What’s the difference between gentle chiropractic and traditional chiropractic? It’s all in the technique used. Overall, both approaches seek to relieve musculoskeletal pain and promote optimal health. However, they differ in their methods of achieving these goals. At Advanced Wellness Solutions, we provide patients with options tailored to their specific needs and preferences. There are […]
Chiropractic Care
You Should Know: Muscle Relaxing Drugs
If you’ve ever had a muscle spasm, you know how painful it can be. Muscle spasms can cause severe neck and back pain. They can make your life miserable.
Modern chiropractic care provides many treatment modalities that provide drug free pain relief. Before you turn to muscle relaxers for back or neck pain, here’s some things you should know.
If you seek usual medical care (UMC) for back pain, the doctor may prescribe muscle relaxants.1
New treatment guidelines from the ACP strongly recommend that people with back pain first try non-drug measures such as yoga, physical therapy, chiropractic and massage before resorting to over-the-counter or prescription pain relievers and muscle relaxants.2
What are muscle relaxers
The term “muscle relaxers” is definitely deceiving because this classification includes a wide range of drugs with different indications and mechanisms of action.3
Many muscle relaxers cause sedation throughout the central nervous system. In other words, they make all of your muscles relax, not just the tight ones. They also make you feel sleepy. If acute pain from an injury is making it difficult to sleep, this can be a good thing. Sleep helps you heal. However, this can make living your life during your waking hours difficult.
There is growing concern surrounding these drugs because it is not clear how effective muscle relaxers are when it comes to relieving pain. Concerns have been also raised about the adverse side effects involved with many of these drugs. In addition to sedation, potential adverse effects include drowsiness, headache, blurred vision, nausea, vomiting and the potential for addiction.3
Acute Pain vs Chronic Pain
Acute pain is immediate pain. You can often identify what you were doing to cause the pain. Sometimes the cause of acute pain can be a seemingly harmless movement, like lifting something heavy. On the other hand, chronic pain is pain that lasts beyond the typical expected healing period.
Jeffrey E. Keller is a Board Certified Emergency Physician with 25 years of emergency medicine practice experience before moving full time into his “true calling” of Correctional Medicine. His recommendations to physicians regarding prescribing muscle relaxers in his post Skeletal Muscle Relaxers Do Not Relax Skeletal Muscles.
1. Never prescribe muscle relaxers long term for chronic conditions.
2. If you prescribe a “muscle relaxer” for acute low back pain, use them only for a short time. The number usually bandied about is no more than 7 days.
Ignore Pain at Your Peril
Pain is simply one way your body communicates with you. It’s your brain’s way of saying, “STOP! BE CAREFUL! This part of your body needs your attention!”
Muscle relaxers mask the symptom of muscle spasm pain. A muscle spasm is not only a reaction to an injury, it’s also your body’s way of trying to protect itself from further injury.
Chiropractic is a health care profession dedicated to providing non-surgical treatment of disorders of the nervous system and musculoskeletal system. Chiropractors have a wide assortment of proven treatments and modalities that can provide drug free pain relief for muscle spasms.4
Advanced Wellness Solutions focuses on creating individualized treatment plans incorporating treatment modalities combined with the use of patient-driven care such as exercise, activity modification, and ergonomic modifications. In other words, Dr. Danielle has a lot of tricks up her sleeve to help you get drug free relief from muscle spasm pain.
Contact Advanced Wellness Solutions at 855-509-5400 to schedule your appointment today.
Five Ways Chronic Pain Affects You
There’s no doubt about it. Chronic pain is a thief. It robs you of enjoying daily activities and can even damage your overall health. Here are five ways chronic pain affects you.
If you’re suffering from chronic pain, here’s what you should know about the way chronic pain affects you and your health.
There are two types of pain: acute and chronic. Acute pain is the pain you feel immediately after an injury. Chronic pain is defined as pain that lasts beyond the expected period of healing for an illness or injury.
We’re learning that even low grade chronic pain can affect every aspect of your life. Patients suffering from chronic pain are often at risk for developing further complications, including altered mental states and physical dysfunctions. Studies show that chronic pain actually changes the way the human brain responds to acute pain.1
The constant assault of chronic pain can affect your life in a number of ways. According Perry G. Fine, MD of the Department of Anesthesiology, School of Medicine, Pain Research Center, Salt Lake City, Utah, USA, in the Long-Term Consequences of Chronic Pain include:
- sleep disturbances
- cognitive processes and brain function
- mood/mental health
- cardiovascular health
- sexual function
Chronic pain affects your thoughts, feelings, sleep patterns,, memory and concentration and your relationships. This robs you of the pleasures of everyday life, not to mention harming your sexual, mental and physical health.
