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Wednesday, April 13, 2011

Mui Chiropractic Sponsors 2011 Boston Marathon Runner Michael Spinnatto

In an effort to illustrate how helpful chiropractic care can be for runners and athletes alike, Mui Chiropractic and Wellness Center is proud to announce they will be sponsoring 2011 Boston Marathon participant Michael Spinnatto, for the second year in a row.    
Last year, Spinnatto was able to improve upon his Chicago marathon time by nearly 15 minutes, thanks to a treatment regime administered by Dr. Karson Mui. Dr. Mui helped Spinnatto rehabilitate the injuries he’d incurred during his rigorous training, and allowed him to prep for the race pain-free.
This year, Spinnatto will be running with the bib number 564. After multiple adjustments and Graston treatments for his Illiotibial Band Syndrome, shin splints, and other various injuries, he is in prime shape for Monday. With an official time of 2:47:23 in last year’s race, Spinnatto hopes to finish below 2:40 in this year’s event. With the help of chiropractic care and Dr. Mui, Spinnatto is confident his goal is safely within reach.
For more on Mike’s treatment regime and last year’s race, visit http://www.muichiropractic.com/sportschiropractic.html

Monday, April 11, 2011

ASTYM

posecoach asked: Hi Dr. Mui

Are ASTYM and Graston similar? If not what are the most significant differences between them?

Thanks,
Ken

Hi Ken,
I looked into the ASTYM techique and noticed a few differences. First and foremost, ASTYM uses a plastic/acryllic tool, while Graston uses stainless steel instruments. From my experience with the two (I have used a plastic Gua-Sha tool before), I am able to palpate the restrictions easier with my steel Graston tools. 
Also, Graston is used to physicaly break up scar tissue while ASTYM is used to stimulate the remodeling phase of injury and promote healing. From what I’ve read, ASTYM is a less painful form of myofascial work.
Both techniques work to promoting a faster healing time, they just differ in their method. While I am certified in Graston, I have only researched ASTYM. Hopefully this answers your question, but I will look into the technique further to provide a more conclusive answer.
Thanks for the question!

Tuesday, March 1, 2011

The Posture of a New Generation: Upper Crossed Syndrome

In clinical practice there are conditions that walk into the clinic with the same presentation.  I mostly hear things like “Doc, the pain is right here (top of the shoulder blade), and it travels up to the base of my head.” So what do these people have in common? Typically I find that they’re spending most of their time slouched in front of a computer.  Due to recent changes in the technological landscape and our need to constantly be connected, a large portion of the population is beginning to develop this condition that a Czech neurologist Dr. Vladimir Janda described as the Upper Crossed Syndrome.  UCS is a postural adaptation that is primarily caused by poor posture and being stuck in a flexed state for hours at a time. Typical presentation is characterized by tight sub occipitals (muscles at the base of your skull), upper traps, levator scapula (upper back muscles), and pectorals, cobined with weak neck flexors & scapular stabilizers.
 
Typically people come in with these symptoms: neck pain, headaches, shoulder pain, abnormally poor posture, and decreased flexibility.  Fixing the problem is a task that I have been working on, and it usually involves a strict strengthening /stretching regime, spinal mobilization, as well as myofascial release techniques to help restore the body’s proper function.
Things to consider if you are working at a workstation for hours a day:
  1. Make sure that your monitor is at eye level and within an arm’s length from where you are sitting. With a low monitor, you are constantly looking down, and with a 10lb bowling ball of a head, this puts a lot of strain on the traps.
  2. Use a keyboard tray. This will prevent the over-utilization of the pectorals and help reduce stress upon the back muscles.
  3. Take a break for sanity sake; our bodies are not designed to sit in front of our screens for more than an hour at a time. Stretch, move, go for a walk!
If you experience the symptoms of UCS, book an appointment to see your chiropractor. There are a number of musculoskeletal treatments we can administer that will alleviate the pain symptoms and work towards correcting the postural shifts.

