Dec 28, 2009

Repetitive Stress Trauma: An Introduction

Repetitive Stress Trauma: An Introduction

Repetitive Stress Trauma or RST is described entirely by the words that make up the phrase. Repetition implies that the injury is the result of more than one exposure. Typical RSTs result from weeks, months or years of performance of a repetitive task with a specific body part. Stress is the result of inadequate recovery time in between exposures to the repetitious task. Trauma, of course signifies bodily injury as a result of the repetitive stress.

Health care workers primarily view Repetitive Stress Trauma as an occupational or work injury. This thought is based on government statistics which indicate that those who work are more likely to develop an RST injury. While these statistics can’t be denied, they also need to be taken into proper context. In my San Diego based chiropractic clinic, we see many patients with RST injuries. Most of the time, most of the trauma is related to work, more specifically to computer work. Additionally, many of these injured people spend upwards of six hours per day on their computers while at work only to come home, eat dinner, and then sit at their own computers for hours on end as well. It doesn’t matter where the stress comes from, the injury remains the same. That being said, in my 15 years of experience in dealing with RSTs I have found the primary source of irritation to be the work environment.

At this point I will go off on a tangent for just a moment … or more. One of the services that my office offers is ergonomic evaluations. Since most of my patients are in computer related occupations, most of my evaluations are on computer set-ups. Typically, when I question my patients about their work stations I hear the following, “Well, it is pretty good except for FILL IN THE BLANK.” At this point I usually suggest that I come to their place of work and evaluate their work station. They are usually way out of the ideal ergonomic set-up. I see keyboards, mice, monitors and phones positioned in ways that will certainly lead to a worsening of their condition.

RSTs, ergonomics and permanent disability are important topics. As such, I will end this article at this point and be back tomorrow or Tuesday with a continuation of what I have started. This topic will be covered over the next three or four posts. Stay tuned.


Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at

(619) 280 0554

San Diego Chiropractic


Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.

Better Health Steve Jones

Dec 18, 2009

The Computerized Office and Its Effects on Workers

The Computerized Office and Its Effects on Workers

Hundreds if not thousands of books and articles have been written that deal with the short and long term negative effects of working with computers.

As a chiropractor practicing in San Diego, I see a constant flow of new patients who complain of neck pain, shoulder pain, arm pain, wrist pain and hand pain as a result of long work days that mostly consist of sitting at a computer. It doesn’t stop there. Because sitting is especially stressful for the lower back we see plenty of computer operators who complain of low back pain as well.

It seems that the computer spares no body part from pain, discomfort and sometimes disability.

The most damaging characteristics of computer work can be summed up in two related triggers that stimulate our bodies to react to this type of work.

The first of these triggers involves the way the muscles of our necks, upper backs, arms and hands are used during computer work.

Whenever we are working on our computers our fingers are moving a mile a minute while the rest of the muscles of our upper extremities are in a static contraction. Muscles are designed to move joints through an entire range of motion. When we work at our computers these muscles simply contract to hold joints in a fixed position. When muscles act in this way they build up lactic acid, become irritated and inflamed and eventually fatigue and become painful. The long-term effects of this process include tendonitis, carpal tunnel syndrome, trigger finger, etc, etc.

The second trigger involves postural stress. It is human nature to lean forward into our work. Leaning forward improves our ability to see what we are working on. This posture typically includes bending forward at the waist, rounding our shoulders forward and craning our necks forward. Each of these body positions by themselves is capable of causing pain and discomfort. When we are doing computer work it is not unusual to have all three of these postural stresses working on us at the same time.

Controlling these stresses is of utmost importance in order to prevent injury. Taking short one or two minute stretching breaks for the arms and hands every twenty or thirty minutes is very helpful. Icing the painful areas is helpful as well. Finally, becoming aware of your posture and doing what you can to eliminate postural stress will help.

There are other articles on this topic in this blog and in my chiropractic blog at www.jonespainrelife.com/blog that will give you more information on how to control the stresses of computer work.


Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at

(619) 280 0554

San Diego Chiropractic


Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.

Better Health Steve Jones

Dec 9, 2009

Computer Ergonomics, Work Postures and Injury

Computer Ergonomics, Work Postures and Injury

My chiropractic clinic is located in San Diego, California.  For whatever reason, we see many patients suffering from neck pain, back pain, shoulder pain, wrist pain and hand pain as a result of computer work.  As we spend increasing amounts of time at our computer workstations, we need to be aware of how the design and arrangement of our equipment can impact our chances of injury.   Computer ergonomics is the study and / or implementation of work station design with the purpose of reducing or eliminating physical stress. 

