# Carolina ChiroCare & Rehab > Carolina ChiroCare & Rehab is a chiropractic and rehabilitation clinic at 1207 > Ridge Rd, Raleigh, NC 27607, led by Dr. Jeffrey Gerdes, D.C., a licensed North > Carolina chiropractor who has practiced at the clinic since 2010. The clinic > provides non-surgical care for back pain, neck pain, sciatica, disc injuries, > headaches, car accident and whiplash injuries, sports injuries and other > musculoskeletal conditions, using chiropractic adjustments, spinal > decompression, Class IV laser therapy, shockwave therapy, manual therapy, > therapeutic exercise and on-site digital X-rays. Most major insurance plans are > accepted, auto accident care can be billed to car insurance or handled on an > attorney lien, and new patients can call (919) 351-8368 or book online at > https://www.carolinachirocare.com/np-schedule/. Office hours are Monday to > Thursday 9am to 6pm and Friday 10am to 4pm, serving Raleigh and nearby > communities including Cary, Garner, Apex and Durham. ## Clinic Information ### Carolina ChiroCare & Rehab: Chiropractor in Raleigh NC URL: https://www.carolinachirocare.com/ CAROLINA CHIROCARE & REHAB ## Chiropractor in Raleigh, NC for Pain Relief & Injury Care Personalized chiropractic and rehabilitation care for back pain, neck pain, sciatica, car accident injuries and other musculoskeletal conditions. [CALL TO SCHEDULE ** (919) 351-8368](tel:9193518368) [Schedule a New Patient Appointment](/np-schedule/) Carolina ChiroCare & Rehab provides chiropractic and rehabilitative care for patients throughout Raleigh, NC. Led by Dr. Jeffrey Gerdes, D.C., our office evaluates and treats a range of musculoskeletal injuries and conditions, including back pain, neck pain, sciatica, headaches, [disc injuries](https://www.carolinachirocare.com/disc-injury/), car accident injuries and joint pain. Dr. Gerdes has practiced at Carolina ChiroCare in Raleigh since 2010 and is licensed by the North Carolina Board of Chiropractic Examiners. Depending on the patient's condition and examination findings, care may include chiropractic adjustments, spinal decompression, laser therapy, shockwave therapy, soft tissue therapy, therapeutic exercise and other non-surgical treatment options. Our office is located at 1207 Ridge Rd, Raleigh, NC 27607**, just off I-440 near Wade Avenue. We offer online scheduling, accept many major insurance plans and provide a 24/7 after-hours answering service. ### Why Raleigh Patients Choose Carolina ChiroCare - [250+ 5-star Google reviews](https://maps.app.goo.gl/BhtPQgNy2XksPsFt6) - Serving patients in Raleigh since 2010 - Led by Jeffrey Gerdes, D.C., a North Carolina licensed chiropractor - Advanced postgraduate training in spine injury, diagnostic imaging, whiplash and trauma - Chiropractic care, spinal decompression, laser therapy, shockwave therapy and rehabilitation in one office - Online appointment scheduling - Many major insurance plans accepted, including Aetna State Health Plan - 24/7 after-hours answering service - Convenient Ridge Road location just off I-440 near Wade Avenue [*](https://reliefnowlaser.com/providers/raleigh/) /special ScheduleOnline /testimonials Read OurReviews /us MEET Dr.GERDES #### Chiropractic Services in Raleigh, NC Carolina ChiroCare offers chiropractic and non-surgical treatment options based on each patient's condition, examination findings and treatment goals. Explore our primary services below.  Chiropractic Care Chiropractic evaluation and treatment for joint and musculoskeletal pain, restricted motion and injuries. [Learn More](/back-pain)  Non Surgical **Spinal Decompression™ Non-surgical spinal decompression for appropriate patients with disc-related back or neck conditions. [Learn More](/spinal-decompression-therapy/)  Laser Therapy Deep tissue laser therapy used as part of care for certain painful or inflamed musculoskeletal conditions. [Learn More](/laser-therapy/)  Car Accident Injury Care Evaluation and conservative treatment for neck, back and musculoskeletal injuries following an auto accident. [Learn More](/car-accident/)  Shockwave Therapy Non-invasive acoustic wave therapy for certain chronic tendon, muscle and soft-tissue conditions. [Learn More](/shockwave-therapy/)  Physiotherapy & Exercise Therapeutic exercises and rehabilitation techniques designed to improve strength, mobility and function. [Learn More](/physiotherapy) ### Conditions We Help Patients With Patients visit our Raleigh chiropractic office for many different musculoskeletal injuries and conditions. Treatment recommendations are based on your history, examination and individual needs.  Neck Pain Evaluation and conservative care for neck pain, stiffness and restricted movement. [Learn More](/neck-pain/)  Back Pain Care for acute and chronic lower and upper back pain. [Learn More](/back-pain/)  Sciatica Care for symptoms involving irritation or compression of the sciatic nerve. [Learn More](/sciatica/)  Car Accident Injuries Evaluation and treatment for whiplash and other musculoskeletal auto injuries. [Learn More](/car-accident/)  Headaches & Migraines Chiropractic evaluation when headaches may have a musculoskeletal component. [Learn More](/headaches-migraines/)  Plantar Fasciitis Non-surgical treatment options for persistent heel and plantar fascia pain. [Learn More](/plantar-fasciitis/)  Carpal Tunnel Evaluation and conservative care for appropriate wrist and hand symptoms. [Learn More](/carpal-tunnel/)  Vertigo & Dizziness Evaluation to determine whether symptoms may be appropriate for chiropractic care or require referral. [Learn More](/vertigo/) ### Meet Jeffrey Gerdes, D.C. Dr. Jeffrey Gerdes is the clinic director of Carolina ChiroCare & Rehab and has practiced in Raleigh since 2010. With more than 18 years of experience, he earned his Doctor of Chiropractic degree from Palmer College of Chiropractic and holds an active North Carolina chiropractic license. Dr. Gerdes has completed extensive postgraduate education in diagnostic imaging, spinal injuries, whiplash, mild traumatic brain injury, and injury management. His advanced training includes coursework through the Spine Research Institute of San Diego, Harvard Medical School, the State University of New York at Buffalo School of Medicine and Biomedical Sciences, and the Academy of Chiropractic Post-Doctoral Division. - Holds advanced certification through the Spine Research Institute of San Diego. - Certified by North Carolina courts as an expert witness in chiropractic medicine and has provided expert testimony in numerous court cases involving chiropractic care. - Recognized twice among the best chiropractic providers in the Raleigh, North Carolina region by Talk of the Town* and *OpenCare*. [Meet Jeffrey Gerdes, D.C.](/us/)  ### What to Expect at Your First Visit #### 1. Schedule Your Appointment > Schedule online or call our Raleigh office at (919) 351-8368. #### 2. Consultation & Examination > We will discuss your symptoms, medical history and concerns and perform an examination appropriate to your condition. #### 3. Personalized Care Plan > If chiropractic or rehabilitative care is appropriate, we will explain your findings and recommended treatment options. [SCHEDULE YOUR VISIT](/np-schedule/) Raleigh Patient Reviews**   Carolina ChiroCare and Rehab  **240 Google reviews** [Write a review](https://admin.trustindex.io/api/googleWriteReview?place-id=ChIJq6raHsX1rIkR_HDycdfNy9Q) Posted on Google   limitless Sports Trustindex verifies that the original source of the review is Google. Great first impression, and very clean. Dr supports Veteran which is a plus. Thank you Posted on Google   Jessie A. Trustindex verifies that the original source of the review is Google. I am so happy to have been seen by Carolina Care and Rehab! Dr. Gerdes and the entire staff truly go above and beyond every visit. The clinic is extremely clean, the staff is incredibly attentive, and you are always made to feel welcome. Dr. Gerdes takes the time to truly listen and makes sure all of your concerns are addressed. His techniques have helped tremendously with my back pain, neck pain, and chronic headaches. His skill with the Y-strap technique is absolutely amazing. It provides immediate relief, and he is one of the only chiropractors in North Carolina who offers this technique and does it safely and well! Thank you for taking care of me! Posted on Google   Jamie Mishich Trustindex verifies that the original source of the review is Google. Carolina ChiroCare and Rehab are amazing!!! They worked with me an got me on my feet quickly through a frustrating back injury. Always look forwards to my appointment and they’re make treatment fun! Posted on Google   Liz Teran Trustindex verifies that the original source of the review is Google. I highly recommend Carolina Chiropractic as an excellent therapy center. They provide exceptional service, making you feel valued and cared for. Posted on Google   Tomeka Downey Trustindex verifies that the original source of the review is Google. I came to Dr. Gerdes about a month and a half ago with very bad lower back pain that I had been dealing with for years. He came up with a treatment plan for me and after continuing my regular visits my pain is just about gone. I started at a pain level of about 8/9 and I am down to a 1 now. It's hard to believe after years of pain that I'm almost pain free and I never thought I would be here. Dr. Gerdes has been a saving grace for me. And his staff are so friendly and welcoming. I would highly recommend anyone in need of any kind chiropractic services see Dr.Gerdes you will not be sorry. Posted on Google   Greta Estefania Perez Trustindex verifies that the original source of the review is Google. Dr. Gerdes and his staff are the best! They listened to my concerns that other doctors has outright dismissed and for the first time in years I'm actually improving some of my chronic pain. Would recommend 10/10 Posted on Google   Michelle S Trustindex verifies that the original source of the review is Google. I have had a great experience here. I got in a car accident in the summer and they have taken good care of me here. I have been doing decompression therapy for my herniated disc and it has helped with the pain in my back significantly. I highly recommend this place to everyone! Posted on Google   Isabelle Clayton Trustindex verifies that the original source of the review is Google. Everyone at the office is so kind & Dr. Gerdes is great at what he does!! He listens to what you tell him & works with you accordingly. Posted on Google   Nicole Belov Trustindex verifies that the original source of the review is Google. I recently started seeing Dr. Gerdes because of lingering tension headaches. A couple weeks in, I'm already feeling relief! He has great staff as well who are super responsive and communicative when it comes to scheduling. Highly recommend! ### Frequently Asked Questions What conditions does your Raleigh chiropractor treat? Carolina ChiroCare evaluates and treats many musculoskeletal conditions, including back pain, neck pain, sciatica, disc injuries, headaches, car accident injuries, joint pain and sports injuries. Your recommended care depends on your examination and individual condition. What happens during my first chiropractic appointment? Your first visit typically includes a discussion of your symptoms and health history followed by an examination. Dr. Gerdes will determine whether chiropractic care is appropriate and explain any recommended next steps. Do you accept chiropractic insurance? Carolina ChiroCare accepts many major insurance plans. Coverage varies by policy, so contact our office or your insurance carrier to verify your specific chiropractic benefits. Do I need a referral to see a chiropractor? Many patients can schedule chiropractic care directly without a referral, although requirements can vary by insurance plan or medical situation. Our office can help you determine what is required. Do you treat car accident injuries? Yes. Carolina ChiroCare evaluates and treats musculoskeletal injuries associated with auto accidents, including neck pain, back pain and whiplash-related symptoms. Do you offer spinal decompression in Raleigh? Yes. Non-surgical spinal decompression is available for appropriate patients with certain disc-related and spinal conditions. An evaluation is needed to determine whether it is appropriate for you. Where is Carolina ChiroCare located? Carolina ChiroCare & Rehab is located at 1207 Ridge Rd, Raleigh, NC 27607, just off I-440 near Wade Avenue. ### Looking for a Chiropractor in Raleigh, NC? Whether you're dealing with back pain, neck pain, sciatica, an auto injury or another musculoskeletal concern, Carolina ChiroCare & Rehab can evaluate your condition and help determine an appropriate course of care. [**CALL (919) 351-8368**](tel:+19193518368) [**SCHEDULE A NEW PATIENT APPOINTMENT**](/np-schedule/) --- ### Dr. Jeffrey Gerdes, D.C. URL: https://www.carolinachirocare.com/us/ ## Chiropractor Jeffrey Gerdes D.C. * Dr. Jeffrey Gerdes is a licensed North Carolina chiropractor and the clinic director of Carolina ChiroCare & Rehab. He has practiced at the Raleigh clinic since 2010 and has completed extensive postgraduate education in spinal injuries, diagnostic imaging, whiplash, trauma, [spinal decompression](https://www.carolinachirocare.com/spinal-decompression-therapy/) and medical laser applications. ### How Dr. Gerdes Can Help Dr. Gerdes and our Raleigh team provide care for: [Chiropractic Care](https://www.carolinachirocare.com/chiropractic-manual-therapy/) [Back Pain](https://www.carolinachirocare.com/back-pain/) [Neck Pain](https://www.carolinachirocare.com/neck-pain/) [Car Accident Injuries](https://www.carolinachirocare.com/car-accident/) [Spinal Decompression](https://www.carolinachirocare.com/spinal-decompression-therapy/) [Laser Therapy](https://www.carolinachirocare.com/laser-therapy/) ### Expert Witness and Spine Trauma Credentials Dr. Gerdes is certified through the courts in North Carolina as an expert witness in Chiropractic Medicine. He has testified in over 13 court cases as an expert witness on the use of chiropractic medicine. He is one of a small number of Chiropractors nationwide who hold advanced certification through the Spine Research Institute of San Diego, a multi-year post-doctoral certification in forensics, advanced diagnostics, spine and brain trauma. ### Gentle, Effective Chiropractic Care Voted best in the region twice by Talk of the Town and Open Care. He specializes in providing gentle, safe, chiropractic care for a variety of musculoskeletal health conditions. He has treated thousands of patients with conditions ranging from back and [neck pain](https://www.carolinachirocare.com/neck-pain/), whiplash to fibromyalgia, sciatica to [herniated discs](https://www.carolinachirocare.com/disc-injury/) to nerve pain, and [headaches](https://www.carolinachirocare.com/headaches-migraines/). ### Sports Injury and Athletic Care Throughout his career, he has treated both professional and collegiate athletes, mixed martial arts fighters, triathletes, as well as the weekend warriors like himself. He has studied extensively under the American College of Sports Medicine, to provide athletes with rehabilitative care and enhanced performance. ### Car Accident Care and Advanced Training Dr. Gerdes's experience working in an urgent care medical facility gave him first-hand experience on the treatment of trauma and injury following an auto accident. He has obtained a certificate of training in manipulation under anesthesia, an advanced procedure performed in a hospital or outpatient surgery center. He is a certified practitioner through the American Institute of Medical Laser Applications. He has taken post-doctoral courses in Radiology and Neurology from Harvard Medical School and is credentialed in MRI interpretation of the spine by the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division. ### Complex and Chronic Conditions He enjoys treating complex and difficult conditions (such as fibromyalgia, herniated discs, chronic pain syndrome, chronic headaches, chronic arthritis pain, chronic nerve pain, post-surgical pain) and complex cases where prior treatments such as surgery, physical therapy, or pain management procedures have failed. ### Ongoing Postdoctoral Education He enjoys furthering his post-doctorate education to provide the best possible updated care to his patients. He has completed certification from The Spine Research Institute in San Diego on Whiplash and Mild Traumatic Brain Injury. In 2019 he completed advanced certification from The Spine Research Institute in San Diego. ### Author and Professional Memberships He is the author of Getting Relief "A Consumer's Guide to Relieving Neck and Back Pain at Home" © 2015 and co-author of Understanding Whiplash: A Car Accident Victim's Health Guide © 2015. He is among fewer than 3% of chiropractic physicians worldwide who have taken the ChiroTrust pledge. He is a member of The American Academy of Pain Management. ### Patients Travel From Across North Carolina Patients routinely drive 3-4 hours from across the state of North Carolina and from neighboring states for Dr. Gerdes's specialized techniques and caring bedside manner. **Traveling to see Dr. Gerdes from out of state or out of town? Contact our office for travel accommodations.** ### Outside the Office In his free time, he enjoys community volunteer work through his local Kiwanis club, live jazz concerts, traveling, fishing, hiking, summer days at Eno River State Park, Lake Jordan, and spending quality time with his wife, sons (Dillon and Landon) and Shih Tzu (Baxter). His charitable interests and work include Kiwanis Club, Tunnels to Towers Foundation, Shriners Hospitals for Children, Paralyzed Veterans of America. --- ### View Dr. Gerdes's full curriculum vitae below. SELECTED OCCUPATIONAL HISTORY - Chiropractor and Clinical Director, Carolina ChiroCare and Rehab Inc., Raleigh NC. - 2010-present. - Associate Chiropractor, Peak Wellness and Chiropractic, Apex NC. 2009-2010. - Associate Chiropractor, Kamper Chiropractic and Rehab. Woodbridge VA. 2008-2009. - Associate Chiropractor, Spine Care of Alexandria. Alexandria, VA. 2008. EDUCATION AND LICENSURE - Palmer College of Chiropractic Florida, Doctor of Chiropractic, Port Orange, FL, 2008. - Internship, Palmer College of Chiropractic Outpatient Clinic, Port Orange, FL, 2007-2008. - Bachelor of Arts University of North Carolina at Wilmington, Physical Education and Health: Concentration in Exercise Science and Health. 2002. - Licensed Chiropractor: North Carolina Board of Chiropractic Examiners 2009, #3985 status-active. - Licensed Chiropractor: Virginia Board of Medicine 2008, #0104556635 status-inactive. SELECTED POST GRADUATE CERTIFICATIONS - Certification, Part I, II, III & IV, Certificate No 116383 in Raleigh NC, National Board of Chiropractic Examiners, 2007. - Certification, Physiotherapy, National Board of Chiropractic Examiners, 2007. - Board Certified Part I, Includes subject examinations in each of six basic science areas: general anatomy, spinal anatomy, physiology, chemistry, pathology, and microbiology and public health. National Board of Chiropractic Examiners, Port Orange, FL 2006. - Board Certified Part II, Includes subject examinations in each of six clinical science areas: general diagnosis, neuromusculoskeletal diagnosis, diagnostic imaging, principles of chiropractic, chiropractic practice and associated clinical sciences. National Board of Chiropractic Examiners, Port Orange, FL 2007 - Board Certified Part III, *Includes questions that address nine clinical areas: case history, physical examination, neuromusculoskeletal examination, roentgenologic examination, clinical laboratory and special studies examination, diagnosis or clinical impression, chiropractic techniques, supportive techniques, and case management*. *National Board of Chiropractic Examiners, Port Orange, FL 2007. - Board Certified Part IV, Examination tests individuals in three major areas: x-ray interpretation and diagnosis, chiropractic technique and case management. National Board of Chiropractic Examiners, Atlanta, GA 2007. - Whiplash Biomechanics & Injury Traumatology,  Certification, Spine Research Institute of San Diego, 2012. - Certification in MRI Interpretation, * *ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2014. - Fellowship in Medication- Assisted Manipulation Under Anesthesia. - Certificate of Completion in Manipulation under Anesthesia. Southern California University of Health Sciences and Cornerstone Education 2015. - Whiplash Biomechanics & Injury Traumatology, Advanced Certification, Spine Research Institute of San Diego, 2018. - Sworn Expert Witness In Chiropractic Medicine: Wake County and North Carolina 2011-present. - Back to the Basics-Search Pattern Identification In Plain Film X-Ray. Dr. Alicia Yochum. North Carolina Chiropractic Association Spring Convention 2024. Wilmington North Carolina. 2023. - Improve Mitochondrial Health for Better Wellbeing. Dr. Dan Murph. North Carolina Chiropractic Association Spring Convention 2024. Wilmington North Carolina. 2024. - The American Institute of Medical Laser Application. 2024. - National Spinal Decompression University Certification. Life University. Dr. Eric Kaplan. Jupiter, Florida. 2025. SELECTED PUBLICATIONS - Author of "Getting Relief" A Consumer's Guide to Relieving Neck and Back Pain at Home © 2015. - Co-Author, Understanding Whiplash: A Car Accident Victim's Health Guide © 2015. SELECTED POST GRADUATE EDUCATION AND CERTIFICATIONS - Neurological Emergencies: Case Studies in Critical Diagnoses. The approach to neurological emergencies often seems daunting to non-neurologists. But as the population ages, these conditions will be seen with increasing frequency. Compared to some other areas in medicine, the neurological differential diagnosis, physical examination and imaging strategies seems (and often is) more complicated. As well, newer data have greatly impacted the field as the evidence base expands. At the same time, at many locales, on-site, real time neurological consultation may not be rapidly available. For all of these reasons, non-neurologists need to be able to handle, or at a minimum, strategize the acute management issues in patients with neurological emergencies. Harvard Medical School Department of Continuing Education, Harvard Medical School, Cambridge, MA, 2010. - Whiplash and Brain Injury Traumatology: Module 1: Advanced Topics: the Fundamental Science, "In depth review of the current state of knowledge of the whiplash phenomenon, including all factors affecting injury risk and outcome. In depth biomechanics, traumatology, epidemiology, review of outcome studies and common sequelae of whiplash, including brain injuries, pain syndromes, thoracic outlet syndrome, carpal tunnel syndrome and chronic pain disorders. Risk Analysis I", Spine Research Institute of San Diego, Los Angeles Chiropractic College, Southern California University of Health Sciences, California, 2012 - Whiplash and Brain Injury Traumatology: Module 2: Advanced Diagnostics, Treatment and Auto Crash Reconstruction; Management Principles in Personal Injury, "Critical history taking and physical examination skills. Radiographic and advanced imaging including CT, MRI, scintigraphy, PET, SPECT and others. Electrodiagnostic testing and their applications in whiplash. Therapeutic approaches to successful management of whiplash and mild traumatic brain injuries. Risk Analysis II", Spine Research Institute of San Diego, Los Angeles Chiropractic College, Southern California University of Health Sciences, California, 2011. - Whiplash and Brain Injury Traumatology: Module 3: Narrative Report Writing and Practice Development: Principles of Impairment Rating and Forensic Documentation, "Comprehensive and compelling narrative report writing. Understanding and avoiding the common mistakes and pitfalls in narrative reports. In depth understanding of the latest cutting edge techniques and rebuttal strategies. Understanding of today's critical forensic documentation skills and impairment ratings", Spine Research Institute of San Diego, Los Angeles Chiropractic College, Southern California University of Health Sciences, California, 20011. - Whiplash and Brain Injury Traumatology: Module 4: "Essentials of documentation and records keeping; what you need vs. what you don't. Medical photography; when and how to use it and incorporate it Taking the pain out of depositions, arbitrations, and testifying in court in Raleigh NC.Preparing for the classic cross-examination strategies. Using evidence effectively; models, charts, diagrams, photos, movies, and more Daubert and Frye rules; how they affect your testimony and how they can exclude opposing experts Disabusing the MIST myth; Colossus Learned treatises and reliable authorities; other federal rules of evidence experts should know". Spine Research Institute of San Diego, Los Angeles Chiropractic College, Southern California University of Health Sciences, California, 2010. - Clinical Challenges in Chest Radiology "X-Ray, CT, high resolution CT, MRI and PET and other radiographic imaging interpretation, physiology and clinical indications for thoracic disorders such as pulmonary embolism and the solitary pulmonary nodule as well as other common radiographic abnormalities.", Harvard Medical School Department of Continuing Education, Harvard Medical School, Cambridge, MA, 2010. - Assessing Medical Fitness to Return to Work " Primary Care physicians are often requested to provide information on a patient's fitness to return to work following injury or illness. U.S. primary care physicians report that they are requested to provide opinions regarding work ability or "fitness for duty," on average, in up to 10% of all office visits. However, very little training is routinely offered in medical or postgraduate education pertaining to the health effects of work and assessing work readiness. Both generalists and specialists report that dealing with sickness certification and work ability can be problematic, including potential conflict of interest between their best medical judgment and what their patients desire. Education in a structured approach to fitness to work assessment method can enhance physicians' knowledge about work fitness assessments as well as their confidence in performing assessments". Harvard Medical School Department of Continuing Education, Harvard Medical School, Cambridge, MA, 2010. - Nutritional Neurology. Dan Murphy."The effects of excitotoxins in Raleigh NC, food additives and neurodegenerative disease processes. The influence of essential fatty acids on pain, joint degeneration, and brain structure/function. The relationship of ratios between omega-6 and omega-3 essential fatty acids. The anti-oxidant network and pathoneurology. Identify the impacts of nutrition on pathoneurology, cardiovascular function, and immune response. Learn additional research insights on chiropractic clinical management of trauma, pain, degeneration, and mobility. Identify focused case management approaches including the neurological components of care. Review new concerns on neurophysiological impacts involving cell membrane fluidity and cell membrane stiffness." Greensboro NC. 2010. - Neck Pain, CVA, and Treatment of the Cervical Spine. Dr. Savoie, a featured NCMIC speaker, will review the common conditions presenting as neck pain. His program includes the latest research on CVA, the elements of the case history, cervical examination procedures and clinical findings in the treatment and management of neck pain. Greensboro North Carolina 2011. - BASIC MRI PART 1 - "Although a detailed understanding of nuclear physics is not necessary to interpret MRI studies, Chiropractors should have a solid understanding of the basic principles involved in producing MRI images. This course describes the basic fundamental principles shared by all MRI scanners." Instructor Guy Annunziata, DC. DC Hours. December 2012. - BASIC MRI PART 2 - "The second part to this series will begin with a discussion regarding the multiplanar images of MRI, the shades of gray and the differences between T1 and T2 weighted images. We will then explore the special MRI studies that have been created to help identify different pathologies. This will include discussions on Fat Suppression, Contrast Enhanced and Functional MRI studies." Instructor Guy Annunziata, DC. DC Hours. December 2012. - BASIC MRI PART 3 - "In the third part of this series we will discuss the Contraindications to MRI, how to read an MRI report, the MRI appearance of DDD, Ligamentum Flavum Hypertrophy, Disc Herniations, Annular Tears and Post-disc Surgical cases." Instructor Guy Annunziata, DC. DC Hours. December 2012. - ACUTE LOW BACK PAIN- "This course will help physicians manage acute episodes of back pain. The content provides simple tools to use to help influence patient recovery. By reviewing lifestyle factors that influence back pain, the course enables physicians to provide advice and recommendations that will allow patients to recover from their acute back pain episode and to make informed decisions about their behaviors and lifestyle factors related to back pain." Harvard Medical School Department of Continuing Education, Harvard Medical School, Cambridge, MA, 2012. - Cervicogenic Headache- This course reviews the clinical presentation of cervicogenic headache, proposed diagnostic criteria, pathophysiologic mechanisms, and methods of diagnostic evaluation. Guidelines for developing a successful multidisciplinary pain management program using medication, physical therapy, osteopathic manipulative treatment, other non pharmacologic modes of treatment, and anesthetic interventions are also presented. Instructor Guy Annunziata, DC. DC Hours. December 2013. - MRI History and Physics, Magnetic fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical perspective of the creation of NMR and MRI. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2013. - MRI Spinal Anatomy and Protocols, Normal anatomy of axial and sagittal views utilizing T1, T2, 3D gradient and STIR sequences of imaging. Standardized and desired protocols in views and sequencing of MRI examination to create an accurate diagnosis in MRI. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2013. - MRI Disc Pathology and Spinal Stenosis, MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequelae in relationship to the spinal cord and spinal nerve roots. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2013. - MRI Spinal Pathology, MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwannoma and numerous other spinal related tumors and lesions. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2013. - MRI Methodology of Analysis, MRI interpretation sequencing of the cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis of the region visualized. New York Chiropractic Council, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2012 - MRI Clinical Application, The clinical application of the results of space occupying lesions. Disc and tumor pathologies and the clinical indications of manual and adjustive therapies in the patient with spinal nerve root and spinal cord insult as sequelae. Board for Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2013. - MRI Protocols Clinical Necessity, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images. Clinical indication for the utilization of MRI and pathologies of disc in both trauma and non-trauma sequelae, including bulge, herniation, protrusion, extrusion and sequestration. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2014. - MRI Interpretation of Cervical Herniations, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Spinal cord and canal compromise interpretation with management. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2014. - MRI Interpretation of Lumbar Herniations, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the comorbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Central canal and cauda equina compromise interpretation with management. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014. - MRI Interpretation of Cervical Degeneration/Bulges, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of cervical degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Spinal cord and canal compromise interpretation with management. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014. - MRI Interpretation of Cervical Herniations, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of cervical herniations. With the comorbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Morphology of cervical disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad-based herniations are defined and illustrated. Spinal cord and canal compromise interpretation with management. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014. - MRI Interpretation of Degenerative Spine and Disc Disease with Overlapping Traumatic Insult to Both Spine and Disc, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of degenerative spondylolisthesis, spinal canal stenosis, Modic type 3 changes, central herniations, extrusions, compressions, nerve root compressions, advanced spurring and thecal sac involvement from an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014. - Certification in MRI Interpretation,  ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2014. - IME & Peer Review Documentation and Rebuttals, Medical-Legal documentation requirements and the utilization evidenced based findings in rebutting third party reporting when clinically indicated. The utilization of state regulations and legislation to ensure compliance in third party reporting. Management of all diagnostic testing and treatment protocols inclusive of functional losses in documentation. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, New York, 2015. - Spinal Trauma Pathology, Triage and Connective Tissue Injuries and Wound Repair, Triaging the injured and differentially diagnosing both the primary and secondary complaints. Connective tissue injuries and wound repair morphology focusing on the aberrant tissue replacement and permanency prognosis potential. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 - Spinal Trauma Pathology: Ligament Anatomy and Injury Research and Spinal Kinematics, Spinal ligamentous anatomy and research focusing on wound repair, future negative sequelae of abnormal tissue replacement and the resultant aberrant kinematics and spinal biomechanics of the spine. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 - Spinal Trauma Pathology: Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature, The application of spinal biomechanical engineering models in trauma and the negative sequelae it has on the central nervous system inclusive of the lateral horn, periaqueductal gray matter, thalamus and cortices involvement. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post -Doctoral Division, Buffalo, NY, 2016 - Spinal Trauma Pathology: Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology, The biomechanics of traumatic disc bulges as sequelae of trauma and the comorbidity of ligamentous pathology. Age-dating spinal disc pathology in accordance with Wolff's Law. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 - Spinal Trauma Pathology: Clinical Grand Rounds, The review of case histories of mechanical spine pathology and biomechanical failures inclusive of case histories, clinical findings and x-ray and advanced imaging studies. Assessing comorbidities in the triage and prognosis of the injured. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 - Spinal Trauma Pathology: Research Perspectives, The review of current literature standards in spinal trauma pathology and documentation review of biomechanical failure, ligamentous failure and age-dating disc pathology*.* Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016. - Ligament Laxity, Diagnosis Coding and Permanent Injury. University of Bridgeport and Florida Chiropractic Physician Association. Bridgeport Connecticut 2017. - Chronic Pain-Post Traumatic Whiplash Associated Disorders. University of Bridgeport and Florida Chiropractic Physician Association. Bridgeport Connecticut 2017. - Integrated Manual Therapy To Eliminate Advanced Stage Adhesive Capsular Problems for Shoulders and Hips. University of Bridgeport and Florida Chiropractic Physician Association. Bridgeport Connecticut 2017. - Understanding EM Documentation and Coding. University of Bridgeport and Florida Chiropractic Physician Association. Bridgeport Connecticut 2017. - Compliance, Privacy and Security: Procedure Documentation Requirements for the Chiropractic Office. University of Bridgeport and Florida Chiropractic Physician Association. Bridgeport Connecticut 2017. - Chronic Pain Post-Traumatic Low Back Pain*.* University of Bridgeport Connecticut and Florida Chiropractic Physician Association. Bridgeport Connecticut 2017. - Orthopedic Testing: Principles, Clinical Application and Triage, *Integration of orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae.* Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2017. - Orthopedic Testing: Cervical Spine, *Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae.* Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2017. - Orthopedic Testing: Cervical Spine, *Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae.* Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2017. - Orthopedic Testing: Lumbar Spine, *Integration of lumbar orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae.* Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2017. - Orthopedic Testing: Clinical Grand Rounds,* Integration of orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. H**ow to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process*. Texas Chiropractic College or PACE Recognized by The  Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2017 - Fellowship in Medication- Assisted Manipulation Under Anesthesia. Certificate of Completion in Manipulation under Anesthesia. Southern California University of Health Sciences and Cornerstone Education 2015. - Post Traumatic Headaches. A review of the basic principles of the etiology of Post Traumatic Headaches. We will also focus on the evaluation and treatment of patients suffering with this condition. D.C. Hours 2018. - Whiplash Biomechanics & Injury Traumatology, Advanced Certification, Spine Research Institute of San Diego, 2018. - Essential Radiology For Your Daily Practice. NC BOE Education: Dr. Norbert Dombrowsky. North Carolina Chiropractic Association. Pinehurst North Carolina 2019. - Best Practices for Managing Low Back Pain. Dr. Tim Bertelsman. North Carolina Chiropractic Association. Pinehurst North Carolina 2019. - Adjusting Gems for the Lower and Upper Extremities.  Dr. William Austin. North Carolina Chiropractic Association. Pinehurst North Carolina 2019. - Acute Spinal Chord Injury. In the U.S., about 276,000 people are living with SCI, with 12,000 new cases occurring per year. People with SCIs are living longer as a result of treatment advances and intensive rehabilitation. Despite significant advances in SCI treatment outcomes in the past several decades, SCI has lifelong effects on a person's physical, psychological, financial, vocational, and social functioning. This course on SCI will provide healthcare professionals with information about the management of acute and chronic SCI. The course reviews basic spinal cord anatomy, describes common mechanisms of SCI and changes in bodily function after injury and discusses patient management during the acute phase of SCI treatment. DC hours 2019. - The Opiate Crisis and the Chiropractic Alternative.  