Gentle chiropractic care is ideal for seniors, providing safe, effective relief for aging joints. As we age, our bodies go through natural changes that affect flexibility, balance, and joint health. Many seniors live with arthritis, osteoporosis, or chronic back and neck pain that interferes with everyday activities. The good news is, pain and stiffness don’t […]
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 led 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.

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 damaged, 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 present 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:
- Gentle chiropractic
- Acupuncture
- Medical massage therapy 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 and Text Neck
Chiropractic treatment of poor posture and text neck is an effective approach for addressing both acute and chronic pain. 1
As the use of computers, long-distance driving, and mobile phone usage increases, maintaining proper posture becomes crucial. When individuals sustain poor posture over extended periods, they can develop postural syndrome, or postural dysfunction, leading to 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, a.k.a. text neck.
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 treatment of poor posture and text neck is an effective approach for addressing both acute and chronic pain.
- Gentle chiropractic
- Acupuncture
- Medical massage therapy
- Physical therapy
- Postural Taping
- Postural Exercises
- At home strengthening exercises and stretches
- TENS unit
- 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 treatment options, please schedule your appointment by calling 855-509-5400.
Chiropractic Treatment of Thoracic or mid-back pain
Chiropractic treatment of thoracic or mid-back pain is an effective approach for addressing both acute and chronic 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.
Accepting new patients. Call 855-509-5400 to schedule your appointment.
We accept all major medical health insurance and Medicare.
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 attention for thoracic pain combined with:
- Fever
- History of cancer
- Unexplained weight loss
- Lower limb spasticity
- Progressive pain, worse at night
Chiropractic Treatment of Thoracic or mid-back pain
What can a Chiropractor do for thoracic pain?
-
- Gentle chiropractic adjustments
- Acupuncture 1
- Supervised medical massage
- Mid-back exercises and stretches
- Ergonomic training
- Electrical stimulation/TENS treatment
Thoracic back pain can have a multitude of causes and can be a symptom of cancer.
A chiropractor or doctor should always examine someone who is experiencing back pain.
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.
Chiropractic Treatment of Brachial Plexus Injury
Chiropractic treatment for brachial plexus injuries offers an innovative approach to managing this complex condition.
When the brachial plexus—a network of nerves that sends signals from the spine to the shoulder, arm, and hand—is damaged, it can lead to excruciating pain and debilitating loss of function. Chiropractors employ a combination of spinal adjustments, soft tissue therapies, and gentle mobilization techniques tailored specifically to release tension and realign the cervical spine. This not only alleviates pressure on affected nerves but also promotes overall nerve health by improving circulation in the area.

What is a brachial plexus injury?
A brachial plexus injury is commonly known as a burner/stinger. A brachial plexus injury is when the network of nerves going from the spine to the shoulder, arm and hand becomes stretched, compressed and in some cases, torn.
What causes a brachial plexus injury?
This injury happens when your shoulder is pressed down forcefully and your head is pushed in the opposite direction of your shoulder. A direct hit to the upper part of the shoulder can also cause this injury.
Here are signs that warrant immediate medical attention:
- Weakness in the arm or hands
- Weakness following trauma
- If you have suffered multiple burners/stingers
- Neck pain
- Symptoms in both arms
What events can cause a brachial plexus injury?
- Contact sports such as football
- Non-contact sports such as golf.1
- Trauma such as a motor vehicle accident
- For children difficult births
- Inflammation
- Tumors
What are the symptoms of a brachial plexus injury?
The symptoms of a brachial plexus injury vary depending on the severity of the injury. However symptoms are most commonly on one side of the body.
Less severe symptoms are:
- Burning or stinging pain going down the arm
- Numbness and weakness in that arm
These less severe symptoms are often due to a stretch or compression of the plexus due to a contact sport or fall.
More severe symptoms are:
- Unable to move or feel the injured arm
- Severe pain
- Weakness in the muscles of the hand
These more severe symptoms are often due to a tear in the nerves of the plexus.
How long do symptoms last?
In less severe cases the symptoms last anywhere from a few seconds to several days. In more severe cases the injury can be permanent if not address immediately.