My interest in repetitive stress syndromes began approximately 10 years ago when my practice started seeing a much greater number of people suffering from the effects of computer / keyboard work.  Despite all of my training and continuing education related to these types of injuries, I quickly realized that traditional treatment for this type of injury was marginally successful at best.
Any type of therapy was going to have to include the application of basic ergonomic principals to the patient’s work environment.

I am of the opinion that treatment alone or application of ergonomic principals by themselves was not going to resolve a repetitive stress injury.    

This article will address the implication of work station ergonomics and injury resulting from postural stress secondary to use of the computer mouse.
Specifically, the following will be addressed:

1)    What repetitive stress injuries are
2)    What role do work station ergonomics play in injury
3)    How reaching for the mouse sets the stage for injury
4)    What are the symptoms of repetitive stress injury
5)    How one can avoid mouse reaching injuries

What Exactly is a Repetitive Stress Injury?


Repetitive Stress Injury is a kind of catch all phrase for many conditions.  Carpal Tunnel Syndrome, Tenosynovitis / DeQuervain's Syndrome, Tendonitis, Thoracic Outlet Syndrome, Trigger Finger, Myofascial Pain Syndrome and Chronic Sprain / Strain are some of the actual diagnosis that are rendered in my office.  All of these conditions are serious and in many cases can cause great pain, permanent disability and sometimes loss of employment.

Repetitive Stress Injuries occur from repetitive movements involving a specific set of muscles and joints.  RSI injuries are the result of an accumulation of stress and strain that causes irritation, inflammation, and eventually pain or other disability.  A good analogy used to characterize the onset of RSI would be the “straws on the camels back” saying. 

Initially, RSI affects the soft tissues of the involved joint(s).  Soft tissues include muscles, nerves, ligaments and tendons.  However, if left untreated for long periods of time, the involved joint can become arthritic and form bone spurs resulting in permanent damage to the joint. 

While various occupations ranging from meat cutters to construction workers develop RSIs that result from the typical duties of their professions, the most frequent cause of these injuries involve computer work.  The constant demand of keyboarding and mousing combined with the postural stress of confinement in an office chair with one’s neck and back held in prolonged fixed positions has resulted in an epidemic of injuries that includes hand pain, wrist pain, arm pain, neck pain, back pain and shoulder pain.  

Work Station Ergonomics  


The study of workstation ergonomics tells us that the objects that are used most often should be located closest to your body and accessed easily, without awkward body positions.  Repeated reaching or prolonged postures that involve leaning forward from your chair are particularly stressful and fatiguing. 

Many people are aware of computer ergonomics and thus have an ergonomic mouse.  An ergonomic mouse is of little use if it is positioned in an area that requires reaching and stretching in order to operate it.   Limiting reaching and stretching for desk items is essential to maintaining a healthy ergonomic environment. 

The most frequent complaint that I have seen in my office is due to computer work is the combination of mousing and its’ inherent postural stress. 

Most computer stations are designed in a way that involves the worker operating the computer mouse on a pad on the desk.  Reaching to the desk for the mouse places direct stress on the joints and soft tissues of the neck, shoulder, elbow, wrist and hand.  Additionally, reaching forward for the mouse stresses the lower and middle back. 

So How Does Reaching for the Mouse Set the Stage for Injury?

Reaching for the mouse causes you to lean forward in your chair, extend your arm and support the weight of your body through your extended arm.  The following section will discuss the particulars of each of these positions.

The stresses placed on the human frame when reaching for the mouse are easily explained.  Contrary to popular belief, sitting, which most people believe is relaxing, is hard on the back. Sitting for long periods of time can cause increased pressure on the intervertebral discs of the spine. 

In recent years, ergonomisist have told us that proper sitting posture would have us sitting upright with our hips flexed at 90 degrees.  As it turns out, the most up to date studies show that a slightly reclined sitting posture with the hips flexed at 100 to 115 degrees is ideal if you have to sit at a desk.  If your mouse is not positioned close enough to your body, you will have to reach for it.  Reaching for your mouse stresses your back by reducing the angle of your hips. 
Next, we have to look at the effects of reaching on the neck and shoulder. 

When the mouse is being operated at a distance that makes the operator reach, the shoulder extends forward and the shoulder blade abducts (rotates forward).  This position stretches the muscle groups that connect the medial portion of your shoulder blade to your spine and the superior portion of your shoulder blade to your neck.  In the short term, this stretch aggravates the affected muscle groups causing spasm, fatigue, headaches and stiffness in the neck and shoulder.  In the long term, this position creates a condition called a “stretch weakness” resulting in muscular imbalance, trigger points and chronic variations of the conditions listed in the prior sentence.   
 