Dr. Daniel Murphy, D.C. North. Carolina Chiropractic Association Fall Convention 2020. - Clinical Risk Management: Manifestations of COVID-19. North Carolina Chiropractic Association Fall Convention 2020. - Chiropractic Case Reports- Indications and Contraindications of Care. North Carolina Chiropractic Association Fall Convention 2020. - Improving Quality, Patient Safety & Risk Management. D.C. North Carolina Chiropractic Association Fall Convention 2020. - Improving Quality & Treatment Outcomes. North Carolina Chiropractic Association Fall Convention 2020. - The Neurology of Pain. The neurological and physiological aspects of pain transmission and pain perception. Included in this discussion is an in depth analysis of the innate pain modulation systems that, when activated, will reduce a patient's perception of pain without medication*.* DC Hours 2020. - Spinal Pain Syndromes. This course will present the clinical aspects of pain. The differences between Sclerotogenous, Myofascial, Visceral and Neuropathic pain syndromes. This will include a review of the literature of Bogduk, Lord and Kuslich.  DC Hours 2020. - Meeting The Functional Improvement Requirements. Dr. Mario Fucinari. North Carolina Chiropractic Association Fall Convention 2021. Concord North Carolina. - Mastering The Rotator Cuff. Dr. Tim Bertelsman and Dr. Brandon Steele. North Carolina Chiropractic Association Fall Convention 2021. Concord North Carolina. 2021. - Chronic Pain Management. Dr. Munsterman. North Carolina Chiropractic Association Fall Convention 2021. Concord North Carolina. 2021. - Clinical Risk Management: Manifestations of COVID-19. James Demitrio, D.C. North Carolina Chiropractic Association Fall Convention 2021. Concord North Carolina. 2021. - Improving Quality & Treatment Outcomes & Clinical Care and Risk Management. Dr. Kevin Sharp. North Carolina Chiropractic Association Fall Convention 2021. Concord North Carolina. 2021 - Mastering the disc simple and highly effective protocols for managing the evaluation and treatment of intervertebral disc disorders and headaches. Upon completion of this course Doctors will have a new set of diagnostic and treatment skills that can be easily implemented into practice. Jonathan Lesch, DC., Cert. MDT. North Carolina Chiropractic Association Fall Convention 2022. Durham North Carolina. 2022. - The Over Trained Youth Athlete. Dr. Alan C. Smith, DC, FICPA**North Carolina Chiropractic Association Fall Convention 2022. Durham North Carolina. 2022. - Clinical Quality and Documentation Standards and Detection and Prevention of More Serious Health Issues. Dr. Kevin Sharp. North Carolina Chiropractic Association Spring Convention 2023. Pinehurst North Carolina. 2023. - Clinical Perspectives on Cervical Artery Dissection and Cervical Adjusting Presented. Dr. Richard Armstrong. North Carolina Chiropractic Association Spring Convention 2023. Pinehurst North Carolina. 2023. - Mastering the Extremities and Spine. Dr. Kevin Wong. North Carolina Chiropractic Association Spring Convention 2023. Pinehurst North Carolina. 2023. - Improve Mitochondrial Health for Better Wellbeing. Dr. Dan Murph. **North Carolina Chiropractic Association Spring Convention 2024. Wilmington North Carolina. 2024. - Deep Tissue Laser for Trigger Points and Fascia. The American Institute of Medical Laser Applications. 2024. - General Laser Therapy Principals. The American Institute of Medical Laser Applications. 2024. - Scientific Basis of Medical Laser Application. The American Institute of Medical Laser Applications. 2024. - Decompression therapy, Advanced Patient Classification, Modalities & Rehabilitation Procedures. Dr. Brandon Taylor.** **North Carolina Chiropractic Association Spring Convention 2025. Greensboro North Carolina. 2025.  - Lower Extremities: Case Study Approach (Imaging) with Dr. Jennifer Pedley.** **North Carolina Chiropractic Association Spring Convention 2025. Greensboro North Carolina. 2025.  - National Spinal Decompression University Certification.  Life University. Dr. Eric Kaplan.  Jupiter Florida. 2025.  - Primary Spine Care 18 - Spinal Biomechanics, Ligamentous Pathology and Treatment Planning.* Understanding future trends in chiropractic and clinical record-keeping is essential for maintaining professional excellence and delivering high-quality patient care. As healthcare evolves with new technologies and reimbursement models, clinical documentation must adapt to remain effective and compliant. This module provides a structured, step-by-step guide to creating accurate clinical notes, covering their purpose, context, key elements, practical tips, and relevant legal considerations. Mastery of these skills supports both regulatory compliance and the highest standards of patient care.* ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2025  - Primary Spine Care 18 - MRI Spine Interpretation*, Provided instruction in the interpretation of MRI sequences, including sagittal, axial, T1, T2, STIR, and proton density. Trained students to accurately identify vertebrae, spinal cord, discs, nerve roots, thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses. Emphasized recognition of common pathologies such as bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and Schmorl's nodes. Developed students' practical skills in applying MRI findings to clinical decision-making,* Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Chiropractic and Health Sciences, Long Island, 2025  - Primary Spine Care 18 - Connective Tissue and Biomechanical Pathology; Part 1  ***This module covers the foundational principles of biomechanical lesions, starting with ligamentous pathology and extending to overall biomechanical dysfunction. Students will learn how ligament damage impacts spinal stability and joint function. The course explores the compensatory changes that develop into chronic biomechanical pathology. Emphasis is placed on the clinical relevance of these lesions for accurate diagnosis, effective treatment, and thorough documentation,* Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Chiropractic and Health Sciences, Long Island, 2025 - Primary Spine Care 18 - Connective Tissue and Biomechanical Pathology; Part 2 *This module examines the neurological impact of connective tissue injuries and biomechanical pathology. It highlights how structural damage can create effector organ dysfunction, leading to abnormal neurological signaling. The course traces the progression from localized tissue pathology to widespread central sensitization. Focus is placed on understanding the mechanisms that connect tissue injury to long-term neurological consequences,* Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Chiropractic and Health Sciences, Long Island, 2025 - Primary Spine Care 18 - Evidence-Based Age-Dating Herniated Discs, This* module develops the essential skill of "Evidence-Based" age-dating for herniated discs and spinal trauma. Students will learn to combine imaging interpretation from X-ray, MRI, and other modalities with clinical insights into joint pathology. Emphasis is placed on applying this expertise in collaborative medical and medical-legal contexts. The course also underscores the importance of evidence-based reasoning in establishing accurate patient prognoses.* Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Chiropractic and Health Sciences, Long Island, 2025 - Primary Spine Care 18 - Spinal Biomechanics, Ligamentous Pathology and Treatment Planning, This* module covers the diagnosis and management of ligament pathology in acute and chronic patients. It reviews the evidence-based physiology of ligament morphology, trauma mechanisms, and resulting compensatory spinal changes. A master-level analysis addresses ligament anatomy, vascularization, neurological innervation, and tissue repair, emphasizing clinical relevance. The course also explores how ligament pathology drives patho-neuro-biomechanical lesions and informs the mechanisms of chiropractic spinal adjustments,* Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Chiropractic and Health Sciences, Long Island, 2025 - Primary Spine Care 18 - Concussion mTBI-TBI and Stroke Triage, This* module focuses on the screening and diagnosis of brain injuries, from concussion and mild traumatic brain injury (mTBI) to severe TBI and stroke. It emphasizes recognizing key clinical signs to support timely and accurate assessment. Participants learn essential triage protocols to ensure patients receive appropriate care. The course also introduces evidence-based strategies for distinguishing between conditions and minimizing the risk of delayed or missed diagnoses,* Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Chiropractic and Health Sciences, Long Island, 2025 - Primary Spine Care 18 - Evidence on Making Non-Specific Back Pain Specific*This course module provides an evidence-based framework for spinal diagnosis, focusing on accurate identification of specific pathologies rather than generalized labels like "non-specific back pain." Clinicians are trained to integrate clinical assessment and imaging findings to establish definitive diagnoses. The module emphasizes collaborative management with medical specialists to improve patient outcomes. Participants learn to apply evidence-based reasoning to guide treatment decisions and strengthen interdisciplinary care,* Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Chiropractic and Health Sciences, Long Island, 2025 - Primary Spine Care 18 - Documentation Requirements that Support Necessary Long-Term Chiropractic Care and Foster Collaborative Relationships. This course module outlines the documentation requirements essential for supporting long-term chiropractic care and fostering collaborative relationships. It provides an evidence-based framework for spinal diagnosis, emphasizing precise identification of specific pathologies over broad labels such as "non-specific back pain." Clinicians are trained to synthesize clinical assessments with imaging findings to establish accurate and definitive diagnoses. The module highlights strategies for collaborative management with medical specialists to optimize patient outcomes. Participants learn to apply evidence-based reasoning to guide treatment decisions while enhancing interdisciplinary communication and care coordination.*,* Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Chiropractic and Health Sciences, Long Island, 2025  SELECTED MEMBERSHIPS - North Carolina Chiropractic Association 2009-present - American Chiropractic Association March 2011 - Assistant Vice President First Chiropractic Physicians Association of North Carolina 2013 - ChiroTrust 2012-2016 - American Academy of Pain Management 2014 - The American Pregnancy Association SELECTED COMMUNITY SERVICE - Toastmasters International, Raleigh/ Durham Chapter, Durham NC, club #6797, Member 2010. - Volunteer- Triangle Family Services. Serving the underprivileged children in the Raleigh Durham metro area. 2010-2015. - Children's Flight For Hope-2015 - Monthly Donor. Tunnel To Towers Foundation. Providing Mortgage Free Homes to Families of Fallen First Responders and Service Members. 2021-present. - Toastmasters International. Capitol City Toastmasters Chapter. Raleigh NC. Member 2024. - Kiwanis Club of Raleigh. Member 2024. - Raleigh Chamber of Commerce. 2024. - Kiwanis Club of Raleigh. Member 2024. - Shriner's Children's Hospitals. 2024-present -   tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Contact Us URL: https://www.carolinachirocare.com/contact-us/ ## Contact Us  Please fill out the form below, including all required fields, and we will contact you as soon as possible. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Insurances Accepted in Raleigh NC URL: https://www.carolinachirocare.com/insurances-accepted/ ## Insurances Accepted in Raleigh NC  We realize you have a choice in whom you consider for your health care provisions in Raleigh NC and we sincerely appreciate your trust in choosing our service for those needs. If you, a friend, or family member requires care, we would be honored to render our services. **Please Note**: If You Have Been In An Auto Accident We Will File Car Insurance and We Accept Treatment On An Attorney Lien & Assignment Of Benefits --- ### Providers We work with in Raleigh NC - Blue Cross Blue Shield State Health Plan - Blue Cross Blue Shield and Anthem - Reserve National Insurance Company - All plans including state and federal BCBS - Cigna - Med Cost - United Health Care - Aetna - Medicare - Golden Rule - Great-West Healthcare - United Medical Resources - Alliance PPO - Humana State Health Plan of North Carolina - Evercare MH Program North Carolina​ - Reserve National Insurance Company - Principal Life Insurance Company - Med Risk Worker's Comp - Universal SmartComp Worker's Comp - Cypress Care Worker's Comp - Align Networks - First Choice - First Choice Kids - Absolute Total Care - Select Health - Primary Physicians Care - Workman's Compensation Insurance  --- #### Car insurance accepted  tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Testimonials URL: https://www.carolinachirocare.com/testimonials/ ## Chiropractic Testimonials --- ##### Hear one patient's powerful story after suffering a serious injury to regaining her health and life back at Carolina ChiroCare and Rehab. Play Video --- ##### Relief from chronic low back pain and sciatica with class IV deep tissue regenerative laser Play Video --- ##### Testimonial To Sciatica Treatment In Raleigh NC Carolina ChiroCare and Rehab Using Deep Tissue Laser Play Video --- ##### Veteran Seeking With Chronic Back Pain Travels Over An Hour For Y-Strap And Deep Tissue Regenerative Laser Treatments Play Video --- ##### Patient with daily neck pain for 9 years who failed physical therapy, chiropractic, steroid injection, pain management testimonial Play Video --- ##### Sweet Grandmother seriously injured in a car accident testimonial Play Video --- ##### Patient testimonial to bedside manner & excellent customer service Play Video --- ##### Travels 45 Minutes For The Best Chiropractor Play Video --- ##### Incredible Transformation Play Video --- ##### TMJ Testimonial Play Video --- ##### Non Surgical Spinal Decompression Therapy Testimonial Play Video --- **DR. GERDES WOULDN'T LET ME GIVE UP** "I was in a lot of pain. I was diagnosed with a disc bulge and wasn't getting much help or hope from my orthopedic or pain doctors. Dr. Gerdes wouldn't let me give up. He spent a lot of time really trying to figure out what was going on with my back and how we could help it get back to normal. The exercises he had me do were key to my recovery. Highly recommend." **- Lindie L.** Read Dr. Gerdes "[About Section](/us)" - It Will Tell You Everything You Need To Know! --- **DR. GERDES EXPERIENCE AND KIND NATURE MAKE IT VERY EASY TO RECOMMEND CAROLINA CHIROCARE** "Skeptical, hesitant, you name it - I never thought I'd see a chiropractor, much less find significant relief from one. Then, I caved in and finally went after experiencing chronic lower back pain from carrying my 1-year-old son around a lot. Within two visits, I've seen 90-95% relief. The best part, Dr. Gerdes mentioned to me that if I feel like I need to come back in, I could call the office, but not to feel any pressure to continue because he believed the corrections he made should last. I'd encourage anyone to first read Dr. Gerdes "[About Section](/us)" and then read all the Google Reviews and Yelp Reviews they've received. They accepted my insurance, $50 specialist co-pay. Two sessions and I was feeling much much better. I will say that Dr. Gerdes would be the first to say that chiropractic care isn't the end all be all to feel better. You have to look at it holistically, and consider diet, exercise, stretching, physical therapy, and at home care (massage, ice/heat, tens unit, etc.). I'm by no means a professional, but I have a feeling that some patients who do not find relief from chiro think that they just need a few adjustments made and then are as good as news. Put in the time and effort to strengthen your muscles and be kind to your body and you will see results. This, plus Dr. Gerdes experience and kind nature make it very easy to recommend Carolina ChiroCare. I trust his recommendations and never felt pressured to sign up for a long-term package (they don't offer them) and I believe he took the ChrioTrust pledge (chiro-trust.org) which only 3% of chiropractors take to keep his services, affordable, convenient, and mainstream. I'd recommend his services to anyone in back pain, as long as they are willing to put in the work in addition to Dr. Gerdes chiro services." **- James H.** --- **CAROLINA CHIROCARE MET ALL OF MY EXPECTATIONS** "If you're looking for a chiropractor in the Raleigh area, this office is one you should consider. I've been to several chiropractors in my lifetime, but they were all out of state. When I moved to Raleigh last year, I thought I'd check out a new one. In my opinion this is the best one I've ever been associated with. When choosing a chiropractor, I consider several factors. First, the chiropractor has to be trained at the Palmer Chiropractor College. I feel this is the 'best of the best' colleges for up to date therapy techniques. Second, I'll choose a doctor who has been practicing for at least 15 years. Third, I look at the doctor's additional and current training courses they have attended for state of the art techniques. Fourth, I look for a smaller practice. Fifth, I stay away from the chiropractors who 'push the sales pitch' for signing up to a long term plan of treatment. And, lastly, in this era of COVID-19, I look for an office that engages in periodic cleaning of their tables, door knobs, and pens; an office that practices safe distancing; and an office whose workers wear masks. Carolina ChrioCare met all of my expectations. Dr. Gerdes listened to all of my concerns and my past history with lower back pain. After my first treatment, I left the office without lower back pain. It was an amazing feeling. I should have found this office a year ago when I moved to Raleigh. Take my word for it. The team at Carolina ChiroCare is the real deal when it comes to back pain relief. I would definitely recommend them to anyone seeking a chiropractor in the Raleigh area." **- Duane N.** --- **I WOULD HIGHLY RECOMMEND DR. GERDES AND HIS STAFF.** "Dr. Gerdes and his staff provided great care after my car accident. He was always professional and made sure I was receiving proper care for my condition. The staff was courteous and efficient when I came to my visits." **- Andrew B.** --- **I'VE BEEN GETTING TREATMENT THERE JUST OVER A MONTH NOW AND MAN HAS IT MADE A DIFFERENCE!** "I've been getting treatment there just over a month now and man has it made a difference! He really focuses on providing relief and really knows his stuff. I rarely, if ever have pain when I leave. I may be sore for a short time, but that's expected when you have things adjusted in your spine. On 12/31 I had a car accident that totaled my vehicle and thankfully I had an appt already scheduled so that probably helped avoid potential issues as well. He rechecked everything as if I were a new client. They also use a product called BioFreeze they spray on the area being treated that works better, feels better, and lasts longer than anything I've used OTC. The best part is there's no odor from it that I can detect. The staff here is awesome as well, everything is well organized. In my case, most of the issue is a compressed disc in my lower spine. Treatment is really helping. Even if you decide not to come here, you should at least have a few treatments to compare. You won't be disappointed!" **- Robert R.** --- **I WOULD HIGHLY RECOMMEND THEM TO EVERYONE.** "My wife and I went to Raleigh to watch a hockey game. When we got to the hotel I was taking the luggage out of the truck I put my back out. I was in so much pain I could barely move. The next morning was so bad I didn't think I could get home. My wife found Carolina ChiroCare and Rehab so she called them. They were very very friendly and professional they took me right in. Dr. Jeffrey Gerdes was awesome he explained everything to us and worked on my back. I was able to walk out of his office without help and make it back home. I would like to thank Dr. Gerdes and his staff for taking care of me I would highly recommend them to everyone." **- Glenn J.** --- **IT HAS BEEN GREAT!** "It has been great! All of my visits have been a benefit to my pain in my shoulder. I would recommend them to my family and friends." **- Patricia L.** --- **I FINALLY FOUND AN AWESOME ONE.** "This is my third chiropractor since moving to Raleigh and I finally found an awesome one. Dr. Gerdes is the best. He gives me a quick tune-up and I'm on my way. Also, the front desk staff is super nice and always manages to fit me in at my convenience" **- Jordan B.** --- **I'M REALLY HAPPY TO HAVE FOUND THIS OFFICE!** "I'm really happy to have found this office! I came in right before Hurricane Florence with shooting pain in my lower back and left leg. I was SO thankful they could see me as quickly as they did (got me on the same day for a new patient consult!). The staff and Dr. Gerdes are very friendly, thorough, and knowledgeable. In just 2 sessions and home self-care (stretching), I'm feeling tons better!! Thank you!!" **- Lindsay J.** --- **I HAVE NEVER FELT BETTER.** "I have never felt better. Since getting my lower back in order, I have returned for neck pain after a fall. Again, in a short time, I felt great." **- Keith G.** --- **THE TRANSFORMATION FROM EXCRUCIATING PAIN TO PRACTICALLY NONEXISTENT PAIN IN MY LOWER BACK WAS UNBELIEVABLE.** "The transformation from excruciating pain to practically nonexistent pain in my lower back was unbelievable. And this was after just one treatment. Dr. Gerdes goes right to the source of the issue and in just two visits now, I have developed trust in him and his staff because of a professional environment and a solution-driven program designed specifically for me." **- James I.** --- **I HIGHLY RECOMMEND DR. GERDES.** "I couldn't believe it! I was able to walk 85% better that day and walked all weekend at the amusement park with my family. I highly recommend Dr. Gerdes." **- Karen B.** --- **WONDERFUL AND FRIENDLY STAFF WHO ARE VERY ATTENTIVE AND CARING.** "Wonderful and friendly staff who are very attentive and caring. Great physician as well. Everyone at Carolina ChiroCare made sure I felt comfortable and was taken care of. As a new resident of the Raliegh area, I would highly recommend it!" **- Carlie S.** --- **I AM HAPPY TO SAY I HAVE NOT HAD A [MIGRAINE](https://www.carolinachirocare.com/headaches-migraines/) IN 4 MONTHS NOW.** "I could tell Dr. Gerdes cared about helping me and I started to tell a real difference in a few weeks. I am happy to say I have not had a migraine in 4 months now." **- Angie W.** --- **I WAS MISERABLE WITH THE PAIN OF A CAR ACCIDENT.** "I was miserable with pain from a car accident, I was not able to get any sleep and had headaches every day for two weeks, I was referred to Carolina ChiroCare and Rehab and on my first appointment I was able to sleep, my headaches went away. I am actually very impressed with how quickly my body is responding to Dr. Jeffrey's treatment, staff members are very friendly and very helpful. I definitely give them 5 stars. I was previously treated by another holistic chiropractor and took months before I was able to feel better. Thank you, Dr. Jeffrey." **- Myra S.** --- **I WOULD HIGHLY RECOMMEND BOTH DR. GERDES AND STACY** "I have been visiting chiropractic offices for 20 years and I have to say I am impressed. Dr. Gerdes took the time to ensure I received the treatment I needed and did a great job during my adjustment. I am a side sleeper and very active and the treatment I received during my massage from Stacy is second to none." **- Eric C.** --- **I WOULD HIGHLY RECOMMEND BOTH DR. GERDES AND STACY** "Dr. Gerdes is the best chiropractor I have ever met. He is very caring about the pain I have. He always actively listens to me and provides the only treatments I need. Meanwhile, his whole clinic staff is super nice and amazing. You could make a call and get in on the same day." **- Xin P.** --- **THE STAFF IS ALWAYS PLEASANT.** "I started my treatment and therapy on 3/21/16. I had a bad accident with my six grandkids. I have been improving greatly over the last twelve weeks with a decrease in pain and a greater ability to sleep at night. I really like Dr. Gerdes because he shows compassion for my concerns and needs. The staff is always pleasant also." **- Elnora B.** --- **I WAS IN A HORRIBLE ACCIDENT AND SUFFERED A SERIOUS CASE OF WHIPLASH.** "I was in a horrible accident and suffered a serious case of whiplash. The pain was unbearable. Thanks to Dr. Gerdes and the amazing staff at Carolina ChiroCare, I'm feeling better than ever. The service was stellar and appointments are always flexible. Thank you Carolina ChiroCare! If you have ever been in an accident, have back pain or injury I highly recommend you stop by Carolina ChiroCare." **- Sean S.** --- **I LOVE THIS PLACE!** "I highly suggest anyone having back and/or neck pain see Dr.Gerdes. In one visit my herniated disc pain was almost nonexistent. The staff was so nice and listened to me and my needs." **- Victoria V.** --- **AFTER ABOUT 7 YEARS MY PAIN HAS BECOME A PART OF ME.** "After about 7 years my pain has become a part of me. I have finally gotten tired of the pain in my groin, hip, and back so after quietly searching and encouragement from my loved one, I am grateful to have found Dr. Gerdes and his team. I went today for the first time and although I was in too much pain to be adjusted, the therapy treatment I received had me trying to run to my car as soon as I walked out of the office. I told my son, look at me. LOL. I really am not actually running just yet and it's been years since I have, but today's visit had me feeling noticeably better that I believed I could run. When I waited to be called I was almost tearful from anxiety about seeing a Chiropractor but now I look forward to building a plan for my recovery with this team. The Dr. has a compassionate and professional personality and I believe he truly wants to help people...nowadays it's hard to find professionalism and quality customer service. This office definitely has it right. Thank you all so much/nice to meet you today." **- Elicia M.** --- **I AM A PATIENT FOR LIFE!** "Dr. G was great! I went to him for severe pain in my back. It was hard to put weight on my legs because the pain went from my back, down my legs. I was 6 months pregnant and he was able to diagnose me and do some adjustments. Dr. Gerdes and his staff are excellent! They are very helpful, full of information, and sympathetic to everyone's needs." **- Kristine K.** --- **THEY'RE EXTREMELY PROFESSIONAL, KIND, AND REALLY FAST.** "They're extremely professional, kind, and really fast. Carolina chiro care and Rehab also I'm a very communicative on my experience and throughout my rehab process. Also was surprised how informational they were when I was getting the treatment that I needed. But I know I can always take this experience and learn from it to keep my body healthy. I would recommend anybody that has any type of pain or soreness or any issues with their body to come here." **- Tashaun S.** --- **THEY WORK WITH YOU NONSTOP TO HELP WITH YOUR PAIN.** "They are very kind and genuine people they work with you nonstop to help with your pain. I personally recommend this place for anyone that has back problems these people will get you feeling better in no time." **- Vilma M.** --- **I SUSTAINED INJURIES FROM A CAR ACCIDENT RECENTLY.** "I sustained injuries from a car accident recently. Since coming to Dr. G I feel tons better. I've never been to a chiropractor before. From the instant, you walk in it's warm and inviting. Clariza and Sarah are the best!!! I look forward to coming to my appointments. This is therapeutic for the mind, body, and soul! Thank you for changing my life!!!!!" **- Cristie A.** --- **THIS WAS MY FIRST TIME RECEIVING CHIROPRACTIC TREATMENT AND HAS BEEN A WONDERFUL EXPERIENCE.** "This was my first time receiving chiropractic treatment and has been a wonderful experience. Dr. Gerdes took his time with me during my initial appointment to discuss my care plan and answer all of my questions. I have since gone back for a few adjustments as needed for pain and treatment has been very effective. The waiting area is clean & comfortable, and the support staff has been nothing but kind, open, and honest. Highly recommended practice!" **- E. R.** --- **I JUST WISH I'D GONE SOONER.** "I had been living with worsening pain for 3 years, and the massages and exercises I tried didn't help. After Dr. Gerdes worked on me awhile and the receptionist (who was very friendly) put me on the therapy machine I felt better than I had in weeks. After a night's rest, I woke up to find the pain I'd been living with for 3 years completely gone!" **- Lisa J.** --- **WORLD CLASS.** "World-class. I had an outstanding experience and they were very helpful and professional. I would absolutely recommend this place to anyone looking for a Chiropractor." **- Jonathan G.** --- **I HIGHLY RECOMMEND THIS PRACTICE.** "After one day I already felt a noticeable difference. I went back two days later for a follow-up and got another adjustment and I have no more pain at all! I will certainly go back to see Dr. Gerdes and his team as they were very helpful and informative to my issues as well as being conveniently located near my house." **- Adam M.** --- **I WAS LOOKING FOR A DIFFERENT KIND OF CHIROPRACTOR, AND I FOUND ONE NEARBY IN DR. GERDES.** "I was looking for a different kind of chiropractor, and I found one nearby in Dr. Gerdes. He listened to my problems, worked up a plan, and performed the kind of treatment that I requested. I feel great after my first visit. I wish I had gone earlier. I realize that I need to see him on a regular basis. With modern technology, I do a lot of work with computers. The older I get, the more that work takes a toll on my aging body. Dr. Gerdes helps counteract the aches and pains I build up while working with computers. I think he needs to be a part of my health plan from now on. Thank you Dr. Gerdes for everything so far." **- Ed B.** --- **I CAME WITH IMMENSE PAIN ON MY LOW BACK, PINCHING SCIATICA PAIN IN CALF AND THIGHS.** "I came with immense pain on my low back, pinching sciatica pain in calf and thighs. After coming in to see dr.gerdes at Carolina ChiroCare and Rehab and going through the treatment plan for a few weeks, the pain has gotten down a lot and I'm feeling good. I appreciate the help of dr.gerdes. I recommend everyone who has back pain and need to see a chiropractor, come and see Dr. Gerdes. Thanks!" **- Balaji S.** --- **DR. GERDES WOULDN'T LET ME GIVE UP** "I was in a lot of pain. I was diagnosed with a disc bulge and wasn't getting much help or hope from my orthopedic or pain doctors. Dr. Gerdes wouldn't let me give up. He spent a lot of time really trying to figure out what was going on with my back and how we could help it get back to normal. The exercises he had me do were key to my recovery. Highly recommend." **- Lindie L.** Read Dr. Gerdes "[About Section](/us)" - It Will Tell You Everything You Need To Know! --- **DR. GERDES EXPERIENCE AND KIND NATURE MAKE IT VERY EASY TO RECOMMEND CAROLINA CHIROCARE** "Skeptical, hesitant, you name it - I never thought I'd see a chiropractor, much less find significant relief from one. Then, I caved in and finally went after experiencing chronic lower back pain from carrying my 1-year-old son around a lot. Within two visits, I've seen 90-95% relief. The best part, Dr. Gerdes mentioned to me that if I feel like I need to come back in, I could call the office, but not to feel any pressure to continue because he believed the corrections he made should last. I'd encourage anyone to first read Dr. Gerdes "[About Section](/us)" and then read all the Google Reviews and Yelp Reviews they've received. They accepted my insurance, $50 specialist co-pay. Two sessions and I was feeling much much better. I will say that Dr. Gerdes would be the first to say that chiropractic care isn't the end all be all to feel better. You have to look at it holistically, and consider diet, exercise, stretching, physical therapy, and at home care (massage, ice/heat, tens unit, etc.). I'm by no means a professional, but I have a feeling that some patients who do not find relief from chiro think that they just need a few adjustments made and then are as good as news. Put in the time and effort to strengthen your muscles and be kind to your body and you will see results. This, plus Dr. Gerdes experience and kind nature make it very easy to recommend Carolina ChiroCare. I trust his recommendations and never felt pressured to sign up for a long-term package (they don't offer them) and I believe he took the ChrioTrust pledge (chiro-trust.org) which only 3% of chiropractors take to keep his services, affordable, convenient, and mainstream. I'd recommend his services to anyone in back pain, as long as they are willing to put in the work in addition to Dr. Gerdes chiro services." **- James H.** --- **CAROLINA CHIROCARE MET ALL OF MY EXPECTATIONS** "If you're looking for a chiropractor in the Raleigh area, this office is one you should consider. I've been to several chiropractors in my lifetime, but they were all out of state. When I moved to Raleigh last year, I thought I'd check out a new one. In my opinion this is the best one I've ever been associated with. When choosing a chiropractor, I consider several factors. First, the chiropractor has to be trained at the Palmer Chiropractor College. I feel this is the 'best of the best' colleges for up to date therapy techniques. Second, I'll choose a doctor who has been practicing for at least 15 years. Third, I look at the doctor's additional and current training courses they have attended for state of the art techniques. Fourth, I look for a smaller practice. Fifth, I stay away from the chiropractors who 'push the sales pitch' for signing up to a long term plan of treatment. And, lastly, in this era of COVID-19, I look for an office that engages in periodic cleaning of their tables, door knobs, and pens; an office that practices safe distancing; and an office whose workers wear masks. Carolina ChrioCare met all of my expectations. Dr. Gerdes listened to all of my concerns and my past history with lower back pain. After my first treatment, I left the office without lower back pain. It was an amazing feeling. I should have found this office a year ago when I moved to Raleigh. Take my word for it. The team at Carolina ChiroCare is the real deal when it comes to back pain relief. I would definitely recommend them to anyone seeking a chiropractor in the Raleigh area." **- Duane N.** --- **I WOULD HIGHLY RECOMMEND DR. GERDES AND HIS STAFF.** "Dr. Gerdes and his staff provided great care after my car accident. He was always professional and made sure I was receiving proper care for my condition. The staff was courteous and efficient when I came to my visits." **- Andrew B.** --- **I'VE BEEN GETTING TREATMENT THERE JUST OVER A MONTH NOW AND MAN HAS IT MADE A DIFFERENCE!** "I've been getting treatment there just over a month now and man has it made a difference! He really focuses on providing relief and really knows his stuff. I rarely, if ever have pain when I leave. I may be sore for a short time, but that's expected when you have things adjusted in your spine. On 12/31 I had a car accident that totaled my vehicle and thankfully I had an appt already scheduled so that probably helped avoid potential issues as well. He rechecked everything as if I were a new client. They also use a product called BioFreeze they spray on the area being treated that works better, feels better, and lasts longer than anything I've used OTC. The best part is there's no odor from it that I can detect. The staff here is awesome as well, everything is well organized. In my case, most of the issue is a compressed disc in my lower spine. Treatment is really helping. Even if you decide not to come here, you should at least have a few treatments to compare. You won't be disappointed!" **- Robert R.** --- **I WOULD HIGHLY RECOMMEND THEM TO EVERYONE.** "My wife and I went to Raleigh to watch a hockey game. When we got to the hotel I was taking the luggage out of the truck I put my back out. I was in so much pain I could barely move. The next morning was so bad I didn't think I could get home. My wife found Carolina ChiroCare and Rehab so she called them. They were very very friendly and professional they took me right in. Dr. Jeffrey Gerdes was awesome he explained everything to us and worked on my back. I was able to walk out of his office without help and make it back home. I would like to thank Dr. Gerdes and his staff for taking care of me I would highly recommend them to everyone." **- Glenn J.** --- **IT HAS BEEN GREAT!** "It has been great! All of my visits have been a benefit to my pain in my shoulder. I would recommend them to my family and friends." **- Patricia L.** --- **I FINALLY FOUND AN AWESOME ONE.** "This is my third chiropractor since moving to Raleigh and I finally found an awesome one. Dr. Gerdes is the best. He gives me a quick tune-up and I'm on my way. Also, the front desk staff is super nice and always manages to fit me in at my convenience" **- Jordan B.** --- **I'M REALLY HAPPY TO HAVE FOUND THIS OFFICE!** "I'm really happy to have found this office! I came in right before Hurricane Florence with shooting pain in my lower back and left leg. I was SO thankful they could see me as quickly as they did (got me on the same day for a new patient consult!). The staff and Dr. Gerdes are very friendly, thorough, and knowledgeable. In just 2 sessions and home self-care (stretching), I'm feeling tons better!! Thank you!!" **- Lindsay J.** --- **I HAVE NEVER FELT BETTER.** "I have never felt better. Since getting my lower back in order, I have returned for neck pain after a fall. Again, in a short time, I felt great." **- Keith G.** --- **THE TRANSFORMATION FROM EXCRUCIATING PAIN TO PRACTICALLY NONEXISTENT PAIN IN MY LOWER BACK WAS UNBELIEVABLE.** "The transformation from excruciating pain to practically nonexistent pain in my lower back was unbelievable. And this was after just one treatment. Dr. Gerdes goes right to the source of the issue and in just two visits now, I have developed trust in him and his staff because of a professional environment and a solution-driven program designed specifically for me." **- James I.** --- **I HIGHLY RECOMMEND DR. GERDES.** "I couldn't believe it! I was able to walk 85% better that day and walked all weekend at the amusement park with my family. I highly recommend Dr. Gerdes." **- Karen B.** --- **WONDERFUL AND FRIENDLY STAFF WHO ARE VERY ATTENTIVE AND CARING.** "Wonderful and friendly staff who are very attentive and caring. Great physician as well. Everyone at Carolina ChiroCare made sure I felt comfortable and was taken care of. As a new resident of the Raliegh area, I would highly recommend it!" **- Carlie S.** --- **I AM HAPPY TO SAY I HAVE NOT HAD A [MIGRAINE](https://www.carolinachirocare.com/headaches-migraines/) IN 4 MONTHS NOW.** "I could tell Dr. Gerdes cared about helping me and I started to tell a real difference in a few weeks. I am happy to say I have not had a migraine in 4 months now." **- Angie W.** --- **I WAS MISERABLE WITH THE PAIN OF A CAR ACCIDENT.** "I was miserable with pain from a car accident, I was not able to get any sleep and had headaches every day for two weeks, I was referred to Carolina ChiroCare and Rehab and on my first appointment I was able to sleep, my headaches went away. I am actually very impressed with how quickly my body is responding to Dr. Jeffrey's treatment, staff members are very friendly and very helpful. I definitely give them 5 stars. I was previously treated by another holistic chiropractor and took months before I was able to feel better. Thank you, Dr. Jeffrey." **- Myra S.** --- **I WOULD HIGHLY RECOMMEND BOTH DR. GERDES AND STACY** "I have been visiting chiropractic offices for 20 years and I have to say I am impressed. Dr. Gerdes took the time to ensure I received the treatment I needed and did a great job during my adjustment. I am a side sleeper and very active and the treatment I received during my massage from Stacy is second to none." **- Eric C.