – while this can be true for a day or two, detoxes that are so harsh that you aren’t able to allow your body to naturally sweat eliminate one of the best ways to release toxins. This method is not generally recommended.

When should I Not detox?

Here is a small list of some conditions that are not recommended to detox:

  • Chemo Patients
  • Major illness
  • Around your period
  • Under weight
  • IBS, Diverticulitis, Crohn’s, Ulcerative Colitis (many cleanses may cause pain and irritation but not all)

Whatever detox method you use, always use common sense and if you need help, our office can help you select a detox that is right for you.

Shoulder pain and decreased range of motion

5 Apr 2016 Pain, Your Overall Health

What are the causes of some shoulder pain?

Rotator cuff injury – tears or strains to the rotator cuff muscles
Rotator cuff tendinitis – this is inflammation of one of the rotator cuff muscles usually by overuse.
Frozen shoulder syndrome (adhesive capsulitis)
Thoracic outlet syndrome
Osteoarthritis
Rotator Cuff impingement syndrome
Bursitis
Tenosynovitis (inflammation of the tendon sheath)
Fibromyalgia
Ankylosing Spondylitis
Slipped Disc
Lung Cancer
Heart attack
Ectopic Pregnancy

Sometimes the causes of pain are due to an injury whether from a repetitive motion or trauma, even more rare is when it is due to a referred pain like ectopic pregnancy or heart attack that refers into the arm and shoulder (these are less common and are a medical emergency).

What is the rotator cuff?

The rotator cuff is made up of 4 muscles, the ball and socket joint and capsule and 2 bones.

Bones: Scapula, humerus
Muscles: Supraspinatus, infraspinatus, teres minor and subscapularis muscle.
Joint: The ball and socket joint is where the scapula and the humerus meet and they have a capsule encasing them with capsular ligaments (ligaments attach bone to bone) and then again encased by the tendons of the 4 muscles listed above.

What are the most common injuries?

1. Rotator Cuff Tendinitis – is by far the most common of the injuries and it is when you repetitively do a motion like painting, keyboard work at a computer or throwing a ball like a pitcher. The tendon usually near its insertion onto the humerus will become hot, painful and swollen.

2. Rotator Cuff Tear – often occurs after tendonitis has been present for sometime or some other wear and tear that finally causes the tendon or muscle to snap leaving the arm weaker.
3. Frozen shoulder (adhesive capsulitis)–is by far more common in women and usually around the 40’s and 50 years of age. The humerus usually adheres to the scapula and the muscular capsule becomes adhesive like glue making reaching things over the head difficult or sometimes even impossible. There is no known direct cause for this condition.

4. Rotator Cuff Impingement syndrome–when one of the 4 muscles talked about earlier becomes pinched by usually a bony prominence of the scapula. The most common muscle of the 4 for this to occur to is the supraspinatus.

5. Osteoarthritis–when the bones start to develop signs of wear and tear showing an increase in bone on some parts of the humerus and scapula and a decrease of bone on other parts.

How is my shoulder pain diagnosed?

The most common type of diagnostic tools are orthopedic tests like the painful arc test (lifting the arm from your side to beyond 90 degrees). Physical or manual muscle tests are performed to see if there is a weakness present in the muscle or if pain occurs suggesting damage. X Rays are done to see if there is arthritis followed by MRI’s to see if there are muscle tears or inflammation.

How is shoulder pain treated?

Chiropractic care does testing to determine if there is a misalignment of the humerus or scapula and also the thoracic and cervical vertebra as they are a common area that refers pain into the shoulder. They will re-align the area, do muscle work and give at home exercises. If home exercises are not enough or the patient is unwilling to do them, we will refer the patient to a physical therapist for treatment.
Physical therapy will work to reduce inflammation and pain and strengthen the rotator cuff muscles as well as the trunk muscles so that misalignment is corrected and future injury is prevented.
Injections done by a pain specialist or an orthopedic surgeon are done in connection with physical therapy or chiropractic care and it is used to stop inflammation that allows for healing.
Surgery is done when repair of a muscle tear is needed and it can be open surgery or arthroscopic.
Acupuncture is done to break the pain cycle and is helpful in cases with arthritis and tendonitis.

Pain and Acupuncture

5 Apr 2016 Pain, Your Overall Health

How does acupuncture effect pain?