Lastly, placing the mouse too far away, too low, or too much on one side can cause shoulder, wrist, elbow, and forearm discomfort. When the operator is forced to reach for the mouse, his / her body weight shifts forward and ultimately results in weight bearing stress on the extended arm.  Spending prolonged periods of time leaning on an extended arm is an unnatural and destructive posture that will eventually lead to the development of a repetitive stress syndrome; likely resulting disorders would include tendonitis of the wrist, elbow or shoulder.

What are the Common Symptoms?


•    Tightness, discomfort, stiffness, soreness or burning in the hands, wrists, fingers, forearms, or elbows
•    Tingling, coldness, night pain or numbness in the hands, especially around the base of the thumb
•    Clumsiness or loss of strength in the hands
•    Pain in the neck, shoulders, wrists, hands or back that is associated with using the computer


How Can You Avoid Injuries Related to Reaching for the Mouse?

The following recommendations are applicable to both home office ergonomics as well as ergonomics in the office.

1)  Placing the input device directly in your immediate reach zone offers natural comfort and maximum hand-eye coordination.  The use of a platform for the mouse is preferable.  Some models of mouse platforms attach directly to your chair.

2)  Your chair should have arm rests that are adjustable.   

3)  Your wrist should be either in a neutral position or flexed slightly downward when operating both your mouse and your keyboard.   For this reason, if you select a mouse platform that attaches to your chair, adjustability of the platform is of primary importance.

4)  Consider using a high quality office chair with adjustable armrests and lumbar supports.  It should also allow some degree of recline.

5)  Make sure that the upper arm and elbow are as close to the body and as relaxed as possible for mouse use - avoid overreaching.

6)  Hold the mouse lightly, don't grip it hard or squeeze it. Place the pointing device where you don't have to reach up or over very far to use it.  The closer you can place it to your body the better.



Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at

(619) 280 0554

San Diego Chiropractic


Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.

Better Health Steve Jones

Nov 28, 2009

Picking up On Repetitive Stress Trauma:

Picking up On Repetitive Stress Trauma:

I ended my last post with discussing the contributing factors of work duties with the development of Repetitive Stress Trauma. The reason that work is such a heavy contributor to these types of injuries is the frequency and consistency of the exposure to the aggravating activity. Most of us work at least 5 days a week, usually consecutive days and we do the same things each day for the most part. This kind of continual stress exceeds the body’s ability to recover and heal. Without adequate rest / recovery, a portion of us are susceptible to developing a repetitive stress injury.

Typical activities associated with the onset of Repetitive Stress Trauma include repetitive gripping, reaching, twisting, pushing, pulling and the use of computer input devices including both the keyboard and the mouse. Often times, these activities are performed in ways that dictate the use of poor posture and awkward body positions.

Hence we have the perfect formula for the development of a Repetitive Stress Trauma. Forceful Movements + High Repetitions + Poor & Awkward Postures + Lack of Recovery Time = Repetitive Stress Trauma.

This is not rocket science but it takes some thought to putting the pieces together. It also takes some thought in unraveling the particular stresses that are or could cause you to develop symptoms.

More Soon,


Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at

(619) 280 0554

San Diego Chiropractic


Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.

Better Health Steve Jones

Nov 18, 2009

Stretching and Chiropractic

Try to be More Flexible in 2010 – Stretching and Chiropractic

The headline of this article could be interpreted in a variety of different ways. For the purposes of this blog post it will address our physical flexibility. Flexibility is an important measure of our physical fitness. Flexibility is just as important to our overall health as is strength, endurance, aerobic capacity and body composition.

One of the big problems that I encounter with my patients in my San Diego Chiropractic office is a lack of flexibility in the joints. Strong muscles that span flexible joints are ideal for everything from mundane household chores to weekend athletic adventures. A lack of stretching catches up to us when we perform movements beyond the normal for our lifestyles or activities. In some cases, an extreme movement can be something as simple as reaching to the table behind you for your cup of coffee. Neck pain, back pain, arm pain and leg pain can all occur as a result of injuries due to inflexibility.

As a general rule, as our bodies age, our physical fitness degrades. Regarding flexibility, we tend to loose it. That is why it is very important to develop flexibility when we are younger and maintain it as we get older. Even those of us in our forties or older must try to regain some and maintain most of our flexibility even though we are not 20 something anymore.

I always tell people to think about how much strength, endurance or in this case flexibility that they have lost in the last 10 or 20 years. I know that I am not as physically fit as I was when I was 20 or even 30 years old. There is no way that I want that same trend to continue over the next 20 years. In order to prevent the atrophy of our bodies we have to maintain them through stretching and exercise.