** --- **I WOULD HIGHLY RECOMMEND BOTH DR. GERDES AND STACY** "Dr. Gerdes is the best chiropractor I have ever met. He is very caring about the pain I have. He always actively listens to me and provides the only treatments I need. Meanwhile, his whole clinic staff is super nice and amazing. You could make a call and get in on the same day." **- Xin P.** --- **THE STAFF IS ALWAYS PLEASANT.** "I started my treatment and therapy on 3/21/16. I had a bad accident with my six grandkids. I have been improving greatly over the last twelve weeks with a decrease in pain and a greater ability to sleep at night. I really like Dr. Gerdes because he shows compassion for my concerns and needs. The staff is always pleasant also." **- Elnora B.** --- **I WAS IN A HORRIBLE ACCIDENT AND SUFFERED A SERIOUS CASE OF WHIPLASH.** "I was in a horrible accident and suffered a serious case of whiplash. The pain was unbearable. Thanks to Dr. Gerdes and the amazing staff at Carolina ChiroCare, I'm feeling better than ever. The service was stellar and appointments are always flexible. Thank you Carolina ChiroCare! If you have ever been in an accident, have back pain or injury I highly recommend you stop by Carolina ChiroCare." **- Sean S.** --- **I LOVE THIS PLACE!** "I highly suggest anyone having back and/or neck pain see Dr.Gerdes. In one visit my herniated disc pain was almost nonexistent. The staff was so nice and listened to me and my needs." **- Victoria V.** --- **AFTER ABOUT 7 YEARS MY PAIN HAS BECOME A PART OF ME.** "After about 7 years my pain has become a part of me. I have finally gotten tired of the pain in my groin, hip, and back so after quietly searching and encouragement from my loved one, I am grateful to have found Dr. Gerdes and his team. I went today for the first time and although I was in too much pain to be adjusted, the therapy treatment I received had me trying to run to my car as soon as I walked out of the office. I told my son, look at me. LOL. I really am not actually running just yet and it's been years since I have, but today's visit had me feeling noticeably better that I believed I could run. When I waited to be called I was almost tearful from anxiety about seeing a Chiropractor but now I look forward to building a plan for my recovery with this team. The Dr. has a compassionate and professional personality and I believe he truly wants to help people...nowadays it's hard to find professionalism and quality customer service. This office definitely has it right. Thank you all so much/nice to meet you today." **- Elicia M.** --- **I AM A PATIENT FOR LIFE!** "Dr. G was great! I went to him for severe pain in my back. It was hard to put weight on my legs because the pain went from my back, down my legs. I was 6 months pregnant and he was able to diagnose me and do some adjustments. Dr. Gerdes and his staff are excellent! They are very helpful, full of information, and sympathetic to everyone's needs." **- Kristine K.** --- **THEY'RE EXTREMELY PROFESSIONAL, KIND, AND REALLY FAST.** "They're extremely professional, kind, and really fast. Carolina chiro care and Rehab also I'm a very communicative on my experience and throughout my rehab process. Also was surprised how informational they were when I was getting the treatment that I needed. But I know I can always take this experience and learn from it to keep my body healthy. I would recommend anybody that has any type of pain or soreness or any issues with their body to come here." **- Tashaun S.** --- **THEY WORK WITH YOU NONSTOP TO HELP WITH YOUR PAIN.** "They are very kind and genuine people they work with you nonstop to help with your pain. I personally recommend this place for anyone that has back problems these people will get you feeling better in no time." **- Vilma M.** --- **I SUSTAINED INJURIES FROM A CAR ACCIDENT RECENTLY.** "I sustained injuries from a car accident recently. Since coming to Dr. G I feel tons better. I've never been to a chiropractor before. From the instant, you walk in it's warm and inviting. Clariza and Sarah are the best!!! I look forward to coming to my appointments. This is therapeutic for the mind, body, and soul! Thank you for changing my life!!!!!" **- Cristie A.** --- **THIS WAS MY FIRST TIME RECEIVING CHIROPRACTIC TREATMENT AND HAS BEEN A WONDERFUL EXPERIENCE.** "This was my first time receiving chiropractic treatment and has been a wonderful experience. Dr. Gerdes took his time with me during my initial appointment to discuss my care plan and answer all of my questions. I have since gone back for a few adjustments as needed for pain and treatment has been very effective. The waiting area is clean & comfortable, and the support staff has been nothing but kind, open, and honest. Highly recommended practice!" **- E. R.** --- **I JUST WISH I'D GONE SOONER.** "I had been living with worsening pain for 3 years, and the massages and exercises I tried didn't help. After Dr. Gerdes worked on me awhile and the receptionist (who was very friendly) put me on the therapy machine I felt better than I had in weeks. After a night's rest, I woke up to find the pain I'd been living with for 3 years completely gone!" **- Lisa J.** --- **WORLD CLASS.** "World-class. I had an outstanding experience and they were very helpful and professional. I would absolutely recommend this place to anyone looking for a Chiropractor." **- Jonathan G.** --- **I HIGHLY RECOMMEND THIS PRACTICE.** "After one day I already felt a noticeable difference. I went back two days later for a follow-up and got another adjustment and I have no more pain at all! I will certainly go back to see Dr. Gerdes and his team as they were very helpful and informative to my issues as well as being conveniently located near my house." **- Adam M.** --- **I WAS LOOKING FOR A DIFFERENT KIND OF CHIROPRACTOR, AND I FOUND ONE NEARBY IN DR. GERDES.** "I was looking for a different kind of chiropractor, and I found one nearby in Dr. Gerdes. He listened to my problems, worked up a plan, and performed the kind of treatment that I requested. I feel great after my first visit. I wish I had gone earlier. I realize that I need to see him on a regular basis. With modern technology, I do a lot of work with computers. The older I get, the more that work takes a toll on my aging body. Dr. Gerdes helps counteract the aches and pains I build up while working with computers. I think he needs to be a part of my health plan from now on. Thank you Dr. Gerdes for everything so far." **- Ed B.** --- **I CAME WITH IMMENSE PAIN ON MY LOW BACK, PINCHING SCIATICA PAIN IN CALF AND THIGHS.** "I came with immense pain on my low back, pinching sciatica pain in calf and thighs. After coming in to see dr.gerdes at Carolina ChiroCare and Rehab and going through the treatment plan for a few weeks, the pain has gotten down a lot and I'm feeling good. I appreciate the help of dr.gerdes. I recommend everyone who has back pain and need to see a chiropractor, come and see Dr. Gerdes. Thanks!" **- Balaji S.** tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Office Tour URL: https://www.carolinachirocare.com/office-tour/ ## Carolina ChiroCare and Rehab Office Tour How to Find a Chiropractor in [Raleigh NC](/finding-a-chiropractor) --- ### Quiropráctico en Raleigh NC (Spanish) URL: https://www.carolinachirocare.com/quiropracticoenraleigh/ ## Quiropractico en Raleigh NC | Carolina ChiroCare and Rehab  Carolina ChiroCare and Rehab es un quiropráctico en Raleigh NC - Votado entre los mejores de la región por satisfacción al cliente y ser Ganadores del premio 2015 Open Care Award por CMSU. --- ### Cómo podemos ayudar en Raleigh NC Dr. Gerdes es un Quiropractico en Raleigh NC. He continuado mi educación a través del Colegio Americano de Medicina Deportiva, Escuela de Medicina de Harvard y el Instituto de Investigación de la Espina dorsal de San Diego. Soy uno de los menos del 3% de los médicos quiroprácticos de todo el mundo que ha tomado la promesa de Chiro-Trust. No vendemos costoso planes prepagados ni tratamientos de largo plazo a nuestros pacientes, nuestra meta es reducir el dolor y ofrecerle el alivio que usted necesita en corto tiempo. Nuestro compromiso es proveerle cuidado quiropráctico a corto plazo. Estamos en red con la mayoría de las compañías de seguros. Si su caso fue resultado de un accidente de auto o lesionado en su trabajo, tipicamente usted no tendra que pagar por su tratamiento, ya que las aseguranzas tipicamente pagarian por su tratamiento. No se require citas. Asercarse hasta nuestra oficina sin previos avisos son bienvenidos, ofreciendo un exelente servicio a nuestros pacientes con citas disponibles para el mismo dia. Si usted no tiene seguro de salud nosotros le ofrecemos descuentos y opciones de pagos para ayudarle a que su tratamiento sea accesible. Sabemos que usted tiene mas de una opción en quien usted considera para su cuidado médico y apreciamos sinceramente su confianza en elegir nuestro servicio para esas necesidades. Si usted, un amigo o un miembro de la familia requiere atención, estaríamos honrados de prestar nuestros servicios. LLÁMENOS: [(919) 351-8368](tel:9193518368) tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Blog URL: https://www.carolinachirocare.com/blog/ ## Carolina ChiroCare and Rehab Blog --- ## Conditions We Treat ### Back Pain Treatment in Raleigh NC URL: https://www.carolinachirocare.com/back-pain/ Quality Care ## Back Pain Chiropractor in Raleigh, NC Carolina ChiroCare & Rehab provides chiropractic care for lower, middle, and upper back pain in Raleigh, NC. We evaluate the source of your symptoms and develop an individualized treatment plan based on your condition, mobility, and findings from your examination. [CALL TO SCHEDULE ** (919) 351-8368](tel:9193518368) [Schedule a New Patient Appointment](/np-schedule/) ### Chiropractic Care for Back Pain in Raleigh - [250+ 5-star Google reviews](https://maps.app.goo.gl/BhtPQgNy2XksPsFt6) - Most major insurance plans accepted - Convenient online scheduling - 24/7 after-hours answering service - Individualized treatment plans - Care provided by an experienced Raleigh chiropractor Back pain can come from a variety of problems involving the joints, discs, muscles, ligaments, or nerves of the spine. Some patients experience localized lower back pain, while others have stiffness, pain with movement, or symptoms that travel into the hip or leg. Our Raleigh chiropractic office evaluates both recent and persistent back pain to determine what may be contributing to your symptoms and which treatment options are appropriate. [Click HERE to Schedule](https://www.carolinachirocare.com/np-schedule/)   https://reliefnowlaser.com/providers/raleigh/ ### How a Chiropractor Can Help With Back Pain Chiropractic treatment for back pain begins with determining what structures and movements may be contributing to the problem. Treatment is then selected based on the examination rather than using the same approach for every patient. Depending on the cause and severity of your back pain, your care plan at Carolina ChiroCare & Rehab may include: - [Chiropractic adjustments](https://www.carolinachirocare.com/chiropractic-manual-therapy/) to improve joint mobility and spinal function - [Spinal decompression therapy](https://www.carolinachirocare.com/spinal-decompression-therapy/) for appropriate disc-related and nerve-related conditions - [Class IV laser therapy](https://www.carolinachirocare.com/laser-therapy/) to support the treatment of painful or irritated soft tissues - [Therapeutic exercises](https://www.carolinachirocare.com/therapeutic-exercises/) to improve mobility, stability, and function - Soft tissue therapy for muscular tension and restricted movement - Home-care recommendations based on your specific condition Not every treatment is appropriate for every type of back pain. Your examination helps determine which options, if any, should be included in your treatment plan.   ### How We Evaluate Back Pain Back pain can have several possible causes, so the first step is understanding your symptoms and how they affect your movement and daily activities. During your evaluation, we may assess: - Where your back pain is located - When the pain started and what may have triggered it - Movements or positions that make the pain better or worse - Spinal and joint mobility - Posture and range of motion - Muscle strength and areas of tenderness - Numbness, tingling, weakness, or pain traveling into the leg - Previous injuries, surgeries, or recurring back problems When clinically appropriate, additional diagnostic information such as X-rays or outside MRI findings may also be considered. If your symptoms suggest a condition that requires evaluation outside the scope of chiropractic care, we can recommend appropriate medical follow-up. /special ScheduleOnline /testimonials Read OurReviews /us MEET OURDOCTOR ### Understanding Back Pain Different types of back pain can require different approaches to care. Pain may originate from the muscles and supporting soft tissues, spinal joints, intervertebral discs, or irritation involving nearby nerves. Some of the back pain conditions we commonly evaluate include: ##### Disc Bulges & Herniations - Develop when a spinal disc bulges or the outer disc wall becomes damaged. - May cause back pain, stiffness, leg pain, numbness, tingling, or weakness. - An evaluation helps determine whether the disc or nearby nerves may be contributing to your symptoms. ##### Sciatica & Nerve-Related Back Pain - Occurs when a nerve in the lower spine becomes irritated or compressed. - Pain may travel from the lower back into the buttock, hip, or leg. - Numbness, tingling, or weakness may also occur when a nerve is involved. ##### Spinal Joint Dysfunction & Restricted Mobility - Can develop when spinal joints become stiff or do not move normally. - Common symptoms include localized pain, stiffness, and difficulty bending or turning. - Chiropractic care may help restore joint mobility when restricted movement is contributing to the problem. ##### Muscle, Tendon & Ligament Strains - Often result from lifting, twisting, overuse, sports injuries, or sudden movements. - Symptoms may include localized pain, tenderness, tightness, or swelling. - Treatment may focus on reducing irritation and restoring comfortable movement. ##### Degenerative Disc & Arthritic Changes - Age-related changes can affect the discs and joints of the spine. - Symptoms may include stiffness, reduced mobility, and recurring back pain. - Treatment is based on your symptoms, examination findings, and the structures involved. #### Lower Back Pain Treatment in Raleigh Lower back pain is one of the most common reasons patients visit our Raleigh chiropractic office. Symptoms may develop after lifting, repetitive activity, prolonged sitting, sports injuries, an auto accident, or gradually over time. Treatment depends on the underlying problem. A patient with muscular or joint-related pain may require a different approach than someone with a herniated disc, sciatica, or nerve irritation. Our goal is to identify those differences during the evaluation and build care around the individual patient. Common symptoms we evaluate include:** - Aching or stiffness across the lower back - Sharp pain with bending or twisting - Pain after prolonged sitting or standing - Difficulty getting up from a seated position - Pain extending into the buttock or hip - Pain, numbness, or tingling extending into the leg - Recurring back pain during work or exercise #### Keeping Acute Back Pain From Becoming Chronic A new episode of low back pain is worth addressing early. Starting appropriate movement, stretching and core work soon after an injury is associated with better long-term outcomes and a lower risk of ongoing pain or disability. Research on chiropractic adjustments combined with therapeutic exercise shows better recovery times and return to normal activity. For a new injury, ice during the first 72 hours can help ease pain and inflammation. ##### Hands-On Techniques Beyond Adjustments - **Instrument-assisted adjustments:** a handheld instrument delivers a precise, gentle force without a manual thrust, for patients who prefer a lighter approach. - **Myofascial release:** targeted [manual soft tissue therapy](https://www.carolinachirocare.com/manual-soft-tissue-muscle-therapy/) to restore normal function in tight, irritated or injured muscles. - **Trigger point therapy:** direct pressure on tender knots in the muscle to ease tension. ### Experienced Back Pain Care From Dr. Jeffrey Gerdes Carolina ChiroCare & Rehab is led by Jeffrey Gerdes, D.C., who has practiced chiropractic care in Raleigh since 2010. His postgraduate training includes spinal MRI interpretation, spinal pathology, acute low back pain, physiotherapy, and National Spinal Decompression University certification. He is also the author of Getting Relief: A Consumer's Guide to Relieving Neck and Back Pain at Home. This additional training helps support a detailed approach to evaluating patients with back pain, disc problems, sciatica, and other spinal conditions. [**Meet Dr. Jeffrey Gerdes →**](/us/)  ### Frequently Asked Questions How is back pain diagnosed? A chiropractor will evaluate your symptoms, review your medical history, perform a physical exam, and assess your range of motion, posture, and spinal alignment. In some cases, imaging (X-rays or MRI) may be recommended for a more detailed view. When should I seek care for back pain? You should seek chiropractic care if: - Pain lasts longer than a few days - Pain interferes with daily activities - You experience numbness or tingling - Pain radiates down your leg - Pain is severe or worsening Immediate medical attention is recommended if you have loss of bladder/bowel control, significant weakness, or new severe symptoms. Can chiropractic care help back pain? Chiropractic care may be appropriate for many musculoskeletal causes of back pain. Depending on your examination findings, treatment may include chiropractic adjustments, spinal decompression, therapeutic exercise, soft tissue techniques, or other non-surgical therapies available in our Raleigh office. What can I do at home to help back pain? At-home care may include: - **Gentle stretching and movement** - **Heating or ice therapy** - **Posture awareness** - **Avoiding prolonged sitting** Your chiropractor can provide tailored home-care recommendations. Will insurance cover chiropractic for back pain? Many insurance plans cover chiropractic care for back pain. Our team can help verify your benefits and explain what services are covered.  ### Schedule an Appointment With a Raleigh Back Pain Chiropractor If back pain is interfering with work, exercise, sleep, or everyday activities, schedule an evaluation at Carolina ChiroCare & Rehab. We can evaluate your symptoms, explain your findings, and determine whether chiropractic care is appropriate for your condition. [Schedule a consultation](https://www.carolinachirocare.com/np-schedule/) --- ### Neck Pain Treatment in Raleigh NC URL: https://www.carolinachirocare.com/neck-pain/ ## Neck Pain Chiropractor in Raleigh, NC Neck pain can develop from muscle strain, joint restriction, poor posture, disc problems, nerve irritation, or injuries such as whiplash. Some patients experience localized stiffness, while others have pain that spreads into the shoulders, upper back, arms, or head. At Carolina ChiroCare & Rehab, we evaluate the cause of your neck pain and determine whether chiropractic care or another non-surgical treatment may be appropriate. - Neck stiffness or reduced range of motion - Pain with turning or looking up or down - Headaches associated with neck tension - Shoulder or upper-back discomfort - Arm pain, numbness, or tingling - Pain following an auto accident or other injury --- ### How Chiropractic Care May Help Neck Pain Chiropractic care may be appropriate for certain musculoskeletal causes of neck pain. Treatment is based on what we find during your examination rather than using the same approach for every patient. Depending on the condition, care may include: - Chiropractic adjustments to improve restricted joint movement - [Soft tissue therapy](https://www.carolinachirocare.com/manual-soft-tissue-muscle-therapy/) for muscle tightness and irritation - [Therapeutic exercise](https://www.carolinachirocare.com/therapeutic-exercises/) to improve mobility and stability - [Class IV laser therapy](/laser-therapy/) for certain soft tissue and joint conditions - [Spinal decompression therapy](/spinal-decompression-therapy/) for appropriate disc and nerve-related problems - Posture and ergonomic guidance for repetitive strain and desk-related neck pain --- ### How We Evaluate Neck Pain Neck pain can come from several different structures, so identifying the likely source is an important part of determining treatment. During your evaluation, we may assess: - Where the pain is located - When symptoms began - Neck range of motion - Pain with specific movements - Muscle tightness or tenderness - Joint mobility - Arm pain, numbness, tingling, or weakness - Headaches or dizziness - Previous accidents or injuries - Posture and repetitive activities When clinically appropriate, we may also review X-rays, MRI findings, or other diagnostic information. If your symptoms indicate that additional medical evaluation is appropriate, we will recommend the appropriate next step. --- ### Common Causes of Neck Pain #### Muscle Strain & Postural Stress - Often develops from prolonged sitting, computer use, repetitive activity, or poor sleeping position. - May cause stiffness, soreness, and difficulty turning the head. - Treatment may focus on restoring comfortable movement and reducing muscular tension. #### Cervical Disc Problems - Bulging or herniated discs can irritate nearby joints or nerves. - Symptoms may include neck pain, shoulder pain, or pain traveling into the arm. - Numbness, tingling, or weakness can occur when a nerve is involved. #### Pinched or Irritated Nerves - Nerve irritation may cause symptoms beyond the neck itself. - Pain can travel into the shoulder, arm, hand, or fingers. - Evaluation helps determine whether nerve involvement is contributing to the symptoms. #### Whiplash & Auto Accident Injuries - Sudden acceleration and deceleration can strain joints, muscles, and ligaments in the neck. - Symptoms may include stiffness, headaches, limited mobility, and upper-back discomfort. - Symptoms sometimes develop hours or days after the accident. #### Degenerative Changes & Arthritis - Age-related changes may affect cervical joints and discs. - Symptoms can include stiffness, reduced mobility, and recurring neck pain. - Treatment depends on the specific structures involved and the patient's examination findings. --- ### Neck Pain Treatment at Carolina ChiroCare Treatment depends on what is contributing to your symptoms. A patient with muscular tension may require a different approach than someone with a cervical disc problem, nerve irritation, or whiplash injury. Based on your examination, your treatment plan may include chiropractic adjustments, soft tissue therapy, therapeutic exercise, laser therapy, spinal decompression, or home-care recommendations. Our goal is to select treatment based on your condition rather than applying the same treatment plan to every patient. --- ### Neck Pain After a Car Accident Neck pain is one of the most common symptoms following an auto accident. Whiplash and other collision-related injuries can affect the joints, muscles, ligaments, discs, and nerves of the cervical spine. Dr. Jeffrey Gerdes has advanced training through the Spine Research Institute of San Diego in Whiplash and Mild Traumatic Brain Injury, including advanced certification in whiplash biomechanics and injury traumatology. - Neck stiffness or reduced movement - Headaches - Shoulder or upper-back pain - Muscle soreness - Arm pain or tingling - Symptoms that appear hours or days after the collision [**Learn more about Car Accident Injury Treatment →**](/car-accident/) ---   tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday**** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    ### Experienced Neck Pain Care From Dr. Jeffrey Gerdes Carolina ChiroCare & Rehab is led by Jeffrey Gerdes, D.C., who has treated patients with neck pain and cervical spine conditions throughout his chiropractic career. His postgraduate education includes specific training in neck pain evaluation, cervical spine treatment, cervical orthopedic testing, and MRI interpretation of cervical disc injuries and degenerative changes. He also holds advanced certification in whiplash biomechanics and injury traumatology through the Spine Research Institute of San Diego. [Meet Dr. Jeffrey Gerdes →](/us/)**  ### Neck and Back Pain Resources From Dr. Gerdes Dr. Jeffrey Gerdes is the author of Getting Relief: A Consumer's Guide to Relieving Neck and Back Pain at Home, a patient-focused guide covering home exercises, posture, sleeping positions, and other factors that can influence neck and back discomfort. **[Request a Free Copy →](https://www.carolinachirocare.com/contact-us/)**     ### Neck Pain FAQs Can a chiropractor help with neck pain? Chiropractic care may be appropriate for certain musculoskeletal causes of neck pain, including joint restriction, muscle tension, posture-related problems, and some disc or nerve-related conditions. An examination helps determine which treatment is appropriate. What causes neck pain? Common causes include muscle strain, poor posture, joint restriction, cervical disc problems, nerve irritation, arthritis, repetitive activity, and injuries such as whiplash. Can neck problems cause headaches? Yes. Certain headaches can be associated with muscles, joints, or other structures in the cervical spine. An evaluation can help determine whether the neck may be contributing. Can a pinched nerve cause arm pain? Yes. Irritation involving cervical nerves may cause pain, tingling, numbness, or weakness that travels into the shoulder, arm, hand, or fingers. How is neck pain evaluated? We review your symptoms, health history, previous injuries, range of motion, joint mobility, muscle tension, and neurological symptoms. Imaging or other diagnostic information may also be considered when appropriate. How many chiropractic visits will I need? The number of visits depends on the cause of the neck pain, how long symptoms have been present, examination findings, and how the patient responds to treatment. ### Schedule With a Neck Pain Chiropractor in Raleigh If neck pain, stiffness, headaches, or arm symptoms are interfering with your daily activities, schedule an evaluation at Carolina ChiroCare & Rehab. We can determine what may be contributing to your symptoms and whether chiropractic or another non-surgical treatment is appropriate. **[Schedule a New Patient Appointment](https://www.carolinachirocare.com/np-schedule/)**** [Call (919) 351-8368](tel:9193518368)** --- ### Sciatica Treatment in Raleigh NC URL: https://www.carolinachirocare.com/sciatica/ Quality Care ## Natural Sciatica Treatment in Raleigh NC Our team provides specialized care for you and your family in Raleigh, NC, with a strong focus on diagnosing and treating sciatica and related lower back and nerve pain conditions. [CALL TO SCHEDULE ** (919) 351-8368](tel:9193518368) [Schedule a New Patient Appointment](/np-schedule/) ### The #1 Choice Chiropractor for Sciatica Relief - [250+ 5-star Google reviews](https://maps.app.goo.gl/BhtPQgNy2XksPsFt6) - We accept most insurance, including Aetna State Health Plan - Online scheduling - 24/7 after-hour answering service - Friendly, prompt customer service - Board certified expert Chiropractor - Tailor-made care plans to relieve your aches and pains as quickly as possible If you experience pain that starts in your lower back or buttocks and travels down your leg, you may be dealing with sciatica; a common yet painful condition. Many people seek a local chiropractor treatment to find lasting relief. Chiropractic care aims to treat the root cause, not just the pain, offering natural, non-surgical relief from sciatica. [Click HERE to Schedule](https://www.carolinachirocare.com/np-schedule/)   [*](https://reliefnowlaser.com/providers/raleigh/) ### What is Sciatica? Sciatica, or sciatic neuralgia*, refers to pain that radiates from the lower back down one or both legs. The pain can range from mild irritation to severe, burning discomfort. Other symptoms may include: - Tingling or numbness in the leg or foot - Muscle weakness in the affected leg - Difficulty sitting, standing, or walking for long periods Flare-ups can occur at any time and may worsen without treatment, potentially leading to lasting nerve damage. The cause of this pain lies in compression or irritation of the sciatic nerve, the body's longest nerve, which runs from the lower spine through the buttocks and down to the feet. When spinal misalignments or disc injuries compress this nerve, pain signals can radiate through the entire pathway.  /special ScheduleOnline /testimonials Read OurReviews /us MEET OURDOCTOR #### What Causes Sciatica? Sciatica often develops over time, even if symptoms seem to start suddenly. Common triggers include: - Disc injuries or bulges** that press on the nerve root - **Poor posture** or repetitive strain - **Spinal misalignments (subluxations)** from accidents, stress, or pregnancy - **Trauma or lifting injuries** that strain the lower back Even minor movements, like bending to pick up an object, can aggravate an already stressed or misaligned spine.  #### Chiropractic Solutions ####   Our chiropractors are trained to locate the exact source of sciatic nerve pain and create personalized treatment plans. Your care may include: **1. A detailed physical assessment and imaging if needed****2. Gentle spinal adjustments to relieve nerve pressure****3. Techniques to restore proper alignment and disc positioning** Recovery time varies depending on how long the condition has existed, but most patients find that relief and healing progress faster than expected once alignment is restored. Improved mobility, reduced pain, and better overall wellness often follow. #### Exercises Matched to the Cause Sciatica exercises work best when they match what is irritating the nerve, which is why diagnosis comes first. Extension-based exercises often help when a lumbar disc herniation is involved. Flexion-based exercises tend to suit spinal stenosis or arthritis. Runners and athletes with tight hamstring and piriformis muscles often do better with targeted stretching of the hip, thigh and leg. #### How Long Recovery Takes Some patients respond quickly, while others need more time, depending on the condition of the discs and joints involved. Pain that has been present for months usually takes longer to settle than a recent flare-up. #### Preventing Sciatica Flare-Ups - Stretch your lower back, hamstrings and glutes daily. - Strengthen your core with exercises such as planks rather than sit-ups. - Break up long periods of sitting, which often aggravate sciatic pain. ### Frequently Asked Questions How is sciatica diagnosed? A chiropractor will review your medical history, perform a physical exam, and assess nerve function, muscle strength, and mobility. In some cases, imaging tests such as X-rays or MRI may be recommended to pinpoint the cause. Can sciatica go away on its own? In many cases, mild sciatica can improve over time with proper self-care, stretching, activity modification, and chiropractic treatment. However, persistent or severe symptoms often require professional care to address the underlying cause. How can chiropractic care help with sciatica? Chiropractic care focuses on restoring proper spinal alignment and relieving pressure on nerve roots. Treatments may include gentle chiropractic adjustments, [non-surgical spinal decompression](https://www.carolinachirocare.com/spinal-decompression-therapy/), rehabilitative exercises, and complementary therapies designed to reduce pain and improve mobility. ####   Is chiropractic care safe for sciatica? Yes. Chiropractic care is a safe, non-invasive, and drug-free treatment option for many cases of sciatica. Your treatment plan will be tailored to your symptoms and underlying condition for the best results. How long does sciatica treatment take? The length of treatment varies depending on how long your symptoms have been present and the severity of your condition. Some patients see improvement quickly, while others may require a longer care plan for sustained relief. When should I see a doctor immediately? If you experience severe symptoms such as significant weakness, loss of bladder or bowel control, or sudden worsening pain, seek immediate medical attention. These can be signs of serious nerve compression.  #### Contact Us Today! If you're struggling with symptoms of sciatica, [contact us today](https://www.carolinachirocare.com/np-schedule/). Our team can help you find safe, lasting relief and get back to a life free from sciatic pain. --- ### Disc Injury Treatment in Raleigh NC URL: https://www.carolinachirocare.com/disc-injury/ ## Disc Injury in Raleigh NC?  If you're struggling with slipped disc or herniated disc pain, chiropractic care in Raleigh, may provide the relief you need. Whether your disc injury is newly diagnosed or long-term, timely treatment is crucial to prevent further complications or lasting damage. --- ### Understanding Disc Injury Intervertebral discs act as cushions between your vertebrae, made up of a tough outer layer and a gel-like inner core. They allow movement and flexibility while absorbing shock during daily activities like walking or lifting. Common disc problems include: - **Protruding disc:** The disc shifts out of balance, causing the inner gel to bulge outward. - **Herniated disc:** The disc's outer layer ruptures, allowing the inner gel to leak and irritate nearby nerves. - **Disc extrusion:** The most severe form, where the gel pushes far outside the disc or separates entirely from it. These issues can limit upper body mobility and cause chronic pain if left untreated. Disc injuries in the cervical spine are a common source of [neck pain](https://www.carolinachirocare.com/neck-pain/) and can cause symptoms that travel into the shoulders, arms and hands. --- #### Recognizing Symptoms Disc injuries can irritate the spinal nerves, causing pain and inflammation that affect other parts of the body. Common signs include: - Arm, hand, leg or foot weakness and pain - Pain, numbness, and tingling in arms, hands, hips, legs and feet (also known as sciatica) - Headaches - Loss of control over bladder or bowel function --- #### Chiropractic Care for Disc Injuries Chiropractic care offers both immediate pain relief and long-term healing for disc injuries. At Carolina ChiroCare and Rehab, your treatment may include: - A full review of your medical history and imaging (X-rays or scans) - A detailed physical exam to assess severity - A customized treatment plan focusing on gentle, precise spinal adjustments - Spinal [decompression for disc problems](https://www.carolinachirocare.com/spinal-decompression-therapy/) such as herniated and bulging discs, when your examination shows it is appropriate These adjustments reduce nerve pressure, restore alignment, and promote the body's natural healing process, helping you move comfortably again without surgery. Many people with a painful disc worry that treatment will make it worse. You can ask questions before anything is done, and care is gentle and adjusted to what you can comfortably tolerate. --- #### How Regenerative Medical Laser® Works  It's a gentle, non-invasive option for treating bulging, herniated, or degenerated spinal discs without surgery or drugs. Often used as part of non-surgical laser disc decompression, these Class IV lasers deliver specific wavelengths of light deep into the tissues. The light works like a natural energy boost for your cells: it reduces inflammation, improves blood flow to bring in healing nutrients and oxygen, and stimulates your body's own repair processes. At the same time, it helps gently decompress the disc, taking pressure off nerves and allowing the disc to rehydrate and shrink back toward its normal shape. Here's what regenerative medical lasers can do in this treatment: ** - Relieve pain** quickly and naturally by calming irritated nerves and triggering your body's natural pain-relieving chemicals (endorphins). - **Reduce swelling and inflammation** around the disc, which often eases sciatica, leg pain, or numbness. - **Promote true healing** by increasing cellular energy (ATP) so damaged disc tissue can repair itself over time. - **Improve circulation** to deliver more oxygen and nutrients to the injured area, helping the disc rehydrate and regain height. - **Shrink bulging or herniated material** gently, creating more space in the spine and lowering pressure on nerves. - **Restore better movement and function** so you can return to everyday activities with less pain and stiffness-often with no downtime. Many patients feel noticeable relief after just a few sessions, and the results can keep improving as the body continues to heal. This approach focuses on fixing the problem at its source instead of just covering up symptoms. --- If you're ready to find lasting relief from slipped or herniated disc pain, [schedule a consult](https://www.carolinachirocare.com/np-schedule/) with us in Raleigh, and take your first step toward recovery. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    ### FREQUENTLY ASKED QUESTIONS Can disc injuries heal without surgery? Yes, 90% of disc injuries resolve with chiropractic care. What daily activities should I avoid during disc injury recovery? Steer clear of prolonged sitting, heavy lifting with poor form, repetitive bending, or high-impact sports. Can stress worsen a disc injury? Yes, stress increases muscle tension around the spine, amplifying pain. How does chiropractic prevent future disc injuries? Regular adjustments maintain spinal alignment, strengthening protocols build resilience, and posture education minimizes daily strain on discs. --- ### Headache & Migraine Care in Raleigh NC URL: https://www.carolinachirocare.com/headaches-migraines/ ## Chiropractic Care for Headaches & Migraines in Raleigh, NC  Headaches and migraines can have many different causes and contributing factors. For some patients, neck stiffness, muscle tension, posture, previous injuries, or restricted movement in the cervical spine may contribute to their symptoms. At Carolina ChiroCare & Rehab, we evaluate patients with recurring headaches and migraines to determine whether musculoskeletal problems involving the neck may be playing a role and whether chiropractic care is appropriate. ### Can Chiropractic Care Help With Headaches and Migraines? Chiropractic care may be helpful for some patients whose headaches are associated with [neck pain](https://www.carolinachirocare.com/neck-pain/), joint restriction, muscle tension, posture, or certain types of injury. The first step is determining what type of headache you are experiencing and whether there are musculoskeletal factors that can reasonably be addressed through chiropractic care. Depending on your examination findings, treatment may focus on improving neck mobility, reducing muscular tension, addressing postural strain, and restoring more comfortable movement. - [Chiropractic adjustments](https://www.carolinachirocare.com/chiropractic-manual-therapy/) when appropriate - [Soft tissue and muscle therapy](https://www.carolinachirocare.com/manual-soft-tissue-muscle-therapy/) - [Therapeutic exercises](https://www.carolinachirocare.com/therapeutic-exercises/) - Posture and ergonomic recommendations - Home-care strategies - Treatment of related [neck](https://www.carolinachirocare.com/neck-pain/) or [upper-back](https://www.carolinachirocare.com/back-pain/) problems ### Types of Headaches We Commonly Evaluate ##### Tension Headaches - Often feel like pressure or tightness around the head. - May occur with neck, shoulder, or upper-back muscle tension. - Posture and prolonged desk or computer work may contribute. ##### Cervicogenic Headaches - Originate from structures in the neck and may produce pain that travels into the head. - Often occur along with neck stiffness or reduced cervical movement. - Evaluating the neck is an important part of determining whether chiropractic treatment may help. ##### Migraines - May involve moderate to severe head pain, nausea, or sensitivity to light and sound. - Migraines can have several triggers and are not always caused by a neck problem. - We evaluate whether neck tension, restricted mobility, or other musculoskeletal factors may be contributing. ##### Post-Traumatic Headaches - Can occur after a car accident, whiplash injury, fall, or other trauma. - Symptoms may occur together with neck pain, stiffness, dizziness, or limited movement. - A thorough evaluation helps determine whether treatment or further medical assessment is needed. ### How We Evaluate Headaches and Migraines Because headaches can have many different causes, we do not assume that every headache is coming from the neck. Your evaluation helps determine whether chiropractic care is appropriate and whether another type of medical evaluation may be needed. - When the headaches began - Where the pain is located - Frequency and duration of symptoms - Neck pain or stiffness - Previous injuries or whiplash - Headache triggers - Posture and daily activities - Cervical range of motion - Muscle tension and tenderness - Neurological or other associated symptoms When indicated, Dr. Gerdes may also consider previous imaging, medical records, or other diagnostic information. If your symptoms suggest a condition outside the scope of chiropractic care, we will recommend appropriate medical follow-up. ### Chiropractic Treatment for Headaches in Raleigh When examination findings indicate that the neck or surrounding musculoskeletal structures may be contributing to headaches, treatment is tailored to those findings. We do not use the same treatment plan for every headache or migraine patient. - Chiropractic adjustments to improve restricted cervical joint movement - Soft tissue therapy for tight or irritated neck and shoulder muscles - Therapeutic exercise to improve mobility and support the cervical spine - Postural guidance for workstations, prolonged sitting, and repetitive activities - Home-care recommendations based on the patient's specific symptoms and examination - Treatment recommendations depend on the type of headache, examination findings, overall health, and whether a musculoskeletal component is present. --- If you're tired of living with chronic headaches or migraines, [schedule an appointment](https://www.carolinachirocare.com/np-schedule/) with us. Our Raleigh team can help you find natural, lasting relief and get back to enjoying your life without pain. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday**** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    ### Experienced Headache Care From Dr. Jeffrey Gerdes Carolina ChiroCare & Rehab is led by Jeffrey Gerdes, D.C.**, who has treated patients with chronic headaches and neck-related conditions throughout his chiropractic career. His postgraduate education includes coursework specifically covering cervicogenic headache, post-traumatic headaches, cervical spine evaluation, neurology, and spinal imaging. This additional training supports a more detailed approach to determining whether a patient's headaches may involve the cervical spine, previous trauma, or other musculoskeletal factors. [**Meet Dr. Jeffrey Gerdes →**](/us/)  ### Common Headache Triggers and What You Can Do at Home Many headaches have more than one contributing factor. Common ones include poor posture and workstation setup, muscle tension, stress, poor sleep, dehydration, diet, hormonal changes and family history. A few simple habits can reduce how often headaches occur: - **Change position regularly.** Long stretches at a computer, reading or doing close handwork load the neck and shoulders. Get up and move about every 30 minutes. - **Exercise moderately.** Light, regular activity often helps, while very strenuous exercise can trigger headaches in some people. - **Notice teeth clenching.** Clenching while concentrating, stressed or asleep strains the jaw muscles and can contribute to headaches. Ongoing jaw pain may point to a [TMJ problem](https://www.carolinachirocare.com/tmjd-treatment-in-raleigh-nc/). - **Stay hydrated.** Not drinking enough water is a common and easily overlooked trigger. If headaches keep returning despite these changes, an evaluation can show whether your neck or jaw is contributing. ### When a Headache Needs Medical Attention Some headaches require prompt medical evaluation rather than chiropractic treatment. Seek immediate medical attention for a sudden severe headache, a headache following significant trauma, or headache symptoms accompanied by neurological changes such as weakness, difficulty speaking, confusion, loss of consciousness, or significant vision changes. If we identify symptoms during your evaluation that indicate additional medical assessment is appropriate, we will recommend the appropriate next step. ### Headache & Migraine FAQs Can a chiropractor help with migraines? Chiropractic care may help some migraine patients when neck pain, restricted cervical movement, muscle tension, or other musculoskeletal factors contribute to their symptoms. An evaluation is needed to determine whether chiropractic treatment is appropriate. What is a cervicogenic headache? A cervicogenic headache originates from structures in the neck and produces pain that is felt in the head. It may occur with neck stiffness, reduced range of motion, or pain triggered by certain neck movements. Can neck problems cause headaches? Yes. Problems involving cervical joints, muscles, and other structures of the neck can contribute to certain types of headaches, particularly cervicogenic and tension-related headaches. What happens during a headache evaluation? We review your symptoms, headache pattern, previous injuries, neck mobility, posture, muscle tension, and other relevant findings. The purpose is to determine whether a musculoskeletal problem may be contributing and whether chiropractic care is appropriate. How many chiropractic visits are needed for headaches? There is no standard number of visits for every patient. Recommendations depend on the type of headache, examination findings, how long symptoms have been present, and how the patient responds to care. ### Schedule a Headache and Migraine Evaluation in Raleigh If recurring headaches or migraines are affecting your daily activities, schedule an evaluation at Carolina ChiroCare & Rehab. We can assess whether neck or musculoskeletal problems may be contributing to your symptoms and determine whether chiropractic care is an appropriate option. **[Schedule a New Patient Appointment](https://www.carolinachirocare.com/np-schedule/)**** [Call (919) 351-8368](tel:9193518368)** --- ### Car Accident Chiropractor in Raleigh NC URL: https://www.carolinachirocare.com/car-accident/ ## Car Accident Chiropractor in Raleigh, NC for Whiplash & Injury Recovery Car accident injuries can cause neck pain, back pain, headaches, and other symptoms. We provide individualized chiropractic care in Raleigh based on your examination findings. - [250+ 5-star Google reviews](https://maps.app.goo.gl/BhtPQgNy2XksPsFt6) - Same-day appointments available - We work with auto insurance & attorneys - No upfront costs in most cases - Online scheduling [CALL TO SCHEDULE ** (919) 351-8368](tel:9193518368) [Schedule a New Patient Appointment](/np-schedule/) ### Experienced Car Accident & Whiplash Care in Raleigh Dr. Jeffrey Gerdes has extensive postgraduate training focused specifically on whiplash, spinal trauma, accident injuries, advanced imaging, and forensic documentation. His background allows us to evaluate both the clinical injury and the documentation needs that can accompany an auto accident claim. Dr. Gerdes holds advanced certification in Whiplash Biomechanics & Injury Traumatology through the Spine Research Institute of San Diego. His training includes whiplash biomechanics, injury risk, spinal and brain trauma, advanced diagnostics, CT and MRI interpretation, crash reconstruction, treatment principles, and forensic documentation. He has also been recognized by North Carolina courts as an expert witness in chiropractic medicine and has testified in multiple court cases involving chiropractic care. [Click HERE to Schedule](https://www.carolinachirocare.com/np-schedule/)   [*](https://reliefnowlaser.com/providers/raleigh/)    ### Common Symptoms After a Car Accident Many car accident injuries do not show symptoms immediately. It's common for pain and stiffness to appear hours or even days later. Common symptoms include: - [Neck pain and stiffness](https://www.carolinachirocare.com/neck-pain/) (whiplash) - [Back pain or spinal discomfort](https://www.carolinachirocare.com/back-pain/) - [Headaches or migraines](https://www.carolinachirocare.com/headaches-migraines/) - [Shoulder pain](https://www.carolinachirocare.com/shoulder-pain/) - Numbness or tingling in arms or legs - Reduced mobility or stiffness Some accident-related symptoms can develop gradually. If you develop pain, stiffness, headaches, numbness, tingling, weakness, dizziness, or reduced mobility following a collision, an evaluation can help determine whether an injury may be contributing. ### How We Evaluate Auto Accident Injuries An auto accident evaluation should look beyond where you currently feel pain. We review how the collision occurred, when symptoms began, what movements cause discomfort, and whether there are signs of joint, muscle, disc, or nerve involvement. Depending on the injury, your evaluation may include your accident and health history; neck and back range of motion; orthopedic and neurological testing; spinal and joint mobility; muscle tenderness and soft tissue findings; numbness, tingling, weakness, or radiating pain; previous injuries; and review of X-rays, MRI findings, or other diagnostic information when appropriate. If your symptoms or examination findings indicate that another type of medical evaluation is needed, we can recommend the appropriate next step. ### Car Accident Injuries We Treat in Raleigh Our chiropractic clinic treats a wide range of auto accident injuries, including: - Whiplash and cervical sprain/strain** - **[Neck pain and stiffness](https://www.carolinachirocare.com/neck-pain/)** - **[Lower and upper back pain](https://www.carolinachirocare.com/back-pain/)** - **[Herniated or bulging discs](https://www.carolinachirocare.com/disc-injury/)** - **[Soft tissue and muscle injuries](https://www.carolinachirocare.com/manual-soft-tissue-muscle-therapy/)** - **[Sciatica and nerve irritation](https://www.carolinachirocare.com/sciatica/)** - **[Shoulder pain](https://www.carolinachirocare.com/shoulder-pain/)** - **[Headaches associated with neck injury](https://www.carolinachirocare.com/headaches-migraines/)** - **Joint restriction and reduced mobility** Treatment depends on the type and severity of the injury. An evaluation helps determine which structures may be involved and which treatment options are appropriate.  /special ScheduleOnline /testimonials Read OurReviews /us MEET OURDOCTOR ### Car Accident Injury Treatment at Carolina ChiroCare Treatment after an auto accident is based on your examination findings and the tissues affected. A patient with whiplash and restricted neck movement may require a different approach than someone with a disc injury, sciatica, or soft tissue strain. Depending on your condition, treatment may include [chiropractic adjustments](https://www.carolinachirocare.com/chiropractic-manual-therapy/), [manual soft tissue therapy](https://www.carolinachirocare.com/manual-soft-tissue-muscle-therapy/), [therapeutic exercises](https://www.carolinachirocare.com/therapeutic-exercises/), mobility work, [Class IV laser therapy](https://www.carolinachirocare.com/laser-therapy/), [spinal decompression](https://www.carolinachirocare.com/spinal-decompression-therapy/) for appropriate disc-related conditions, and home-care recommendations. We monitor your symptoms and function throughout care and adjust treatment based on your progress. [Click HERE to Schedule](https://www.carolinachirocare.com/np-schedule/)  ### When Should You See a Chiropractor After a Car Accident? If you're experiencing pain, stiffness, headaches, numbness, tingling, weakness, dizziness, or difficulty moving after an accident, it is reasonable to be evaluated promptly. Some symptoms may appear immediately, while others become more noticeable hours or days after a collision. An early examination also creates a clinical record of your symptoms and examination findings following the accident. Severe headache, loss of consciousness, confusion, significant weakness, difficulty speaking, chest pain, severe abdominal pain, or other emergency symptoms require immediate medical care rather than a chiropractic office visit. ### Can Car Accident Injuries Lead to Long-Term Pain? Some people still have pain months after a collision, even after medication or physical therapy. A University of Aberdeen study that followed 2,069 adults for four years found that people who reported a traffic crash had an 84% higher risk of developing new chronic widespread pain, after adjusting for other factors. That is one reason we recommend an evaluation soon after an accident, even when symptoms seem mild. An early exam documents your injuries and lets appropriate care start before a problem becomes long-standing. ### Does Insurance Cover Chiropractic Care After a Car Accident? Coverage depends on the circumstances of the accident and the insurance policies involved. Depending on your policy and claim, payment may involve Medical Payments coverage (MedPay), health insurance, an applicable auto claim, or another source of coverage. Our office can help with treatment documentation, billing information, and records related to your care. Because every policy and accident claim is different, coverage should be confirmed individually. tel:+19193518368 ### Auto Injury Documentation & Personal Injury Cases Accurate clinical documentation can be important when an auto accident involves an insurance or personal injury claim. We maintain records of examination findings, symptoms, diagnoses, treatment, functional changes, and patient progress throughout care. Dr. Gerdes has advanced postgraduate education in forensic documentation, narrative report writing, impairment concepts, depositions, and expert testimony related to whiplash and personal injury cases. He has also served as an expert witness in chiropractic medicine in North Carolina courts. When authorized by the patient, our office can coordinate appropriate records and billing information with attorneys or insurance representatives. ### Meet Dr. Jeffrey Gerdes, Raleigh Car Accident Chiropractor Jeffrey Gerdes, D.C. has treated auto accident, whiplash, spinal, and soft tissue injuries throughout his chiropractic career. His experience includes working in an urgent-care medical setting, where he gained firsthand exposure to the evaluation and treatment of trauma following automobile accidents. Dr. Gerdes holds advanced certification in Whiplash Biomechanics & Injury Traumatology through the Spine Research Institute of San Diego and advanced credentials in spinal MRI interpretation. He is also co-author of Understanding Whiplash: A Car Accident Victim's Health Guide*. His training helps guide the evaluation, treatment planning, imaging review, and documentation of patients injured in motor vehicle collisions. [**Meet Dr. Jeffrey Gerdes →**](/us/)  ### Frequently Asked Questions Should I see a chiropractor after a car accident? It is often a good idea to get evaluated after a car accident, even if your pain seems mild at first. Some injuries, such as whiplash, soft tissue strain, or joint irritation, may not cause immediate symptoms. A chiropractor can help assess whether your pain is related to the accident and recommend next steps for care. How soon should I get evaluated? The sooner you are checked, the better. Early evaluation can help identify injuries before they get worse and can also create a clear record of your condition after the accident. Even if you feel okay right away, symptoms sometimes appear hours or days later. What symptoms can show up later? Delayed symptoms are common after auto accidents. People may first notice neck pain, back pain, stiffness, headaches, shoulder pain, tingling, soreness, or reduced range of motion. If symptoms develop later, it does not mean the injury is minor - it may just mean the body is still reacting to the trauma. What does chiropractic treatment involve? Treatment usually begins with an exam and a review of your symptoms, history, and accident details. Depending on the findings, care may include gentle adjustments, soft tissue therapy, mobility work, stretching, and exercise recommendations. The goal is to reduce pain, restore movement, and support recovery in a way that fits your injury and comfort level. Will my insurance cover treatment? Coverage depends on your policy and the details of the accident. In many cases, auto insurance, medical payments coverage, or another applicable policy may help pay for treatment. The office may be able to help verify benefits and explain what documentation is needed. Do you work with attorneys or document injuries? Many accident patients want their care documented carefully for insurance or legal reasons. A chiropractic office can often provide records, exam findings, treatment notes, and progress documentation related to the injury. If a patient is working with an attorney, the office may also coordinate records or billing information as needed. Do I need to be in severe pain to get evaluated after an accident? No. Accident-related symptoms can range from mild stiffness or soreness to more significant neck, back, or nerve-related symptoms. If you notice new symptoms following a collision, an evaluation can help determine whether an injury may be contributing.  ### Schedule a Car Accident Injury Evaluation in Raleigh If you've developed neck pain, back pain, headaches, stiffness, or other symptoms following a car accident, schedule an evaluation at Carolina ChiroCare & Rehab. We can assess your injuries, explain your findings, and determine what type of treatment may be appropriate. [Click HERE to Schedule](https://www.carolinachirocare.com/np-schedule/) --- ### Arm and Leg Pain Treatment in Raleigh NC URL: https://www.carolinachirocare.com/arm-leg-pain/ ## Natural Arm & Leg Pain Treatment in Raleigh NC * The shoulder and hip joints are among the most active and flexible in the human body, but also among the most prone to injury. At our Raleigh chiropractic clinic, we commonly see pain in these joints caused by: - Overexertion or repetitive strain - Sports injuries - Postural issues - Everyday wear and tear Discomfort can range from mild stiffness to serious loss of movement. --- ### Diagnosing & Treating in Raleigh Finding the true cause of arm or leg pain can be challenging. Other times it's clear, such as: - A work-related repetitive stress injury - A shoulder dislocation from sports - Nerve compression from poor sleeping posture If your pain develops gradually or becomes chronic, a full evaluation is important. Common causes include: - Bursitis - Arthritis - Tendinitis However, most long-term arm and leg pain comes from spinal misalignments (subluxations) in the neck or lower back. When vertebrae or discs press on nerves, irritation can spread along the arms or legs, creating pain and numbness. Example:* Sciatica often begins near the hip and can radiate all the way to the foot. --- ### Non-Surgical Relief from Leg & Arm Pain Because joint and nerve pain often overlap, professional diagnosis is key. Chiropractors use tools such as: - Medical history reviews - Physical exams - Imaging (like X-rays or MRIs) Once the cause is found, gentle spinal adjustments help: - Realign vertebrae - Relieve pressure on nerves - Encourage natural healing and lasting relief ### Care from Dr. Jeffrey Gerdes, D.C. Your care is led by [Dr. Jeffrey Gerdes](https://www.carolinachirocare.com/us/), a licensed North Carolina chiropractor and the clinic director of Carolina ChiroCare & Rehab. He has practiced at our Raleigh clinic since 2010 and has completed postgraduate education in spinal injuries, diagnostic imaging, whiplash, trauma, spinal decompression and medical laser applications. Because arm and leg symptoms often start in the neck or lower back, his exam checks the spine as well as the painful limb before any care plan is recommended. ### Related Conditions & Treatments - [Sciatica](https://www.carolinachirocare.com/sciatica/) - [Disc Injury](https://www.carolinachirocare.com/disc-injury/) - [Neck Pain](https://www.carolinachirocare.com/neck-pain/) - [Back Pain](https://www.carolinachirocare.com/back-pain/) - [Shoulder Pain](https://www.carolinachirocare.com/shoulder-pain/) - [Carpal Tunnel Syndrome](https://www.carolinachirocare.com/carpal-tunnel/) - [Spinal Decompression Therapy](https://www.carolinachirocare.com/spinal-decompression-therapy/) - [Laser Therapy](https://www.carolinachirocare.com/laser-therapy/) ### Arm & Leg Pain FAQs #### Can a problem in my spine cause arm or leg pain? Yes. The nerves that supply the arms leave the spine in the neck, and the nerves to the legs leave the lower back. When a disc or joint irritates one of those nerves, pain, numbness or tingling can travel down the limb even when the arm or leg itself is not injured. #### How do you find the source of my arm or leg pain? Your first visit includes a health history, a physical and neurological exam, and orthopedic tests. When they are needed, X-rays or other imaging help confirm whether the problem comes from a joint, soft tissue or a pinched nerve. #### When is arm or leg pain an emergency? Get emergency care right away for sudden weakness, loss of bladder or bowel control, numbness in the groin area, or severe pain after a major fall or accident. These signs need urgent medical attention before chiropractic care. #### What treatments do you use for arm and leg pain? Depending on the cause, care may include chiropractic adjustments, soft tissue therapy, therapeutic exercises, laser therapy and, for disc-related nerve pain, spinal decompression. Your plan is based on your exam findings. --- If you're dealing with ongoing arm or leg pain, don't wait for it to worsen. [Schedule an evaluation](https://www.carolinachirocare.com/np-schedule/) with us to explore non-surgical, long-term relief options. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Carpal Tunnel Treatment in Raleigh NC URL: https://www.carolinachirocare.com/carpal-tunnel/ ## Carpal Tunnel Syndrome Diagnosis and Treatment in Raleigh, NC  ### What is Carpal Tunnel Syndrome? It's a condition caused by compression of the median nerve as it passes through the carpal tunnel, a narrow passage in the wrist. This leads to symptoms such as pain, numbness, and tingling in the hand and arm. Without timely diagnosis and treatment, the condition can worsen, potentially resulting in permanent nerve damage or more severe symptoms. #### What Causes Carpal Tunnel Syndrome? It arises from various factors that compress or irritate the median nerve. Common causes and risk factors include: - **Genetics**: A naturally smaller carpal tunnel may increase susceptibility. - **Repetitive Movements**: Frequent hand or wrist motion, particularly in activities like typing or assembly work. - **Medical Conditions**: Conditions like diabetes, arthritis, or hypothyroidism. - **Pregnancy and Hormonal Changes**: Fluid retention can increase pressure in the carpal tunnel. - **Obesity**: Excess body weight can contribute to nerve compression. Understanding these factors can help you and your healthcare provider determine the best course of action. #### What are some of the Symptoms? Carpal tunnel syndrome symptoms often start gradually and worsen over time if left untreated. Key symptoms include: - Numbness, tingling, or burning in the fingers (except the pinky). - Shock-like sensations radiating up the arm. - Weakness or clumsiness in the hand, leading to difficulty gripping objects. - Frequent dropping of items. #### How is Carpal Tunnel Syndrome Diagnosed? At our Raleigh clinic, we use a combination of clinical evaluations and advanced diagnostic tools to confirm carpal tunnel syndrome. These steps may include: - **Medical History and Physical Examination**: Discussion of symptoms and an examination of hand and wrist movement. - **Imaging Tests**: X-rays, ultrasounds, or MRIs to assess the condition and rule out other issues. - **Nerve Tests**: Electromyography (EMG) to measure electrical activity in the nerves and muscles. Accurate diagnosis is crucial to developing a personalized treatment plan. ### How Is Carpal Tunnel Syndrome Treated? **Non-Surgical Treatments** In most cases, we prioritize non-invasive methods to relieve symptoms and prevent progression. These may include: - **Bracing or Splinting**: Wearing a wrist brace to reduce pressure on the median nerve. - **Activity Modifications**: Adjusting repetitive motions or workstation ergonomics. - **Medications**: Over-the-counter NSAIDs to alleviate pain and inflammation. - **Corticosteroid Injections**: Temporary relief by reducing swelling around the nerve. #### Can Carpal Tunnel Syndrome Be Prevented? While there's no guaranteed way to prevent carpal tunnel syndrome, taking proactive steps can reduce strain on your hands and wrists. Tips include: - Maintaining proper posture during work. - Taking regular breaks from repetitive tasks. - Using ergonomic tools, such as a supportive mouse or keyboard. - Keeping your hands warm to encourage circulation. ### Why Choose Us? Your care is led by [Dr. Jeffrey Gerdes](https://www.carolinachirocare.com/us/), a licensed North Carolina chiropractor and the clinic director of Carolina ChiroCare & Rehab. He has practiced at our Raleigh clinic since 2010 and has completed postgraduate education in spinal injuries, diagnostic imaging, whiplash, trauma, spinal decompression and medical laser applications. His exam checks the wrist, elbow, shoulder and neck, since nerve irritation higher up the arm can cause or add to numbness in the hand. **Related conditions & treatments:** - [Arm & Leg Pain](https://www.carolinachirocare.com/arm-leg-pain/) - [Neck Pain](https://www.carolinachirocare.com/neck-pain/) - [Shoulder Pain](https://www.carolinachirocare.com/shoulder-pain/) - [Laser Therapy](https://www.carolinachirocare.com/laser-therapy/) - [Therapeutic Exercises](https://www.carolinachirocare.com/therapeutic-exercises/) - [Manual Soft Tissue Therapy](https://www.carolinachirocare.com/manual-soft-tissue-muscle-therapy/) If you're in or near Raleigh and have symptoms of carpal tunnel syndrome, [contact us today](https://www.carolinachirocare.com/np-schedule/) to schedule an evaluation. Let us help you find relief and get back to your daily activities. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    #### Frequently Asked Carpal Tunnel Questions ### What are the most common signs that I might have carpal tunnel syndrome?Collapse The most common symptoms are numbness, tingling, burning, or "electric" sensations in the thumb, index, middle and part of the ring finger, often worse at night or when gripping objects. People may also notice a weaker grip, clumsiness with fine tasks (like buttoning a shirt), and pain that can radiate up the forearm toward the elbow. ### What causes carpal tunnel syndrome, and is it always related to typing?Expand Repetitive hand use (including typing) can contribute, but many cases are idiopathic (no clear cause) and can also be associated with conditions such as diabetes, thyroid disease, pregnancy, or inflammatory arthritis. ### When should I see a specialist for carpal tunnel symptoms instead of just waiting to see if they go away?Expand You should seek medical evaluation if numbness or tingling lasts more than a few weeks, interferes with sleep, causes frequent dropping of objects, or you notice visible weakness or muscle loss at the base of the thumb. ### How can chiropractic care help with carpal tunnel syndrome?Expand Chiropractic care can help by addressing joint and soft-tissue restrictions in the wrist, elbow, shoulder, and cervical spine that may contribute to median nerve irritation. Gentle adjustments, mobilization, and soft-tissue techniques are often combined with ergonomic coaching and exercise to improve nerve function and reduce symptoms. ### What can I expect during a chiropractic visit for carpal tunnel symptoms?Expand During a visit, your chiropractor will review your symptoms, ask about work and daily activities, and perform a physical examination of your neck, shoulder, arm, wrist, and hand. Treatment may include specific adjustments, soft-tissue work, nerve gliding or stretching exercises, and personalized advice on posture and ergonomics to reduce stress on the median nerve. --- ### Scoliosis Care in Raleigh NC URL: https://www.carolinachirocare.com/scoliosis/ ## Natural Scoliosis Treatment in Raleigh NC  Scoliosis is a condition where the spine develops an abnormal sideways curve rather than maintaining its natural vertical alignment. Identifying the exact cause can be challenging, but it often begins as a small vertebral misalignment. Over time, the body compensates by developing uneven muscle patterns that continue pulling the spine out of alignment to keep the head level. --- ### Common Causes Spinal misalignments that lead to scoliosis can result from: - Poor posture or postural imbalances - Degenerative conditions such as osteoporosis - Physical trauma or injury - Rapid growth phases, especially between ages 10-12 While scoliosis often appears in adolescents, it can also affect adults due to age-related spinal degeneration or bone density loss. --- #### Understanding the Health Risks If left untreated, scoliosis can gradually worsen and lead to long-term complications, including: - Chronic pain in the back, shoulders, neck, or buttocks - Increased risk of recurrent injuries or sciatica - Limited heart and lung function in severe cases - Painful menstrual cycles and mobility restrictions Early detection and corrective care are key to preventing progression and preserving spinal health. --- #### Diagnostic Procedures for Scoliosis Uneven shoulders or an imbalanced pelvis are often the first visible signs of scoliosis. During a chiropractic assessment, the following diagnostic steps may be taken: - Observation of posture and gait - Physical or tactile examination of the spine - The Adams Forward Bend Test, which helps reveal spinal asymmetry - X-rays, if necessary, to measure the degree of curvature These tests help determine whether scoliosis is present and how advanced it is. --- #### Chiropractic Methods for Non Surgical Scoliosis Therapy Chiropractic care in Raleigh, provides a gentle, non-surgical approach to scoliosis management. After a thorough examination and health history review, chiropractors create personalized care plans designed to: - Address underlying spinal misalignments - Slow or prevent curvature progression - Improve alignment and posture - Reduce pain and enhance mobility Through specialized chiropractic adjustments, the spine can be guided toward better balance and function, helping the body heal naturally without invasive procedures. ### Care from Dr. Jeffrey Gerdes, D.C. Your care is led by [Dr. Jeffrey Gerdes](https://www.carolinachirocare.com/us/), a licensed North Carolina chiropractor and the clinic director of Carolina ChiroCare & Rehab. He has practiced at our Raleigh clinic since 2010 and has completed postgraduate education in spinal injuries, diagnostic imaging, whiplash, trauma, spinal decompression and medical laser applications. Scoliosis care starts with a posture exam and, when needed, digital X-rays taken in our office to measure the curve so changes can be tracked over time. ### Related Conditions & Treatments - [Back Pain](https://www.carolinachirocare.com/back-pain/) - [Neck Pain](https://www.carolinachirocare.com/neck-pain/) - [Shoulder Pain](https://www.carolinachirocare.com/shoulder-pain/) - [Digital X-Rays](https://www.carolinachirocare.com/x-ray/) - [Therapeutic Exercises](https://www.carolinachirocare.com/therapeutic-exercises/) - [Custom-Fit Orthotics](https://www.carolinachirocare.com/custom-fit-orthotics/) ### Scoliosis FAQs #### Can a chiropractor straighten scoliosis? Chiropractic care is not a cure for structural scoliosis, and results vary from person to person. The goals are to reduce pain, improve posture and mobility, and monitor the curve. Moderate or severe curves, especially in growing children, may also need a specialist evaluation for bracing or other care, and we will tell you when that is the right next step. #### How do I know if my child has scoliosis? Common signs include uneven shoulders, one shoulder blade that sticks out more than the other, an uneven waist or hips, or a rib hump when bending forward. A quick screening exam can check for these signs. #### Do you take X-rays for scoliosis? When the exam suggests scoliosis, X-rays are the standard way to measure the curve. We offer digital X-rays at our Raleigh clinic, so imaging can usually be done during your visit when it is needed. #### Can adults get scoliosis? Yes. Some adults have a curve that started in childhood, and others develop degenerative scoliosis as discs and joints wear with age. Adult scoliosis often causes low back pain and stiffness, which conservative care may help manage. --- If you or your child may be showing signs of scoliosis, [contact Carolina ChiroCare](https://www.carolinachirocare.com/np-schedule/). Our team offers safe, non-surgical scoliosis treatment aimed at restoring proper alignment and long-term spinal health. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Shoulder Pain Treatment in Raleigh NC URL: https://www.carolinachirocare.com/shoulder-pain/ ## Natural Shoulder Pain Treatment in Raleigh NC  ### Shoulder Pain & Chiropractic Solutions The shoulder joint is easy to overlook until it begins to hurt. Given its role in so many of our daily activities: lifting, carrying, and waving, to name a few, it's crucial to address any issues promptly. Our Raleigh chiropractic services specialize in identifying and treating the underlying causes of shoulder pain. --- #### Common Reasons for Shoulder Discomfort There are an endless number of factors that can cause shoulder pain, including but not limited to: - Muscle tension in the neck and upper back - Spinal misalignments - Arthritic conditions - Improper movement patterns - Injuries from sports or car accidents Interestingly, many of these issues are rooted in the spine, which houses the nerves controlling the shoulder. When vertebrae in the neck or upper back are out of alignment or compressed, it can trigger nerve irritation and subsequent shoulder pain. --- #### Signs Your Shoulder Needs Attention The symptoms of shoulder pain can vary from subtle to overt and may either develop gradually or appear suddenly. Any symptom should be a cue for immediate evaluation to prevent further complications. Watch out for: - Persistent shoulder pain lasting more than a week - Recurrent bouts of shoulder pain - Challenges lifting your arm overhead - Discomfort or difficulty while carrying items - Increased shoulder pain during the evening - Visible signs of joint damage like bruising or swelling - Uncommon noises or sensations in the joint during motion ### Care from Dr. Jeffrey Gerdes, D.C. Your care is led by [Dr. Jeffrey Gerdes](https://www.carolinachirocare.com/us/), a licensed North Carolina chiropractor and the clinic director of Carolina ChiroCare & Rehab. He has practiced at our Raleigh clinic since 2010 and has completed postgraduate education in spinal injuries, diagnostic imaging, whiplash, trauma, spinal decompression and medical laser applications. His exam looks at the shoulder joint and at the neck and upper back, since irritated nerves in the neck can cause pain that is felt in the shoulder. ### Related Conditions & Treatments - [Neck Pain](https://www.carolinachirocare.com/neck-pain/) - [Arm & Leg Pain](https://www.carolinachirocare.com/arm-leg-pain/) - [Sports Injuries](https://www.carolinachirocare.com/sports-injuries/) - [Carpal Tunnel Syndrome](https://www.carolinachirocare.com/carpal-tunnel/) - [Shockwave Therapy](https://www.carolinachirocare.com/shockwave-therapy/) - [Laser Therapy](https://www.carolinachirocare.com/laser-therapy/) - [Manual Soft Tissue Therapy](https://www.carolinachirocare.com/manual-soft-tissue-muscle-therapy/) ### Shoulder Pain FAQs #### Can neck problems cause shoulder pain? Yes. Nerves from the lower neck supply the shoulder, so a pinched nerve or stiff joints in the neck can cause pain felt in the shoulder or shoulder blade. That is why we examine the neck as well as the shoulder. #### What shoulder problems can chiropractic care help? We commonly see muscle strains, rotator cuff tendinitis, shoulder impingement, frozen shoulder stiffness and pain related to posture or the neck. Complete tears or fractures need imaging and may need an orthopedic referral. #### When should I get my shoulder checked? Have it evaluated if pain lasts more than a week, keeps coming back, wakes you at night, or makes it hard to lift your arm overhead. Sudden weakness or a visible deformity after a fall needs urgent care. #### What treatments do you use for shoulder pain? Care may include adjustments to the neck, upper back and shoulder, soft tissue therapy, therapeutic exercises, and laser or shockwave therapy for stubborn tendon pain. --- #### Non-Surgical Relief Rather than relying on medication or surgical intervention, chiropractic care offers a minimally invasive approach to resolving shoulder pain. Our skilled chiropractors in Raleigh will conduct a personalized examination that includes a review of your medical history and advanced imaging tests. With an accurate diagnosis in hand, we create a treatment plan to expedite your recovery process. For immediate assistance, [connect with us today](https://www.carolinachirocare.com/np-schedule/). tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Sports Injury Chiropractor in Raleigh NC URL: https://www.carolinachirocare.com/sports-injuries/ ## Natural Sports Injury Treatment in Raleigh NC * Elite athletes like Joe Montana, Jerry Rice, Aaron Rodgers, Tiger Woods, Lance Armstrong, and Kareem Abdul-Jabbar have openly acknowledged the significant role that chiropractic care, specifically from a sports injury chiropractor, played in their professional successes. In the realm of athletic events, you'll often find chiropractors not just in clinics but also on the sidelines of NFL games and at recent Olympic events. Chiropractic care has also proven beneficial for athletes in high school and college. For years, Carolina ChiroCare and Rehab has offered its services to local amateur and pro sports teams to help our local athletes. --- ### HOW CAN CHIROPRACTIC HELP ATHLETES? Sports put unique physical demands on the body that go far beyond normal everyday stress. Quick changes in direction, collisions, repetitive motions, and extreme training loads can all affect joint alignment and soft tissues.​ A sports injury chiropractor can help with: - Misaligned joints in the spine and extremities that reduce motion and flexibility - Muscle and ligament strain from impacts, overuse, or poor mechanics - Headaches and recurring aches linked to spinal or postural issues - Chronic problems like tendonitis and joint pain, which often worsen if treated only with pain medication Many sports injuries are connected to joint misalignment and nerve irritation, especially in the spine, which can interfere with muscle control, coordination, and recovery.