At Advanced Spine and Joints Center we realize that each patient and their individual pain is unique. We create a customized treatment plan for each patient, leading to lasting results. Medical research confirms that lasting results are attained through a functional and combined approach to chiropractic.
- Restricted joints are mobilized or “manipulated” with chiropractic techniques
- Unstable joints are stabilized through rehabilitation
- Tight, fibrotic, or ropy muscles are stretched or “released,”
- Trigger Points are often released through Trigger Point Dry Needling
- Weak or inhibited muscles are strengthened or “facilitated”.
- The key is an accurate and thorough movement pattern assessment:
Chiropractic Adjustments (Manipulation)
When a door is not working properly, you would not just examine the door closed but also swing the door to determine if the hinge is freely moving or if the door is out of level. That is what a skilled Motion Palpation Doctor does when examining a patient. Dr. Vahldick, certified through the Motion Palpation Institute, has a dynamic and gentle way for assessing the spine or other joints (ankle, foot, hip etc.). The technique offers effective and biomechanically correct ways to mobilize the fixated joints, restoring proper function to these areas.
When a joint is fixated or stuck, the doctor utilizes a chiropractic manipulation or an adjustment to help restore the normal motion and function. Our manipulative therapy techniques are based on current medical research and proper joint biomechanics. Generally, this technique employs gentle pressure or a shallow thrust to restore optimal motion. Manipulation is sometimes accompanied by a pop, which results from the joint’s release of nitrogen gas (the same pop heard when one “cracks their knuckles”). Neurologically, an adjustment will inhibit pain nerves, help relax muscles, and will improve neuromuscular feedback and coordination. Chiropractic manipulation is proven to be both effective and extremely safe for a variety of conditions.
DNS and Functional Rehabilitation
Dynamic neuromuscular stabilization (DNS), protocols based on the teachings and treatment programs of Pavel Kolar, physiotherapist by training who holds a doctorate in pediatrics, and Karel Lewit, MD, known as the father of manual medicine. DNS is based on developmental movement patters of healthy baby in the first year of life. Restoration of these ideal movement patterns and muscle balances are paramount to rehabilitative success. Dr. Zach is the only DNS trained physician in southwest Missouri. Chiropractic treatment, that focuses solely on the adjustment, will fail to provide lasting results, as the muscles and the rest of the body will be unable to maintain the benefits of chiropractic manipulation. Functional rehabilitation is goal oriented, based directly on the findings of the physical assessment, and progressive. This model of rehab builds on the body’s natural movement patterns; retraining and facilitating muscles that might be weak, or uncontrolled, and culminating in movements that can challenge the entire body. This patient centered, active model of care is the foundation for Advanced Spine and Joint Center.
Dr. Vahldick has and continues to learn from some of the top rehab specialist in the world, from disciplines of Chirporactic, Strength and Conditioning, Physical Therapy, Spinal Biomechanics, Medical Doctors, and Osteopaths.
To learn more visit http://www.rehabps.com/REHABILITATION/Home.html
Kettlebell Training is an ancient art of strength training that has made a well-deserved comeback in recent years. It is part of a larger movement in strength and conditioning that moves us away from stationary machines and isolated muscle work, to larger global patterns such as PUSH, PULL, LIFT, CHOP, and CARRY. This is known as FUNCTIONAL STRENGTH TRAINING, and its popularity can be seen in the movies 300, Thor, or our favorite Rocky.
Functional Dry Needling (Acupuncture)
FDN is an effective therapy to treat muscular tension, spasm and pain, which commonly accompanies conditions such as arthritis, nerve irritation, muscular strain, ligament strains and herniated discs. It is called “Dry” Needling because there is no solution injected as with a hypodermic needle during a flu shot. With dry needling, an acupuncture type neede is used, and the needle itself stimulates and produces the effects within the tissue.
When an injury occurs from repetitive use or acute trauma, inflammation will be produced from the damaged tissues. The damaged tissues will also go into a protective tension state, contracture or spasm to guard against further damage. This contracture and inflammation inhibit microcirculation which limits both the oxygenated blood from reaching the injury and the waste products leaving. The injury site becomes hypoxic (decreased in oxygen) and will produces fibrosis or scar tissue. This fibrosis and scarring builds up around the muscles and tissues limiting the tissues ability to fully function (lengthen/shorten) and can also cause compression and irritation of nerves.
FDN uses a small, solid filament needle which is inserted in a contracted painful knotted muscle to create a local twitch reflex which is both diagnostic and therapeutic as it is the first step in breaking the pain cycle as research shows will decrease muscle contraction, reduce chemical irritation, improve flexibility and decrease pain.
Dr. Vahldick recieved his Functional Dry Needling training through Kinetecore
FAKTR (pronounced FACTOR) is a concept, not a technique. The acronym stands for Functional and Kinetic Treatment with Rehab. FAKTR combines rehabilitation, with instrument assisted, in our case Graton, soft tissue therapy. Treatment can be delivered in the position of pain or tightness, breaking up the area of restriction, and bombarding the nervous system and causing lasting pain modulation, or relief. FAKTR can produce astoundingly rapid results. For more information on Graston please visit: www.faktr.com.
With Graston Technique®, Dr. Vahdick uses a series of stainless steel instruments to detect and treat areas of scar tissue or adhesion in muscles, tendons, fascia, and ligaments. These instruments act like stethoscopes for the hand, and aid in finding tissue problems with amazing sensitivity. Graston has proven itself in the current research extremely beneficial in initiating the healing process, regenerating stronger tissue. It has proven itself as a great asset to our model of Chiropractic Massage and Rehabilitation. For more information on Graston please visit: www.grastontechnique.com.