In addition to perhaps regaining the ability to touch your toes, becoming more flexible will also help in the following ways.

1) Helps Relieve Stress: Flexible muscles are loose and relaxed muscles. Loose, flexible muscles are less likely to tighten up during stressful, tense situations.
2) Helps Improve Posture: Loose muscles help your body maintain better posture. Avoiding unnecessary postural stress will help you feel better.
3) Helps Increase Circulation: Increased circulation comes as a result of consistent stretching. Improved circulation helps bring nourishment to your muscles while removing toxic build-up of lactic acid and other waste products.
4) Helps Improve Coordination: Stretching will improve your joints range of motion providing for better balance, mobility and coordination. Improved coordination will help us with all athletic activities and help prevent falls as we age.

I always recommend stretching in the form of Yoga. Stores like Target have many instructional DVDs on Yoga. Linda and I have always found that Rodney Yee produces better than average DVD courses on Yoga. If you are not experienced in Yoga you will need to start with a beginners course, many people look at Yoga and assume that it is easy. THIS IS NOT THE CASE. Yoga is not only a great stretch but an excellent work out and you can hurt yourself if you over-do it.

Some guidelines for safe stretching include:
1) Warm up Before You Begin
2) Don’t Bounce While Stretching
3) Avoid Pain While Stretching – It Should Feel Like A Good Stretch – Not A Painful One
4) Stretch Both Sides
5) Stretch Both Before and After Exercise


Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at

(619) 280 0554

San Diego Chiropractic


Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.

Better Health Steve Jones

Nov 8, 2009

Repetitive Stress Trauma the root of RSI

Figuring out what is the root cause of a Repetitive Stress Trauma

is of the utmost importance. Once you have figured out what the source of that stress is, you have figure out a solution. I provide treatment for many people who simply don’t see the importance in controlling the stress that they impose upon themselves. Many of them are of the opinion that if they get some treatment that the aches and pains will go away. For a small percentage of people, this is true. For most however, resolution of the symptoms of a Repetitive Stress Trauma involves formal treatment with an experienced clinician as well as reducing the physical stress that their work environment imposes upon them.

You have to look at it this way, if you work in a physically stressful environment for 40 hours per week and receive therapy 3 times weekly with each session lasting 30 minutes, you are attempting to counter 40 hours of repetitive stress with 1 ½ hours of therapy. This formula will not work for most people. Treatment must include workstation modifications.

I have taken the liberty of outlining some basic rules of setting up an ergonomically friendly computer workstation below. Trying to come close to these recommendations will go a long way in reducing your work stress.

1) Placing the input device directly in your immediate reach zone offers natural comfort and maximum hand-eye coordination. The use of a platform for the mouse is preferable.
2) Your chair should have arm rests that are adjustable.
3) Your wrist should be either in a neutral position or flexed slightly downward when operating both your mouse and your keyboard. For this reason, if you select a mouse platform that attaches to your chair, adjustability of the platform is of primary importance.
4) Consider using a high quality office chair with adjustable armrests and lumbar supports. It should also allow some degree of recline. The angle of your hips should be open to about 115 degrees.
5) Make sure that the upper arm and elbow are as close to the body and as relaxed as possible for keyboard and mouse use - avoid overreaching.
6) Hold the mouse lightly, don't grip it hard or squeeze it. Place the pointing device where you don't have to reach up or over very far to use it. The closer you can place it to your body the better.
7) Your monitor should be directly in front of you and the upper 1/3 of it should be at eye level.

More soon.
Doc


Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at

(619) 280 0554

San Diego Chiropractic


Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.

Better Health Steve Jones

Nov 1, 2009

Tension Headaches

What is a Tension Headache?

Tension headaches are the most common kind of headache. Tension headaches usually occur in middle age and are often associated with stress and anxiety.

What are the Causes of Tension Headaches? 


Tension headaches are caused by stress, muscular tension and postural stress. Conditions that can lead to chronic muscular tension and headache include:
•    Anxiety
•    Arthritis in neck or spine
•    Degenerative bone or disk disease in the neck or spine
•    Depression
•    Temporomandibular joint disorders

Tension Headache Symptoms:

Tension headaches usually produces a dull, steady ache on both sides of the head. The pain usually increases over a period of hours. A small number of tension-headache patients report that, when at its worst, the pain develops a pulsating quality.  Muscular tenderness in areas of the neck, the base of the skull, scalp, forehead, face, jaw, shoulders, or upper arms may be present in tension-headache sufferers.  Some people may show signs of clenching their teeth.


