A kinetic chain entails a process in which each joint or segment in the chain effects every other segment during movement. Energy and movement in one segment creates a chain of events which affects neighboring joints and segments. A tangible example involves using playing cards or dominos to create a chain reaction beginning with movement in a single part which impacts the whole.

The spine makes up a kinetic chain. Chiropractors understand that a holistic approach provides the best method of ensuring total body care when assessing and addressing symptoms of disease. The existence of a problem in one area of the spine radiates effects onto other parts of the spine and body. Pain tends to be the last sign that a problem exists. A proactive approach ensures the body be kept in the best position possible to prevent pain and disease from occurring. Chiropractors and other spinal health professionals understand and approach the spine as a powerful kinetic chain which influences the health of the entire body.

A leading spine expert Dr. John Bland accurately stated:

“We tend to divide the examination of the spine into regions: cervical, thoracic, and lumbar spine clinical studies. This is a mistake. The three units are closely interrelated structurally and functionally. A whole person with a whole spine. The cervical spine (neck) may be symptomatic (painful) because of a thoracic (mid-back) or lumbar (low back) spine abnormality, and vice versa. Sometimes treating the lumbar spine will relieve a cervical spine syndrome, or proper management of the cervical spine will relieve a low back ache.”

– Disorders of the Cervical Spine

The spine consists of twenty-four moveable bones stacked on top of each other with a shock absorber in between each segment. The shock absorber is called an intervertebral disc. Chiropractors focus on the health and functionality of the entire spine to ensure proper alignment and movement within each vertebra and disc.

The spine also intimately connects with the brain and central nervous system. Movement makes up a key ingredient in proper brain and nervous system function. Proper movement means the brain and body communicate to the fullest potential. Every adjustment helps unlock any stiffness or lack of mobility to ensure the process of maximum health and healing. As the spine gets healthier and more well-adjusted, the body gets healthier through better nervous system function. Proactively detecting and addressing all areas of the spine within the kinetic chain remains the ultimate goal. Chiropractors take pride in helping their practice members achieve healthier, more active without drugs or surgery. Stay connected to better help with Chiropractic.

University of Vermont College of medicine 1994
“Disorders of the Cervical Spine.” John Bland, MD. Professor of medicine

These are our three favorite exercises for strengthening the core for people with Back Pain, Sciatica and Disc Pain.

Give us a call today to schedule and take advantage of our new patient special (includes a free 60 minute massage). 303-683-5060

Insurance: We are part of a multidisciplinary provider network that allows us to use multiple parts of your In-Network insurance policy. At Pinnacle you are no longer limited to just your chiropractic benefit. This allows for better treatment and In-Network insurance coverage for our patients. If you have any questions regarding this please don’t hesitate to call our office. 303-683-5060

Home Tech Usage at All-Time Highs

People continue to spend record-setting amounts of time in seated positions on technological devices. People spend unprecedented amounts of time on desktops, laptops, tablets and phones. Tech usage while positioned in lounge chairs, sofas, and living rooms paints a picture of the norm. The increased device usage creates added stress on postural and spinal health and leads to dangerous long-term outcomes.

The average postural position during smartphone usage consists of slumped shoulders and forty-five degrees of downward neck flexion. This position adds over forty pounds of stress and pressure on the spine and neck. Imagine a 40-pound weight resting on the back of the head and the strain being absorbed by small, delicate vertebrae and discs.

The additional stress on the spine and posture leads to a greater risk of postural health abnormalities. Researchers determined that seated posture massively impacts overall health and function. Sitting posture consists of hunched shoulders, forward head position, a rounded mid-back, and a forward-tilting pelvis. Poor posture causes more long-term damage than back aches.

Spine and postural health influence many aspects of overall well-being. Research reveals a crucial relationship between posture and heart and lung function. A ground-breaking study published in 2004 proved a relational connection between bad posture, atherosclerosis, and pulmonary disease. The study found a 44% higher risk of death in people categorized as the poorest level of posture. Most medical doctors remain unaware of this data and the significant role posture plays in the health and well-being of all ages of people.