Chiropractic Treatment Brachial Plexus Injury: When to see a doctor
A brachial plexus injury should always be evaluated by a qualified medical professional such as a medical doctor or chiropractor.
In some cases a brachial plexus injury can lead to permanent damage and loss of function if not treated in a timely manner.
Here are signs that warrant immediate medical attention:
- Weakness in the arm or hands
- Weakness following trauma
- If you have suffered multiple burners/stingers
- Neck pain
- Symptoms in both arms
How do you treat a brachial plexus injury?
Treatment for brachial plexus injuries depends on the severity of the injury.
For less severe injury:
- Time, most minor injuries will correct itself over time
- Muscle strengthening and posture exercises: to maintain motion in the joint and to prevent further injury
- Transcutaneous electrical nerve stimulation (TENS) for pain control
For more severe injury:
- Surgery for nerve repair
- Physical therapy
The best treatment for brachial plexus injuries that do not tear a nerve is prevention of multiple injuries. Prevention comes from strengthening exercises for the surrounding muscles, range of motion exercises to keep the joints of the shoulder and arm moving, and recommendations for proper protective gear when playing contact sports.
If you are in or near Stuart, Fl and are experiencing symptoms of a brachial plexus injury, contact us to schedule an appointment.
Chiropractic Treatment of Neck pain: Cervical spondylosis
Chiropractic Treatment of Neck Pain: Cervical spondylosis is sometimes referred to as “arthritis of the neck.” Cervical spondylosis is an age-related cause of neck pain.

If you answer yes to any of the following questions, then you may have cervical spondylosis.
- Are you over 65?
- Have you played a lot of sports throughout your life?
- Have you had a fair amount of physical trauma in your past, such as multiple motor vehicle accidents?
What is cervical spondylosis?
The medical term for the wear and tear of your cervical discs and joints is called cervical spondylosis. Cervical spondylosis occurs when trauma or age causes the discs to shrink, bone spurs to form, and other signs of osteoarthritis to appear.
What are your risk factors for cervical spondylosis?
- Age
- Multiple neck injuries
- Jobs that have strenuous physical demands
- Genetics
Cervical spondylosis is very common and worsens with age. There are some suggestions that there is a genetic component to the severity of degeneration that will occur. This means that if someone in your family has serious arthritis symptoms in their neck, you may be more likely to develop more severe cervical spondylosis.
According to the Mayo Clinic,
“More than 90 percent of people older than age 65 have evidence of cervical spondylosis and osteoarthritis that can be seen on neck X-rays.”
What are the symptoms of cervical spondylosis?
Often, cervical spondylosis produces very few symptoms. When symptoms do occur, they are often pain in stiffness located in the area of the neck.
However, symptoms can arise from the bone spurs and disc height loss associated with cervical spondylosis. Bone spurs and loss of disc height can narrow the space required by the spinal cord and nerve roots.
If this space is compromised, it can cause symptoms that present as:
- Numbness or tingling
- Loss of balance
- Loss of reflexes, decreased sensation and loss of muscle strength along one part of the arm
- Loss of bladder or bowel control.
If you are experiencing sudden numbness, loss of strength or loss of bladder or bowel control, seek emergency medical help as soon as possible.
What causes cervical spondylosis?
There are many causes for cervical spondylosis, and all increase in severity with age. The most common causes of cervical spondylosis are:
- Dehydrated discs
- Herniated discs
- Bone spurs
- Stiff ligaments
Chiropractic Treatment of Neck pain: Cervical spondylosis
Treatments for cervical spondylosis are geared toward pain relief and motion preservation.
Chiropractic adjustments can help to reduce the loss of motion in cases not presenting with worsening neurological symptoms.
The treatments available for cervical spondylosis are:
- Gentle chiropractic adjustments (in cases not presenting with worsening neurological symptoms)
- Acupuncture 1
- Medical massage therapy
- Range of motion exercises
- Cervical stretches
- Cervical traction
- Pain medication
- Steroid injections
- And in cases of severe neurological symptoms, surgery
A word of caution to anyone experiencing cervical spondylosis/arthritis in the neck. Cervical traction should only be done under the direct supervision of a medical professional! Even at home units leave the potential for serious harm and should only be used under a professional’s guidance. The infomercials and online ads make it look easy to use, but please check with your healthcare provider to see if this treatment is right for you.