If your headache is caused by loss of natural curve in the neck, then

RESTORING THE NATURAL CURVE IN THE NECK MAY CURE AND PREVENT CHRONIC HEADACHES & ARTHRITIS.

 FACT: Forty-Five (45) Million Americans suffer from chronic headaches.   The good news is that you don’t have to.  A routine chiropractic examination can reveal the cause of your headaches.
Tension headache sufferers are often provided excellent results with chiropractic care.
The Move of The Month
Stretching is an important part of maintaining your health.  Performing the stretch below on a daily basis will help you in your pursuit to stay limber and pain-free.

Slowly laterally flex your head by bringing your ear to the same side shoulder. Apply slight pressure to the side of the head with the same side hand to increase the stretch. You should feel a stretching sensation in the opposite side of the neck.
Hold for this position for 30 seconds, return to the starting position, and perform the same movement to the opposite side.
Perform 1 time per day, 5 days per week.


Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at

(619) 280 0554

San Diego Chiropractic


Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.

Better Health Steve Jones

Oct 27, 2009

Sitting, Reaching and Posture

Sitting, Reaching and Posture

Sitting and reaching have a profound impact on your posture. Both sitting and reaching stress the spine. Reaching stresses both the spine, shoulder, elbow and wrist. Sitting and reaching contribute to poor posture that can cause neck pain, shoulder pain, back pain and wrist pain.

Sitting has a negative impact on your back for several reasons. Since our spines were made to move, it should come as no surprise that hours on end of sitting in a static position leads to injury.

In addition to a lack of movement, the sitting posture itself is structurally stressful to the spine. When we are standing upright, the lower back should have a sweeping forward curve which promotes stability by reducing pressure on the discs that separate our vertebra. Sitting reverses the normal curve in our lower backs and increases the pressure on the discs leading to an increased chance of injury.

From a postural standpoint, the sitting position can promote rounded shoulders, slumping forward of the upper back and jutting forward of the jaw. Not only are these postures unattractive but they contribute to the development of tendonitis and result in stretch weakness of the involved muscles.

There are volumes of information regarding ideal sitting postures both on the web and within other posts on this site. Sorting out your posture with the use of a good ergonomic chair will help you maintain good posture and spinal health.

Reaching at or beyond your normal arc of motion also contributes to poor posture and cumulative trauma type injuries, especially of the neck and shoulder. It is vitally important to the health of your frame to keep objects that you use on a regular basis within easy reach. Your phone, the mouse, stapler, etc., if used frequently through the course of your day, should be within your immediate reach. Objects that are used less frequently can be kept farther away, closer to the edge of your comfortable reach.

Take a good look at your work space. Making a few simple changes will help save your posture and your spinal health.



Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at

(619) 280 0554

San Diego Chiropractic


Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.

Better Health Steve Jones

Oct 18, 2009

Whiplash Dr San Diego

A Dangerous Time of Year: Whiplash Time is Upon Us

When the rains begin to fall, we know to expect calls from our regular patients and new referrals to address pain stemming from car accident injuries. When roads are slick and slippery, it is around 4 to 5 times more likely for an accident to occur when compared to calm weather. In the last decade and a half, my Chiropractic office in San Diego has seen hundreds of car accident and personal injury victims.

Whiplash is the classic neck injury that is most commonly caused by automobile accidents.

When the head is pulled forward and yanked backwards as in an auto accident, the immense stress affects the neck causing whiplash. The weight of the head is considerable compared to the size of the muscles used to control it. When the head is suddenly whipped in a violent manner, the muscles of the neck are inadequate to support the movement associated with the gravitational g-force pull. Some of the typical results of a whiplash injury are ligament damage, pinched nerves, muscle tearing, spasms and back problems.

Whiplash can become a painful, chronic problem if not treated. A lot of people make the error of judging the type of injury to their body, based on the impact force or the total amount of car damage. This isn't good thinking. There are a myriad of variables that determine whether someone experiences pain with just a small fender-bender, while someone else feels absolutely none after having their car totaled by a vehicle traveling at 65 mph. Some of the considerations as to whether a person sustains an injury during an accident include angle and speed of impact, use of safety belts, and head position.

It is a common myth that whiplash and other injuries can only occur as a result of high speed auto accidents; in reality, many people experience symptoms after minor accidents. Symptoms of whiplash may occur at the time, or they may occur days, weeks or even many months later.

Whiplash can cause many problems including painful headaches, muscle spasms, pain in the shoulders, dizziness, ringing in the ears (tinnitus), arm pain and tingling, insomnia, and the most common, neck pain. The chronic pain of whiplash can destroy a patient’s quality of life, resulting in the chance of depression.