Acupuncture works in a variety of ways to ease pain.  It releases endorphins which are our bodies’ natural painkilling chemicals.  Acupuncture also acts on serotonin levels and it has been shown that opioid peptides are released during acupuncture as well. Acupuncture also reduces inflammation and increases blood flow and circulation providing drug-free pain relief.

Does acupuncture help with chronic or acute pain?

Our medicine treats a wide variety of both acute and chronic issues. In acute cases, we can often help the pain subside completely, whereas in cases of chronic pain, acupuncture can be a very helpful tool to manage pain safely on a long-term basis with little to no side effects.

What are some examples of conditions treated with acupuncture?

Injury/trauma
Headache
Menstrual cramps
Lupus
Sciatica
Chronic Pain Syndrome
Arthritis
Carpal Tunnel
Cancer related pain
Post-surgery recovery

What kinds of modalities are used by acupuncturists to treat pain?

Massage–We use a variety of massage techniques to relieve tension, promote blood flow, and to open the channels.
Cupping–Suction cups are placed over affected areas to draw out stagnation and promote blood flow.
Electric stimulation–Small electrical current is delivered to selected acupuncture needles to promote blood circulation, decrease inflammation and alleviate pain.

Pain facts

Pain affects more Americans than diabetes, heart disease and cancer combined.
1 in every 4 Americans have suffered from pain lasting longer than 24 hours and millions more suffer from acute pain.
Pain is the most common reason Americans access the health care system.
It is a leading cause of disability and is a major contributor to health care costs.
Pain is a significant public health problem that costs 560-635 billion dollars annually.
Adults with lower back pain are 4 times as likely to experience serious psychological distress when compared to those with no lower back pain.

Iris Martin LAc.

Learn how Acupuncture can help with Immunity

18 Feb 2016 Your Overall Health

Prevention, Acute Stage, & Recovery

It is important to note that Chinese Medicine is extremely effective as a preventative measure.  Regular acupuncture can help to balance the body thus decreasing frequency of illness.  Our recommendations listed below are useful for prevention, and can also help to kick a sickness out once it begins, shortening down time.  Once immunity is compromised, it is important to rebuild it. Simply adding certain foods and herbs into your regular diet can help you remain healthy and happy all year long.

What Chinese herbs help boost immunity?

Listed below are two examples of herbal formulas that may be prescribed by a Licensed Acupuncturist & Herbalist.  The formula chosen will reflect the patient’s presentation of symptoms.

  1. Dong Chong Xia Cao (Cordyceps)
    This formula boosts immunity by increasing number of white blood cells which act as our body’s first line of defense once pathogens enter the body.  Cordyceps aid our body in fighting various infections.
  2. Yu Ping Feng San (Jade Windscreen Powder)
    It is a classic formula that boosts immunity when patients present symptoms such as chills and fever and spontaneous sweating. It’s a great formula for patients that are prone to catching colds and great for prevention and for rebuilding immunity after illness.

Individual herbs can be added to water for tea or to bone broth (see below) for an extra boost.

What foods can I eat to strengthen immunity during the cold and flu season?

• Foods rich in Vitamin A—Liver, beef, eggs, butter, and cheese.
Vitamin A strengthens immune response and mucus membranes.

• Foods rich in Vitamin C—Broccoli, citrus fruit, greens, and strawberries.
Vitamin C fights inflammatory diseases and infections

• Garlic and onions—These foods have a natural antibiotic effect.
• Drink plenty of fluids and eat soup to prevent dehydration and flush the body.

Immunity Tea Recipe
1 Tsp of Goji berries
5 Da Zao (jujubes)
3 slices of ginger (peeled & bruised)

Bone broth
Bone broth has numerous health benefits, one of which is improving immunity.  It is jam-packed with nutrients which heal the body from the inside out.  On top of boosting immunity, it also benefits connective tissue, bones, and digestive system to name but a few.  Bone broth is an excellent tool for recovery from sickness, injury, and surgery as well.

Bone broth can be bought or made from scratch.  If you want to make your own, try this recipe: http://www.epicurious.com/recipes/food/views/beef-bone-broth-51260700

Pre-made refrigerated: http://www.kitchenwitchbroth.com

Both of the bone broth companies mentioned above are owned and operated by Licensed Acupuncturists as this superfood is widely known for its healing qualities.