5 Ways Chronic Pain Affects You :
#1: Chronic Pain Robs You of Healthy Sleep
Your skeletal muscles possess the amazing ability to completely regenerate following injury. Muscles and tissues repair during sleep.2 However, pain disturbs your sleep. This sets up a catch-22. Sleep helps your body heal. If you’re not getting good quality sleep, your body can’t heal effectively. However, because you’re in pain, you can’t sleep. As this cycle repeats, it affects your mental, sexual and physical health.
According to SleepFoundation.org,
We know that pain triggers poor sleep. For instance, someone experiencing lower back pain may experience several intense microarousals (a change in the sleep state to a lighter stage of sleep) per each hour of sleep, which lead to awakenings. However, microarousals are innocuous for a person not experiencing chronic pain. Pain is a serious intrusion to sleep. Pain is frequently associated with insomnia and these coexisting problems can be difficult to treat. One problem can exacerbate the other.
#2: It Robs You of the Ability to Think and Remember
If you’re in chronic pain, you’re not operating at your cognitive best. Cognitive processes such as memory and attention have been shown to be impaired in up to two thirds of patients with chronic pain.3 A comparative study assessed the cognitive functions in adults with chronic pain. Forty participants had chronic pain while twenty-nine were pain-free. The chronic pain participants performed significantly worse than the pain-free participants on the cognitive measures of long-term memory, selective attention, processing speed, and executive functioning. Significant differences between groups were evident in all cognitive domains. 4
#3: It Robs Your Emotional Healthy
The emotional effects of chronic pain include:
- Depression
- Anger
- Anxiety, and
- Fear of re-injury
Chronic pain can influence your thoughts, feelings, memory, concentration, and even connections with others. Living with chronic pain can affect your mood, making you more susceptible to depression, anxiety, and fear. Chronic pain can has been demonstrated to sleep disturbances, depression, and a heightened risk of suicide.5
Such mood disorders can also promote a dependence upon prescription medications designed to treat the pain, such as opioids. The more scared, alone or sad you feel, the more likely you are to depend upon medications which temporarily mask the pain by providing a “euphoric” feeling. However, when the effects of the medication wear off, the negative feelings return. If you’re suffering from chronic pain, this is yet another catch-22 cycle you can find yourself in.
#4: It Robs You of Your Cardiovascular Health
Chronic pain can lead to a chronic stress reaction that causes an increase in blood pressure and heart rate. This stress reaction can lead to harmful health effects, such as a reduced ability to fight off illnesses and diseases. It also can increase the risk for conditions such as heart disease.6
#5: It Robs You of Your Sexuality
Chronic pain may interfere with your sexuality because of the pain itself. However, other factors associated with your chronic pain, including mood disorders, decreased sex drive (libido), medications or stress, can also affect your sexual function 7.
Gentle Chiropractic Care Can Provide Drug Free Relief from Chronic Pain.
Let’s be honest, there is no “one size fits all” solution to chronic pain. (This is the type of thinking that has lead to the opioid crisis.) However, there are many drug free therapies and modalities which can dramatically reduce and even eliminate chronic pain.
Gentle Chiropractic Care harnesses the body’s innate ability to heal itself without resorting to dangerous drugs or life altering surgery. This is accomplished through manual manipulations of the spine and joints. The goal of chiropractic treatment is to restore the neuro-skeletal system to fully functioning capacity.
Gentle chiropractic spinal mobilization is used to restore or to enhance joint function. Unlike traditional high-velocity spinal manipulation, gentle chiropractic modalities utilize slow movement, usually to a firm endpoint of joint movement.
One of the benefits of gentle chiropractic care is that it can be tailored to meet your specific needs. Dr. Danielle uses modified modalities that target a specific joint or area of the spine.
Get Relief from Chronic Pain
No one likes living with chronic pain, but many of us push through rather than address the underlying issue(s). Did you know that chronic pain can harm your health even if it’s not limiting your activities? Fortunately, effective gentle chiropractic care can provide drug free relief from chronic pain.