Chiropractors passionately pursue educating the community to better understand the influence of regular Chiropractic adjustments on whole-body health. The issue of sedentary positioning mixed with poor posture began permeating school and work culture years ago yet takes on new emphasis during times when more people work and stay at home using technological devices. Chiropractors help infants, children, and parents achieve optimal health and function through better spinal and postural health. Science continues to build evidence-based research which proves healthy posture directly impacts healthy function.

Chiropractors focus on helping the public better understand the need to intentionally pursue ideal spinal hygiene and care. Adults and children alike benefit from a maximized defense against health-threatening posture problems. The entire family unlocks improved capacity for optimal performance and function by getting adjusted regularly to combat the ill effects of poor posture and extended technology use. People currently spend more time at home, but no limitations exist in the pursuit of elite health care.

Journal of American Geriatrics Society 2004
Hyperkyphotic Posture Predicts Mortality in Older Community-Dwelling Men and Women: A Prospective Study.”
Deborah M Kado, Mei-Hua Huang, Arun S Karlamangla, Elizabeth Barrett-Connor, Gail A Greendale

Many turn to Chiropractic care in search of relief from their neck or back pain. Too many other adults still follow a process of taking dangerous drugs or consulting with surgeons under the assumption that these options best serve their desire to live life free from pain. Few medical doctors understand the benefits of Chiropractic for disc herniations, sciatica, or radiating arm or leg pain.

Research from 2014 showed startling results involving a group of adults living with back pain, leg pain, and disc herniations (confirmed by an MRI). Patients who received low back adjustments by a Chiropractor achieved extraordinary results. It showed 80% of patients reported substantial improvement after one month of care. After 6 months of care, 90% of patients with back pain, leg pain, and disc herniations reported significant benefits from spinal adjustments.

Millions pf people suffering with chronic pain begin using opioid drugs every week. Many thousands begin this process due to back pain. Chiropractic accomplishes so much more than simply providing an alternative remedy for back pain. Chiropractors assess alignment and movement of the spine while looking for problem areas which interfere with the delicate nervous system. Areas of misalignment and stiffness receive immediate attention through specific and gentle adjustments designed to improve biomechanics and communication within the nervous system. Pain relief represents one of many side effects of spinal adjustments.

Chiropractors do not treat herniated discs or other symptoms related to spinal conditions involving back pain, arm pain, or leg pain. Chiropractic adjustments improve spinal mobility and alignment and reduce interference from the nervous system to allow the body to better heal itself. Chiropractic represents a proactive first resort for those suffering from back pain, sciatica, or disc related issues. Evidence based results provide a health care alternative that renders invasive care as a last resort.

Science, research, and evidence substantiate the need for the type of care Chiropractic delivers. Chiropractic represents one of the world’s largest drugless healing professions and continues to gain notoriety and popularity in a world searching for alternatives to a health system that offers reactive care filled with dangerous drugs and invasive surgeries. Most problems in the spine occur without pain, symptoms or are left unaddressed until symptoms form. Subluxations form like cavities and occur slowly over durations of time. Chiropractors focus on educating as many people as possible. Education empowers individuals and families with a choice to experience the blessings and benefits that Chiropractic care provides.

Journal of Manipulative and Physiological Therapeutics 2014
Outcomes of Acute and Chronic Patients With Magnetic Resonance Imaging-Confirmed Symptomatic Lumbar Disc Herniations Receiving High-Velocity, Low-Amplitude, Spinal Manipulative Therapy: A Prospective Observational Cohort Study With One-Year Follow-Up Serafin Leemann, Cynthia K Peterson, Christof Schmid, Bernard Anklin, Kim Humphreys

When you have pain in your back, head, neck, or other area of your body, where should you look for relief and possible healing? Two possible choices include chiropractic or physiotherapy, professions that aim  to examine and treat your joints and muscles.

What Is Physiotherapy?

If you are unfamiliar with the term “physiotherapy,” you might notice that it sounds similar to “physical therapy.” The two terms are synonymous in Europe and Australia, where there are consistent standards in both education and in and training. In the United States, what a physical therapist is trained to perform depends on their education, which may just include exercise or may also include hands-on manual therapy. A physical therapist trained in physiotherapy meets the world-wide standards, provides more comprehensive treatment, and usually achieves better results.

