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Archive for September, 2009

Arm Tingling – Diagnosis and Treatment

Wednesday, September 30th, 2009

stenosis_largeTingling in the arm and hands or paresthesia can have many causes, one very common cause is Thoracic Outlet Syndrome (TOS). The most common symptoms associated with TOS are pain, tingling, and weakness in the hand, arm, and shoulder, plus neck pain and occipital headaches.  Hand coldness and color changes are also seen associated with this condition.

There are three types of TOS; arterial, venous and neurogenic.  According to a study (1) published in the Journal of Vascular Surgery, 90% of TOS are of the neurogenic etiology.  The cause of neurogenic TOS is most commonly compression of the nerves that exit the neck and run down the arm into the hand.  This is similar to sitting cross-legged, which puts pressure on the nerves and causes tingling.

Diagnosis of this condition involves a complete physical work up including in most cases x-rays.  If the diagnosis of TOS is made, the focus of treatment is to restore the normal range of motion in the neck, relieve the compression in the neck and provide stretches and exercises to prevent the return of this condition.  This is something that we see very often in our office and can go undiagnosed or misdiagnoses leading to expensive and potentially risky medical procedures.

1. Diagnosis of thoracic outlet syndrome. Journal of Vascular Surgery; Volume 46, Issue 3, September 2007, pages 601-604

Old National Bank Wellness Fair

Thursday, September 24th, 2009

Thursday, October 1,2009 from 10:30am to 2:30pm Old National Bank in Broad Ripple (6135 N College Ave 317-254-6300) will be providing a health and wellness fair and Compass Chiropractic will be there do free computerized range of motion testing.wellness_fair

There will also me a complimentary “Know Your Numbers” health screening (total lipid profile, glucose, height, weight, blood pressure) provided by the Indiana Heart Hospital Healthy Hearts Center 11am to 2pm only.

You can also get a check up for your finances with a Quick Debt Check-up, Easy Equity IQ and Smart Credit Score Review provided by Old National Bank.

The following groups will be available at this event providing testing, education and samples:

Marion County Health Department
Heart
Isagenix

Jordan YMCA

FlexFit                                                                                                
Fresh Market

Indy Boot Camp

Minute Clinic
Locally Grown Gardens
Fitness Now
Compass Chiropractic
Kolman Dental
Heal Thyself
The Running Company

Patient Testimonial – Low Back Pain

Friday, September 18th, 2009

This is a patient who came to me with lower back pain that he had been suffering from for a number of years. After about a month he started to see long lasting improvement and is able to partake in his daily activities without experiencing back pain.

Make Your Own Sparkling Water at Home by Dr. Bryan Bingham

Thursday, September 17th, 2009

Larger Than The Sum of Its Parts

Tuesday, September 8th, 2009

Driving into the office this morning I heard a story on  NPR about a scientist who believes that he has created the best David Bowie song of all times.  This topic might seem like a departure from my typical posts, but trust me I will relate David Bowie to health care.

The scientist in this story went through the most popular David Bowie songs of all time and tried to distill the similarities down to what each of them had in common.   After his exhaustive research he found a “formula” for what make the most  popular David Bowie song.  He then decided to create what should be the greatest Bowie song of all times, but fell flat.  I heard the song and quickly realized that there was a certain something that was missing.

As I was listening to this story it reminded me of something very familiar, then I realized;  this is how we look at health in our country.  The belief  that if we can only understand the smallest parts of our bodies then we can understand the whole of our bodies.  I will tell you that this did not work with Bowie and by the looks of our current health in this country it is not working for our health either.

It is safe to say that there have been countless numbers of people who have done Bowie covers over the years, some better than others. If it were only the lyrics that make  the song, each time it is performed (regardless of the performer)  it should have the same effect on the listener.  If we could find the “best” lyrics we should be able to put them all together in one song and have a “super song” but we know this is not the case.  Anyone who has been moved by a song knows that there is something more to that song than just a collection of notes, just like there is something more to the human body than just a collection of cells.