Misaligned vertebrae in the neck is a common problem associated with whiplash. If treatment is not obtained, these vertebrae will remain misaligned, which will cause chronic neck pain, loss of motion, headaches and arthritis in the future.

A study done in Canada, published in 1998, looked at approximately 10,000 people with neck injuries; the conclusion from the study was that remedies in addition to chiropractic treatment are necessary for recovery from whiplash. The study also determined that "accepted" treatments like muscle relaxers, neck collars, immobilization, and all the rest were not helpful for a whiplash victim.




Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at

(619) 280 0554

San Diego Chiropractic


Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.

Better Health Steve Jones

Oct 14, 2009

Need a Mouse Platform

Why You Need a Mouse Platform

A mouse pad simply isn’t enough. Not even if it has a little gel support pad for your wrist. A mouse pad enhances the operation of the mouse but doesn’t do anything for your ergonomic situation.

I am a practicing chiropractor in San Diego California. Years ago I began to notice that most of my patients who were being treated for either Carpal Tunnel Syndrome, neck pain, shoulder pain or any of the other symptoms that are specific to stress imposed by long days at the computer had one common complaint.

That complaint was that extending their arm to reach for the mouse was one of their primary aggravating factors.

One of things that I have learned by treating injured people is that when they are in pain, activities that they perform without concern of postural stress when they are “healthy” suddenly become painful.

Reaching for the mouse is one of these activities. Reaching for your mouse in a way that forces your arm to assume any position other than hanging at your side while supported on your chairs armrest exposes your wrist, arm, shoulder, neck and upper back to postural stress.

With time, this ongoing postural stress will either cause a repetitive stress injury on its own or it will help contribute to one.

This mechanism of injury was the basis for the development of the Ergo Nav mouse platform. The Ergo Nav attaches to your chairs armrest in a way that places your mouse right at your finger tips allowing for stress free mouse operation.

Independently performed EMG studies show significantly less muscular activity in the neck, back and shoulder girdle with use of the Ergo Nav as compared to reaching to the desk for the mouse. These same results were shown regardless of whether or not the desk placed mouse pad had a gel pad wrist rest or not.

While there were mouse platforms already available, they were either non-adjustable (read not ergonomic) or they were adjustable and very expensive with bulky, impractical chair attachments.

The Ergo Nav allows for adjustment of the platform in several planes for true ergonomic adaptability while maintaining exceptionally low pricing compared to other mouse platforms.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at
(619) 280 0554
San Diego Chiropractic

ADJUSTABLE MOUSE PLATFORM Website to learn more about or Buy Ergo Nav

Chiropractic San Diego Website to make an appointment
Better Health Steve Jones

Arm Wrist Pain from Computer Use

Is computer work making you miserable?

If it is, you are not alone.  National statistics point to the computer as a major contributor to lost days at work due to injury.  I see the same thing in my San Diego Chiropractic office.  Neck pain, shoulder pain, wrist pain, hand pain and back pain are common among those who don’t have the proper ergonomic set-up of their computer stations.  That being said, some people get these symptoms regardless of their ergonomic set-up.
Computer ergonomics is the study and / or implementation of workstation design with the purpose of reducing or eliminating physical stress. 
My interest in repetitive stress syndromes began approximately 10 years ago when my practice started seeing a much greater number of people suffering from the effects of computer / keyboard work.  Despite all of my training and continuing education related to these types of injuries, I quickly realized that traditional treatment for this type of injury was marginally successful at best.
Any type of therapy was going to have to include the application of basic ergonomic principals to the patient’s work environment.
I am of the opinion that treatment alone or application of ergonomic principals by themselves was not going to resolve a repetitive stress injury.    
Over the next several weeks I will write a series of articles that will address the implication of workstation ergonomics and injury resulting from postural stress secondary to use of the computer mouse.
Specifically, the following will be addressed:
1)    What repetitive stress injuries are
2)    What role do work station ergonomics play in injury
3)    How reaching for the mouse sets the stage for injury
4)    What are the symptoms of repetitive stress injury
5)    How you can avoid mouse reaching injuries

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at
(619) 280 0554
San Diego Chiropractic

ADJUSTABLE MOUSE PLATFORM Website to learn more about or Buy Ergo Nav

Chiropractic San Diego Website to make an appointment
Better Health Steve Jones

Oct 9, 2009

Neck And Head Pain Q&A

Neck And Head Pain Questions And Answers

1. Is arm pain, numbness, tingling, and weakness related to neck pain? Will I need surgery?

Because the nerves in the cervical region radiate down through the arms, these symptoms can sometimes be related to neck pain. While surgery is sometimes required to reduce pressure on the nerves, many cases can be treated effectively through physical therapy.