How Chiropractic And Physiotherapy Approach Pain

Practitioners of both the chiropractic and physiotherapeutic approaches understand that tension in joints, muscles, nerves, and fascia results in pain, releasing that tension will result in healing. After taking x-rays and ordering other imaging tests, the professional will design a course of treatments that you will receive over a number of visits. A hands-on approach that involves manipulating injured areas may be a key component of the treatment plan, and may be a more effective, side-effect free alternative to drug therapy.

A chiropractor is likely to look at your tests and x-rays to see where parts of your spine meet the nerves going to different parts of your skeletal frame. This will give your chiropractor a better idea of the location of misalignments or subluxations that can impede nerve flow and cause joints to become injured. The treatments he suggests may involve manipulating your spine to free up compromised nerves, either manually or within the activator.

A professional with physiotherapy training might use a variety of approaches such as ultrasound, exercise, acupuncture, or acupressure to promote healing and strength, instead of or in addition to hands-on treatments. Someone trained in physiotherapy is taught to examine more areas of the body. Unlike a chiropractor, who might assume that the spine is the root of most problems in the micro skeletal system, a physiotherapist looks to broader causes.

Merging Chiropractic And Physiotherapy

Modern chiropractic practice has since evolved from the original chiropractic theories; many chiropractors now offer a more holistic approach, similar to what physiotherapy has offered all along. While retaining their belief that spinal manipulation is useful for many ailments, a broader approach, similar to physiotherapy, opens the door to include techniques that might be more beneficial to treating and healing injuries.

Some patients who do not respond to pure chiropractic treatment do better when a variety of treatment modalities are available. Chiropractors trained in physiotherapy might offer physical therapy along with massage, ultrasound, nutritional health, and a variety of approaches to offer an immediate “one stop shopping” approach for patients with busy lives. In addition, patient insurance companies are quick to accept this approach, as well.

Get The Best Of Both At Pinnacle Chiropractic & Spine Rehab Center

Dr. Casselman, DC and his team at Pinnacle Chiropractic and Spine Rehab Center have training that includes physiotherapy as well as chiropractic medicine, so you can expect to achieve effective pain relief, optimal range of motion, and an increase in overall wellness.
Make an appointment today at (303), 683-5060. For more information about our comprehensive services or to book an appointment.

What is a chiropractor? – Best Chiropractor Highlands Ranch, CO

Chiropractic therapy is a specialized field of healthcare that focuses on various ailments that stem from the musculoskeletal and nervous systems. A chiropractor is a healthcare professional who has received specialized training to treat these ailments. Common ailments that chiropractors treat include neck pain, back pain, joint pain, and headaches.

Chiropractors take a hands-on approach to resolving their patients’ medical issues. Their drug-free approach has been known to yield amazing results for sufferers of chronic pain that’s related to an issue with their nervous or musculoskeletal systems.

What is a Chiropractor’s Core Philosophy?

As with all schools of healthcare, a chiropractor’s treatments and practices are based on core philosophies. A chiropractor’s philosophy is based on the inherent relationship between the spine and the nervous system. They believe the following:

  • Structural degradation of the spine can create adverse effects within the nervous system.
  • Many problems caused by this degradation of the spine can be fixed with chiropractic treatment that corrects the structural integrity of the spine. This correction will subsequently improve the overall health of the patient.

These core beliefs have created an entire school of healthcare that is focused on re-establishing normal mobility to the spine. Once restored, irritation to the spinal nerves will be eased, which can relieve pain or restore mobility.


What Conditions Do Chiropractors Treat?

Using non-surgical, drug-free forms of care, chiropractors treat a wide variety of conditions. The theory is that all of these conditions are treatable with chiropractic adjustments because they are related to problems in the nervous system. Some of the following conditions can be entirely corrected with ongoing care, whereas others can have pain dramatically reduced:

  • Headaches
  • Sciatica (lower back pain)
  • Arthritic pain
  • Car accident injuries
  • Repetitive strains
  • Neck pain
  • Sports injuries

According to the Journal of American Medicine Association, many people have found relief from lower back pain through chiropractic treatments. This is why the field of chiropractic care has grown exponentially – it works.