Chronic Pain Significantly Impacts Your Overall Health
If you’re living with (and ignoring) chronic pain, university medical school studies reveal that you may be doing long term damage to your overall health.
According to a University of Utah School of Medicine report published at NCBI, chronic pain significantly impacts your overall health. One of the ways chronic pain can affect your health is by disrupting your sleep. According to a study released by the American Psychological Association, healthy sleep has been proven to be the single most important factor in predicting longevity. Healthy sleep is more influential than diet, exercise, or heredity for predicting longevity!
Another negative health effect of chronic pain is it impairs your cognitive processes, brain function – even your your mood and your mental health. 1 2 3
As if that laundry list weren’t enough, the University of Utah study shows that chronic pain can even impact your cardiovascular health, not to mention your sexual function.
Gentle Chiropractic Care Provides Drug Free Relief from Chronic Pain.
The good news is that chronic pain can often be successfully managed without drugs, injections or surgery.
Modern chiropractic care addresses so much more than just neck and back pain. Modern chiropractors treat the whole person – not just a specific body part.
Dr. Danielle has helped hundreds of patients find drug free relief from chronic pain.
If you’re dealing with chronic pain – don’t delay! Chronic pain can have a domino effect on your overall health!
Don’t suffer another day with chronic pain!, You owe it to yourself to schedule an appointment with Advanced Wellness Solutions. Call 855-509-5400 to schedule your appointment today.
Chiropractic Treatment for Disc Herniation
Chiropractic treatment is a non-surgical option for disc herniation. Chiropractic treatment is often the first option for care because it is non-invasive and does not involve drugs or injections.
Your spine is made up of a series of bones (vertebrae). Between each bone is a rubbery disc that acts as a cushion. When the soft center of a rubbery disc is pushing through a crack in the tougher exterior casing it’s called a disc herniation.
With proper treatment a herniated disc does not mean a lifetime of unbearable pain.
Is a herniated disc serious? Yes. Many herniated discs can be managed successfully with proper care and monitoring.
Gentle Chiropractic Treatment for Disc Herniation
Gentle chiropractic care has been demonstrated to effectively treat lumbar disc herniation. A gentle chiropractic care technique (activator method) has advantages over traditional chiropractic techniques when treating symptomatic lumbar disc herniation.1
We [the case study authors] speculate that the use of an AAI, combined with Activator methods, may provide definitive benefits over side-posture manipulation of the lumbar spine in treatment of resistive disc lesions, because of the lack of torsional stress imposed upon the disc during instrumental spinal adjustment.
In another case study, Activator-assisted spinal manipulative therapy had positive subjective and objective results for low back pain in a patient with degenerative disk disease.2
Yet another case study concluded:3
Conservative chiropractic treatment may provide an effective therapeutic intervention in selected cases of cervical disc protrusion.
This study specifically cited “instrument-delivered adjustments” (gentle chiropractic) as providing benefit in cases in which manual manipulation causes an exacerbation of the symptoms or is contraindicated altogether.
Two more gentle chiropractic techniques, Flexion-distraction technique and drop technique, have both been shown to be helpful treating disc herniations.3,4
Seek immediate medical attention if you have:
- Loss of balance, bladder control or consciousness
- Vomiting
- Loss of sensation
- Symptoms are rapidly getting worse
A disc herniation falls into a broader category of disc derangement.
Disc derangement is a general term for when a disc has been damaged. This damage can be minor or major depending on age and type of trauma. The disc is a made up of a gelatinous center called the nucleus pulposus surrounded by fibrocartilaginous material (annulus fibrosis). When the annulus fibrosus is torn due to stress, the gelatinous nucleus pulposus can ooze out.
How far that gelatinous nucleus pulposus oozes out is what determines what kind of disc derangement you have.
There are four stages of disc derangement:
- degeneration,
- prolapse,
- extrusion,
- and sequestration.
Degeneration
This stage is when the nucleus pulposus is no longer in a contained. Instead it is oozing into the layers of annulus fibrosis.
Prolapse
Prolapse is when the nucleus pulposus pushes all the way out to the last layers of the annulus fibrosis.
Extrusion
Extrusion is when nucleus pulposus has left the confinement of the annulus fibrosis. This is the state where nucleus pulposus can physically start interfering with surrounding structures.