Each of our bodies contains our own personal universe of trillions of cells that are all working together to sing the  song of life.  Universe literally means “one song,” but more often than not we don’t listen to this song because we’re playing the role of the scientist dissecting the notes, beats etc.  We can’t  look at a sheet of music and understand why one song can bring happiness to some and sorrow to others, because there is more to the song than the sum of its parts much like our own individual song or our “universe.”

In order to find  health we need to be able to hear our song, which is nearly impossible with all the distractions we are subjected to on a daily basis.  For thousands of years people have been searching for ways to “tune in” to our personal song even before we were bombarded with stimulus.  There is not a technique that works for everyone, when trying to tune in; for some it’s a hobby, a sport or a meditation.

Take some time each day to tune into your own song and you will find yourself bringing awareness and attention to the things that are truly important in your life.

Five Minute Meditation

Friday, September 4th, 2009


The following explanation of meditation and how to perform a five minute mediation was taken from Alexandro Junger’s book on nutritional cleansing, “Clean.”

meditation Sit up in a chair with you back straight. Place your feet under you knees. Rest the palms of your hands on your thighs and relax you arms. Look straight ahead but try not to focus anywhere in particular, instead, notice everything in the room at once. Take a deep breath and start feeling your feet. Feel them touching the floor or the inside of your shoe. Feel the temperature, the humidity; feel the texture of your socks. Feel your feet intensely from inside. Do not “think” about them, just feel them, sense them.

After a few breaths, move your attention to your calves and legs. Feel and sense these in the same way for several breaths. Then move your attention from body part to the body part, first to you thighs, then you bottom against the chair, then to you abdomen and lower back, you chest lastly your head. Then let your awareness cover you whole body at the same time. The idea is to “scan” your body with your attention, stopping for a few breaths on each part. This practice will strengthen your ability to intentionally direct you attention and hold it in place.

You may notice that the moment that you sit down, you start remembering things and feel the urge to act on them. This is part of the process. When those thoughts come and try to steal you attention away from your body, simply say silently to yourself, “Thank you for sharing” and direct your attention back to your body. If you feel discomfort or frustration and want to stop, just keep sitting calmly. Know that the discomfort you feel is not caused by the exercise itself. It’s what happens when you become aware of you baseline state, that underlying anxiety of which you are typically not aware when the outside world is at full volume and you attention is far from you body. Becoming aware of this underlying state is the first step toward dissolving it, and claiming back the energy it consumes.

When you find yourself consumed in thinking, if for a second you can separate your attention from your thoughts, ask yourself, “Who is deciding that these thoughts appear? If I had a choice, would I be thinking the?” If your answer is no, and you understand that these thoughts just “popped” into your mind, grabbing and consuming your attention to the point of taking you away from where you are and whom you are with, say to your thoughts, “Thank you for sharing!” and immediately direct your attention to go somewhere in the present. For example, you can put your attention you feet this time. Again, this does not mean “think” about your feet, but “feel” them. This small “shock” of awareness erodes the habitual pathways of attention that lead away from the present and into the distracted thoughts. Do it randomly and as often as you can.

This technique can be also be used in the middle of any stressful situation in which you are not alone, like a business meeting or a job interview. Nervousness comes from the unconscious thinking process of interpreting, judging, measuring, and expecting. this process takes attention. By directing you attention into your body or breath,, you reclaim this unwanted use of attention and eliminate the effects it causes. It may be hard to remember to do this in difficult situations. Start with easy ones. Then try to do it in harder and harder ones. My personal experience is that if I have the presence of mind for a split second to remember and start doing it, immediately the energy of the situation shift, usually for the better. When you become more present, the others in the room feel it as well. They may not be aware of exactly why, but they feel a sense of relief. More trust and more respect is the consequence. And the business meeting has a better chance of going well.