What Happens During a Chiropractic Visit?

Your first visit to any healthcare professional can sometimes be daunting. Learning what to expect during your first chiropractic visit can help eliminate any nervousness and may even prompt you to make an appointment.  This is what happens when you visit a chiropractor:


  1. Consultation – You’ll sit down with the chiropractor and explain the problems you’re having. You’ll be asked to describe the symptoms in detail, how often the pain occurs, where the pain occurs and what makes the pain feel better or worse. This conversation gives the chiropractor an idea about how they can treat you.

  2. Medical History – After the chiropractor has a firm understanding of your current situation, they’ll ask some more questions about your history. They will ask about your family history, occupational history, treatments received in the past, dietary habits and other questions that may come up based on your unique situation.

  1. Physical Examination  Once they have obtained all of the necessary information, they’ll proceed to the physical examination. The purpose of this is to ascertain which spinal segments are causing the problems that you’re experiencing. They’ll use a variety of methods to examine the state of your spine. Depending on your situation, a chiropractor my use an x-ray to find any subluxations, which are vertebrae with altered positions. The chiropractor may also use a device that measures the surface temperature of your skin. This information can help locate spinal areas that will require physical manipulation.

  1. Diagnosis – Using all of the information gathered in the above steps, the chiropractor will make an assessment of your situation. Chiropractors use a three tiered system to rate their diagnosis:

  • Potentially Serious This category is for fractures, major neurological problems, joint implant problems and joint infections. Anything within this category is typically referred to relevant specialist or surgeon. A chiropractor may also be involved with ongoing treatment.
  • Nerve Problem – Problems in this category relate to health problems that stem from the nerve root. Subluxations can often pinch nerves and cause a variety of problems. Other causes of nerve problems are herniated discs, spinal stenosis and spondylolisthesis.
  • Non Specific   This category encompasses all type of mechanical back pain that has no specific source. It’s typically treated with manual adjustments and massage.
  • Adjustment/Treatment – After you’ve been diagnosed, treatment will typically begin immediately. You’ll likely begin with a light adjustment, however it will vary based on the category of your diagnosis. Also known as chiropractic manipulation, adjustments have become the staple for chiropractic treatments. Adjustments have been
    shown in studies to help ease lower back pain, especially when combined with traditional medical care. Other than adjustments, your chiropractor will work with you to create a specific treatment plan.


What is a Chiropractic Treatment Plan?

Treatment plans are created by the chiropractor specifically to help relieve pain, correct subluxations, and fix mobility issues. There are many different tools that a chiropractor may use in creating your treatment plan. It will be based on your general health, the condition of your spine, the extent of your injury/irritation and your goals for recovery.

In addition to adjustments performed on regular visits to the chiropractor’s office, a custom treatment plan may include:

  • Massage – The chiropractor may massage you directly or have trained massage therapists within their office. The goal is to massage soft tissue to improve circulation, reduce inflammation and encourage overall healing.

  • Dietary Management – What you eat can actually improve the health of your spine and back muscles. Based on your situation, the chiropractor may provide dietary suggestions or advise that you take supplements after receiving an adjustment.

  • Heat and Cold – Some chiropractors may alternate between heat and cold in 15 minute intervals by using heat pads, wraps and ice packs. The theory with this treatment method is that it will help improve blood flow to the area to increase the healing speed.

  • Exercise – It’s common for a chiropractor to recommend specific exercise programs. Anything from stretching to yoga may be suggested based on the patient’s condition. The aim is to strengthen the back muscles, which can relieve pain and correct common problems of back pain, such as poor posture.

  • Patient Education – Almost every patient will receive some form of education about how they can alter their lifestyle to help improve their spinal health. This may include self-care strategies, nutritional programs, and postural modification.

  • Ergonomics – As you continue treatment with a chiropractor, they may suggest modifications to your workstation at your office or the furniture within your home. For example, a simple change in your desk chair may eliminate the cause of lower back tension.