Sequestration
Sequestration is the most severe. The nucleus pulposus has left the confinement of the annular fibrosis and has broken off into little pieces. These pieces can travel and cause interference with the surrounding structures.
Any stage of disc derangement can cause pain.
How much pain depends upon the individual and the location of the derangement. Extrusion and sequestration pose the most serious risk of the four. Anytime nucleus pulposus has left its confinement, it can cause impingement and pain.
In rare cases, disc derangement actually pinches a nerve causing pain. Usually, the pain associated with disc derangement comes from the inflammatory response of the body to the change in structure. Inflammation occurs around the deranged disc, causing the nerve to become irritated. This in turn causes pain.
An MRI can tell show the location and what type of disc derangement is present.
What are the symptoms of a herniated disc?
Disc derangement can present in many different ways. If you’ve been involved in a serious accident you should be seen by a doctor or chiropractor.
Some people have herniated discs and do not demonstrate any symptoms. Symptoms differ depending upon location of the herniated disc.
Cervical disc herniation symptoms:
- Pain in the arm or hand, this pain often feels like it is traveling down the arm or radiating
- Numbness and tingling
- Weakness in the arms
- In severe cases reduced reflexes in the upper limbs with increased reflexes in the lower limbs
Lumbar disc herniation symptoms:
- Low back pain that travels down the buttocks, legs and feet
- Numbness and tingling
- Weakness in the legs
- Decreased reflexes
Risk factors for herniated disc:
- Overweight: excess weight puts extra stress and different weight loading on discs
- Physically demanding jobs
- Genetics: a family history of disc herniation
- Age: most likely to occur between 30-50
What causes a herniated disc?
Herniated discs can happen gradually with repeat stress. In other cases, trauma (like a car accident) can damage or displace one or more discs. Common car accident injuries include bulging discs (when a disc shifts out of place and bulges into the spinal canal), annular tears and herniated discs.
How do you treat a herniated disc?
Treatments for a herniated disc include:
- Gentle chiropractic treatment with adjustments
- Cervical traction
- Physical therapy
- At home exercises and stretches
- Postural correction
- Weight reduction
- OTC, muscle relaxers and other narcotics
- Surgery
An important thing to remember with a herniated disc is to avoid too much bed rest. Lying in bed waiting for the pain to go away is one of the worst things you can do. Taking it easy and not lifting heavy things is fine.
Chiropractic Treatment for Disc Herniation
Not every herniated disc needs gentle chiropractic. If you are experiencing symptoms of a herniated disc or have been in a Florida car accident and fear you have a herniated disc you should contact Advanced Wellness Solutions.
Chiropractic Treatment: Facet Syndrome
Do you have dull aching pain in the back of your neck?
Does that pain sometimes travel down to your arms?
Is your neck not moving as well as it has before?
If you answered yes to any of these questions, you could be suffering from facet syndrome. Facet syndrome is degenerative joint disease of the facet joint that can mimic the symptoms of a herniated disc.
The facet joints play an important role in stabilizing the spine while allowing movement. When these joints become injured in some way, it can result in considerable pain and disability. Since there are facet joints throughout most of the spine, this is a condition that can affect the neck, upper back and the lower back. Even though facet syndrome can occur in any facet joint, it appears most often in high movement and weight bearing areas such as the neck and low back.
While facet syndrome often presents in patients older than age 50, anyone suffering from repeated trauma such as whiplash or multiple car accidents can suffer from facet syndrome.
Chiropractic care specializes in treating disorders of the musculoskeletal system and can offer some of the most effective treatment options for facet syndrome.
What causes facet syndrome?
The cause of facet syndrome is still unclear. There are several factors that can contribute to the presentation of facet syndrome.
These factors are:
- Age 50 or older
- Repeated trauma to the neck or low back
- Repetitive stressful movement
- Genetics
Degeneration of the facet joint due to age or trauma causes the inflammation that produces pain in facet syndrome. Inflammation irritates the small nerves located in the facet joint causing pain.
What are the symptoms of facet syndrome?
The symptoms vary from depending on the area that is involved.
In the cervical region the symptoms that may present are:
- Headaches
- Inflammation
- Neck and shoulder pain
- Limited range of motion when turning the head and bending the neck
- Stiffness
In the lumbar region the symptoms that may present are:
- Lower back pain
- Tenderness
- Stiffness
- Radiating pain down the buttocks or back of the thighs
- Pain when twisting or arching the lower back
How do you treat facet syndrome?
