Tuesday, July 19, 2011

Treatment Memberships

Treatment Memberships
Due to the difficult economy many people have a limited income. I find many athletes who are suffering from injury, unable to do what they love, but also can't afford the needed treatments to get better. Others have some discretionary income, but wait on treatment to see if it will resolve on its own. When it doesn't, they go in for treatment, but only get treated as many times that is needed to get out of pain. There is always that conflict between injury and income.

In order to off-set the cost of treatments I have set up a monthly treatment membership. The memberships will be offered to all who are interested. The members will pay a monthly fee, and can be treated as many times as they want while I'm at the gym. I will come to the gym on certain days and hours of the week. The number of members that sign up will determine the amount of  hours and days I will spend at the gym. I can't treat everyone every week, and some members may have severe injuries that need to be treated more often. In order to solve this problem. I have decided to spend more hours at the gym for the first month. My goal, for the first month, will be to get all members out of the pain, out of the injury phase, and into the maintenance phase. After the first month I can put in a few more hours on a week to week basis when there is a greater number of members injured. Due to this time commitment, those that cancel their memberships early, will have to pay the cost of two months of membership. 

The cost of the membership is based on my treatment fees for a half an hour treatment for non-members. My non-member fees are $130 for an initial evaluation/treatment and $65 for each follow-up treatment. For the last few months I have been giving a discount of $85 for the initial treatment/evaluation and $40 for all half hour follow up visits of  all members. As of August, I will no longer be giving a members discount for those that do not sign up for the monthly membership. For a 3 month membership it will be $65 per month and $60 per month for a 6 month membership.

The the opportunity to purchase a monthly membership will be extended to all family members where at least one member of the immediate family is a paying member of the gym.

Thanks,
Dr. Wade

If you have any further questions please contact me at 805-377-1200

Thursday, September 23, 2010

Gua Sha

H.M.T

TMJ

Running Injuries, Their Prevention & Treatments

Running Injuries, Their Prevention & Treatments
(Notes on talk given by Michael Fredericson Associate Professor of Medicine Stanford University)

    Every runner no matter the level of their commitment from a avid, beginner, recreational, to professional will have an injury from running. “For the average recreational runner, who is steadily training and who occasionally participates in a long distance run, the overall yearly incidence rate for running injuries is between 37- 56%” (Van Mechelen, Sports Med 1992).  Most running injuries are lower extremity overuse injuries, with a predominance for the knee.There are three main reasons why people get injured from running.
   
                 -  Overtraining: Too much, too soon, too fast!!!
                 -  Malalignment: such as bowlegged or knocked knees
                 -  Muscle Imbalances: Outside thigh muscles are stronger than the weaker inside muscles.

The most common running injuries

Patellofemoral pain syndrome (runner’s knee)
    Symptoms:
    - Vague pain under the knee cap.
    - Feel pain running up hills and worse running down hills.
    Treatment:
    - Loosen up quad and hip muscles.
    - Strengthen quad muscles by doing squats without weight.
    - Return to running by building speed and distance gradually.

Iliotibial Band Syndrome
    Symptoms:
    - Lateral knee pain, burning, tightness.
    - Pain is reproducible (happens at the same time or distance while running)
    Treatment:
    - Stretch IT Band.
    - Foam roll from hip to knee.
    - Myofascial therapy on IT Band and hip muscles.
    - Strengthen hip abductor muscles (gluteus medius and minimus).
    - Return to running by starting with faster strides and gradually increasing distance.

Shin Splints
    Symptoms:
    - Pain on inside side of shin.
    Treatments:
    - Stretch superficial and deep calf muscles
    - Myofascial therapy on superficial and deep muscles.
    - Strength shin muscles by walking on heels.
    - Avoid over-striding and run with a slight forward lean.
    - Deep water training.

Achilles Tendinitis
   Symptoms:
   - Pain in achilles tendon right above the heal.
   Treatment:
   - Myofascial therapy on superficial and deep calve muscles.
   - Eccentric strengthening of calves (slowly lowering calves down below foot level with knee straight and knee bent).

Plantar Fascitis
   Symptoms:
   - Sharp, diffuse heel pain
   - Worse in early morning
   Treatment:
   - Tape bottom of foot
   - Stretch bottom of foot
   - Orthotics
   - Night Splints
   - Strengthen bottom of foot (picking up marbles)
   - Run barefoot on the grass a few times a week. (If you can tolerate it)