2. Is surgery beneficial for chronic neck pain?

Surgery may be the treatment of choice in isolated cases-for example, if you have a condition known as spinal stenosis (in which the openings for the nerve roots or spinal cord become smaller, often due to osteoarthritis). In most cases conservative treatment, including physical therapy and/or medication, is preferable.

3. Is it alright to take medication such as aspirin for my neck pain and headache?

Yes, although anti-inflammatories such as NSAIDS (non-steroidal anti-inflammatory drugs) or aspirin can cause stomach upset or ringing in the ears.

Be aware that acetaminophen can help with pain but not inflammation. Consult your pharmacist about the medication you are taking. Do not take medication that is old or previously prescribed for someone else.

4. How long before I get better?

The nature of your injury will determine how long it takes to heal. In general, recovery from neck sprains or strains can take anywhere from a few weeks to a few months, depending on the severity of the injury, your age and ability to heal, and other factors.

Your recovery will be faster if you follow the program designed by your physical therapist. Your program will probably include exercises and other treatments designed to ensure that the neck heals properly and regains its normal range of motion. Without proper treatment, prolonged stiffness and discomfort may result.



Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at

(619) 280 0554

San Diego Chiropractic


Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.

Better Health Steve Jones

Aug 19, 2009

Single Most Important Thing you can do

The Single Most Important Thing You Can Ever Do For Yourself!

Each day patients come to my Chiropractic Office in San Diego complaining of pain.  It may be neck pain, back pain, headaches, leg pain, arm pain etc. etc. etc. – you get it.

For the most part, these patients are not really responsible for the cause of their pain.  They were injured by a fall, a whiplash accident, a work comp related accident a sports injury or some other sort of accident.

That being the case, some are directly responsible for their pain – which takes me back to the title of this article – and the answer. 

THE SINGLE MOST IMPORTANT THING THAT YOU CAN EVER DO FOR YOURSELF IS TAKE RESPONSIBILITY FOR YOUR ACTIONS!  INCLUDING YOUR HEALTH!

I will follow this statement by admitting that even though I have been treating patients and handing out advise on health for over 15 years that I do not always make the wisest choices regarding my own health.  I find this frustrating.  A recent example involves a soda that I bought the other day.  I succumbed to a craving. 

That soda was the inspiration for this blog post.

In the past, I have written at least one article on the ill effects of soda.  When I do cave in to my occassional desire to drink a soda, I usually hit the internet to review the reasons why it is so bad for us.


Years ago, I had given up coffee – all coffee – even decaf.  What I didn’t give up was caffiene.  I got my daily caffiene fix from diet Coke.  It took me awhile to figure it out but eventually I recognized that soda made me anxious.  Especially regular soda.  There came a time that I knew I had to give it up – for the sake of my health. 

For over five years I drank no coffee or soda.  I felt pretty good as a result.  My digestion was better, my anxiety faded and my feelings regarding my own health improved.

At this point I do have a soda once in awhile – which aggravates me to no end.

In researching the current literature for the ill effects of soda, I found an article that links soda to gout.  This article sited studies that indicate that drinking regular soda, not diet soda, has a significant effect on your chances of developing gout.  The study found that consumption of two or more soft drinks each day upped gout risk by 85%.  The same study found that one soft drink each day upped gout risk by 45%. Beer raises gout risk by 49% per daily serving. A daily serving of spirits raises gout risk by 15%.

For those of you who do not know, Gout is an extremely painful form of arthritis in which uric acid crystals accumulate in the joints.  It most commonly affects the big toe but commonly affects other joints in the leg.  While men are more likely to suffer gout than are women, a woman's risk greatly increases after menopause.  About one in 10 people over the age of 60 develops gout.
A gout flair up can cause weeks of suffering.  It is very severe pain.  I had a gout attack in the early 1990s and I can say that it was the worst pain I have ever had to endure.  My gout attack affected my big toe and recall excruciating pain with any kind of contact on that toe – sleeping was a nightmare.  Anytime the sheet touched my toe it sent me through the roof!  

Gout causes intense pain and swelling, one of the worst pains you can suffer.

This study has been significant because it is the first one that links these commonly consumed drinks to gout.  That being said, the study definitely links soft drinks to gout risk, but it does not prove that cutting back on soft drinks will lower that risk.

Wheather or not your family history predisposes you to gout formation or not, you have to realize that high-fructose carbonated beverages don't have any nutritional benefit what so ever. 
The association of gout with soda consumption is just one more reason to eliminate soda from our diets. 