In both the cervical and lumbar regions treatment usually starts conservative.
Conservative treatments include:
- Chiropractic adjustments
- Acupuncture
- Massage
- Physical Therapy
- NSAIDs
- Hot/Cold therapy
- Range of motion exercises
- At home stretching
If conservative treatment fails there are other options such as:
- Intra-articular facet injections
- Median nerve block
- Radiofrequency neurotomy
- Cervical Fusion
Surgical options are usually not necessary because conservative treatment often resolves the issue. All surgical intervention should not be taken lightly and should only be considered if a great deal of conservative treatment has failed.
If you are experiencing symptoms of facet syndrome and wish to discuss your treatments options, contact us at 855-509-5400
Chiropractic Treatment: Thoracic T4 Syndrome
Thoracic T4 Syndrome symptoms include upper back discomfort and diffuse pain in the arms. Thoracic T4 Syndrome occurs when the T4 vertebrate in the spine is damaged and causes pain in the back and into the arms.
Your upper back hurts and your hands are swollen and feel heavy. As you read the symptoms of T4 syndrome, you realize that if you look at your hand long enough, you could swear they’re turning blue.
It’s understandable that you would look up these symptoms online before scheduling an appointment to see your health care provider. If you typed your symptoms into a search engine and saw a possible diagnosis of “T4 syndrome” which lead you here, STOP! Schedule an appointment with your physician or chiropractor and allow them to make a diagnosis. Your health care professional needs to rule out any cardiac, respiratory or visceral issues before making a diagnosis of Thoracic T4 Syndrome.
It’s important to keep in mind when checking with “Dr. Google” and his associate “Dr. WebMd” that neither are trained and licensed health care professionals. Instead, their “higher calling” is to get you to pick up the phone and schedule an appointment with a trained and licensed health care professional such as a chiropractor. A chiropractor is able to diagnose and treat T4 syndrome.
If you live near Stuart, Florida, Advanced Wellness Solutions has two Martin County, Florida locations offering gentle chiropractic care.
What is T4 syndrome?
T4 syndrome symptoms include upper back discomfort and diffuse pain in the arms
When the nerves become at T4 damaged, the pain and discomfort caused is known as T4 Syndrome. T4 syndrome is rare yet deceptive issue that can present in many different ways.
T4 syndrome most often appears in people whose profession requires long hours in the same position. Working at a computer most of the work day would be a perfect example.
Check out our article 7 Tips to Creating an Ergonomic Home Office
T4 syndrome can be confused with carpal tunnel syndrome, myofascial pain syndromes, cervical spine degenerative conditions, thoracic outlet syndrome, cardiac pain and pain originating from the viscera.
It is crucial that you seek the advice of a qualified healthcare professional if you are experiencing any of the symptoms of T4 syndrome.
What causes T4 syndrome?
Symptoms may arise following a change in normal routine. A new job or hobby may require constant extreme postures which can lead to blood loss in multiple tissues contributing to symptoms.
Another possible cause for T4 syndrome is that the facet joints in the thoracic spine become damage, either from poor posture or trauma. This causes inflammation to the nerve root at that level, leading to symptoms of T4 syndrome.
More often found in women than men, the reason for the sex discrepancy for T4 syndrome is unknown.
What are the symptoms of T4 syndrome?
The symptoms of T4 syndrome can vary and presents as:
- Neck pain
- Headaches
- Upper limb pain (bilateral or unilateral)
- Pain around the T4 area
- Scapular pain
- Reduced hand dexterity
- Thoracic spine stiffness
- Tenderness on palpation of T4 vertebra
- An abnormal sensation tingling, pricking, chilling, burning, or numbness with no apparent physical cause in all five digits, or whole hand, or forearm-hand
- feeling heaviness in the upper extremities
- Hands feel hot or cold
- Hand may feel and/or appear swollen
- Non-dermatomal aches/pains in arm and/or forearm
- Pain often described as crushing or like a tight band
How do you treat T4 syndrome?