​ When these restrictions are corrected, athletes often notice: - Better mobility and flexibility - Improved coordination and reaction time - Increased strength and power output - Fewer or less severe injuries over time --- #### WHEN IS THE RIGHT TIME TO SEE A CHIROPRACTOR? Chiropractic care is not only for injury recovery, it's also a powerful injury prevention tool. Regular care can help: - Keep joints moving properly - Reduce overload on muscles and tendons - Support the nervous system so muscles fire efficiently - Shorten recovery time between practices and games​ Our athlete care may include: - Specific spinal and extremity adjustments - Corrective and sports-focused exercises - Soft tissue work and stretching - Guidance on posture, warm‑ups, and recovery strategies This integrated, whole-body approach helps keep you on the field, court, track, or course instead of on the sidelines. As the legendary Jerry Rice put it, "Chiropractic care helped me stay healthy and succeed in the league for as long as I did*." ### Care from Dr. Jeffrey Gerdes, D.C. Your care is led by [Dr. Jeffrey Gerdes](https://www.carolinachirocare.com/us/), a licensed North Carolina chiropractor and the clinic director of Carolina ChiroCare & Rehab. He has practiced at our Raleigh clinic since 2010 and has completed postgraduate education in spinal injuries, diagnostic imaging, whiplash, trauma, spinal decompression and medical laser applications. His postgraduate training in spinal injuries and trauma guides how he evaluates athletes at every level, from weekend runners to competitive players. ### Related Conditions & Treatments - [Shoulder Pain](https://www.carolinachirocare.com/shoulder-pain/) - [Back Pain](https://www.carolinachirocare.com/back-pain/) - [Neck Pain](https://www.carolinachirocare.com/neck-pain/) - [Arm & Leg Pain](https://www.carolinachirocare.com/arm-leg-pain/) - [Plantar Fasciitis](https://www.carolinachirocare.com/plantar-fasciitis/) - [Shockwave Therapy](https://www.carolinachirocare.com/shockwave-therapy/) - [Therapeutic Exercises](https://www.carolinachirocare.com/therapeutic-exercises/) - [Manual Soft Tissue Therapy](https://www.carolinachirocare.com/manual-soft-tissue-muscle-therapy/) ### Sports Injury FAQs #### Should I see a chiropractor or go to urgent care for a sports injury? Go to urgent care or the ER for a suspected fracture, dislocation, head injury or severe swelling. For strains, sprains, back or neck pain and overuse injuries, a chiropractic exam is a good place to start. #### What sports injuries do you treat? Common ones include low back and neck strains, shoulder and elbow tendinitis, hamstring and calf strains, runner's knee, plantar fasciitis and recurring joint pain from overuse. #### Can chiropractic care help prevent injuries? Keeping joints moving well and correcting muscle imbalances can lower the load on tendons and ligaments. We pair adjustments with exercises and practical warm-up and recovery advice. #### How soon can I get back to my sport? It depends on the injury and how you respond to care. We set a plan at your first visit and adjust your activity as you improve, so you can return without reinjuring the area. --- If you're an athlete dealing with pain, recurring injuries, or you just want to perform at your best, [reach out](https://www.carolinachirocare.com/np-schedule/) to Carolina ChiroCare and Rehab to learn how sports chiropractic care can support your training and recovery. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### TMJ & Jaw Pain Treatment in Raleigh NC URL: https://www.carolinachirocare.com/tmjd-treatment-in-raleigh-nc/ ## TMJ Pain Relief in Raleigh NC  ### Non-Surgical Treatments for Jaw Pain Many people are surprised to learn that chiropractic care can help with jaw pain, not just back and neck issues. We often use natural, non-surgical methods to relieve jaw tension, restore movement, and reduce discomfort caused by TMJ. --- #### WHAT IS TMJ? It refers to disorders that affect the temporomandibular joint, which connects the jawbone to the skull. Problems with this joint or the surrounding muscles and ligaments can lead to pain and difficulty moving the jaw. **Common symptoms include:** - Jaw pain when chewing, talking, or yawning - Clicking or popping sounds in the jaw - Limited mouth opening or jaw locking - Misaligned bite (teeth not fitting together) - Headaches, dizziness, ear pain, or hearing trouble These symptoms often indicate an imbalance or irritation within the jaw joint or neck region making chiropractic care a natural solution for relief. --- #### CAUSES OF TMJ When evaluating TMJ, our chiropractors look at several possible causes, including: - Jaw trauma or dislocation - Prolonged dental procedures - Chronic teeth clenching or grinding (often stress-related) - Poor posture or muscle imbalances - Emotional stress contributing to muscle tension Interestingly, women are reported to experience TMJ four times more often than men, likely due to hormonal and structural factors. --- #### HOW DOES CHIROPRACTIC CARE HELP TMJ? We create personalized treatment plans focused on identifying and correcting the root cause of TMJ pain. Treatment may include: - Gentle chiropractic adjustments to realign the jaw and neck - Targeted exercises to strengthen supportive muscles - Heat or ice therapy for short-term pain relief - Lifestyle and stress-management guidance to prevent recurrence These techniques work together to restore proper movement, reduce inflammation, and ease muscle tension around the jaw joint. ### Care from Dr. Jeffrey Gerdes, D.C. Your care is led by [Dr. Jeffrey Gerdes](https://www.carolinachirocare.com/us/), a licensed North Carolina chiropractor and the clinic director of Carolina ChiroCare & Rehab. He has practiced at our Raleigh clinic since 2010 and has completed postgraduate education in spinal injuries, diagnostic imaging, whiplash, trauma, spinal decompression and medical laser applications. Jaw pain often comes with neck tension and headaches, so his exam includes the jaw, neck and upper back. ### Related Conditions & Treatments - [Headaches & Migraines](https://www.carolinachirocare.com/headaches-migraines/) - [Neck Pain](https://www.carolinachirocare.com/neck-pain/) - [Vertigo & Dizziness](https://www.carolinachirocare.com/vertigo/) - [Manual Soft Tissue Therapy](https://www.carolinachirocare.com/manual-soft-tissue-muscle-therapy/) - [Laser Therapy](https://www.carolinachirocare.com/laser-therapy/) ### TMJ FAQs #### Can a chiropractor help TMJ pain? For many people, yes. Gentle jaw and neck adjustments, soft tissue work on tight jaw muscles and home exercises can reduce pain and improve jaw movement. When a bite problem or night guard is involved, we recommend working with your dentist as well. #### Is TMJ connected to neck pain and headaches? Often. The jaw, neck and head muscles work together, so tension or poor posture in one area can add strain to the others. Many TMJ patients also have tension headaches or neck stiffness. #### Does jaw clicking mean I need treatment? Clicking without pain or locking is common and may not need care. If clicking comes with pain, limited opening, or a jaw that catches or locks, it is worth having it evaluated. #### What can I do at home for jaw pain? Eat softer foods for a while, avoid gum and wide yawns, use heat or ice, and watch for daytime clenching. If pain lasts more than a couple of weeks, schedule an evaluation. --- ### Take the First Step Toward TMJ Relief If you're dealing with jaw pain, clicking, or tightness, don't wait for symptoms to worsen. [Schedule a consultation](https://www.carolinachirocare.com/np-schedule/) with Carolina ChiroCare in Raleigh. Our team specializes in safe, non-surgical TMJ treatment to help you regain full jaw function. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Vertigo & Dizziness Care in Raleigh NC URL: https://www.carolinachirocare.com/vertigo/ ## Natural Vertigo Specialist in Raleigh NC  Living with vertigo can feel overwhelming, which makes daily tasks like walking or turning your head difficult. Vertigo causes spinning sensations or dizziness that can disrupt balance and concentration. Understanding what triggers vertigo and how chiropractic care can help is key to finding lasting relief. --- ### Recognizing Vertigo It's often mistaken for general dizziness, but they are not the same. - Light-headedness feels like you might faint. - Vertigo creates the sensation that you or your surroundings are spinning. Correctly identifying which type you're experiencing is important for effective treatment. **Common vertigo symptoms include:** - Blurred or double vision - Hearing loss or ringing in one ear - Trouble maintaining balance - Eye strain or difficulty focusing - Extreme fatigue or disorientation These symptoms can be more than just uncomfortable, they may signal deeper issues with the inner ear, spine, or nervous system. --- #### Common Causes Vertigo can result from many underlying conditions. Some of the most frequent causes include: - Migraine or tension headaches - Inner-ear infections or damage - Reduced blood flow to the brain - Trauma from motor vehicle accidents - Neck misalignments (subluxations) affecting nerve function Because the spine, brain, and inner ear work together to maintain balance, disruptions in communication between these systems can easily trigger vertigo sensations. --- #### Chiropractic Solutions for Vertigo Chiropractic care provides a natural, non-surgical approach to treating vertigo by addressing the nervous system and spinal alignment. Your chiropractor will: - Perform a thorough evaluation to identify the cause of your vertigo - Use gentle spinal adjustments to relieve pressure on nerves - Restore healthy communication between the brain and body Many patients experience reduced dizziness and improved balance after treatment. For some, chiropractic adjustments alone can eliminate vertigo symptoms entirely. ### Care from Dr. Jeffrey Gerdes, D.C. Your care is led by [Dr. Jeffrey Gerdes](https://www.carolinachirocare.com/us/), a licensed North Carolina chiropractor and the clinic director of Carolina ChiroCare & Rehab. He has practiced at our Raleigh clinic since 2010 and has completed postgraduate education in spinal injuries, diagnostic imaging, whiplash, trauma, spinal decompression and medical laser applications. Because dizziness has many possible causes, his exam screens for warning signs that need a physician's care before chiropractic treatment begins. ### Related Conditions & Treatments - [Neck Pain](https://www.carolinachirocare.com/neck-pain/) - [Headaches & Migraines](https://www.carolinachirocare.com/headaches-migraines/) - [Car Accident Injuries](https://www.carolinachirocare.com/car-accident/) - [TMJ & Jaw Pain](https://www.carolinachirocare.com/tmjd-treatment-in-raleigh-nc/) ### Vertigo FAQs #### Can neck problems cause dizziness? Yes. Cervicogenic dizziness is linked to neck pain or neck injury, such as whiplash. Joints and muscles in the upper neck help the brain sense head position, and when they are irritated, balance signals can get mixed up. #### Is dizziness after a car accident common? Dizziness can follow a whiplash injury or a concussion. Any head injury should be checked by a physician first. Once serious injury is ruled out, neck-related dizziness may respond to chiropractic care. #### When is dizziness an emergency? Call 911 for dizziness with slurred speech, facial drooping, sudden weakness or numbness, a severe headache, chest pain or fainting. These can be signs of a stroke or heart problem. #### What does treatment for vertigo involve? After an exam to find the likely cause, care may include gentle neck adjustments, soft tissue work, and exercises for balance and neck motion. If an inner-ear cause such as BPPV is suspected, we will explain your options, including referral when it is needed. --- If vertigo is interrupting your life, [contact our Raleigh office](https://www.carolinachirocare.com/np-schedule/) to schedule an evaluation. Our team specializes in natural vertigo treatment to help you regain clarity, balance, and peace of mind. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Plantar Fasciitis Treatment in Raleigh NC URL: https://www.carolinachirocare.com/plantar-fasciitis/ Quality Care ## Plantar Fasciitis Treatment in Raleigh, NC Heel pain from plantar fasciitis can make walking, exercising, and even your first steps in the morning uncomfortable. We provide non-surgical plantar fasciitis treatment in Raleigh based on your symptoms and examination findings. [CALL TO SCHEDULE ** (919) 351-8368](tel:9193518368) [Schedule a New Patient Appointment](/np-schedule/) ### Plantar Fasciitis Care at Carolina ChiroCare - [250+ 5-star Google reviews](https://maps.app.goo.gl/BhtPQgNy2XksPsFt6) - Convenient online scheduling - Most major insurance plans accepted - Individualized treatment plans - Laser and shockwave therapy available - Custom orthotics available ### What is Plantar Fasciitis? The plantar fascia is a strong band of tissue that runs along the bottom of the foot and helps support the arch. Repetitive stress can irritate this tissue near its attachment to the heel, producing the characteristic heel and arch pain associated with plantar fasciitis. Pain is often most noticeable during the first few steps after getting out of bed or after sitting for an extended period. #### What Can Contribute to Plantar Fasciitis? Some of the most common causes include: - Repetitive walking, running, or prolonged standing - Sudden increases in physical activity - Tight calf or Achilles tissues - Flat feet or high arches - Poorly supportive footwear - Repetitive stress on hard surfaces - Changes that increase the load placed on the foot [Schedule An Appointment](https://www.carolinachirocare.com/np-schedule/)   https://reliefnowlaser.com/providers/raleigh/ ### Recognizing Symptoms ### Common Symptoms of Plantar Fasciitis - Heel pain during the first steps in the morning - Pain after sitting or resting for an extended period - Tenderness along the bottom of the heel - Pain that extends into the arch - Heel pain after prolonged standing or walking - Symptoms that worsen following increased activity Plantar fasciitis commonly becomes more noticeable after periods of rest or following activities that repeatedly load the foot. ### How We Evaluate Heel and Plantar Fascia Pain Heel pain is not always caused by plantar fasciitis, so treatment starts with determining what may be contributing to your symptoms. - Where the pain is located - When the symptoms began - Pain during the first steps after rest - Foot and ankle mobility - Tenderness along the plantar fascia and heel - Calf and Achilles flexibility - Foot mechanics and arch support - Shoes and daily activity - Previous foot or ankle injuries When appropriate, imaging or additional evaluation may be used to help rule out another source of heel pain. /special ScheduleOnline /testimonials Read OurReviews /us MEET OURDOCTOR ### Plantar Fasciitis Treatment Options Treatment depends on how long you've had heel pain, your examination findings, previous treatments, activity level, and other contributing factors. Depending on your condition, your care plan may include one or more of the following options. #### Class IV Laser Therapy for Plantar Fasciitis Class IV laser therapy may be used as part of a treatment plan for painful or irritated tissues around the heel and plantar fascia. Treatment delivers therapeutic light energy to the targeted area without injections or incisions. - Non-invasive treatment - Applied directly to the affected area - May be combined with other therapies - Treatment settings are individualized - No surgical incision or injection Whether [laser therapy](/laser-therapy/) is appropriate depends on your symptoms and examination findings.  ### Shockwave Therapy for Chronic Plantar Fasciitis For certain persistent cases of plantar fasciitis, [shockwave therapy](https://www.carolinachirocare.com/shockwave-therapy/) may be considered as a non-surgical treatment option. - Acoustic waves are applied to the targeted heel area - Treatment does not require surgery - Often considered for persistent plantar fasciitis - Treatment settings depend on the condition - May be combined with other appropriate therapies We determine whether shockwave therapy is appropriate based on your symptoms, examination findings, previous treatment, and how long the condition has been present. ### Supporting Treatment for Plantar Fasciitis #### Custom Orthotics - Provide individualized arch and foot support. - May help reduce excessive stress placed on the plantar fascia. - Can be considered when foot mechanics contribute to recurring symptoms. #### Therapeutic Exercises - May include calf, Achilles, and plantar fascia stretching. - Can help improve flexibility and foot or ankle function. - Exercises are selected based on individual findings. #### Footwear & Activity Recommendations - Supportive footwear may reduce unnecessary stress on the heel. - Temporary activity modifications may be recommended when repetitive loading aggravates symptoms. - Recommendations depend on the patient's activity and examination findings. ### Why Can Plantar Fasciitis Become Chronic? Heel pain may persist when the plantar fascia continues to be overloaded faster than the tissue can recover. Repetitive activity, limited ankle mobility, inadequate foot support, and returning to aggravating activities too quickly can all contribute. Persistent symptoms are one reason we evaluate the mechanics and activities contributing to the problem rather than focusing only on the painful area. ### Plantar Fasciitis Care From Dr. Jeffrey Gerdes Dr. Jeffrey Gerdes evaluates musculoskeletal conditions affecting mobility and function at Carolina ChiroCare & Rehab. For plantar fasciitis, treatment recommendations are based on the patient's symptoms, examination findings, activity level, and factors that may be placing additional stress on the foot. When appropriate, a treatment plan may incorporate options available at our Raleigh office such as laser therapy, shockwave therapy, therapeutic exercise, or custom orthotics. [Meet Dr. Jeffrey Gerdes →**](/us/)  ### Frequently Asked Questions About Plantar Fasciitis What does plantar fasciitis feel like? Plantar fasciitis commonly causes pain on the bottom of the heel or into the arch. Pain is often strongest during the first few steps after getting out of bed or after sitting for a prolonged period. Can shockwave therapy help plantar fasciitis? Shockwave therapy may be considered for certain persistent cases of plantar fasciitis. Whether it is appropriate depends on how long symptoms have been present, previous treatment, examination findings, and other factors. Can laser therapy be used for plantar fasciitis? Class IV laser therapy may be incorporated into a plantar fasciitis treatment plan when appropriate. It can also be combined with supportive treatments such as exercise or orthotics. Do custom orthotics help plantar fasciitis? Orthotics may be helpful when foot mechanics or inadequate support are contributing to excessive stress on the plantar fascia. We evaluate the foot before recommending custom orthotics. How long does plantar fasciitis take to improve? Recovery varies depending on how long symptoms have been present, activity level, contributing factors, treatment, and how the condition responds. There is no single treatment timeline for every patient. Should I keep exercising with plantar fasciitis? It depends on the activity and severity of your symptoms. Some patients can remain active with modifications, while others may need to temporarily reduce activities that repeatedly aggravate the heel. --- ### Schedule Plantar Fasciitis Treatment in Raleigh If persistent heel or arch pain is making it difficult to walk, exercise, or stay active, schedule an evaluation at Carolina ChiroCare & Rehab. We can determine what may be contributing to your symptoms and which treatment options are appropriate. **[Schedule a New Patient Appointment](https://www.carolinachirocare.com/np-schedule/)**** [Call (919) 351-8368](tel:9193518368)** --- ## Treatments & Services ### Spinal Decompression Therapy in Raleigh NC URL: https://www.carolinachirocare.com/spinal-decompression-therapy/ ## Spinal Decompression Therapy in Raleigh NC ### Non-Surgical Treatment for Back, Disc & Nerve Pain Spinal decompression therapy for patients with herniated or bulging discs, sciatica, nerve irritation, and certain types of chronic back pain. - Drug-free, non-surgical treatment - Treatment for certain herniated and bulging disc conditions - Same-day consultations available - Experienced in treating spinal conditions and disc injuries [CALL TO SCHEDULE ** (919) 351-8368](tel:9193518368) [Schedule a New Patient Appointment](/np-schedule/) ### Non-Surgical Spinal Decompression Treatment for certain herniated and bulging disc conditions --- ### How Spinal Decompression Therapy Works Spinal decompression uses a computerized treatment table to apply controlled traction to the spine. The amount and location of traction can be adjusted based on the area being treated and the patient's condition. - Gently changes the amount of pressure placed on targeted spinal segments - May reduce mechanical stress involving discs and nearby nerves - Provides controlled stretching without surgery or injections - Allows treatment settings to be adjusted for the individual patient - Can be combined with chiropractic care or rehabilitation when appropriate The goal is not simply to "stretch the back." Treatment is selected and adjusted based on the condition being treated and how the patient responds. [Schedule Your Consultation](https://www.carolinachirocare.com/np-schedule/)   [*](https://reliefnowlaser.com/providers/raleigh/)     /special ScheduleOnline /testimonials Read OurReviews /us MEET OURDOCTOR ### Conditions We Evaluate for Spinal Decompression Spinal decompression may be considered for patients with certain disc, nerve, and spine-related conditions, including: - [Herniated discs](/disc-injury/) - [Bulging discs](/disc-injury/) - Degenerative disc disease - [Sciatica and nerve pain](/sciatica/) - Pinched nerves - [Chronic lower back pain](/back-pain/) - [Neck pain](/neck-pain/) Whether decompression is appropriate depends on the location of the problem, examination findings, symptoms, health history, and other clinical factors. --- ### Who May Be a Candidate for Spinal Decompression? Spinal decompression is not appropriate for every patient with back or neck pain. We first determine what appears to be causing the symptoms and whether traction-based treatment is appropriate. It may be considered when symptoms involve: - Disc-related back or neck pain - Pain traveling into an arm or leg - Sciatica - Numbness or tingling associated with nerve irritation - Pain aggravated by certain positions or spinal loading - Persistent symptoms related to a bulging or herniated disc - Reduced mobility associated with certain spinal conditions Some health conditions, previous surgeries, fractures, significant spinal instability, pregnancy, severe osteoporosis, or other factors may affect whether decompression is appropriate. We review these factors before beginning treatment.  ### What to Expect During Spinal Decompression Therapy Your first visit begins with an evaluation to determine whether spinal decompression is appropriate for your condition. - You are positioned comfortably on the decompression table. - The treatment area and traction settings are selected for your condition. - The table applies controlled cycles of traction and relaxation. - Sessions typically last approximately 15-30 minutes, depending on the treatment plan. - Most patients tolerate treatment comfortably, although individual experiences vary. The number and frequency of visits are determined individually based on your condition and response to treatment. ### Watch How Spinal Decompression Therapy Works  ### How Long Does Spinal Decompression Treatment Take? There is no single treatment schedule that applies to every patient. The number of visits depends on the condition being treated, how long symptoms have been present, examination findings, and how you respond to care. We monitor your progress throughout treatment and adjust recommendations when appropriate rather than using the same decompression plan for every patient. [Book Your Appointment](https://www.carolinachirocare.com/np-schedule/) ### How Much Does Spinal Decompression Cost? The cost of spinal decompression therapy depends on your condition and recommended treatment plan. After your evaluation, our team will explain the recommended frequency of care and any associated costs before treatment begins. Insurance coverage varies by plan and by the services provided. Our office can review your benefits and explain any expected out-of-pocket costs. [Schedule Your Screening Appointment](https://www.carolinachirocare.com/np-schedule/) ### Why Choose Carolina ChiroCare for Spinal Decompression? Spinal decompression works best when it is matched to the right patient and the right problem. Here is what you can expect at our Raleigh clinic. #### Decompression-Specific Training Jeffrey Gerdes, D.C. has additional postgraduate education focused on spinal decompression and the evaluation of spinal conditions. In 2025, he completed National Spinal Decompression University Certification through Life University, as well as advanced coursework in decompression therapy, patient classification, treatment modalities and rehabilitation procedures. His training also includes spinal MRI interpretation and the evaluation of disc bulges, herniations, nerve roots and other spinal pathology. #### Computerized Decompression Equipment Treatment is performed on a computerized decompression table that applies controlled cycles of traction and relaxation. Settings are selected for your specific condition rather than a one-size-fits-all protocol. #### An Individual Evaluation Before Treatment Spinal decompression is not right for every patient. Before recommending it, we review your health history and symptoms, perform a hands-on examination and review imaging when needed to determine whether traction-based treatment is appropriate for you. #### Other Treatment Options When Appropriate If decompression is not the best fit, or your condition would benefit from a combined approach, your plan may include [chiropractic care](https://www.carolinachirocare.com/chiropractic-manual-therapy/), [Class IV laser therapy](https://www.carolinachirocare.com/laser-therapy/), [manual soft tissue therapy](https://www.carolinachirocare.com/manual-soft-tissue-muscle-therapy/) or [therapeutic exercises](https://www.carolinachirocare.com/therapeutic-exercises/). #### A Convenient Raleigh Location Our clinic is located at 1207 Ridge Rd, Raleigh, NC 27607, and is open Monday through Thursday from 9 a.m. to 6 p.m. and Friday from 10 a.m. to 4 p.m. Call [(919) 351-8368](tel:9193518368) or [schedule a new patient appointment](https://www.carolinachirocare.com/np-schedule/) online. [Meet Dr. Jeffrey Gerdes →](/us/)** #### Patient Story: Back Pain & Sciatica Relief Hear one patient describe her experience with spinal decompression therapy at Carolina ChiroCare and Rehab. Individual results vary.* ### FAQs About Spinal Decompression Therapy What is spinal decompression therapy? Spinal decompression therapy is a safe, non-surgical treatment that gently stretches the spine using a specialized table. This creates negative pressure inside the spinal discs, which helps relieve pressure on nerves, rehydrate damaged discs, and promote natural healing. It is an excellent option for patients seeking relief from chronic back or neck pain without drugs, injections, or surgery. Does spinal decompression therapy hurt? Spinal decompression is generally well tolerated. Patients typically feel controlled pulling or stretching as the table cycles through treatment. Settings can be adjusted based on comfort and the condition being treated. How many sessions will I need and how long does each take? The number of sessions varies based on the condition being treated, how long symptoms have been present, your examination findings, and your response to treatment. After evaluating your condition, we can recommend an appropriate treatment schedule and monitor your progress throughout care. Is spinal decompression safe? Yes, it is considered very safe when performed by trained professionals. Side effects are rare and usually limited to temporary mild soreness. However, it is not suitable for everyone, including those who are pregnant, have severe osteoporosis, spinal instability, certain types of prior spinal surgery with hardware, or active infections/fractures. During your consultation, we will review your health history and imaging to ensure you are a good candidate. Will my insurance cover spinal decompression through your office? Coverage varies by insurance plan. Many plans cover it when provided as part of chiropractic care, especially if it is deemed medically necessary. Our team will verify your benefits during your consultation and discuss any out-of-pocket costs upfront. We also offer flexible payment options to make this effective, non-surgical treatment accessible. ### Schedule a Spinal Decompression Evaluation in Raleigh If you have persistent back pain, sciatica, a disc injury, or nerve-related symptoms, schedule an evaluation at Carolina ChiroCare & Rehab. We can determine whether non-surgical spinal decompression is appropriate for your condition and explain what treatment would involve. - Same-day appointments available - No referral needed - Personalized care plans #### Contact us today to schedule your consultation and take the first step toward a more pain-free life. [Click HERE to Schedule](https://www.carolinachirocare.com/np-schedule/) --- ### Laser Therapy in Raleigh NC URL: https://www.carolinachirocare.com/laser-therapy/ ## Deep Tissue Laser Therapy in Raleigh, NC Carolina ChiroCare & Rehab provides Deep Tissue Regenerative Medical Laser® Therapy at our Raleigh office for patients with certain muscle, joint, tendon, ligament, and nerve-related conditions. Using a Class IV therapeutic laser, treatment delivers targeted light energy to the affected area as part of an individualized care plan. Laser therapy is non-invasive and may be used on its own or alongside chiropractic care, therapeutic exercise, [spinal decompression therapy](https://www.carolinachirocare.com/spinal-decompression-therapy/), or other treatments when appropriate. --- ### What Is Deep Tissue Laser Therapy? Deep tissue laser therapy uses concentrated wavelengths of light delivered through the skin to targeted tissues. This process, often referred to as photobiomodulation, affects cellular activity within the treated area and is used clinically to help manage pain, inflammation, and tissue recovery. Class IV lasers operate at a higher power than lower-level therapeutic lasers, allowing treatment to be delivered efficiently to larger or deeper areas. The settings and treatment area are selected based on the patient's condition and examination findings. ### Conditions We Treat With Deep Tissue Laser Therapy - [Back](https://www.carolinachirocare.com/back-pain/) and [neck pain](https://www.carolinachirocare.com/neck-pain/) - [Carpal tunnel syndrome](https://www.carolinachirocare.com/carpal-tunnel/) - [Plantar fasciitis and foot pain](https://www.carolinachirocare.com/plantar-fasciitis/) - Knee pain - [Shoulder pain](https://www.carolinachirocare.com/shoulder-pain/) - Arthritis and joint pain - [Sciatica and nerve-related pain](https://www.carolinachirocare.com/sciatica/) - Tendonitis - Bursitis - [Sports injuries](https://www.carolinachirocare.com/sports-injuries/) - Tennis and golfer's elbow - Muscle strains and sprains - Soft tissue injuries - Post-surgical rehabilitation, when appropriate --- #### How Does Class IV Laser Therapy Work? - Targeted light energy is delivered to the area being treated. - Light is absorbed by cells within the tissue, producing a photochemical response. - Cellular activity and circulation may increase, supporting normal tissue-repair processes. - Treatment settings are adjusted based on the location, condition, and individual patient. - No injections or incisions are involved, and treatment is performed in our Raleigh office. --- #### What to Expect During a Laser Therapy Session - The treatment area is identified based on your examination and symptoms. - A handheld laser applicator is moved over or positioned near the affected area. - Most patients experience little to no discomfort and may notice mild warmth. - Treatment typically takes only several minutes, depending on the size and location of the area. - The number and frequency of visits vary based on the condition and how it responds to care. Your treatment plan is determined individually rather than using a standard number of laser sessions for every patient. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday**** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    #### When Deep Tissue Laser Therapy May Be Recommended Laser therapy is not automatically appropriate for every patient or every source of pain. We first evaluate the condition to determine whether laser treatment makes sense as part of the care plan. - Acute or persistent muscle and joint pain - Tendon and ligament injuries - Sports and repetitive-use injuries - Arthritis-related joint discomfort - Certain nerve-related symptoms - Soft tissue injuries - Recovery following certain procedures or injuries - Conditions that may benefit from combining laser therapy with rehabilitation or chiropractic care Depending on the condition, laser therapy may be used as a stand-alone treatment or combined with other services available at Carolina ChiroCare & Rehab. --- #### Deep Tissue Laser Therapy vs. LaserWave™ Deep Tissue Laser Therapy and LaserWave™ are related services available at Carolina ChiroCare, but they are not the same treatment. Deep Tissue Laser Therapy uses therapeutic laser energy by itself. LaserWave™ combines Regenerative Medical Laser™ with Shockwave Therapy for patients whose treatment plan may benefit from both technologies. - Deep Tissue Laser Therapy:** Class IV laser treatment focused on the affected area. - **LaserWave™ Therapy:** A combined approach using laser therapy and shockwave therapy. Learn more about our [**LaserWave™ Therapy**](https://www.carolinachirocare.com/laserwave/) and [**Shockwave Therapy**](https://www.carolinachirocare.com/shockwave-therapy/) options. ### Laser Therapy Care From Dr. Jeffrey Gerdes Laser therapy at Carolina ChiroCare & Rehab is provided under the direction of Jeffrey Gerdes, D.C., a Raleigh chiropractor with additional education in medical laser applications. Dr. Gerdes is a certified practitioner through the American Institute of Medical Laser Applications and has completed training in deep tissue laser treatment for trigger points and fascia, general laser therapy principles, and the scientific basis of medical laser applications. This training supports the use of laser therapy as part of an individualized treatment plan based on the patient's condition, examination findings, and treatment goals. [**Meet Dr. Jeffrey Gerdes →**](/us/)  #### Why Choose Carolina ChiroCare for Laser Therapy? - **Medical laser training:** Dr. Gerdes has advanced training through the American Institute of Medical Laser Applications. - **Class IV laser technology:** Treatment is performed with therapeutic laser equipment designed for deeper tissue applications. - **Individual evaluation:** Treatment recommendations are based on your symptoms and examination findings. - **Multiple treatment options:** Laser therapy can be incorporated with chiropractic care, spinal decompression, exercise, or other services when appropriate. - **Established Raleigh practice:** Carolina ChiroCare & Rehab has served patients from its Raleigh office since 2010.   ### Frequently Asked Questions How does deep tissue laser therapy work? Deep tissue laser therapy delivers concentrated light energy to the treatment area. The light interacts with cells within the tissue through a process known as photobiomodulation, which may influence cellular activity, circulation, inflammation, and normal tissue-repair processes. What conditions can Class IV laser therapy be used for? We may use laser therapy for certain muscle, tendon, ligament, joint, and nerve-related conditions, including back and neck pain, plantar fasciitis, tendonitis, sports injuries, arthritis-related joint pain, carpal tunnel syndrome, and soft tissue injuries. Treatment depends on the individual diagnosis and examination. How many laser therapy sessions will I need? There is no standard number of sessions for every patient. The recommended frequency and duration depend on the condition being treated, how long symptoms have been present, the treatment area, and how the patient responds. Does deep tissue laser therapy hurt? Treatment is generally well tolerated. Patients may feel mild warmth in the area during treatment, but laser therapy does not involve injections or incisions. How long does a Class IV laser treatment take? Treatment time varies based on the size and location of the area being treated. Many sessions take only several minutes, while larger or multiple treatment areas may take longer. Can laser therapy be combined with chiropractic care? Yes. When appropriate, laser therapy may be incorporated into a treatment plan that also includes chiropractic care, therapeutic exercise, soft tissue treatment, spinal decompression, or other services. Is everyone a candidate for laser therapy? No. Certain medical conditions, treatment areas, medications, or other factors may affect whether laser therapy is appropriate. We review relevant health history and examine the condition before recommending treatment. ### Schedule Deep Tissue Laser Therapy in Raleigh If pain or an injury is affecting your mobility or daily activities, schedule an evaluation at Carolina ChiroCare & Rehab. We can determine whether Deep Tissue Laser Therapy is appropriate for your condition and explain how it may fit into your treatment plan. **[Schedule a New Patient Appointment](https://www.carolinachirocare.com/np-schedule/)**** [Call (919) 351-8368](tel:9193518368)**   --- ### LaserWave Therapy in Raleigh NC URL: https://www.carolinachirocare.com/laserwave/ Quality Care ## LaserWave™ Therapy in Raleigh, NC Laserwave™ combines two powerful, FDA-cleared therapies, Regenerative Medical Laser™ and Shockwave Therapy, to reduce pain, calm inflammation, and accelerate tissue repair. [CALL TO SCHEDULE ** (919) 351-8368](tel:9193518368) [Schedule a New Patient Appointment](/np-schedule/) - [250+ 5-star Google reviews](https://maps.app.goo.gl/BhtPQgNy2XksPsFt6) - We accept most insurance, including Aetna State Health Plan - Online scheduling - 24/7 after-hour answering service - Friendly, prompt customer service - Board certified expert Chiropractor - Tailor-made care plans to relieve your aches and pains as quickly as possible ### What Is LaserWave™ Therapy? LaserWave™ is a combined treatment approach available at Carolina ChiroCare & Rehab. It brings together two therapies we also offer individually: - [Deep Tissue Laser Therapy**](/laser-therapy/) uses therapeutic light energy directed at the treatment area. - [**Shockwave Therapy**](/shockwave-therapy/) uses acoustic waves applied to targeted muscles, tendons, and other soft tissues. When appropriate, Dr. Gerdes may incorporate both into the same treatment plan rather than using either therapy alone. [Click HERE to Schedule](https://www.carolinachirocare.com/np-schedule/)   https://reliefnowlaser.com/providers/raleigh/ ### How LaserWave™ Treatment Works LaserWave™ combines two different forms of treatment during a coordinated care plan. Each therapy works differently, which is why they may be used together for certain conditions. ##### Deep Tissue Laser Therapy - Delivers targeted therapeutic light energy. - Treatment settings depend on the area and condition. - Does not involve injections or incisions. ##### Shockwave Therapy - Delivers acoustic pulses to the targeted area. - Commonly used for certain tendon and soft tissue problems. - Intensity and treatment location are adjusted individually. Using both treatments does not automatically make LaserWave™ appropriate for every patient. We first evaluate the condition and determine whether one or both therapies make sense.  ### What Does LaserWave™ Treatment Feel Like? The laser portion is generally well tolerated and may produce mild warmth in the treatment area. Shockwave therapy produces a series of acoustic pulses that can feel more noticeable, and the intensity can be adjusted based on the treatment area and patient comfort. Treatment experience varies depending on the condition and location being treated. ### LaserWave™ FAQs #### Is LaserWave™ the same as laser therapy or shockwave therapy alone? No. LaserWave™ means both therapies are used within the same care plan. Some patients do best with [laser therapy](https://www.carolinachirocare.com/laser-therapy/) or [shockwave therapy](https://www.carolinachirocare.com/shockwave-therapy/) alone, and we recommend the combined approach only when your exam suggests both may help. #### Who decides whether LaserWave™ is right for me? [Dr. Jeffrey Gerdes](https://www.carolinachirocare.com/us/) reviews your health history, examines the area and considers any treatment you have already tried. He completed postgraduate education in medical laser applications and will explain why he is or is not recommending combined care. #### How many LaserWave™ sessions will I need? It depends on the condition, how long you have had it and how you respond. Chronic tendon problems usually need a series of visits rather than a single session. We outline a plan at your evaluation and reassess your progress as you go. #### Is LaserWave™ safe for everyone? Not always. Laser and shockwave treatments are avoided over certain areas and in some situations, such as pregnancy, active cancer at the treatment site, or some blood-clotting problems. That is why we review your medical history before recommending treatment. #### Can LaserWave™ be combined with chiropractic care? Yes. When a joint or posture problem adds strain to the injured tissue, adjustments, [therapeutic exercises](https://www.carolinachirocare.com/therapeutic-exercises/) and soft tissue work may be part of the same plan. /special ScheduleOnline /testimonials Read OurReviews /us MEET OURDOCTOR ### Why Combine Laser and Shockwave Therapy? Some musculoskeletal conditions may benefit from more than one treatment approach. LaserWave™ allows us to incorporate both technologies when examination findings indicate that doing so may be appropriate. - Two treatment technologies in one care plan - Treatment can be adjusted to the affected area - Non-surgical approach - May be combined with rehabilitation or chiropractic care - Treatment recommendations are individualized  #### Conditions We May Evaluate for LaserWave™ - [Plantar fasciitis](/plantar-fasciitis/) - Tendonitis and tendinopathy - Tennis or golfer's elbow - [Shoulder and rotator cuff problems](https://www.carolinachirocare.com/shoulder-pain/) - Knee pain - [Certain sports injuries](https://www.carolinachirocare.com/sports-injuries/) - Muscle and soft tissue injuries - Persistent joint pain Whether combined LaserWave™ treatment is appropriate depends on the examination findings, previous treatment, and individual patient. ### Laser Therapy, Shockwave Therapy or LaserWave™? #### Deep Tissue Laser Therapy Uses Class IV therapeutic laser treatment by itself. [**Learn About Laser Therapy →**](https://www.carolinachirocare.com/laser-therapy/) #### Shockwave Therapy Uses acoustic wave treatment by itself. [**Learn About Shockwave Therapy →**](https://www.carolinachirocare.com/shockwave-therapy/) #### LaserWave™ Combines laser and shockwave treatment when both are appropriate for the patient's condition. You do not need to determine which treatment you need before scheduling. We evaluate the condition first and recommend the most appropriate option. ### Schedule a LaserWave™ Evaluation in Raleigh If a persistent muscle, tendon, joint, or soft tissue problem is limiting your activity, schedule an evaluation at Carolina ChiroCare & Rehab. We can determine whether Laser Therapy, Shockwave Therapy, or a combined LaserWave™ treatment is appropriate. **[Schedule a New Patient Appointment](https://www.carolinachirocare.com/np-schedule/)**** [Call (919) 351-8368](tel:9193518368)** --- ### Shockwave Therapy in Raleigh NC URL: https://www.carolinachirocare.com/shockwave-therapy/ Quality Care ## Shockwave Therapy in Raleigh NC Shockwave therapy is a gentle, highly effective treatment that helps your body heal naturally, especially in stubborn areas of pain. If you're struggling with tendon issues, joint pain, or muscle injuries that just won't improve, this could be exactly what you've been looking for. [CALL TO SCHEDULE ** (919) 351-8368](tel:9193518368) [Schedule a New Patient Appointment Click Here](/np-schedule/) ### Shockwave Therapy - [250+ 5-star Google reviews](https://maps.app.goo.gl/BhtPQgNy2XksPsFt6) - We accept most insurance, including Aetna State Health Plan - Online scheduling - 24/7 after-hour answering service - Friendly, prompt customer service - Board certified expert Chiropractor - Tailor-made care plans to relieve your aches and pains as quickly as possible ### What Is Shockwave Therapy? It's a unique therapy that uses acoustic sound waves to stimulate your body's healing response. These pulses: - Boost blood flow - Break down scar tissue - Encourage new tissue growth Treatments are quick with most lasting only 10-20 minutes, and many people notice improvement after just a few sessions. [Click HERE to Schedule](https://www.carolinachirocare.com/np-schedule/)   https://reliefnowlaser.com/providers/raleigh/    ### Conditions We Treat Shockwave therapy targets a wide range of chronic pain and injury conditions, including: - Plantar fasciitis:** Heel pain from inflammation in the foot's connective tissue - **Tennis or golfer's elbow:** Overuse injuries causing pain around the elbow - **Achilles tendinopathy:** Pain or swelling in the tendon at the back of your ankle - **Rotator cuff strains:** Shoulder pain that worsens with movement - **Shin splints:** Inner leg pain, common in runners and active workers - **Patellar tendinitis (Jumper's knee):** Pain just below the kneecap during activity - **Hip bursitis:** Outer hip pain that can affect sleep or walking - **Myofascial trigger points:** Knots in muscles that limit motion and cause referred pain - **Trigger finger:** Stiffness or locking in a finger or thumb /special ScheduleOnline /testimonials Read OurReviews /us MEET OURDOCTOR ### How It Works Shockwave therapy "switches on" your body's natural repair process. The sound waves create tiny, controlled micro-traumas that trigger: - Increased blood circulation - Cell regeneration - Faster, more complete healing Think of it as resetting your body's healing system - naturally and effectively. --- ### What to Expect During Treatment - Each session takes about 10-20 minutes. - A handheld probe delivers focused pulses directly to the problem area. - Most patients describe the sensation as intense but tolerable, similar to a deep-tissue massage. - Before starting, your provider will review your medical history to ensure safety and best results.   #### Benefits of Shockwave Therapy **• No injections, no downtime** **• Targets the root cause, not just symptoms** **• Reduces inflammation naturally** **• Breaks up calcifications and scar tissue** **• Improves range of motion** **• Promotes long-term healing** ### Frequently Asked Questions Are there any side effects? Shockwave therapy can cause temporary redness and swelling, as well as mild bruising and swelling. Is the treatment painful? Mostly describes as a series of quick taps or pulses, some have said shockwave therapy can be mildly uncomfortable. Does shockwave therapy compliment chiropractic care? Yes. Chiropractic addresses the soft tissue aspect and shockwave relaxes the muscles to make manual spinal adjustments more effective.  #### Ready to Get Started? Many patients who've tried everything else find shockwave therapy finally brings them lasting relief and a return to pain-free movement. If you've been held back by chronic pain or stubborn injuries, shockwave therapy could help you feel like yourself again. [Schedule with us today](/np-contact/) and start your journey toward better mobility and lasting healing. --- ### Red Light Therapy in Raleigh NC URL: https://www.carolinachirocare.com/red-light-therapy/ Quality Care ## Red Light Therapy in Raleigh, NC Red light therapy uses red and near-infrared wavelengths of light as a non-invasive form of photobiomodulation. At Carolina ChiroCare & Rehab, treatment is guided by your condition, examination findings, and individual goals. [CALL TO SCHEDULE ** (919) 351-8368](tel:9193518368) [Schedule a New Patient Appointment](/np-schedule/) ### Provider-Guided Red Light Therapy in Raleigh Red light therapy, also called photobiomodulation, uses specific wavelengths of visible red and near-infrared light. These wavelengths interact with cells within the treatment area and may influence cellular activity and normal tissue processes. At Carolina ChiroCare & Rehab, we take a clinical approach rather than treating red light therapy as a general wellness service. We evaluate why you are seeking treatment and determine whether light therapy is appropriate for your condition. ### What Is Red Light Therapy? Red light therapy is a form of photobiomodulation that exposes the treatment area to specific wavelengths of red or near-infrared light. Unlike ultraviolet light, red light therapy does not use UV radiation. The light is absorbed by cells within the targeted tissues and can influence biological processes associated with cellular activity and recovery. - Uses red and/or near-infrared wavelengths - Does not use UV light - Non-invasive - Does not require medication or injections - Treatment protocols vary depending on the device and purpose [Schedule An Appointment](https://www.carolinachirocare.com/np-schedule/)   https://reliefnowlaser.com/providers/raleigh/ /special ScheduleOnline /testimonials Read OurReviews /us MEET OURDOCTOR ### Red Light Therapy vs. Class IV Laser Therapy Red light therapy and Class IV laser therapy both use light as forms of photobiomodulation, but they are not the same treatment. #### Red Light Therapy - Uses red and near-infrared light - Generally treats a broader surface area - Uses a different power and delivery method - May be used for recovery and appropriate musculoskeletal applications #### Class IV Laser Therapy - Uses a higher-powered therapeutic laser - Delivers concentrated light to a specific treatment area - Designed for more targeted treatment - Used at Carolina ChiroCare for appropriate muscle, joint, tendon, ligament, and nerve-related conditions Not sure which one you need? You do not need to choose before scheduling. We can evaluate your condition and explain whether Red Light Therapy, [Deep Tissue Laser Therapy](/laser-therapy/), or another treatment option is more appropriate. ### When Red Light Therapy May Be Considered Red light therapy may be incorporated into care for certain musculoskeletal and recovery-related needs. Recommendations depend on the condition, treatment goal, and individual patient. - Muscle soreness and recovery - Certain joint-related discomfort - Sports and repetitive-use recovery - Soft tissue recovery - Certain tendon-related conditions - Recovery following physical activity - Areas of persistent muscle tension or stiffness - Supporting rehabilitation when appropriate Red light therapy is not automatically appropriate for every pain condition, and research varies considerably depending on the diagnosis, wavelength, dosage, and treatment protocol.  ### How Does Red Light Therapy Work? - Red or near-infrared light is directed at the treatment area. - Light penetrates the skin and is absorbed by cells within the tissue. - This interaction is known as photobiomodulation. - Cellular activity may respond to the delivered light energy. - Treatment parameters depend on the device, wavelength, area and treatment goal. Photobiomodulation has been studied across a variety of clinical applications, although treatment protocols and evidence differ significantly by condition. ### What to Expect During Red Light Therapy - We first determine whether red light therapy is appropriate for your goals. - The treatment area is positioned near the red or near-infrared light source. - Treatment does not involve injections or incisions. - Sessions are performed in our Raleigh office. - Treatment duration and frequency depend on the device and recommended protocol. Your recommended treatment schedule is individualized rather than using the same number of sessions for every patient. ### Red Light Therapy With Dr. Jeffrey Gerdes, D.C. Jeffrey Gerdes, D.C. provides clinical oversight for light-based therapies at Carolina ChiroCare & Rehab. Dr. Gerdes has additional education in medical laser applications and is a certified practitioner through the American Institute of Medical Laser Applications. Rather than recommending light therapy based only on the location of your symptoms, we evaluate your condition and determine how red light therapy may fit into a broader treatment or recovery plan. [Meet Dr. Jeffrey Gerdes →**](/us/)  #### Why Choose Carolina ChiroCare for Red Light Therapy? - **Provider-guided care:** Treatment recommendations begin with an evaluation. - **Light therapy experience:** Dr. Gerdes has additional training in medical laser applications. - **Multiple treatment options:** We can determine whether red light, Class IV laser, chiropractic care, exercise, or another treatment makes sense. - **Individual treatment plans:** Recommendations are based on your condition and goals. - **Established Raleigh practice:** Carolina ChiroCare & Rehab has served Raleigh patients since 2010. ### Frequently Asked Questions About Red Light Therapy What is red light therapy? Red light therapy uses specific red and near-infrared wavelengths as a form of photobiomodulation. The light interacts with cells in the treatment area and may influence cellular activity and normal tissue processes. Is red light therapy the same as laser therapy? No. Both use light and can involve photobiomodulation, but the devices differ in power, light delivery and treatment area. Carolina ChiroCare also offers higher-powered, targeted Class IV Deep Tissue Laser Therapy. Does a doctor provide red light therapy at Carolina ChiroCare? Red light therapy at Carolina ChiroCare & Rehab is provided under the clinical direction of **Dr. Jeffrey Gerdes, D.C.**, a licensed Raleigh chiropractor with additional training in medical laser applications and light-based therapy. What is near-infrared light therapy? Near-infrared therapy uses wavelengths just beyond the visible red portion of the light spectrum. Red and near-infrared wavelengths are commonly used in photobiomodulation devices, depending on the treatment system and intended application. Does red light therapy hurt? Red light therapy is non-invasive and is generally well tolerated. The experience depends on the equipment and treatment protocol being used. How many red light therapy sessions will I need? There is no standard number of treatments for every patient. Recommendations depend on your goals, the area being treated, the device being used, and how you respond. Is red light therapy safe? Red light therapy is generally considered non-invasive and appears to have a favorable short-term safety profile when properly administered. Appropriate eye protection and device-specific safety instructions should be followed when required. --- ### Schedule Red Light Therapy in Raleigh Interested in red light therapy for pain, recovery, or a musculoskeletal condition? Schedule an evaluation at Carolina ChiroCare & Rehab. Dr. Jeffrey Gerdes can evaluate your needs and determine whether red light therapy or another treatment option is appropriate. **[Schedule a New Patient Appointment](https://www.carolinachirocare.com/np-schedule/)**** [Call (919) 351-8368](tel:9193518368)** --- ### Chiropractic Manual Therapy in Raleigh NC URL: https://www.carolinachirocare.com/chiropractic-manual-therapy/ ## Chiropractic Manual Therapy in Raleigh NC  Spine and muscle pain often go hand in hand. Musculoskeletal disorders can feel like tight, stiff, or achy muscles that affect how you move and function. Common causes include: - New or old injuries - Long hours at a desk or computer - Poor posture - Lack of flexibility - Stress Our experienced chiropractors in Raleigh specialize in manual therapy to help relieve pain and restore movement. --- ### What is Manual Therapy With A Chiropractor? When the spine is painful or misaligned, the body can develop trigger points, often described as tender "knots" in tight bands of muscle. - Trigger points (also called myofascial trigger points) are small, sensitive spots within muscle or fascia. - Fascia is a thin, flexible tissue that surrounds and connects your muscles. When it becomes tight or inflamed, it can cause ongoing pain and stiffness. - These myofascial disorders can lead to persistent muscle and joint discomfort if left untreated. --- #### How Can Manual Therapy Help? Chiropractic manual therapy works to relieve pain and restore proper function by: - Releasing trigger points using hands-on techniques or handheld tools - Massaging tender areas to loosen tight muscles and fascia - Stretching inflamed or sore tissues to improve flexibility and reduce tension Choosing a specialist who can address both the spine and surrounding muscles and fascia can provide better long-term relief. --- You may be a good candidate for chiropractic manual therapy. [Contact our Raleigh](https://www.carolinachirocare.com/np-schedule/) office to schedule a consultation and learn how manual therapy can be part of your personalized treatment plan. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Manual Soft Tissue Muscle Therapy in Raleigh NC URL: https://www.carolinachirocare.com/manual-soft-tissue-muscle-therapy/ ## Manual Soft Tissue Muscle Therapy in Raleigh NC  If you live a busy, on-the-go lifestyle, taking time for manual soft tissue muscle Therapy can be one of the best ways to keep your body performing at its best. It does more than ease tension, it helps your body stay balanced, energized, and ready for anything. --- ### What is Manual Soft Tissue Muscle Therapy? It's a hands-on treatment that restores mobility, reduces pain, and promotes overall wellness. Key benefits include: - Improved circulation and oxygen flow to muscles - Release of natural pain-relieving endorphins - Removal of toxins from soft tissues - Enhanced flexibility, joint mobility, and muscle recovery - Reduction in pain from muscle spasms, strain, or trauma When circulation improves, your body's natural healing response is triggered, allowing faster recovery and reduced discomfort. --- #### Advantages of Manual Soft Tissue Muscle Therapy This therapy is recognized worldwide for its ability to naturally relieve pain and support whole-body wellness. Some of the main advantages include: - **Pain relief:** Eases discomfort in muscles and joints - **Better blood flow:** Enhances oxygen delivery and speeds healing - **Stress reduction:** Promotes relaxation and improves mood - **Detoxification:** Helps remove waste from soft tissues - **Holistic health:** Supports both physical and mental well-being --- #### Combining Therapy & Chiropractic Care Manual soft tissue muscle therapy and chiropractic care work hand-in-hand for even better results. Both use precise physical techniques to trigger the body's natural healing processes. Together, they offer: - Longer-lasting results from chiropractic adjustments - Easier muscle release and improved flexibility - Enhanced recovery and overall wellness --- For the best manual soft tissue muscle therapy in Raleigh, [contact Carolina ChiroCare](https://www.carolinachirocare.com/np-schedule/). Our experienced team will help you experience the full benefits of this healing, restorative treatment, naturally. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Therapeutic Exercises in Raleigh NC URL: https://www.carolinachirocare.com/therapeutic-exercises/ ## Therapeutic Excercises in Raleigh NC  Chiropractors take a whole-body approach to health rather than focusing on just one system at a time. They recognize that every system in the body works together and depends on the others to function well. At Carolina ChiroCare, this means your care may include spinal alignment, plus guidance on diet, exercise, and overall healthy living. The focus here is on simple therapeutic exercises that you can easily add to your care plan at home. --- ### Exercises You Can Do at Home Most of your healing happens outside the clinic. You may only spend about an hour with your chiropractor, but what you do with the rest of your day can support your progress. - Therapeutic exercises can boost the benefits of your chiropractic adjustments by an estimated 25-45%. - These benefits may include faster recovery, fewer office visits, and a lower chance of the problem returning. - These exercises are designed to work with your treatment, not replace it. --- ##### 1. Partial Sit-Up Since many people suffering from a recent back injury are limited in the number and types of exercises they perform, a partial sit-up can be a good starter. This exercise provides a lower level of stress and motion than what is involved with a full sit-up. This exercise will help increase the strength throughout your abdominal muscles and as a result remove some of the stress on your low back. - Lie flat on your back on a firm surface with your knees and hips bent. - Cross your arms across your chest as if you are giving yourself a hug. - Now raise your neck and shoulders off the floor, avoiding lifting your hips and low back. 6-10 inches should provide enough elevation. - Hold this position for five seconds per lift and then slowly return to the floor. - When you first begin these exercises, you may only be able to do 5 or 10 at a time. The overall goal should be to reach around 60 total partial sit-ups per day. ##### 2. Hip Roll Another good exercise to increase the strength of your abs, particularly the outer ones, is the hip roll. This exercise also involves a fairly low stress level. - Lie flat on your back on a hard surface with your arms extended to your signs and your legs straight so that you form the letter T. - Next, while keeping your knees close together bend them so that your feet are brought close to your buttocks. - While holding this position, twist your abs and knees from side-to-side, attempting to form a 45 degree angle with the floor. - Your shoulders and head should remain flat during this exercise. - Hold each position 5-10 seconds, return to center, and then twist in the opposite direction and hold. - This exercise should be performed for 10 repetitions, twice a day. ##### 3. Lumbar Extension Exercise This exercise is aimed at improving posture through the strengthening of the muscles that are responsible for keeping us positioned. Through this mechanism, this exercise has also been shown to provide benefit for people suffering from sciatica. - You will begin this exercise lying on your stomach with your legs straight and your arms down your sides towards your feet. Make sure that your toes are pointing down towards the floor. - Once in this position, raise your chest and head off the floor without bending your neck back. - Take a deep breath in and hold while maintaining this position for 3-5 seconds - Release this breathe while slowing returning to the floor and the starting position. - This maneuver should be performed for 10 repetitions, twice a day. ##### 4. Cat-Cow Through providing strength and support throughout your entire abdominal core, the cat-cow has been described as one of the best exercises for providing relief of [low back pain](https://www.carolinachirocare.com/back-pain/). - The starting position for this exercise is on your hands and knees like a cat. Make sure that your knees are below your hips and your hands are directly below your shoulders. - After getting into this position, tighten your abdominal muscles to engage them and prepare them for the exercise. - The upward phase of this exercise resembles a startled cat. Take a breath in, while tucking your tail bone towards the floor and lifting your spine towards the ceiling. Hold this position for approximately 10 seconds. - After returning to neutral, using your core muscles, allow your stomach to move towards the floor increasing the arch in your low back. This position will be held for another 10 seconds before returning to neutral. - This exercise should be performed for 8 repetitions, twice a day. ##### 5. Superman The superman exercise is a good way for a variety of people ranging from beginners to higher level exercises to begin to build both abdominal and low back strength. - Begin by lying face down flat on the floor with your legs straight and your arms extended straight above your head. - For starters, attempt to raise either one of your arms or one of your legs approximately 5 inches off the floor and hold for 8 seconds. - As you become more familiar and comfortable with the exercise, begin to try to raise both hands or both feet off the floor. - Finally, the most advanced stage involves lifting both hands and both feet simultaneously off the floor and holding. - This exercise should be performed in sets of 10 repetitions, 3 times a day. ##### 6. Double Leg Lifts Unlike the other exercises, this exercise involves the use of an exercise ball. Carolina ChiroCare and Rehab has some of these balls on hand to show you exactly what you should use. - To perform this exercise, place the exercise ball on a flat and stable surface. - Lie on the ball with your stomach touching. - Stabilize yourself with both hands touching the floor in front of you. - Once stable, attempt to raise both feet and legs behind you until they are horizontal with the floor. - Hold this position and repeat this exercise 10 times per set. ##### 7. Spinal Rotation Exercise This exercise is performed to increase motion throughout the spine while increasing the strength of the abdominal and low back musculature. - Begin this exercise while sitting in a firm backed chair. - Reach one arm across your chest as if you were pointing the opposite direction. - Use this arm to grab ahold of the other side of the chair and rotate our lumbar and thoracic spine. - Hold this position for approximately 25 seconds and repeat the other directions. - This exercise should be performed for 5 repetitions per set and once daily. ##### 8. External Shoulder Rotation This exercise is designed for people with shoulder instability and weakness. It is also a good exercise to perform to help reduce the symptoms of frozen shoulder. - Begin this exercise standing with the palms of your hands towards the ceiling. Make sure that you keep your upper arms close to your sides. - Maintain this position, attempt to bring your hands backwards as if you were pinching your shoulder blades together. - Hold this position for about 5-10 seconds and then return to neutral. - This exercise should be performed for 10 repetitions per set, twice daily. ##### 9. Lateral Deltoid Raise This exercise has been shown to be beneficial for people suffering from shoulder pain, weakness, or loss of motion. The starting position for this exercise is particularly important. - To begin, have your arms close to your legs with your palms facing in towards each other. - Tighten your abdominal muscles and bend your knees slightly as if you were beginning to sit in a chair. - Slowly and carefully raise your arms to the level of your shoulders, hold for 5 seconds, and return to the starting position. ##### 10. Front Deltoid Raise This exercise is useful for strengthening the front portion of your shoulders. While this is a good beginner exercise, only perform an exercise to the point where it is pain free. - Begin the exercise standing, with your feet shoulder width apart. - Place both of your arms in front of you with the palms on the front of your thighs. - Just as with the lateral deltoid raise, tighten your abdominal muscles and bend your knees slightly as if you were beginning to sit in a chair. - However, this time you are going to raise both arms out in front of you to the level of the shoulders, hold for 5 seconds, and return to your legs. ##### 11. Exercise Ball Push-Ups As mentioned earlier, your Carolina ChiroCare and Rehab has some of these balls on hand to show you exactly what you should use. This push up exercise has been shown to be useful in strengthening everything from your chest to your abs and even your upper arms. Be careful when performing this exercise because not only does it help with building strength, it also contributes to balance. - To start this exercise, place the exercise ball underneath your stomach as you face the floor. - Roll yourself forward placing both your hands on the floor until the exercise ball is beneath your shins. - Keep your back straight as you position yourself for this exercise. - Lower your upper body to the floor as if you were doing a normal push-up, hold for 3 seconds, than raise to starting position. - Perform 10 repetitions per set, twice a day. ##### 12. Side Bridge Like many of the other exercises, this one is useful in strengthening both the back and abdominal musculature. This exercise is useful for beginners because it has multiple avenues to increase difficulty. - Begin by lying on your side with your legs straight and stacked on top of one another. - To start, make sure that your elbows are positioned directly below your shoulders, and rest your elbows on the floor. - Once in this position, lift your hips towards the ceiling avoiding any rotation forward or backward. - Return to the starting position and repeat. - This exercise should be performed for 10 repetitions on each side, twice a day. ##### 13. Crunch This exercise should be performed on a stability ball which has been shown to increase its effectiveness by nearly 35%. This maneuver is designed to target the abdominal musculature which results in less stress being placed on the spine. - Begin this exercise with your back flat on the exercise ball and your hands on the back of your head. Your feet should be flat on the floor with your knees bent. - While taking a deep breath in, contract the abs, and raise your shoulders up until you feel all of the musculature contract. - Hold this position for 5 seconds and then return to neutral. - This exercise should be performed with 10 repetitions, twice daily. ##### 14. Neck Flexion Exercise Neck flexion exercises are useful for strengthening the muscles on the front of the neck and as a result improving posture. - Begin by lying flat on your back with arms along your side and your legs straight. - While keeping your chin tucked and avoiding protruding your chin forward, raise your head off the floor. Your shoulders shouldn't leave the floor during this procedure. - Hold this position for 10-20 seconds and then slowly and with control return to neutral. - This exercise should be performed periodically throughout the day. ##### 15. Neck Extension Exercise This exercise is a good way to give relief to your neck musculature while sitting at a desk at work.  As the muscles become stronger, the chance for injury is decreased. It is important to note that this exercise shouldn't cause any dizziness, pain or loss of balance. If this occurs, contact your doctor at the Carolina ChiroCare and Rehab. - While in the standing position, place your arms at your side and legs shoulder width apart. - Bring your neck back so that you are looking at the ceiling. - When assuming this position, make sure not to arch your back or bend your knees. - Hold this position for 5 seconds and return. - Repeat this exercise periodically throughout the day. ##### 16. Isometric Neck Strengthening Exercises Many people have the misconception that the only way to gain strength is to lift weights. This group of exercise is a good way to gain extra strength while using your own resistance. - While in the seated position, use your own hand to provide resistance as you attempt to flex your head forward. - Hold this position for 7 minutes and then relax. - Repeat the same procedure, each time placing your hands in a different position (behind the head and on both sides). - This exercise should be repeated 3 or 4 times daily, with 5 repetitions per set. --- This short list of exercises was created to help you get more out of your chiropractic care. If you are unsure how to perform any exercise, contact the office before starting. Be sure to tell your chiropractor which exercises you are doing so they can make sure you are performing them safely and correctly. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Physiotherapy in Raleigh NC URL: https://www.carolinachirocare.com/physiotherapy/ ## Physiotherapy IN Raleigh NC  Are you looking for local help with Physiotherapy? The team at Carolina ChiroCare and Rehab is here for you. --- ### Types of Physiotherapy We Offer #### Electrical Muscle Stimulation (EMS) It helps the body heal by sending gentle electrical currents into injured muscles or soft tissues. How it helps: - Reduces swelling and muscle spasms - Releases trigger points that restrict movement - Encourages the body to produce endorphins, its natural pain relievers - Relaxes tight muscles in the back or neck - Speeds recovery from both acute and chronic pain This quick, comfortable therapy is excellent for easing muscle tension and promoting faster healing. #### Interferential Electro-Therapy Another effective method for relieving muscle spasms, sprains, and soft tissue discomfort. It uses a low-frequency electrical current that feels soothing. Key benefits: - Reduces muscle tension and spasms - Stimulates the production of natural pain-relieving endorphins - Promotes blood flow and tissue repair - Provides relief from both new and long-standing soft tissue issues This therapy feels gentle and is well-tolerated by most patients, offering both comfort and effectiveness. #### Ultrasound It uses sound waves to treat joint, muscle, and soft tissue injuries. These waves gently vibrate and massage tissues, improving circulation and encouraging healing. How it works: - Reduces inflammation and scar tissue formation - Improves soft tissue mobility and flexibility - Promotes healing at the cellular level - Creates mild heat to relax tight or strained muscles By enhancing blood flow, ultrasound therapy helps your body heal more efficiently and on its own. --- If you're interested in more information about physiotherapy, [call our Raleigh office](https://www.carolinachirocare.com/np-schedule/) today. Our experienced team will create a customized plan to help you recover quickly, move freely, and feel your best. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractic X-Rays in Raleigh NC URL: https://www.carolinachirocare.com/x-ray/ ## Chiropractic X-rays in Raleigh NC  Chiropractors take digital x-rays to rule out things like cancer, arthritis, fracture, infection, or scoliosis and to determine the type and frequency of treatment to go with. It is also important to rule out a congenital anomaly of the spine before proceeding with some chiropractic treatments. --- ### Chiropractor Who Offers X-Ray Services After certain traumas such as a car accident, whiplash, fall, or sports injury ruling out serious injury through chiropractic x-rays is important. Additionally, you may need to utilize x-ray services for the examination of possible osteoarthritis or degenerative joint disease. --- #### Common Condition Examined Through X-Ray at Our Clinic Osteoarthritis (OA), or degenerative joint disease (DJD), which is the most common of the arthritics. ##### Pathology It is believed to be caused by trauma, either overt or as an accumulation of micro-trauma over years, although there is also a hereditary form called primary osteoarthritis that occurs primarily in middle-aged women. ##### Age groups and gender: - females > 45 - males > 60 - Caucasian and Asian races ##### Bone: 4 most common areas of osteoporosis - Hip - Ribs - Vertebra - Radius ##### Trauma: - Compression Fx - Bursting Fx - Scheuermann's - Schmoral's Node or Biconcave Codfish vertebra - Chance Fx - Complete compression Fx - Osteoblastic lesion(s) - Erosion - Limbus, chip or avulsion, teardrop Fx - Arch Fx ##### Possible Congenital Problems That May Cause Spinal Pain: - Dorsal Hemivertebra - Hemivertebra - Butterfly vertebra - Scramble Spine - Persistent Notochord - Cupid's Bow - Persistent vascular groove - Pancake Vertebra - Bone Island - Multiple Bone Islands - Posterior Scalloping - Anterior Scalloping - Un-united Secondary Center - Spina BifidaDorsal Hemivertebra We're trained in x-ray studies and offer x-ray services in our Raleigh office. Discuss the benefits and necessity of x-rays before proceeding with treatment. Carolina ChiroCare has chiropractic x-ray specialists to get you started. [Set up an appointment](https://www.carolinachirocare.com/np-schedule/) today to understand your spine and health. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Custom Fit Orthotics in Raleigh NC URL: https://www.carolinachirocare.com/custom-fit-orthotics/ ## Custom Fit Orthotics in Raleigh NC  Are you experiencing discomfort when walking or standing? Orthotics could be the solution. These custom devices help improve alignment, balance, and comfort while addressing common pain areas such as: - Knees - Feet - Lower back --- ### UNDERSTANDING ORTHOTICS Orthotics work by improving the way your feet and body move. They help: - **Realign** the bones in your feet and ankles for better posture and movement - **Reduce pressure** on other parts of the body like the back, hips, neck, and shoulders - **Distribute weight evenly**, easing strain on toes, bunions, and pressure points - **Promote comfort** during daily activities, from walking and working to exercising ### Who Can Benefit Orthotics are designed for anyone who experiences: - Pain or discomfort while walking or standing - Postural imbalances that cause joint or muscle pain - Ongoing stress or fatigue in the lower body during daily activities - Can be worn daily for long-term support - Often prescribed by our doctors for customized comfort - Durable-many last a year or longer with proper care - Offer a smart, long-term investment in your biomechanical health and well-being ### Ready to Get Started? If you're looking for an experienced orthotics specialist in Raleigh, [contact Carolina ChiroCare](https://www.carolinachirocare.com/np-schedule/) and Rehab today. Schedule a no-obligation consultation and discover how orthotics can help you move better and feel better every day. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Y Strap Chiropractic Adjustment in Raleigh NC URL: https://www.carolinachirocare.com/y-strap-chiropractic-adjustment/ ## Y Strap Chiropractic Adjustment in Raleigh NC Play Video ### What is the Y Strap chiropractic adjustment? It is a specialized spinal traction technique that gently stretches the spine along its vertical axis. - The strap is placed securely around the base of the skull. - The chiropractor then gently pulls upward along the length of the spine to create a controlled decompression. This technique focuses on restoring motion and reducing pressure in the spine without twisting or rotating the neck. --- #### How does the Y Strap work? It targets the upper vertebrae, especially the area where the skull meets the first cervical vertebra. This region is surrounded by sensitive nerves, muscles, and ligaments that can become irritated. In some cases, the chiropractor may also apply Y Strap traction to segments in the upper, mid, or lower back. This vertical traction may help: - Reduce pressure from pinched nerves - Decompress bulging or herniated discs - Relieve discomfort caused by spinal compression --- #### What conditions may respond well? The same conditions helped by chiropractors will typically respond to the Y Strap as well.  