The point of this article is to draw your attention to the fact that we have a tremendous amount of control of our own health.  By using the information that is readily available we can take responsibility for our health by making wiser decisions.  

•    Five or six soft drinks each week upped gout risk by 29%. The men who drank the most soft drinks had twice the gout risk of the men who drank the fewest soft drinks. That's comparable to the gout risk of men who drink two to four alcoholic beverages a day.



Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at

(619) 280 0554

San Diego Chiropractic


Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.

Better Health Steve Jones

Jun 22, 2009

Other causes of neck pain 2

Other causes of neck pain, including: traumatic
injuries, degenerative conditions, tumors, infections and disc involvement.

• Degenerative diseases in the neck are usually due to aging
and the natural progression of the spine. Repetitive trauma can account for acceleration of these injuries. Patients often complain of neck pain, numbness and tingling down into the arms and hands, and a “cracking” or “popping” sound in their neck.

Your head and neck region is vulnerable to many different stresses. Bad posture can cause misalignment of your neck, head, and spine. Car accidents can cause whiplash. Age and wear and tear can cause arthritis. Even activities such as gum chewing and reading in bed can cause pain. How do we avoid these potential problems? And if we can't avoid them, how can we recover as quickly as possible?
In this article you will learn about:
• The basic anatomy of the neck region;
• Common reasons for neck pain and headaches;
• Ways to reduce stress and the risk of injury;
• Exercises to do at home; and
• How a physical therapist can help.

Whatever the nature of your problem, physical therapy by a licensed physical therapist can often help you recover function quickly and teach you new habits to minimize the risk of further pain or injury.

Anatomy Of The Neck Region

One of the most flexible regions of the spine is the neck (cervical) region, which consists of vertebrae, seven shock-absorbing discs, muscles, and vertebral ligaments to hold them in place. The uppermost cervical disc connects the top of the spinal column to the base of the skull. The spinal cord, which sends nerve impulses to every part of the body, runs through a canal in the the cervical vertebrae and continues all the way down the spine. The cervical nerves spread down into the arms; because of this, arm pain is sometimes traceable to a problem in the neck.

One of the most common causes of neck pain, and sometimes headaches, is poor posture. It's easy to get into bad posture habits without even realizing it-even an activity as "innocent" as reading in bed can ultimately lead to pain, headaches, and more serious problems.

The basic rule is simple: keep your neck in a "neutral" position whenever possible. In other words, don't bend or hunch your neck forward for long periods. Also, try not to sit in one position for a long time. If you must sit for an extended period, make sure your posture is good: Keep your head in a neutral position, make sure your back is supported, keep your knees slightly lower than your hips, and rest your arms if possible.

Reading in bed can cause neck strain- especially if you're propped up on several pillows, bending your neck forward, and trying to hold your arms out in order to support the book. If you do read in bed, make it easy on your neck: Consider purchasing one of the products specifically designed for this purpose, such as a wedge pillow to prop up the book or a portable "mini desk." Finally, remember not to stay in any single position too long- our bodies are designed to move.



Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at

(619) 280 0554

San Diego Chiropractic


Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.

Better Health Steve Jones

Jun 18, 2009

Common types of headache include tension, vascular, muscular, or neurogenic 1

Common types of headache include tension, vascular, muscular, or neurogenic.


• Headaches can originate from the nerves, soft tissue, and joints in the cervical spine.

• Certain types of headaches will arise from the upper neck at the base of the skull, and
radiate from the occiput (rear) to the front of the head or temple(s).

• Trigger points in certain areas of the neck can cause headaches.
Trigger points are “knotty” areas or bands in muscle tissue, and can commonly be seen in “Myofascial Pain Syndrome.”

• Cervical facet- joint -mediated headaches are common after whiplash injuries. In this type of headache, a nerve surrounding the inflamed joint in the neck can cause severe pain. These types of headaches usually respond to physical therapy, traction, stretching, anti-inflammatory medications & muscle relaxants. Facet joints can also be injected when therapies have not helped. Typically a low dose of anesthetic and cortisone is injected into the joint(s) under fluoroscopy (x-ray). When followed by a well-designed physical therapy regimen, these injections can give excellent long-term
relief of neck pain and headache.


Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at

(619) 280 0554

San Diego Chiropractic


Ergonomic Office Equipment Website to learn more about or Buy Ergo Nav, the Ergonomic Mouse Pad
or Visit Ergonomic Blog, "Ergonomically Yours" And read the latest News in the Ergonomic World.

Better Health Steve Jones