If you live in Martin County, Florida and are experiencing any of the symptoms associated with cervical spondylosis, please contact Advanced Wellness Solutions to schedule an appointment.
Neck Pain and Whiplash
Neck pain and whiplash are common complaints, especially if you’ve been injured in a Florida car accident.
Whiplash is a generic term used to describe a hyperextension and flexion injury to the neck. It is a soft tissue injury to the neck.
Accepting new patients. Call 855-509-5400 to schedule your appointment.
We accept all major medical health insurance and Medicare.
Did you know that whiplash injuries aren’t limited to car accidents? A fall, a sports injury, or anytime there’s a sudden jolt of the head can cause whiplash.
What is whiplash?
Whiplash describes a soft tissue injury to the neck. Whiplash is caused by a forceful back and forth movement of the neck. The force of the back and forth movement causes injury to the ligaments and muscles of the neck. Whiplash is technically a strain/sprain injury to the ligaments and the muscles of the neck.
What causes neck pain and whiplash?
Any large force that causes the head to “whip” back and forth can cause whiplash.
Such forces include:
- Car accidents: rear-end collisions.
- Physical abuse or violence
- Contact sports: football, soccer, and lacrosse, to name a few.
What are the symptoms of whiplash?
Symptoms for whiplash usually develop within 24 hours of the accident. In rare cases, symptoms can take longer to appear. Symptoms of whiplash are:
- Neck pain
- Neck pain worse with movement
- Loss of range of motion or inability to move the neck
- Headaches
- Pain in the shoulders, arms and upper back
- Tingling and numbness in the arms
- Dizziness
- Fatigue
Other whiplash symptoms include:
- Blurred vision
- Ringing in the ears (tinnitus)
- Irritability
- Inability to sleep
- Nausea
If you have been in any type of accident and experience any of the above symptoms, seek the advice of a qualified medical professional immediately.
Treating neck pain and whiplash?
It is important to remember to keep active after a whiplash injury.
After the first 24 hours, movement is vital.
Inactivity and foam cervical collars lead to the weakening of the cervical muscles. This can prolong your healing time.
It is highly recommended to seek professional medical care within 24 hours of your injury. Your doctor can make recommendations on bed rest and cervical collars based on your individual case.
Treatments for neck pain and whiplash include1:
- Gentle Chiropractic care
- Acupuncture
- Medical Massage Therapy
- Physical Therapy
- At-home exercises
- TENS unit therapy
- Ice or heat therapy
- Over-the-counter pain medication
- Prescription medication
If you are experiencing neck pain and live or work in the Stuart, FL area, feel free to schedule a consultation. Call 855-509-5400.
Chiropractic Treatment of Lumbar Spondylolisthesis
Chiropractic Treatment of Lumbar Spondylolisthesis can be beneficial if you are suffering from spondylolisthesis back pain.

Do you have low back pain that is worse with extension?
Maybe you have a family member diagnosed with spondylolisthesis.
Degenerative joint disease in the lumbar region can also result in lumbar spondylolisthesis.
What is a lumbar spondylolisthesis?
Spondylolisthesis refers to the forward slippage of one vertebral body to the beneath it. This most often happens at L5 and S1 but it can occur at higher levels.
Gentle chiropractic care is a nonsurgical, conservative care treatment option for pain commonly caused by spondylolisthesis.
Accepting new patients. Call 855-509-5400 to schedule your appointment.
We Accept All Major Medical Health Insurance and Medicare.
There are six types of slippage graded I-VI.
- Type I: Congenital/Dysplastic due to congenital anomaly
- Type II: Isthmic caused by pars fractures and is most common at L5 and in youths
- Type III: Degenerative caused by degenerative joint disease and is most common at L4
- Type IV: Traumatic caused by trauma resulting in a pedicle fracture
- Type V: Pathological caused by an underlying pathology
- Type VI: Iatrogenic caused by surgery
Imaging of the lumbar spine is the only definitive way to diagnose lumbar spondylolisthesis.
What causes lumbar spondylolisthesis?
The cause of lumbar spondylolisthesis is unclear; however, certain factors seem to be prevalent in
- Genetics
- Sports that require a lot of hyperextension, such as golf.