The Selective Functional Movement Assessment (SFMA) is a series of full-body movement tests designed to assess fundamental patterns of movement in those with known musculoskeletal pain. It is a logarithmic process breaking down movements from large multisegmental movements to smaller movements, isolating the dysfunction. When the clinical assessment is initiated from the perspective of the movement pattern, the clinician has the opportunity to identify meaningful impairments that may be seemingly unrelated to the primary complaint, but contribute to the larger pattern of dysfunction. This approach is designed to complement the existing exam and serve as a model to efficiently integrate the concepts of posture, muscle balance and the fundamental patterns of movement into treatment. SFMA offers doctors of chiropractic and physical therapy a new approach to the treatment of pain and dysfunction. Our standardized clinical model ensures isolating the cause of injury and efficient care.
FMS or Functional Movement Screen is a similar screening tool, with seven screens, scored on a scale of 0-3, designed to guide exercise prescription in a pain free population. Research has also suggested that scores on FMS screens correlate to injury rates among collegiate athletes. FMS is an invaluable tool for anyone truly wanting to MOVE BETTER.
Check out these research articles on the value of the FMS on predicting injury in athletes:
Massage Therapy is a non-invasive therapy that enhances the body’s own healing. Massage may be the oldest and simplest form of health care. Massage therapy affects the body both physiologically and psychologically in nature. Performed on a healthy person, massage increases muscle flexibility and relaxation, and decreases stress levels. Massage therapy is safe and effective and is widely used to help patients obtain relief from many specific conditions, including: post-injury rehabilitation, whiplash, headaches and migraines, back and neck pain, sprains and strains, spasms, athletic injuries, circulatory issues, arthritis, frozen shoulder, bursitis and tendonitis, sciatica and pseudo-sciatica, scoliosis and other postural dysfunctions, plantar fasciitis, fibromyalgia and many more. Massage is most effective as part of a combined healthcare team approach consisting of chiropractic, rehabilitation and other Advanced Spine and Joint services. Other benefits of massage therapy:
- Develop, maintain, rehabilitate, or augment physical function
- Relieve or prevent physical dysfunction or pain
- Relax tense or tight muscles
- Improve circulation, recovery time and immune system function
- Reduce overall stress
The TMJ is the joint between the jaw or mandible and the skull. It is used every time we chew, talk, or even swallow. Its anatomy as well as its movements are very complex and very often become dysfunctional. This dysfunction can cause pain in the jaw or face, popping or clicking during chewing, limitation of jaw movement, and commonly neck pain and headaches.
Dr. Vahldick is trained in the evaluation and treatment of this orofacial condition. Our conservative approach to temporomandibular dysfunction consists of a detailed examination of the TMJ and its function, as well as the function of the cervical spine (neck) and shoulders. Treatment focuses on first releasing the tension of the proper soft tissues, in some cases mobilizing the jaw or manipulating the neck will be included. Teaching the patient how to retrain proper jaw motion with rehabilitation exercises is a crucial aspect of care. The goal of this treatment is to restore proper function of the joint and stabilize its motion. Some cases will benefit from co-management by a dentist, to possibly be fit for splint or bite guard, or resolution of any malocclusion issues.
ASJC prides itself on working with other physicians when indicated to achieve the best care for our patients.
Nerve pain commonly presents itself as arm or leg pain, with sciatica and carpal tunnel being two of the most well recognized conditions. Pinched nerves, or nerve entrapment syndromes, are common and treatable. Just like the rest of your body, nerves are composed of cells, in this case very long cells. Unlike muscles or other soft tissues though, nerves cannot stretch well. They can be thought of as long ropes or strings, that pass through various structures in your body and they must freely move and slide during your range of motion. Neuromobilization techniques involve the treatment of these nerves in and down the arms and legs by hand or with Graston tool, with active patient motion. Most patients will also have home nuermobilization exercises. These techniques are very helpful for the treatment of sciatica, carpal tunnel syndrome, tarsal tunnel syndrome, and other radiculopathies or nerve entrapment problems.
Titleist Performance Institute Training
We can only swing a club, as well as our body’s can move. Titleist Performance Institute, or TPI, training sets Dr. Vahldick apart as an elite chiropractic provider for both golf injuries, and golf performance training. TPI was founded by a chiropractor and golf pro, to research golf biomechanics and human movement, studying the swings and movement patterns of tens of thousands of golfers over the past eight years. As Southwest Missouri’s only certified TPI provider, Dr. Vahldick uses a series of proven screening and assessment techniques to identity key links in the body, that may be not functioning properly, limiting or causing pain in your golf swing. For more information on TPI visit www.mytpi.com.
Kettlebell and Personal Training
This ancient form of strength and conditioning actual origins are unknown, but was used for training the Russian Millitary by 1704. It remained a popular form of strength training in Russia and Eastern Europe until the early 1900′s when it became more common world wide. It came out of fashion in America during WWII, and the growth of the fitness industry in the 1980′s completely left the Kettlebell aside. This was the age of body building, and large machines that isolated movements were dominating the fitness world. Advances in our understanding of fitness and training lead to a revitalization of the Kettlebell in the 2000′s. Those cumbersome machines that “simulated ” movement (and still dominate many commercial gyms) simply were not as effective as actually moving
The strength of the kettlebell is that its center of gravity is away from the hands, this lends it well to a swinging motion, that simultaneously works many muscle groups at once, building not only strength, but flexibility, balance, coordination, and cardiovascular fitness. Its versatility allows us to challenge any muscle group or movement pattern.
Kettlebells come in all sizes, from 10 lbs to over 100lbs, allowing us to train the most de-conditioned or elderly client, or the most seasoned competitive athlete.
Advanced Spine and Joint Center is proud to bring this fine service to the Branson Community