Tips
• Try to layer your clothing making sure hands, feet, and neck are covered.
• Take measures to boost immunity before traveling by plane or other public transportation.
• Drink room temperature or warm water with half a lemon squeezed in every morning to start your day with a dose of vitamin C and cleanse the body.
• When running the heat in your home and elsewhere, use saline spray to moisten the nasal passages and avoid dryness.

7 Tips to Keep Your Immune System High

18 Feb 2016 Your Overall Health , , ,

Exercise
Exercise increases circulation throughout the body. This means the white blood cells which are the integral part of the immune system, are able to scan the body more quickly and more frequently. This will allow them to find a pathogen early and rid of it before you get a chance to notice any symptoms.

Vitamin D
During the winter months when your exposure to the sun is reduced, it is important to supplement with Vitamin D. Our bodies need 1,000 IUs of Vitamin D per day. This vitamin not only plays a key role in your bone health but also controls an exorbitant amount of genes associated with cancers, autoimmune disease, and infections.

Keep sugar intake low
A spoonful of sugar may help the medicine go down but it will also give your body another disadvantage. Sugar impairs your immune system by suppressing the white blood cells’ ability to consume pathogens. As little as 3.5 ounces can depress your immune system by 50%. This effect of sugar on the immune system can last up to 5 hours.

Stress
Chronic stress has a negative impact on all aspects of the immune system. Finding the time to do something for you will actually make you better equipped to help others later and perform better at work. One of the best remedies for stress is laughter. Laughter not only decreases stress hormones but it boosts immune function. Seek comedy in all its forms.

Sleep
Sleep deprivation wreaks havoc on your immune system by reducing the number of killer cells which fight germs. Studies have also shown that lack of sleep promotes early aging. Fortunately, following some of the tips mentioned above will improve your sleep as well. If you are consistently having difficulty getting enough rest, seek help. Acupuncture would be one way to address your sleep needs.

Vitamin C
Nature’s wisdom put in season some of the fruits highest in Vitamin C, a highly effective antioxidant, right when we might need it most. Californians will see citrus trees full of their fruit as well as persimmons. Pomegranates are also in season now which are also known to be full of antioxidants. Eating fruits and veggies high in Vitamin C and antioxidants will help protect white blood cells from oxidative damage.

Zinc
Being deficient in zinc makes you more susceptible to infectious agents. However, too much zinc is not healthy either. Luckily you can test to see if you have an adequate amount of zinc easily and inexpensively.

During flu season, you can protect yourself from infection by taking the homeopathic preparation muco coccinum. One tablet should be taken every two weeks. This is a safe, natural, and gentle way to activate your body’s defense mechanisms.

Tendonitis: the injury that happens behind a computer

30 Dec 2015 Pain, Your Overall Health ,

What is Tendonitis?

It is the inflammation of the soft tissue specifically the muscle that connects to the bone.

What are the most common types of tendonitis?

Tennis Elbow
Golfer’s Elbow
Achilles Tendinitis
De Quervain’s Tenosynovitis
Swimmer’s Shoulder
Patella Tendinitis
Tendinitis of the Wrist

Why does Tendonitis occur?

It occurs when extra strain is placed on a joint, bone and muscle either slowly and respectively over time or all at once in a more traumatic injury way. It usually occurs in people over age 40 due to the decrease of the tendon’s ability to tolerate stress.

What are the common causes of tendonitis?

Gardening
Raking
Working on a computer for greater than 4 hours a day
Cleaning
Tennis
Golf
Throwing or pitching
Scrubbing
Incorrect Posture
Joint misalignment or abnormal joint length
Doing to much too soon on a tendon that isn’t used to a particular type of movement. (Weekend Warrior)
Occasionally due to infections
Inflammatory diseases like gout, rheumatoid arthritis and psoriatic arthritis

What are the symptoms of tendonitis?

Pain and loss of motion are the most common symptoms. Pain usually starts localized on the spot where the muscle attaches to the tendon and can radiate to other areas. The pain can either build up slowly or come on suddenly and severely.

How is tendonitis treated?

Rest the injured area
Ice the injured area
Seek chiropractic care – usually treated by adjusting the joint then performing the Graston Technique and cross fractionating the tendon.
Anti-inflammatory botanical medicine or over-the-counter anti-inflammatories (these can be topical or oral).
Corticosteroids injections are sometimes necessary.
In very rare cases surgery is necessary.

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