- Trauma (such as injuries suffered in a car crash.)
- Degenerative joint disease
- Surgery
Traumatic spondylolisthesis can occur when a car accident leads to spondylolisthesis.
In adults, the most common cause is a degenerative disease such as arthritis.
What are the symptoms of lumbar spondylolisthesis?
Lumbar spondylolysis is often asymptomatic. When symptoms do occur, they can present in several ways.
- Low back pain made worse with extension
- Hamstring tightness
- Inflexibility
- Hyperlordosis of the lumbar or thoracolumbar spine (sway back)
In extreme cases:
- Gait disturbance
- Radiculopathy
- Neurogenic claudication
What are the treatments for lumbar spondylolisthesis?
- Gentle chiropractic adjustments (unless instability is present)
- Acupuncture 1
- Medical Massage Therapy 2
- Physical therapy
- At-home exercises and stretches (avoiding extension exercises)
- TENS unit
- Reduction of activity during periods of aggravation
- Orthopedic intervention if grade III-V
- Surgery
If you are experiencing back pain, it could be lumbar spondylolisthesis.
Accepting new patients. Call 855-509-5400 to schedule your appointment.
We Accept All Major Medical Health Insurance and Medicare.
If you live in or near Stuart, Florida, contact Advanced Wellness Solutions to schedule an appointment.
Chiropractic Treatment of Sprains and Strains
Chiropractic treatment of sprains and strains can help improve healing and provide pain relief.
Gentle chiropractic adjustments can help to reduce pain, inflammation, and stiffness while also promoting healing.
Chiropractic treatment offers a gentle, medication-free method for addressing sprains and strains. This approach can accelerate recovery and enhance overall performance. Strains result from muscles or tendons being overstretched or torn, whereas sprains happen when ligaments are stretched excessively or damaged. Frequently, strains arise from factors such as improper posture, repetitive actions, lifting heavy items, or sleeping in uncomfortable positions.
Medical massage therapy can alleviate muscle tightness, diminish discomfort and rigidity, and enhance circulation.

Acupuncture 1 has the ability to trigger the release of endorphins and serotonin, offering quick relief from pain. Research indicates that the pain alleviation achieved through acupuncture may be comparable to that of certain medications.
Sprains and strains are common injuries that fall into three categories: mild, moderate and severe.
What is a sprain?
A sprain is a stretch and/or tear of a ligament, the fibrous band of connective tissue that joins the end of one bone with another. Ligaments stabilize and support the body’s joints. The ligaments that help support, protect, and restrict excessive movement are torn, which is called a sprain.
What is a strain?
A strain is an injury of a muscle and/or tendon. Tendons are fibrous cords of tissue that attach muscles to bone. When these fibrous cords are stretched beyond their normal limits, they become strained.
What causes sprain/strains?
Causes for sprains are:
- Direct or Indirect trauma
Causes for strains are:
- Repetitive movements
- Overuse
- Over stretching
- Direct trauma
What are the symptoms of a sprain/strain?
Symptoms for a sprain are:
- Pain
- Bruising
- Inflammation
- Swelling
These symptoms vary in intensity depending on whether the sprain is mild, moderate or severe.
- Symptoms for a strain are:
Pain - Muscle weakness
- Muscle spasms
- Swelling
- Inflammation
- Cramping
- These symptoms vary in intensity depending on whether the strain is mild, moderate or severe.
Treatment for sprain/strains
Treatment for a sprain or strain is similar in the beginning with RICE:
- Rest
- Ice
- Compression
- Elevation
After the initial injury, a medical professional must assess the patient to determine whether additional therapy or treatment is necessary.
Prevention of sprains and strains
No one is immune to a sprain or strain injury but there are several things you can do to try and prevent or lessen the severity of the injury.
- Stretching
- Proper conditioning for the activity you are planning in participating in
- Properly fitted shoes; a knowledgeable sports shoes clerk or, better yet, a knowledgeable chiropractor can help you with the fit of your shoes.
- Proper warm-up before activity
If you are experiencing sprain or strain symptoms and wish to discuss your treatment options, please schedule an appointment with Advanced Wellness Solutions