Treatment for T4 syndrome includes:
- Chiropractic adjustments
- Soft tissue work on the upper back and neck muscles
- Ultrasound
- TENS unit
- Postural exercises
- Stretching muscles of the chest
- Strengthening muscles of the upper back
- At home exercises to keep good posture
If you are experiencing symptoms of T4 syndrome and wish to discuss your treatments options, please call 855-509-5400 so schedule your appointment with Advanced Wellness Solutions.
Chiropractic Treatment of Poor Posture a.k.a. Text Neck
As more people spend their time working on computers, riding in the car for long commutes and spending their free time on their phones or even reading, proper posture becomes crucial. Postural syndrome also known as postural dysfunction occurs when poor posture is maintained for long periods of time causing discomfort.
What is postural syndrome?
Postural syndrome is the result of prolonged time in poor posture. This posture includes head forward, shoulders slouched and the upper back arched for the upper body. For the lower body poor posture is slouched forward while sitting or with the hips pushed forward when standing. This posture causes the muscles in the front of the body to become tight and the muscles in the back of the body to become stretched and weak. This poor posture can occur in many aspects of life such as at the computer, gardening or cleaning.
If you are spending a large amount of your time with your arms stretched out in front of you (for example, holding your phone) then you are in a position that could lead to postural syndrome.
What are the symptoms of postural syndrome?
The symptoms of postural syndrome most often occur while the person is holding the problem position for extended periods of time. These symptoms are:
- Pain when the muscles of the upper back are pressed on
- Forward head carriage
- Muscle tightness
- Dull aching pain
- Burning pain in the upper back all the way up to the base of the head
- Headaches
- Muscle fatigue
How do you treat postural syndrome?
- Chiropractic adjustments
- Physical therapy
- Postural Taping
- Postural Exercises
- At home strengthening exercises and stretches
- TENS unit
- Massage
- Ergonomic corrections
A key with postural syndrome is being aware of one’s posture; this is where postural taping is helpful.
If you are experiencing poor posture or symptoms of postural syndrome and wish to discuss your treatments options please schedule your appointment by calling 855-509-5400.
Chiropractic Treatment of Thoracic or mid-back pain
Thoracic or mid-back pain is most likely as common as cervical or lumbar pain but less often reported due to its mild pain presentation. The thoracic spine connects to the ribs and chest region. Sprains and fractures in this area are primarily caused by high velocity auto accidents, and may result in permanent nerve damage.
Where the neck is made for movement and the low back is made for power and flexibility, the mid-back (thoracic spine) is made for stability. With the rib cage attached to all levels of the thoracic spine (ribs 1-10 being attached to the sternum and ribs 11-12 floating or not attached to the sternum) this severely limits the motion of the thoracic spine. This limit in motion makes disc herniations and nerve root compression in the thoracic spine less common.
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There are two types of thoracic pain.
- Mechanical thoracic pain: caused by injury, trauma or overuse.
- Non-mechanical thoracic pain: caused by underlying pathology or disease.
Causes of mechanical thoracic pain are:
- sprain/strain
- compression fracture
- postural syndrome
Causes of non-mechanical thoracic pain are:
- osteoid osteoma
- Scheuermann’s Disease
- T4 Syndrome
- herpes zoster
- osteoporosis
- fibromyalgia
- metastasis (the development of secondary malignant growths at a distance from a primary site of cancer.)
- referred pain from viscera
What to expect at your appointment for a complaint of thoracic pain:
You should expect to provide a full medical history to your healthcare provider. An event such as a car accident or any physical complaint that you think is entirely unrelated to your thoracic back pain may provide essential information needed to make a correct diagnosis.
Your doctor will perform a full physical exam, including sensation and strength testing. Your doctor may order blood work, X-rays, CT or an MRI to confirm the diagnosis.
Seek immediate care for thoracic pain:
Thoracic pain can be a symptom of cancer. Seek immediate medical for thoracic pain combined with:
- Fever
- History of cancer
- Unexplained weight loss
- Lower limb spasticity
- Progressive pain, worse at night
What can a Chiropractor do for thoracic pain:
- Adjustments
- Mid-back exercises and stretches
- Ergonomic training
- Electrical stimulation/TENS treatment
- Supervised medical massage
Thoracic back pain can have a multitude of causes and can be a symptom of cancer.
Back pain should always be checked by a chiropractor or medical doctor.
If you live or work in Stuart, Florida and are experiencing back pain, call 855-509-5400 to schedule an appointment with Dr. Danielle Hurd, DC.