  • Several other specialized options – Chiropractors have many more tools in their belt to help in special situations. From pelvic stabilization to cold laser therapy to hydrotherapy a chiropractor can do so much to help correct the variety of issues they may encounter.

According to Korthals-de Bos of the British Medical Journal, scientists found in a randomized trial that patients with neck pain who received manual therapy (spinal mobilization), resulted in a faster recovery time than strictly using physiotherapy or general practitioner care. This study shows that the treatment that chiropractors provide is a highly effective form of care.


Do You Need to Visit a Chiropractor?

Are you experiencing any back or joint pain? Have you recently been in any type of accident and now you’re having headaches or other pain? If so, you may greatly benefit from a visit to the chiropractor.  According to the American Chiropractic Association, chiropractic care is covered by most health insurance plans, including Medicare. There’s no reason for you to avoid going to a chiropractor that may be the exact solution you’ve been looking for.

Schedule an appointment with a chiropractor in your area to begin your path to a pain free life!

Google “musculoskeletal physiotherapy” and you might find that most of the sources are British or Australian. This terminology is in widespread usage in Australia and Great Brittan, while in the U.S., “physical therapy” is the term most often applied to the specialty of physical medicine and rehabilitation that concentrates on musculoskeletal system of bones, muscles, tendons and ligaments.

Even in the U.S., however, “physiotherapy” implies more intense training that meets international standards, while “musculoskeletal” allies more with orthopedics and differentiates from other types of physical therapy, such as cardiovascular and pulmonary, clinical, electrophysiology, geriatric, intra-commentary, neurological, pediatric, palliative care, women’s health.

Who Musculoskeletal Physiotherapy Helps

Musculoskeletal physiotherapy might help people with neck and back pain, spinal conditions, amputations, fractures, arthritis, sprains, strains, and acute sports injuries, as well as post-surgical rehabilitation. As a result of injuries, the bones, muscles, ligaments, tendons, joints, menisci, and any affected part of the body can experience inflammation, pain, limited range of motion, or weakness in the joints and muscles.

To treat these conditions, a therapist has a variety of techniques at their disposal, such as:

  • Manual therapy and manipulation
  • Specific exercises geared to help a problem
  • Patient education
  • Traction and other mechanical devices
  • Physical agents, including cold, heat, electricity, soundwaves, radiation, and rays
  • Prescription of prosthesis and it assistive devices

Physiotherapy professionals work with patients to both the repair injury and soreness and to prevent future problems. Techniques that include diet and exercise can help a person maintain and improve mobility, while maintaining an ideal weight and optimal fitness.

Developing A Therapy Plan

Before determining the right techniques for each patient, the therapist first assesses their condition through imaging and other diagnostic techniques. The plan that he or she then prescribes is based on individual needs and differences and is likely to contain a mix of active and passive approaches to healing and pain reduction. For example, while the program might include exercises and manipulation, it is also likely to include more relaxing approaches such as heat or cold packs, ultrasound, or tens units. The exercises included are likely to be low impact, focusing on stretching, strengthening, and reducing pain.

Musculoskeletal physiotherapy is an approach that coexists well with chiropractic, medicine, while improving results. The goals are the same:

  • Promoting recovery
  • Increasing mobility and movement
  • Lessening dependence on both drugs and invasive measures, such as surgery

Goals Served Through Physiotherapy

The plan that the physiotherapy professional designs is done in conjunction with others concerned about the patient’s well-being, such as other medical professionals, insurance companies, social service workers, family members, coaches, and more. Treatment must be acceptable, realistic, patient centered, and respectful of culture.

Whether the recipient of physiotherapy is a top athlete who wants to return to the field as soon as possible and may be more resistant to injury, or an elderly person who wants to recover from hip surgery or retain control over the activities of their daily life, the process will help the patient meet their goals.

When you want drug-free, noninvasive treatment that will help free your joints and muscles of pain, contact the Pinnacle Chiro and Rehab Center today at (303), 683-5060 for an appointment or additional information about our services.