Tuesday, January 25, 2011

Work Out Smarter, Not Harder: How to Prevent Injury in a New Workout Regime

It’s the first month of the New Year, and like so many Januarys past, gyms are bustling with an eager clientele full of resolutions to lose weight and stay in shape.  While the motivation and determination is admirable, those returning to (or embarking on) an active lifestyle must resist the temptation to rush into things.  According to a study conducted by the American Journal of Sports Medicine from 1990 to 2007, 25,335 weight training injuries were seen in the 100 US emergency departments they monitored, correlating to an estimated 970,801 injuries nationwide. As high as these numbers are, this doesn’t mean that weight training itself is innately unsafe; there are ways to prevent injury.
In order to have a better understanding of muscle injury, let’s explore the mechanisms of muscle contraction. There are three different classifications of muscles: striated voluntary skeletal, striated involuntary cardiac, and non-striated involuntary smooth muscle. When you exercise you are primarily utilizing the skeletal & cardiac muscles.
Skeletal muscle’s primary functions are the voluntary contractions that give us locomotion and skeletal movement. For example when we stand up, we cognitively tell our bodies to move, and the skeletal muscles react to carry out the appropriate motion. Cardiac muscle, on the other hand, is involuntary and regulated by the autonomic nervous system. Think of it this way: you don’t have to tell your heart to beat; your body does that on its own. When we exercise it is important to understand that these are the two muscle groups that are working synergistically to help feel the burn!
Muscle injuries occur when an individual who is not conditioned jumps into a regime which is too strenuous, resulting in torn muscle fibers, ligaments, or even injuring the bone surfaces underneath. The most common issues that occur are sprain/strain injuries; these occur when a ligament or a muscle is pushed past its physiological barrier and is stretched to tissue damage. Tendinitis, another common injury, occurs with overuse of the muscle.
The body is a complicated, but smart, system. You may have heard the term “muscle memory;” your muscles are aware of work that is familiar and work that is unfamiliar. This is the key to injury prevention. If you’re jumping head first into a new routine of physical activity, you must give your muscles a chance to catch up to you.
What does this mean for your workout specifically? You’ve probably heard it over and over, but it is absolutely vital to warm up before exercise. Think of your muscles as rubber bands; when you put a rubber band in the freezer and try to stretch it it will snap. When the rubber band is nice and warm it will stretch to its physical limits. Warming up before your workout should only take 5-10 min. To make sure that your body is properly warmed up, you should achieve slight perspiration. Incorporate stretching and mild exercise to slowly bring your heart rate up.This small step will increase the effectiveness of your workout tenfold.
The next step is your workout. Truth is, most people aren’t educated on exercise science, and when they enter a gym they’re overwhelmed and dive into what they know. They’ll do an hour on a treadmill, a couple reps on a machine that looks familiar, and add too much weight too quickly to feel like they’ve challenged themselves. This will work for about a week or two before you encounter injury, or the all too familiar workout rut. The best route to take is a full body workout that focuses on the core muscle groups and stabilizing muscles. Do a little research to find a plan that works best for you. Try incorporating practices like yoga or Pilates into your routine to challenge your muscles in different ways. One really good source of information is the website for a local business here in Newton called Gymnasium (http://www.inspiredperspiration.com/). One particular blog post (written by the owner, Josh Conway) references the importance of working out not only the “mirror muscles” (pectorals, biceps, and abs), but also the connecting, deeper, stabilizing muscles. These are the ones that we use most often in real life activity yet focus on the least when working out, which is what leads to common strains and sprains. Remember: getting into a healthy lifestyle is a marathon, not a sprint. Listen to your body, and start out slow. As you feel your body growing accustomed, up the intensity. In general, your body loves to be challenged. A typical work out regime will most often lead you to hit a physical and physiological plateau. By constantly changing the intensity and amplitude of your workout, you’ll be able to not only avoid the gym doldrums, but also see and feel changes in your body quicker.
And don’t forget: after the workout is done…cool down! Stretching is (once again) vital. During the workout, muscle fibers are being torn. Stretching will help them regenerate properly (and more quickly!) and prevent chronic scar tissue formation. Scar tissue forms when fibroblasts (collagen-forming stem cells) invade an area of injury and deposit collagen to try to patch the damaged tissue. This is what causes chronic injuries to joints like ankles, shoulders, and knees. Take the 10 minutes after your workout to ensure all the work you did wasn’t in vain.
Two muscle groups to focus on are the psoas and the hamstrings. These are big postural muscles that are often tight. Try to use stretches that incorporate the whole body and slow down your heart rate; yoga poses are a great way to do this. 
Keep in mind that the point of a workout regime is to improve yourself, not make things worse. Take your time! If you stick to a full body, varied regime that increases in intensity slowly over time, I promise you’ll see results you’re happy with and feel the positive changes in your body.

Wednesday, January 5, 2011

working on a blog about the importance of pacing yourself on your new year’s resolution work out regime. work out smarter, not harder!

Tuesday, January 4, 2011

Legitimizing a Discipline: Evidence-Based Chiropractic

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The field of chiropractic is a difficult one for an outsider to understand. For starters, it covers a wide range of practices. Think of the last time you saw a chiropractor’s office: it was most likely located right near another. This is because each practice has the potential to be markedly different. A brief history of the profession shows that it was originally based mainly in philosophy and therefore categorized as complementary and alternative medicine (CAM). Many doctors today still adhere to this ideology; they are known as traditional or straight chiropractors. They deal almost exclusively with the manipulation of the spine & believe subluxations to be the root of all problems in the body.
However, in recent years, as a reaction to the generally negative opinion the field of medicine had towards chiropractic, some doctors have started to move into an era of evidence-based care. So what does this mean exactly? In a nutshell, evidence-based chiropractic involves the use and implementation of researched, proven techniques for treating specific conditions. This, combined with a doctor’s clinical experience, is used to create a very specific and efficient treatment regime for each patient. It incorporates physical therapy, soft-tissue mobilization, ultrasound, and other musculoskeletal therapies. These chiropractors, like me, look at the body as a whole, interconnected system and treat it as such.
Before becoming a chiropractor I had a strong background in science. I worked in biotechnology for three years developing compounds for pharmaceutical use as well as harvesting stem cells for treatment of Myocardial Infarction. While in these fields I learned to find, read and analyze research. This is where I found my passion for evidence-based medicine, and why I chose to open my own practice.
My practice in West Newton is currently filled with pieces of equipment (or as my staff and I call them, “toys”). As a gadget lover, I research and find new and interesting things that will increase patient outcomes. The advantage of working in an evidence based practice is that there is a vast database of treatment protocols to pull from. Every patient is different; some people will react well to a treatment regime of Graston, rehab, and manipulation, but their friend with the same symptoms may require something different, like vibration therapy. To me, this is the fun part of being in practice; I’m a detective using peer-reviewed articles and case studies as my tool box to try to determine and treat the problem.
If you walk into my clinic, you will notice that I utilize a variety of techniques. I live in a world of muscle, bone, and fascia. Most of the treatment protocols revolve around addressing those components. Graston Technique for the fascia, rehab for the muscle, and chiropractic manipulation for the bone. It is my responsibility to take what I know to find ways to improve and balance the three.
Before judging the field of chiropractic, be sure to take the time to research it. Most people are unaware of the variations in treatment types from one doctor to the next, and could in turn be missing out on the ideal solution to their chronic injuries and pain.
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