This included: - Tension and migraine headaches - [Neck pain](https://www.carolinachirocare.com/neck-pain/) - Pinched nerves - Bulging and herniated discs - Vertigo - Pinched nerves - Upper back pain - TMJD - In some cases shoulder pain --- #### Is the Y Strap adjustment safe? For most people, yes it is when performed by a properly trained chiropractor. However, your chiropractor should carefully screen you for conditions that may make cervical (neck) traction or manipulation unsafe, such as: - Rheumatoid Arthritis - Vertebral fractures - History of stroke or TIA - Known cancer in the spine - Advanced osteoporosis or osteopenia This screening may include: - A detailed medical history - Physical examination - Imaging, such as X‑rays, MRI, or CT scan when appropriate --- #### How do I see a Y Strap Chiropractor? We offers the Y Strap adjustment for patients who could benefit from spinal decompression and axial traction. You will receive a thorough evaluation to see whether this is for you. Our office also has on‑site digital X‑rays, and Dr. Gerdes is credentialed in MRI interpretation of the spine when additional imaging is needed. [Reach out to contact us](https://www.carolinachirocare.com/np-schedule/) and schedule an appointment. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ## Patient Resources ### How to Find a Chiropractor in Raleigh NC URL: https://www.carolinachirocare.com/finding-a-chiropractor/ ## HOW TO FIND A CHIROPRACTOR IN Raleigh NC This guide will help you find the best chiropractic clinic in Raleigh NC for you. When most people in Raleigh NC decide they need a chiropractor, they end up doing a search and just picking someone at the top. Being at the top of Google for the chiropractic search does not necessarily mean they are the best chiropractor for you. Follow the steps below to make sure you are picking the right chiropractor for you.  Time Needed: 5 minutes Total Cost: USD 0.00 ###### Things Needed in Raleigh NC? - Computer or Phone ###### Required tools: - Google Search #### 4 EASY STEPS TO FINDING A CHIROPRACTOR IN Raleigh NC Step 1: Open up a Google search You will want to type one of the following in the search bar: - Chiropractor Raleigh NC - Chiropractor 27607 - Chiropractor near me - Best chiropractor in Raleigh NC  Step 2: Review Their Website The best chiropractors in Raleigh NC put as much care into their website as they do into the rest of their office. By reviewing their website you will get a good feel for the doctor and if they are right for you.  Step 3: Check Out Their Reviews Check out the Google Business Page of a chiropractic clinic you are thinking about visiting. It is easy for someone to say they are great, it's a different story to get other people to say great things about you.  Step 4: Give The Office A Call Now that you have a basic understanding of what the office is about. Give them a call to make sure they fit the message that their website and GMB have been sending. You will know in a few minutes whether the office is the right one for you.  tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Good Faith Estimate URL: https://www.carolinachirocare.com/good-faith-estimate/ ## Good Faith Estimate You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost Under the law, health care providers need to give patients who don't have insurance or who are not using insurance an estimate of the bill for medical items and services. - You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. - Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. - If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. - Make sure to save a copy or picture of your Good Faith Estimate.   For questions or more information about your right to a Good Faith Estimate, visit[www.cms.gov/nosurprises.](http://www.cms.gov/nosurprises).   --- ### Healthcare Disclaimer URL: https://www.carolinachirocare.com/healthcare-disclaimer/ ## Healthcare Disclaimer The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website. --- ## Articles: Back & Neck Pain ### 7 Common Causes of Back Pain URL: https://www.carolinachirocare.com/common-causes-of-back-pain-top-raleigh-chiropractor-explains/ ## 7 Common Causes of Back Pain  Did you know that 80% of the population experiences [back pain](https://www.carolinachirocare.com/back-pain/) on a regular basis, and around 33% of those are due to strains and sprains? Once you've had an episode of back pain, your odds of a recurrence within six months are approximately 33%. Things to consider avoiding if you want to minimize your risk of experiencing back pain. #### Here are seven common causes of back pain 1. Screen time contributes to back pain - The average person spends around nine hours a day hunched in front of their computers, TV screens, phones, and tablets. All of this excessive slouching stresses the muscles and joints in the back, causing back pain. - To combat this, take breaks and get up to walk around the office when you feel your back begin to tighten up. Do neck stretches. Roll out your neck while squeezing your shoulder blades together and lowering your shoulders. Adjust your seat and computer screen to eye level, this way you're not looking down which forces you to slouch your back. 2. A weak core can cause back pain - Having a weak core, which includes your abdominal muscles, gluteal muscles, back muscles, and pelvic muscles, is a leading cause of lower back pain. If you can combine a strong core with optimal flexibility you'll give yourself a much better chance of having less back pain. 3. Sleeping on your stomach can cause back pain - Sleeping on your stomach can compress your facet joints in your spine excessively throughout the night. These joints can become inflamed and lead to a condition called facet syndrome. A common symptom of facet syndrome is a moderate, dull ache in the back that does not improve with time and treatment. To learn more, here's a blog post about facet syndrome and how chiropractic care can help. 4. Smoking can cause back pain - Smoking wreaks havoc on your lungs, heart, and entire body. Don't forget, there is a strong correlation between smoking and back pain. Smoking constricts blood vessels and blood flow to your spinal vertebrae and discs causing them to age faster and breakdown at an accelerated rate. Additionally, smoking interferes with your body's ability to process minerals like magnesium and calcium which are essential for bone health. 5. Carrying emotional stress can cause back pain - Being depressed or under excessive stress can lead to lower back pain. Also, not getting the proper amount of sleep causes an increase in back pain. People with major depression are four times as likely to develop disability related to back and neck pain. If you're dealing with emotional stress, depression, or anxiety you are much more likely to experience back pain. It may be beneficial to speak with a psychologist or psychiatrist to help address your underlying emotional stress. 6. Not being active enough can cause back pain - People who exercise and are moving more experience less back pain. If you are too sedentary your vertebrae and muscles aren't working as much, and this can lead to back pain on a regular basis. Walking in the morning or after work, going to the gym, swimming, yoga, tennis, and pilates are all excellent sources of exercise to help decrease back pain. 7. Wearing the wrong shoes can cause back pain - High heels cause back pain, but so can flat sandals and flip-flops due to a lack of arch support. Problems in your feet can translate up your kinetic chain through your knees and hips into your back. Find the right shoe that provides optimal arch and heel support. #### Three Structural Causes of Low Back Pain Beyond everyday habits, three problems inside the spine account for much of the low back pain we see: - **Restricted lumbar joints.** Joints in the lower back can lock up out of their normal position and cause sharp pain. - **Disc problems.** A bulging, herniated or degenerated disc is one of the most common causes of low back pain. Learn more about [disc injuries](https://www.carolinachirocare.com/disc-injury/). - **Nerve irritation.** Irritated nerve roots can send pain, tingling or numbness down the leg, known as [sciatica](https://www.carolinachirocare.com/sciatica/). In health, Dr. Jeffrey Gerdes D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### 7 Common Causes of Upper Back Pain: How to Fix it Now URL: https://www.carolinachirocare.com/what-is-causing-the-mid-and-upper-back-pain-between-my-shoulder-blades/ ## 7 COMMON CAUSES OF UPPER BACK PAIN: HOW TO FIX IT NOW  The pain can be described as a tight, burning, nagging, and (oftentimes) sharp pain. The pain may be located between the shoulder blades or in a slightly higher area close to the neck and around the top of the shoulders. Thoracalgia may also affect closer to the lower back, close to the lumbar spine. Mid-[back pain](https://www.carolinachirocare.com/back-pain/) may be acute, or sometimes this type of pain is a chronic pain that does not resolve with time. #### What causes upper back pain? Upper back pain is not as common as neck pain or lower back pain but is becoming much more prevalent with all of the computer use we are doing nowadays. It is estimated that 1/10 men and 1/5 women will suffer upper back pain. Mid and upper back pain can develop over time by being overweight, having poor body mechanics, or muscular imbalances. Other causes include 1. Restricted stiff and tight joints. - Thoracalgia can be caused by an underlying restriction of the thoracic joints or vertebrae. Your thoracic spine includes 12 thoracic vertebrae from T1 (the first thoracic vertebrae) all the way down to T12 (the 12th thoracic vertebrae). It is not uncommon to feel upper back pain when breathing as the thoracic spine expands and contracts during respiration. It may feel like your upper back pain is affecting your lungs. It is not uncommon to feel upper back pain on the right side or the left side. - The restricted joints can cause upper back pain, or thoracalgia, perpetual discomfort, pain, or tightness, which can lead to inflammation and swelling. This triggers dysfunctions, inflammation in the muscles, and other soft tissues surrounding the spine. 2. Poor Posture - All of the time we are spending on computers and phones is leading to reconditioned, flexed upper back muscles, leading to more upper back and neck pain. Most people slouch over their work computers for 8-10 hours a day. Exercises and stretches for upper back pain along with posture correcting back braces can effectively treat poor posture. 3. Vitamin and mineral deficiency - Being deficient in vitamins and minerals like vitamin D, Magnesium and Calcium can cause soft and weak bones, leading to upper back pain and bad posture. Your Chiropractor should help you address any vitamin or mineral deficiencies that may be causing the pain between your shoulders. 4. Disc degeneration or arthritis of the spine - In between each vertebra, there is a soft disc that allows for weight to be distributed and impacted through the spine, protecting the bones or vertebrae. If the thoracic discs degenerate or herniate, this may lead to thoracic pain or mid-back pain. If this happens, the upper back pain between the shoulder blades will often radiate around the ribs to the front of the chest. 5. As a result of an injury from a car accident, fall, or sports injury. - Sprains and strains to the muscles and ligaments in the upper back can lead to the development of chronic pain in the neck and between the shoulders. After a whiplash injury ligaments may become unstable and not work and function as they normally would, which leads to the development of chronic upper back pain. 6. Myofascial pain - Myofascial pain involves connective tissue and muscles. Myofascial pain may develop after an injury like a car accident or from chronic poor posture and stress. If you feel knots around your shoulder blades and upper back that hurt often this as myofascial pain. These knots are referred to as trigger points and can often perpetuate the cycle of pain in the upper back. 7. A pinched nerve from a herniated disc - While not as common as a pinched nerve in the neck or lower back, you can pinch a nerve in your upper back. If you have radiating pain from your upper back into your ribs, rib pain, pain while breathing, or numbness around the lungs into the ribs and chest you likely have a pinched nerve in your back. Seek treatment immediately. - Other more serious conditions such as lung cancer and spinal infection can cause upper back pain and should be ruled out by your Chiropractor or Medical Doctor. #### Upper back pain symptoms? - Symptoms of thoracalgia include pain and discomfort in the mid or upper back between the shoulder blades. The pain also may be closer to the neck, down lower towards the lower back, but above the lower back. - Upper back pain is often described as tight, stiff, sore, or nagging pain around the shoulder and neck. Often, there is a burning discomfort or tingling. Make sure to tell your chiropractor if you feel any radiating pain around the ribs, chest pain, a cough that won't resolve, or breathing problems. These can be signs of a more serious underlying condition. #### Upper back pain treatments? If your thoracalgia is musculoskeletal in nature you will likely do very well under chiropractic care. Chiropractic care for upper back pain will reestablish the thoracic joint restriction with small gentle adjustments into the spine to restore the mobility and ranges of motion. Stretches for upper back pain are usually provided as well. Chiropractic care for upper back pain will also focus and treat myofascial pain, muscular imbalances, knots and spasms around the upper back and shoulders, and address poor posture. Clinics typically utilize physical therapies like electrical muscle stimulation, ultrasound therapy, traction therapy, myofascial release, exercises for upper back pain, and massage therapy to provide relief from the underlying muscular inflammation and discomfort. #### Takeaway Upper back pain can cause pain, loss of sleep, and loss of enjoyment with life activities. Upper back pain between the shoulders is treated successfully with chiropractic care using gentle joint mobilizations, vitamin and mineral supplementation, posture correction, and physical therapies. #### Why Mid-Back Pain Is Worth Treating Mid-back pain is especially common in people who work with their hands in front of them, such as at a keyboard, where the shoulders roll forward for hours each day. Many people simply live with it for years. Spinal discs rely on normal motion to stay healthy, so long-term stiffness can contribute to problems such as degenerative disc disease, an increasingly rounded upper back (kyphosis) and disc herniation. In health, Dr. Jeffrey Gerdes D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### How to Manage Low Back Pain: Top 5 Strategies URL: https://www.carolinachirocare.com/how-to-manage-low-back-pain-top-5-strategies/ ## HOW TO MANAGE LOW BACK PAIN: TOP 5 STRATEGIES * For millions of people, [low back pain](https://www.carolinachirocare.com/back-pain/) is not only a common annoyance but a chronic medical condition that has a major impact on well being and overall health. Loss of sleep, pain playing with the kids at home, and working through the busy day with back pain are just a few of the common maladies that affect people. #### Here are the top 5 best strategies for managing your back pain. - Cure Lower Back Pain at Home: Lose Weight and Change Your Diet Being overweight carries so many health detriments, but also may be one of the reasons your back keeps hurting you. More weight on the vertebrae and discs coupled with all of the inflammation in the body when one is overweight equals the perfect storm for regular and frequent back pain. #### Start Here… Reduce your caloric intake while increasing the frequency of exercising.  It's a simple formula that has stood the test of time when it comes to dieting. Take in fewer calories than you burn and burn a lot of calories with exercise.  You want to exercise daily, ideally 1 hour a day 6-7 days a week. Get your heart rate up to your target heart rate zone where you will be burning the most calories. You do this by subtracting your age from 220. Then calculate 55%-80% of that number.  So if you are 40 years old 220-40 = 180 x NC.75 (or 75%) = 135 beats per minute as your target heart rate. Try to hover around this number for 1 hour during your workouts. #### Cut Out the Refined Carbohydrates Refined carbohydrates have a similar effect as sugar when we consume them. They spike insulin levels and this causes the body to go into an inflammatory state. The more inflammatory of a state your body is in the more likely you are to be experiencing pain. It's just that simple. Refined carbohydrates like white bread, dough, and sugar when broken down in your body end up releasing a host of chemicals like Interleukin and Arachidonic acid. These chemicals drive chronic and acute pain and disease expression in our bodies.  If you want to learn more, check out this video, which does a great job of explaining this in detail. - Cure Low Back Pain: Consider Maintenance Chiropractic Care Often, patients who go back for regular chiropractic treatments 1-2 times a month, once they are out of acute pain, do much better regarding the frequency that they experience episodes of back pain. Think of chiropractic maintenance care like a tune-up for your car.  By being preventative, maintenance chiropractic care can aid in decreasing the chances one experiences multiple episodes of moderate to severe flare-ups of back pain. A recent study published in Spine* targeted the use and efficacy of maintenance spinal manipulation (Chiropractic care) for patients with chronic non-specific low back pain. Researchers evaluated 60 patients who were separated into 3 groups. One group received 12 treatments of ("sham SMT chiropractic adjustments") over the course of a month.  The second group received 12 real treatments of SMT over the course of a month then no follow-up care.  The final group received 12 SMT treatments in a month followed by "maintenance spinal manipulation" every 2 weeks for an additional 9 months. Researchers collected pain and disability scores, general health status, as well as back-specific patient satisfaction data prior to the study beginning, and then at 1, 4, 7, and 10-month intervals. The results of the study show that patients who received real spinal manipulation had "significantly lower pain and disability scores than the first group at the end of a 1-month period. The patients in the 2nd group, who did not receive follow-up therapy, reported pain and disability scores had returned to near baseline levels by the 10-month evaluation. Meanwhile, the final group, who received both a period of intensive SMT followed by maintenance care experienced continued improvement in their symptoms at the 10-month evaluation. This study shows that spinal manipulative therapy is an effective treatment for chronic non-specific low back pain. #### Researchers concluded maintenance SMT (chiropractic care), after the initial intensive therapy period, can help provide the patient with lasting relief of symptoms: In light of the current opioid epidemic, this provides evidence for the safety and efficacy of chiropractic care as a primary alternative to opioid usage. - Cure Low Back Pain at Home: Supplement With Fish Oil, Magnesium, Vitamin D, CoQ10 and Vitamin B Complex These supplements are the "Core 5."  Each one of the supplements mentioned above has the research behind it regarding their effectiveness in decreasing back pain. If you want to learn more about these supplements and their effectiveness in managing back pain, download my Ebook here (Please note: make sure to consult with a healthcare provider before beginning any supplements) - Cure Low Back Pain: Consider Using Orthotics and Durable Medical Equipment Tens machines, back support cushions, custom fit foot orthotics, custom pillows, home traction devices, and back braces can all help you manage back pain. Often times, there are contributing external factors to your back pain such as dysfunction in the feet, shoes, or sitting position throughout the day. These devices have a proven track record of managing back pain. In many cases, durable medical equipment (DME) and orthotics are covered by your insurance company when administered by a health care practitioner. - Cure Low Back Pain at Home: Increase Flexibility While Increasing the Strength in Your Core and Back Muscles This is a big one. By increasing the flexibility of certain muscles that are known to contribute to back pain you can manage your back pain more successfully. Maintaining optimal flexibility in the hamstring muscles, hip flexor muscles, hip adductor muscle, and pectoral muscles can decrease back pain. The trick is to also strengthen your core and back muscles at the same time as maintaining flexibility. These muscles include your abdominal muscles, transverse abdominal muscle, gluteus maximus, and the muscles that run up your spine. #### Everyday Habits That Protect Your Back - **Lift with good form.** Keep your back straight, bend at the knees and hips and hold the load close to your body. - **Warm up before exercise.** Exercise is good for your back, but skipping a warm-up or overdoing it is a common way to strain it. - **Break up long periods of sitting.** Get up and move every 30 minutes or so if your work keeps you at a desk. In health, Dr. Jeffrey Gerdes D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Low Back Pain: Symptoms, Causes and Exercises That Help URL: https://www.carolinachirocare.com/low-back-pain-symptoms-causes-treatment-and-exercises-to-fix-back-pain/ ## LOW BACK PAIN: SYMPTOMS, CAUSES AND EXERCISES THAT HELP Play Video The patient in this video below was suffering from [low back pain](https://www.carolinachirocare.com/back-pain/). The symptoms of low back pain can feel like a sharp knife-like pain in the low back or dull and annoying, nagging pain in the lower back worse with certain movements or activities. This patient usually had no low back pain but would experience occasional sharp severe pain in her low back that was usually brought on by walking. #### Symptoms of low back pain include - Pain in the low back - Referred pain in the hips thighs and gluteal regions - Pain leaning back with extension in the lumbar spine - Stiffness and back pain moving in certain directions or going from sitting to standing - Tight and spastic muscles in the low back - Pain when sitting, standing, bending or lifting #### What Are Some Common Causes Low Back Pain In Women? The cause of lower back pain is generally thought to be from repetitive stress, degeneration, and acute trauma to the spine. 1. Acute traumas Acute low back pain can come from from a car accident, whiplash, falls, and sports injuries may cause lower back pain to begin in your spine. 2. Degeneration of the intervertebral discs As the disc spaces degenerate and thin as we age and the joint between the vertebrae called facet joints are forced to pick up more of the load and weight distribution in the spine. This causes chronic wear and tear, arthritis, and inflammation in the facet joints. 3. Facet syndrome Facet syndrome is a disorder in the lumbar facet joints and can cause localized pain in the low back and also radiating pain or sciatica. Often times this radiating pain is into the legs, thighs, and feet. The facet joints are the joints in the back of their vertebrae where the top vertebrae and bottom vertebrae join together. Chronic irritation of these facet joints is called "facet syndrome". Studies estimate 31% of the low back is from the facet joints in the lower back. 4. Arthritis in the low back. Arthritis represents 15 to 52% of all the chronic low back pain in the population 5. Bulging or herniated discs Discs in the spine act as the shock absorbers for weight and forces between the bones (vertebrae) in your spine. The soft gel-like material inside a disk can herniate or bulge or bulge out and cause a pinched nerve or sciatica. Your Chiropractor can see Disc disease on an X-rays but to see a bulging or herniated disc an MRI is required. 6. Skeletal irregularities Conditions such as scoliosis and developing missing or extra lumbar vertebrae can lead to back pain. An X-ray done by your Chiropractor can rule out any of these anomalies. 7. More serious causes like cancer, infection or kidney problems When should you worry about your lower back pain? These causes of lower back pain are much more serious and should be diagnosed and treated as soon as possible. A referral will be made by your Chiropractor if cancer, infection or internal organ problems are the suspected cause of your lower back pain. #### Low Back Pain Treatments For a chiropractic perspective low back pain is treated with chiropractic adjustments, physiotherapies like electrical muscle stimulation, ultrasound therapy, spinal decompression therapy, specific strengthening/stretching exercises, and massage or myofascial release therapy for tight, sore, and spasmed muscles. Your Chiropractor may refer you out for other treatments like back injections, medications, or in some cases surgery. Your chiropractor is trained in the diagnoses, treatment, and management of facet syndrome treatment. Chiropractic adjustments reset and realign the facet joints increasing the joints mobility and ranges of motion which allow the joints to function better. I wrote about chiropractic care for spine, neck, and back pain last month in a prior blog post. Your Chiropractor Explains Low Back Chiropractic Manipulation How Does It Work. #### Low Back Pain Exercises 1. Super Mans - Lie face down with your stomach on the ground and extend both arm and legs out behind you while extending your back while raising both the hands and feet off the floor into full extension. - Hold the back, legs, and hands in extension for 2-4 seconds. - Return to the starting position 2. Hamstring stretches - Lay on your back and wrap both hands or a towel around your knee. - Gently pull your leg back towards your head until you feel a good stretch. Hold for 24 seconds. Repeat on the opposite side. - Perform for 15 minutes 1-2 times per day. 3. Wall squats - Stand and lean your back against a wall with your feet shoulder-width apart. - Slide down the wall slowly until your knees are bent to close to 90 degrees. Do not let your butt go below your knees. - Hold this position for 5-10 seconds. - Push your body back up. - Perform 15 minutes per day. #### Is walking good for low back pain? Yes, it usually is but in some cases walking makes your back pain feel worse. Takeaway Low back pain causes, treatments, and exercises are properly managed by Chiropractors. X-rays, CT scans, and MRIs may be used as diagnostic procedures in the diagnosis of low back pain. Injections, medications, or surgery may be referred to if low back pain does not resolve with chiropractic care. Chiropractic treatment for low back pain is a noninvasive, proven, safe, and effective. Most chiropractors will also start their patients on chiropractic adjustments and physical therapies in their office to treat and manage low back pain. If you have more questions about seeing a chiropractor for low back pain take a look at a recent blog post I wrote Is Chiropractic safe? I answer questions like - Can a Chiropractor paralyze you? - Can a Chiropractor hurt your back? - Can a Chiropractor break your neck? If you have any additional questions please feel free to get in touch. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Are the Muscles or Vertebrae Causing Your Low Back Pain? URL: https://www.carolinachirocare.com/are-the-muscles-or-vertebrae-causing-your-low-back-pain/ ## Are the muscles or vertebrae causing your low back pain?  [Low back pain](https://www.carolinachirocare.com/back-pain/) is one of the most common reasons for all chiropractic and healthcare visits in the United States. Most of the time lower back pain is coming from problems in the musculoskeletal system. Although, there are conditions that are typically more serious that cause lower back pain that is unrelated to the musculoskeletal system, like low back pain related to cancer, infection, and an aneurysm. Lower back pain can limit activity, lead to disability, and reduce the quality of life. As we age and our joints undergo more wear and tear and the discs in the spine degenerate, low back pain related to age becomes even more common. Age-related low back pain affects more than 50% of people over the age of 60. The spinal column is made up of vertebrae, or bones, discs which are cartilage and gel-like material, nerves, ligaments, and low back muscles. The ligaments and muscles hold the vertebrae in place and allow for dynamic stability during movements in the spine. #### How do you know if your low back pain is muscular? Low back pain that is muscular is usually described as dull, achy, tight, and sore. A certain movement like bending, twisting, lifting make the low back pain increase. The pain does not radiate and stays around the low back. #### What muscles cause low back pain? The low back muscles that can cause low back pain include the Iliopsoas muscle, Erector Spinal Muscles, Quadrates Lumborum Muscles, Multifoods muscle, and tiny stabilizer paraspinal muscles that run up between the vertebrae. #### Types of lower back pain symptoms **Localized lower back pain** This is lower back pain that stays in a specific part of the low back. Usually, localized lower back pain is from arthritis in the vertebrae, muscle spasms, inflammation in the lumbar discs, or tension. Localized lower back pain can worsen when sitting for too long or moving in certain positions. There is oftentimes muscular spasms involved as well. **Radiating pain** Radiating pain is usually described as a sharp shooting pain that radiates from the lower back down the leg. This condition is often referred to as lumbar radiculitis or sciatica. The pain may travel all the way down the leg into the knees and feet causing numbness and tingling or pain in the extremities. Radiating pain is usually caused by a herniated disc in the lumbar spine, or spinal stenosis, a condition where the canals in the spine are narrowed. The radiating pain from sciatica will usually be on one side. Symptoms of lower back pain with sciatica are lower back pain on the right side with leg pain on the right side or lower back pain on the left side with leg pain on the left side. Coughing, sneezing, or bending may irritate radiating pain. There may also be weakness or lack of sensation in the legs due to the compression taking place in the lumbar spine. **Referred pain** Referred pain is a type of pain when people have a condition in their lower back that's causing pain elsewhere in the body. In the lumbar spine, the most common area to feel referred to low back pain is around the anterior or posterior buttocks, thigh or hip. You will often feel low back pain on the right side above the buttocks or low back pain on the left side above the buttocks. #### How can you tell if your low back pain is from your muscles or disc? Low back pain that is coming from the lumbar disc often but not all the time will have associated pain that radiates down one or both legs. The low back pain may stem from a fall or force to the spine that causes the lumbar disc to herniate. This is not always the case and the discs in the lower back can herniate and bulge without significant trauma. It may be very difficult to determine if your back pain is coming from your muscles or an injured disc. The discs in the spine can cause muscle pain when there is an underlying injury, degeneration, or inflammation in the disc. #### What is the fastest way to relieve low back pain? - Ice for the first 72 hours - Over-the-counter anti-inflammatory medications - Chiropractic care and physiotherapies like electrical muscle stimulation - Rest from certain activities like heavy lifting #### Is walking good for low back pain? Generally speaking, walking can have many benefits for low back pain. It's always a good idea to exercise and walking can help us maintain a healthy weight. Being overweight and be a strong contributing factor to developing chronic low back pain. Unlike running which can be hard on the discs and vertebrae in the low back, walking is a low impact exercise. Walking gets the joints and muscles moving which brings in circulation to the spine and brings down stiffness and tightness in the lower back. #### When to See a Chiropractor for low back pain? You should see a chiropractor for low back pain symptoms immediately if you have suffered a recent injury, have any low back pain with sciatica, radiating pain down your legs, feel like you have a pinched nerve in the hip and back, or the low back pain is affecting your work, sleep or activities of daily living like lifting your children or enjoying your life. Your Chiropractor will be able to diagnose where your pain is coming from by performing a physical examination, taking a history of your condition, and ordering diagnostic studies like an x-ray, lab work, or MRI to pinpoint the cause of the lower back pain. Once the pain in your lower back is properly diagnosed a treatment plan can be put together which may include spinal adjustments, physical therapies, medications, modifying activities, exercises, stretches, and other procedures such as spinal injections. In worst-case scenarios, surgical recommendations may be considered. Very often chiropractic can provide a great deal of pain relief initially when there is a recent injury and helps with chronic back pain as well. #### The takeaway Lower back pain is a very common condition that affects around 80% of the population each year. Lower back pain can be caused by a variety of conditions including muscles of the spine, the discs in the spine, arthritis, a pinched nerve in the back, and injuries. Other more serious conditions such as an aneurysm, cancer, or infection always need to be ruled out when experiencing lower back pain. If you have any additional questions about seeing a Chiropractor for back pain or chiropractic low back pain treatments please feel free to get in touch. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Is My Back Pain Related to Age? URL: https://www.carolinachirocare.com/is-my-back-pain-related-to-age/ ## Is my back pain related to age?  Like most of the adult population, you have probably experienced [low back pain](https://www.carolinachirocare.com/back-pain/) at some point in your life. It's estimated that around 80% of adults have suffered at least one episode of back pain during their lifetime. #### But, is back pain related to your age? The short answer is maybe. Back pain is often age-related. Joints are no different than tires that wear down and lose their structural integrity over time. Some common reasons to have age-related back pain are: - **Age-related degenerative changes in the discs and joints of the spinal column.** As we age, the bones and disks in the spine slowly degenerate and lose moisture. This can affect the function of the discs and vertebrae in the spine, causing back pain. Disc degeneration and other forms of spinal degeneration are typically a normal part of the aging process but affect each individual differently. - Two people with the exact same degenerative conditions in the spine may experience back pain completely differently. One may have minimal pain or no pain at all and the other may experience chronic problems with back pain and stiffness in their back. - **Age-related spinal stenosis** This is a condition where the ligaments in and around the spine and spinal cord thicken with repetitive wear and tear over time. It may also be caused by bulging or herniated discs and a build-up of arthritis in the spine. - An example is when the facet joints in between the vertebrae develop excessive calcium formation. This may cause spur-like formations that narrow the spinal cord canal and the canals where the nerve roots from the spinal cord exit, contributing to the spinal stenosis. - Stenosis causes compression around the exiting nerve roots that feed your arms, hand. legs and feet. In more severe cases, stenosis can compress the spinal cord as well. - **Age-related spondylolisthesis** This is a condition where spinal vertebrae slip forward on the vertebrae below. This type of age-related pain condition is typically due to a small or sometimes larger microfracture of the spine caused by prior trauma or wear and tear of the vertebrae and discs in the spine over the years. #### What can you do to manage age-related back pain? **Tip 1 to manage age-related back pain:** Be more physically active. Generally speaking, the more physically active and healthy you are the less likely you are to experience age-related back pain. **Tip 2 to manage age-related back pain:** Stay at a healthy weight. If you're carrying less weight on your spine it's less wear and tear on the joints over time. Obesity is a big problem when it comes to back pain and if you wish to experience less back pain as you age, keep yourself at a healthy weight for your height. **Tip 3 to manage age-related back pain:** Maintain flexibility in your spine. The same ligaments that thicken over time as we age can be stretched. Exercises like yoga, pilates, or daily routine stretching can, over time, keep your back flexible and decrease your chances of developing stenosis and chronic stiffness. **Tip 4 to manage age-related back pain:** See your chiropractor for maintenance care. Keeping mobility and flexibility in your joints can help you maintain flexibility and mobility in your back as you age. This will decrease the chances that you develop age-related back pain. Most chiropractors will prescribe and show you stretching and proper exercises to perform at home to maintain your spine flexibility and strength as you age. In summary, back pain is a condition that affects all of us as we age. As we age, our chances of experiencing back pain do increase, but we are able to minimize the risk of experiencing back pain by proper maintenance of our spine through lifestyle changes and modifications. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Is my Slouching Causing Back Pain? Kyphosis Explained URL: https://www.carolinachirocare.com/is-my-slouching-causing-back-pain-kyphosis-explained/ ## IS MY SLOUCHING CAUSING BACK PAIN? KYPHOSIS EXPLAINED  Poor posture, or slouching, in your mid-back is referred to as kyphosis. Kyphosis in Greek means a hump, but it's better referred to as an excessive convex curve in the thoracic spine. Having an excessive kyphotic curve in the thoracic spine also affects the cervical, lumbar and sacral regions of the spine. #### What causes kyphosis? Kyphosis can be caused by several different underlying conditions. Chronic bad posture can cause kyphosis - Chronic poor posture, or slouching over time can cause a biomechanical imbalance in the thoracic spine. Spending 8 to 10 hours a day at the computer or desk is very common these days. Over time, this slouching and poor posture can permanently change the structure of your spinal column. Osteoporosis can cause kyphosis - This is a condition that affects older patients. This is a condition where bones begin to weaken and thin, most commonly with older age. Degeneration of the intervertebral discs can cause kyphosis - The intervertebral discs are the soft tissue between the vertebrae. If they begin to thin and degenerate this can cause kyphosis in the thoracic spine. Scheuermann's disease can cause kyphosis - This disease is characterized by excessive thoracic kyphosis and wedging of the vertebrae which can take place at multiple levels in the spine. It typically affects boys before they reach puberty and can be diagnosed on a plain film x-ray. Certain birth defects can cause kyphosis - Kyphosis can be caused by the underdevelopment of the spine, and many times this is associated with poor nutrition during a mother's pregnancy - such as B vitamin deficiency or folic acid deficiency. #### Are there any side effects or complications of kyphosis? Yes. Some of the side effects or complications of kyphosis include - [Back pain](https://www.carolinachirocare.com/back-pain/) - Poor body image, confidence, and self-esteem. - Weight loss and decreased appetite In severe cases, excessive kyphosis in the thoracic spine can compress the stomach and abdominal regions and lead to decreased appetite. #### How is kyphosis diagnosed and treated? Kyphosis is diagnosed by a postural evaluation, thorough history, and physical examination. X-rays can be obtained to help diagnose and visualize the structure of the spine, and in many cases measure the extent of the abnormal curves. In advanced or severe cases, an MRI scan or CT scan may be ordered to better visualize the nerves, spinal cord, and discs. #### Chiropractic treatment and management include Specific spinal adjustments to the vertebrae of the spine, corrective strengthening and stretching exercises, postural consulting and management, back bracing, addressing calcium, vitamin D, and magnesium deficiencies which can be affecting the bones, recommending weight-bearing exercises, addressing leg length deficiencies and problems in the feet with custom foot orthotics. It's also important to treat the areas of pain with physical therapies, such as electrical muscle stimulation, ultrasound therapy, myofascial release, manual therapy, and traction therapy. In rare cases, kyphosis will require surgery, and you will need a referral to speak with an orthopedist or neurosurgeon who specializes in spine surgeries. In summary, kyphosis, or excessive slouching in the spine is a condition that should be taken seriously, especially if it's affecting one's daily activities of life like sleeping, working, or participating in recreational activities. In health, Dr. Jeffrey Gerdes D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Don’t Wait Until Back Pain Is Unbearable To Visit A Chiropractor URL: https://www.carolinachirocare.com/dont-wait-until-back-pain-is-unbearable/ ## Don't Wait Until Back Pain Is Unbearable To Visit A Chiropractor  Why does your back hurt? It's common to have no idea why. It's also common for the pain to be too bad to physically shrug in response to that question. And yet, even under these painful conditions, it is common to not seek out the help of a professional like a chiropractor, but to instead suffer through it. #### Why We Think We Should Tough Out Back Pain "Toughing it out" is a suggestion for athletes who are building stronger muscles. In order to gain muscle mass, you want to push past the point of resistance. You reach the point where you start to feel tired and like you can't do any more push-ups, and then do a few more. By powering through healthy exercise, your body grows stronger. This is your body leaving its comfort zone and changing to become healthier. That's a healthy version of toughing it out performed by athletes and anyone wanting to build up their physical health through careful exercise practices. This idea is then associated with one of strength. We're building muscles, we're toughing it out, we are being strong and capable people. When we think of riding out the pain as a sign of being a strong willed person, we don't consider whether that's truly what's best for our health. #### Why You Shouldn't Wait To See a Chiropractor Unfortunately, this idea is often applied to scenarios where there is nothing to gain from "toughing it out". It's common to believe that by pushing ahead, we will be able to continue on with our activities and the pain will go away on its own. Even in the cases where this is true, that doesn't always mean the cause of the pain was resolved. This may mean it comes back again and becomes a chronic issue, or that other troubles will arise. Without knowing the cause of your [back pain](https://www.carolinachirocare.com/back-pain/), or finding a treatment for it, you risk the condition becoming worse. When there are gentle and easy treatment options that can improve your back pain and the health of your back, there is no reason to avoid seeking treatment. #### What Happens When You Visit a Chiropractor For Back Pain At your first appointment, your chiropractor will perform an exam. They'll talk to you about your health history and what you've been feeling and experiencing with your back. What brought you into the chiropractic clinic for your first appointment? What has your life been like with your back before this pain started? When did the back pain begin? What types of daily activities do you perform that put stress on your back? This conversation will give them insight to what they find during your exam so they can create a complete picture of your back health. This is a great opportunity for you to ask the chiropractor questions about anything you've been experiencing. Your chiropractor will then make a few gentle, natural adjustments to your spinal alignment based on your discussion and their findings during the exam. This will help you find relief from your back pain during this appointment. For the long term, they can discuss options with you for a treatment plan to keep your back in its best health. Depending on the source of your back pain, they can discuss future appointments for spinal alignment and other practices you might be able to employ to keep yourself feeling your best day to day. There's no need to tough out back pain and let it become worse or grow into a chronic problem. You never know when a vertebrae might be misaligned or a disc might have slipped out or another serious problem with your back that could be causing damage and long term problems for you. When your back hurts, seek out the help of a chiropractor who can get your spinal health back on track. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### 4 Reasons to See a Chiropractor Instead of Your Primary Care Doctor if You Have Back and Neck Pain URL: https://www.carolinachirocare.com/4-reasons-to-see-a-chiropractor-instead-of-your-primary-care-doctor-if-you-have-back-and-neck-pain/ ## 4 reasons to see a chiropractor instead of your primary care doctor if you have back and neck pain  Nearly 35 million people a year visit their Chiropractors, according to the American Chiropractic Association. Doctors of Chiropractic specialize in musculoskeletal disorders and are the third-largest health profession behind only medical doctors and dentists. --- #### Here are four reasons to consider seeing your Chiropractor See a chiropractir instead of your primary care doctor if you experience back or [neck pain](https://www.carolinachirocare.com/neck-pain/) for the following reasons: **Reason 1: Patient Satisfaction** Patients routinely rate their experience and outcomes seeing a chiropractor the highest among healthcare professionals. A recent Gallup poll showed three out of four people who saw a chiropractor in the last year (or 77%) described their chiropractic care as "very effective". A 2015 study published in the orthopedic journal Spine looked at the effectiveness of chiropractic adjustments when seeking primary care for spine pain. 94% of the chiropractic adjustment recipients experienced a 30% decrease in pain compared to only 54% of the primary care recipients. **Reason 2: Chiropractic care is safe** Chiropractic is generally considered a safe treatment option for back and neck pain. Like any other medical treatment, there can be potential side effects and complications, but when you want to compare chiropractic care to primary care medicine, you must take into consideration the potential risks of being prescribed medication as part of your treatment regimen (very often, primary care physicians are going to prescribe medicine as part of your treatment). Consider, for example, that a recent study by the American Journal of Gastroenterology showed that people taking NSAIDs are three times more likely than those who do not to develop internal bleeding and perforation in the intestinal tract. This number increases to five times as likely in people over 60 years. Or, consider that the number of prescriptions for painkillers, which include opiates, has tripled in the past 12 years. The CDC reports that there are approximately 15,000 deaths a year from opiate painkillers. It's very clear that chiropractic care should be considered a safe treatment alternative for back and neck pain. **Reason 3: Chiropractic Care Is Cost-Effective** A 2016 study, Hurwitz et al, looked at the health care cost of patients in North Carolina seeking treatment from Chiropractors, Physical Therapists, or their Medical Doctors for [back pain](https://www.carolinachirocare.com/back-pain/), neck pain, and headaches. The study found that those who received chiropractic care had lower healthcare expenses. Nearly all insurances cover chiropractic care. If you've been in a car accident, usually the insurances will cover your chiropractic treatment. **Reason 4: Minimal Side Effects** Compared to other treatment options, such as surgery and drugs, the potential side effects of chiropractic care are minimal. While Chiropractic care does include some minor side effects like soreness following treatments, the risk of more serious side effects like fractures and disc herniations are extremely rare. Relative to the side effects that come with pain medications, NSAIDs, and surgery, which include internal bleeding, addiction, and even some risk of death, chiropractic care is comparatively safe and has low instances of side effects. For instance, Estim research shows that therapies used in Chiropractic clinics such as electrical muscle stimulation (ESTIM) can have a greater propensity to manage pain with fewer side effects. Treatment Characteristics: Estim Cause of Death/Day 0 - Side Effects/Complications: Occasional minor skin irritation - Benefits** Estim Users Can Pain Meds. Cause of Death/Day 41 - The onset of relief 10-40 min - Duration of relief 4-12 hrs. - Build tolerance: Yes - Addictive: Yes Respiratory depression - Opioid-induced constipation - Nausea, vomiting, dry mouth - Sleepiness, dizziness - Confusion and depression - A decrease in activities of daily living Reduce: - Medication costs by 55% - Imaging costs by 32% - Imaging tests by 32% - Physical therapy visits by12% - ER visits by 6% - Increase local blood flow - Prevent disuse atrophy - Treat sub-acute, acute and chronic pain syndromes - Most beneficial for short term post-op use Source: E-stem Research Long Term Transcutaneous Electrical Nerve Stimulation Use Impacts On Medical Utilization and Physical Therapy Costs. Published March 1998 Clinical Journal of Pain, Clinical and Economic Impact of TENS in Patients With Chronic Low Back Pain Analysis of a Nationwide Database Published December 2013. If you have any additional questions about why to see a chiropractor instead of a primary care doctor, please feel free to get in touch. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Your Chiropractor Explains: Low Back & Chiropractic Manipulation – How Does it Work? URL: https://www.carolinachirocare.com/you-chiropractor-explains-low-back-chiropractic-manipulation-how-does-it-work/ ## Your Chiropractor Explains: Low Back & Chiropractic Manipulation - How Does it Work? Play Video [Low back pain](https://www.carolinachirocare.com/back-pain/) (LBP) MY TOP 3 CAUSES OF LOW BACK PAIN….THAT YOU MAY NOT KNOW ABOUT is such a common problem that if you haven't suffered from it yet, you probably will eventually. Here are a few facts to consider: - LBP affects men and women equally; - It is most common between ages 30-50; - Sedentary (non-active) lifestyles contribute a lot to causation; - Too much or too little exercise can result in LBP; - A BMI around 25 is "ideal" for weight management, which helps prevent LBP; - Causes of LBP include lifestyle (activity level), genetics - including, but not limited to, weight and osteoarthritis; - Occupation; - Exercise habits and the list can go on and on. #### Let's next look at how an adjustment is done…see the video above! When [spinal manipulation](https://www.carolinachirocare.com/chiropractic-manual-therapy/) is performed in the low-back region, the patient is often placed in a side-lying position with the upper leg flexed towards the chest and the bottom leg kept straight. The bottom shoulder is pulled forwards and the upper shoulder is rotated backward at the same time the low back area receives that the manipulation is rotated forwards. I put a full video demonstration of this procedure in the video at the bottom of this page. This produces a twisting type of motion that is well within the normal range of joint motion. When the adjustment is made, a "high velocity" (or quick), "low amplitude" (a short distance of movement) thrust is delivered often resulting in "cavitation" (the crack or, release of gases). Chiropractors are trained in this procedure and can speak with you more about this as a treatment option if you are experiencing low back pain. What are the popping and cracking? Your spine is a series of moveable joints. Those spinal joints can move, lock, and fixate out of their normal position. When this happens, pressure and gas build up in the spine causing pain, headaches, back pain, muscle tightness, stiffness, spasm, and sometimes some nerve irritation. Chiropractors remobilize these spinal joints and realign them. When that happens, oftentimes, there will be an audible pop or a cracking sound. Quite simply what that sound is, is gas being released from the joints. It's a combination of oxygen and CO2, and the joints sliding back into their normal position. I wrote I prior blog post explaining the "cracking sounds" What Is The Cracking? #### So, WHY do we do this? Most studies show that when there is back pain, there is inflammation. In fact, inflammation is found in most disease processes that occur both within and outside the musculoskeletal system. We know that when we control inflammation, the pain usually subsides. That is why the use of "PRICE" (Protect, Rest, Ice, Compress, Elevate) works well for most muscle/joint pain conditions. We have also learned it is possible that IF we can avoid cortisone and non-steroidal drugs (like aspirin, ibuprofen, naproxen, etc.), tissues may heal quicker and better. --- #### But what does spinal manipulation DO in reference to inflammation? Different things occur physiologically during a spinal adjustment or manipulation. We know that the mechanical receptors located in muscles, muscle tendons, ligaments, and joint capsules are stimulated and this results in muscle relaxation (reduced spasm or tightness), increased measurable range of motion, and a decrease in pain. A recent study also reported that inflammatory markers (CRP and interleukin-6) measured in a blood test, NORMALIZED after a series of nine chiropractic low back manipulations! So, NOT ONLY do spinal adjustments give immediate improvements in pain, flexibility, and muscle relaxation, they also REDUCE INFLAMMATION! So, let's review what manipulation does for your low back pain - Pain reduction; - Improved flexibility - now you can put on your socks with less pain and strain; - Improved functions and activities of daily living like sitting more comfortably, getting in or out of your car, bending over to feed the cat, etc.; - Improved sleep quality; and - Faster healing time by actually reducing the inflammatory markers in the blood! If you have LBP, PLEASE don't delay - make that appointment TODAY! tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractor’s Advice On Exercise for Back and Neck Pain URL: https://www.carolinachirocare.com/chiropractors-advice-on-exercise-for-back-and-neck-pain/ ## Chiropractor's advice on exercise for back and neck pain  About 25% of Americans are affected by back pain in a given year, and they spend more time at the doctor's office for back pain than any other medical condition with the exception of high blood pressure and diabetes. Nearly 80% of Americans will experience a back problem during their lifetime. Exercise is crucial for people with neck and back pain. Exercise is crucial for people with neck and back pain. It increases strength and flexibility, reduces joint pain, and combats fatigue, and can help decrease [lower back pain](https://www.carolinachirocare.com/back-pain/). Exercise can help you improve your health and fitness without hurting your joints. Exercise can strengthen your muscles around your joints, help you maintain bone strength, give you more strength and energy to get through the day, make it easier to get a good night's sleep, make you feel better about yourself, and improve your sense of well-being, and help you control your weight. Being overweight has a strong link to lower back pain. Exercising gets your joints and muscles moving. This decreases stiffness and weakness in the lower back joints and muscles that can cause people to experience lower back pain. #### Lower back pain and obesity Today's society is also facing a huge postural problem. Many of us are now spending eight to 10 hours a day at the computer. Coupled with driving and time in front of the television, we're creating overly-flexed torsos, and this can lead to neck and back pain. #### What can help correct postural problems? Anthony Robbins, the great motivational guru, had a great saying when he said we wake up in the morning and eat our cereal from a box, then we get in our box and drive to work and sit in our box all day. Then we finish and come home and sit in front of the box at night. As our middle back hunches or rounds forward, the head starts to jut forward with the upper back and shoulders. This can lead to stress and dysfunction in the neck and back muscles and joints, causing [neck pain](https://www.carolinachirocare.com/neck-pain/), back pain, and other related conditions such as cervicogenic headaches, migraines, and nerve pain. To counter all the excessive flexion today's modern spine is faced with, you can strengthen the muscles in your upper back-your spinal erectors, or extensor muscles. The muscles in your back and between your shoulder blades pull you backward and help maintain proper posture when strengthened. Your head and neck will adjust in a more neutral position, creating less postural stress on the sensitive muscles and joints in your neck. Exercises such as rowing and activities that pinch and squeeze the muscle between your shoulder blades are a great first step. #### Can exercise help reduce back pain? Regular exercise increases circulation, which can lead to a decrease in pain. Arteries and blood vessels dilate and get blood circulated through them when exercising. This can pump much-needed blood and circulation into stiff, injured, or arthritic joints in the lower back and spine. Consult with your doctor before starting an exercise program. Certain high-impact exercises like running can cause an increase in lower back pain. Switch over to low-impact exercises, like swimming, cycling, yoga, or even walking if higher impact exercises increase your low back pain. Many think the tendency when we have back pain, is to not move as much, and often people will use it as a reason not to exercise, and what you want to do the opposite. Light exercising and stretching can help bring down the back pain if you can just work through some of the initial uncomfortableness. When you're having lower back pain, if you can work through that by starting some light exercising and stretching it can actually decrease the pain. A note of caution you don't want the exercise to be overly-strenuous. For instance, there has been some significant research on just the benefits of getting out and walking. You're getting circulation. You're getting the joints moving. It can reduce your weight, which can lead to lower back pain. You don't have to go out and run a marathon or become a championship bodybuilder. Even light exercise can carry some pretty significant benefits. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Neck and Back Adjustments: Why Neck Injuries Need Precautions URL: https://www.carolinachirocare.com/chiropractic-neck-and-back-pain-adjustment-and-why-you-should-take-precautions-when-it-comes-to-neck-injuries/ ## Chiropractic Neck and Back Pain Adjustment and Why you should take precautions when it comes to neck injuries * This patient received a chiropractic adjustment, to the cervical and thoracic spine.  His symptoms were brought on by a fall down the stairs several years ago and he continues to experience ongoing [neck pain](https://www.carolinachirocare.com/neck-pain/) as a result of this whiplash accident. A recent study published in The Journal of Pain* in February 2014, revealed that approximately 40% of all chronic neck pain in the United States can be attributed to a prior whiplash injury. These are people who experience neck pain on a regular basis. There are over 3 million cases of whiplash in the United States every year. Ten percent of these individuals will become disabled. That's 300,000 people a year. Some estimate for women who experience a whiplash injury, there is up to a 33% chance of developing chronic neck pain, and up to a 55% chance of developing chronic headaches. If one does become injured by whiplash or a neck injury, getting evaluated and treated early has been shown to decrease the chances of the injury-causing chronic neck pain. I recommend chiropractic care and physical therapy. The injured soft tissue in the neck needs to heal properly so that arthritis does not start in the spine after the injury. Chiropractic and physiotherapies help the joints and muscles heal properly by regaining mobility and decreasing inflammation and stiffness, which can cause neck pain following an injury to become chronic. #### What can someone do to help minimize their risk of whiplash? Driving would be the number one cause of whiplash in the United States. Drive safe out on the roads, and try to limit activities that could predispose you to suffer a neck injury such as jumping on a trampoline or putting yourself in a position where you could have a fall. Adjusting the headrest in your vehicle to the proper position has been shown to decrease the chances of experiencing a neck injury after a car accident. Most of us don't check our neck rest in the car. We just jump in and go. This is something no one really thinks about, but it's a simple thing that everyone can do to ride safer on the roads. The car companies are making the vehicles much safer these days. You're much less likely to die in a car accident these days, but you're much more likely to suffer a neck injury. Cars are now engineered to be stronger, which it is decreasing the death rates pretty significantly in the United States. But, as those cars get stronger, the forces that go through the vehicle after a crash are going through the bodies now.  Bodies are absorbing much of the momentum and force that goes through the vehicles as opposed to the vehicle itself. You're less likely to die in a vehicle accident currently, but the injury rates are much higher as the vehicles are engineered stronger and better. I posted this video blog to bring awareness to the benefits of chiropractic care for neck pain, back pain, injury recovery, and many other conditions.  Some are concerned about the safety of the chiropractic adjustment and hopefully, this video will ease any anxiety that one may have regarding seeking chiropractic treatment. In health, Your Chiropractor-  Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Treating Neck and Back Pain With Fish Oil? URL: https://www.carolinachirocare.com/treating-neck-and-back-pain-with-fish-oil/ ## Treating Neck and Back Pain With Fish Oil?  #### A Magic Pill in Raleigh NC? To treat [neck pain](https://www.carolinachirocare.com/neck-pain/) and [back pain](https://www.carolinachirocare.com/back-pain/) at home in Raleigh NC consider taking 1,200 milligrams of fish oil per day. A study published by Joseph Maroon and JeffreyBost in the 2006 Journal of Surgical Neurology had some pretty interesting findings. Joseph Maroon, who is the neurosurgeon for the Pittsburgh Steelers, and Jeffrey Bost from the Department Neurosurgery, University of Pittsburgh Medical Center found that in nonsurgical neck or back pain patients participating in the study, 59% of the participants discontinued their use of prescription NSAID medications for pain after 75 days on fish oil. Eighty-eight percent of the participants were satisfied with their improvement and said that they would continue with the fish oil. Basically, these were patients who had ongoing neck and back pain but it was determined surgery was not a treatment option for them. #### The results of this study were very eye-opening, to say the least There were no significant side effects reported with the fish oil as with NSAIDs (Nonsteroidal Anti-Inflammatory Drugs), which include extreme complications such as gastric ulcers, bleeding, myocardial infarctions, and even death. The authors concluded that Omega-3 fish oil supplements appeared to be a safer alternative to NSAIDs for the treatment of nonsurgical neck or back pain. That's neck or back-related issues that aren't requiring surgery. Fish oil works by blocking enzymes in the body that are precursors and inflammatory mediators to pain. These are chemicals that drive the body to experience and feel pain and inflammation. The US Department of Agriculture has suggested limiting fish (not fish oi) consumption to one serving per week in adults, and less in children and pregnant women, because of the concern of toxic contaminants such as mercury and dioxin. Just eating fish may not be recommended. Fish oil supplements themselves have been found to contain very low levels of these contaminants. For those who cannot take fish oil due to the taste or being on blood thinners, I recommend getting the Omega-3 fatty acids from chia and flax seeds-seeds, not the oils. #### Why seeds, not the oils? The refinery process has been shown to negatively affect the chemical makeup of the Omega-3s when oil is taken out of the seed, and you're getting a more pure form from the seeds than you would the processed oils. #### A few things to consider when taking fish oil : The study recommended at 1,200 mg. per day. Some people may have a sensitivity to the fish oil that can divide it up. If it's easier to split it up into two or three doses throughout the day, then that could be a solution. Also, putting them in the freezer has been shown to decrease some indigestion that can go with taking the fish oil supplement. The participants in the study also received a significant reduction in back pain also. Make sure to check with your doctor before taking fish oil or any supplement, especially if you take blood thinners. If you would like to learn more, I talk more about the benefits of fish oil and other supplements in my E-book Getting Relief " A Consumers Guide To Relieving Neck and Back Pain At Home" http://carolinachirocare.com/suffering-from-neck-or-back-pain-get-help-here/ In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Inversion Therapy for Chronic Back Pain URL: https://www.carolinachirocare.com/inversion-therapy-for-chronic-back-pain/ ## inversion therapy for chronic back pain  Most adults experience back and neck pain at some point in their lives. It's usually due to bad posture, or a sedentary lifestyle, but it can also be caused by injury and certain medical conditions. Whatever the case is, over 16 million adults suffer from chronic [back pain](https://www.carolinachirocare.com/back-pain/) that can completely alter their lifestyle. That's why many chiropractic facilities offer treatments and therapies designed specifically for relieving back and neck pain. And one of the more popular treatments used today is inversion therapy. Inversion therapy can prove to be very beneficial when performed by certified chiropractors. But what is it exactly, and what are its benefits? Are there any side-effects? Let's find out. --- #### What Is Inversion Therapy? Inversion therapy is a subcategory of spinal decompression therapy. It involves suspending the patient upside down to stretch out the spine. During your daily activities, your body weight and gravity put immense pressure on your spine and joints. That causes the space between your vertebrae to compress, resulting in pain and general discomfort. Your spine gets the chance to decompress slightly during the night when you sleep. When you're in the vertical position, there's less pressure on your back, and nutritive fluids can flow more freely between discs and joints. So, when you wake up in the morning, your chronic back pain might be somewhat relieved. As an added bonus, this spinal decompression during sleep usually adds about half an inch to your height in the morning. Inversion therapy, however, is more effective at decompressing the spine than just sleeping in a vertical position. It temporarily reverses the effects of gravity (and your body weight) and can act as a strong pain reliever. Chiropractors will use different inversion therapy tools and devices to help decompress your spine. They include - Inversion tables - Inversion chairs - Gravity boots. - Inversion tables and chairs are often more comfortable than gravity boots and provide better control over precise inversion angles. --- #### Benefits of Inversion Therapy Inversion therapy can provide countless benefits to patients suffering from chronic back and neck pain. The following are just some of the most common reasons why people choose inversion therapy. **1. Managing Medical Conditions** Numerous medical conditions can cause chronic back pain. You should always consult with your doctor or chiropractor before treating your condition with inversion therapy. With this in mind, it's suggested that inversion therapy can lessen the impact of these conditions: - Sciatica - Scoliosis - Degenerative disc disease Inversion therapy is by no means a cure for these conditions. However, it can help relieve the pain associated with them. Pressure on the spinal discs can irritate the conditions and cause further discomfort, and inversion therapy works by simply removing the pressure. **2. Relieving Chronic Pain** The primary purpose of inversion therapy is to relieve back and neck pain. Studies have shown that with regular inversion therapy, chronic pain can be managed and even eliminated. By managing chronic pain with this therapy, you can eliminate the need for pain medications and even avoid surgery. As a non-invasive and relatively simple treatment, inversion therapy is a much safer choice for many patients. **3. Improving Mobility** You're able to move freely and smoothly because of synovial fluid that's present in your joints. This fluid offers lubrication to the joints and provides them with all the necessary nutrients and minerals. When you stand, move around, exercise, etc., you put pressure on your joints. The pressure can reduce the volume of synovial fluid in your joints and spinal discs, which leads to stiffness. Inversion therapy releases the pressure from the joints, stimulating the synovial fluid, and providing necessary lubrication. That will give you greater freedom of movement and more flexibility. Combining inversion therapy with a medical massage can often bring the most benefits. It will help you relax, relieve pain, and improve mobility almost immediately. #### Side-Effects of Inversion Therapy Inversion therapy can come with a few side-effects, so it's not recommended for everyone. People who shouldn't use inversion therapy include those who - Have bone and joint disorders - Are pregnant - Have retinal detachment - Have ear infections - Suffer from high blood pressure - Have cardiovascular disorders. - Always consult with your doctors and chiropractors before attempting inversion therapy. The following are some of the side-effects that can come with this type of therapy. **1. Increased Blood Pressure** When you're in an inverted position, your blood pressure can increase exponentially. Your heart will need to work much harder than normal to provide blood to every part of your body. Although your heart rate will actually decrease, the increased blood pressure can be very detrimental if you have certain underlying conditions. **2. Increased Eye and Ear Pressure** Inversion therapy often results in a temporary increase in pressure in the eyes and ears. While the effects are short-term in healthy people, this can be very dangerous to some individuals. Inversion therapy should be avoided if you have glaucoma, retinal detachment, or ear infections. It's important to note that most of the side-effects of inversion therapy are due to improper use of inversion devices. You'll experience side-effects such as discomfort, pain, and more if you stay inverted for too long, or if the angle is too high. Start slowly and don't overdo it. Always practice inversion therapy with a certified chiropractor. Spinal decompression with inversion therapy can be very effective in treating back pain. However, you don't need to suffer from back problems to experience the benefits of inversion therapy. This therapy can improve your spinal health and increase your mobility, whether you have pain or not. Contact us if you have any questions about this therapy or if you need consultations on how to treat chronic back pain. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Top 21 Weight Loss Tips Which May Help Heal Your Back Pain! URL: https://www.carolinachirocare.com/top-21-weight-loss-tips-which-may-help-heal-your-back-pain/ ## Top 21 weight loss tips which may help heal your back pain  Chiropractor's Top 4 Things You Can Do At home To Heal Your Back Pain can dramatically reduce [low back pain](https://www.carolinachirocare.com/back-pain/) (LBP). Let's look at easy ways to lose weight without the need for fancy, hard to follow diets. #### What to Do - Eat smaller meals throughout the day. This can give your body the feeling of fullness and help curb those craving that can be so intense the first weeks of a weight loss plan. - Get your sleep. Research has shown getting proper sleep can help with weight loss. This also helps balance your cortisol levels which have been linked to excessive weight gain. These are your stress hormones that get released when your body lacks sleep or is under excessive stress. - Eat your fruits and vegetables! The fiber contained in fruits and vegetables makes your stomach feel full while the healthy vitamins and minerals jump start your metabolism. - Eat soup. Soup is loaded with vegetables and can make you feel full when you're hungry without weighing you down. A little trick I like to give is to add some hot sauce to your soup. This health kick can help speed up your metabolism. - Cut out the refined sugars, white flours, and carbohydrates. Switch over to slow-burning carbs which help your body release insulin slowly over time. Brown rice, potatoes, sweet potatoes, and whole wheat are better to help you feel full and lose weight. They're also more anti-inflammatory and better for your overall health. - Use visualization to help. Picture what you would look like without the extra weight. What clothes would you wear? Imagine the compliments he would be getting. What would your friends and family say? Visualization is a powerful tool to use with any goals. - Cut out fatty meats and cheeses. Pepperoni, Bacon, processed cheeses all are very high in calories and can weigh you down as you try to lose weight. - Switch over to healthy oils. Oils like coconut oil, olive oil, and grape seed oil are best. While they contained fat have been clinically proven to not cause weight gain. These are heart-healthy fats they give you many long-term health benefits besides weight loss. - Cut out the soda and sugary drinks. You're adding extra calories and sugars which have been shown to drastically cause an increase in overall body weight and obesity. Go for that unsweet tea or ice water with lemon. This adds up over the years and can drastically impact your weight loss. - Get moving. There's little explanation needed here. The more you exercise the more calories you burn and the better you feel. Move it and lose it!! - Watch your alcohol intake. These are extra calories that over time add up big time. You're also much more likely while drinking to reach for those potato chips, nuts, unhealthy snacks and foods - Add green tea to your diet. Green tea has been shown to speed up your metabolism. Check with your doctor beforehand because it contains caffeine. - Start yoga or Pilates. Group classes help with your commitment and being around others with similar goals helps you stay committed. Studies have shown that yoga and pilates aid in weight loss. Another added benefit is relaxation which also helps lower your cortisol levels. - Opt for cooking at home instead of eating out. Restaurants add extra oils, butter, frying..which taste great but don't end up helping with your weight loss goals - Drink water throughout the day. This can help give you that natural metabolism boost while tricking your stomach that it is full. - Eat smaller portions. Over time your body will require less food to feel full. This diet has been shown to be very effective in weight loss throughout the years. - Don't be afraid to eat. You're losing weight not starving yourself!!! The key here is it is what you eat and how much you eat. Remember you never want to starve yourself it's just not healthy. - Use vitamin and mineral supplementation. Like a well-oiled machine you want your body firing on all eight cylinders. A good multivitamin is always recommended along with minerals like magnesium, zinc, and potassium. - Supplement creamy sauces with red sauces. The cream is high in calories and fat. Red sauces are high in antioxidants low in fat and high in fiber. Always be thinking this when losing weight. What is low in fat? High in antioxidants? And high in fiber? - Go for lean meats. Lean chicken breasts, lean turkey, salmon, seafood, and fish have less fat than higher fat meats like bacon, hamburger, steaks. This is a great way to shed those extra pounds!!! - Exercise, exercise, exercise! The more you move the more you lose it's a win-win. CELEBRATE! Once you've successfully Lost the weight take yourself out for a cheat day at your favorite restaurant or binge on that pizza you've been craving Weight loss can be easy with a little help, some hard work, and some fun invigorating healthy exercise! tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Top Benefits of Therapeutic Exercises for Back Pain URL: https://www.carolinachirocare.com/top-benefits-of-therapeutic-exercises-for-back-pain/ ## TOP BENEFITS OF THERAPEUTIC EXERCISES FOR BACK PAIN  What are the benefits of adding [therapeutic exercises](https://www.carolinachirocare.com/therapeutic-exercises/) to your chiropractic adjustments and therapies? We've all experienced lower back or neck pain at some point, and most of us want the quickest way to make it go away. Recently, many studies have come out supporting the effectiveness of chiropractic adjustments or SMT (spinal manipulative therapy) combined with therapeutic exercises as the most effective way to manage [lower back pain](https://www.carolinachirocare.com/back-pain/) and neck pain. In a review of six recently published articles on patients with chronic spine pain, it was noted in the study that those who exercised showed significantly more improvements than those who did not. Outcomes were classified based on pain levels and disability. The increase in outcomes (pain levels decreasing and disability ratings dropping) was not seen among those who did not exercise. Interestingly enough, the therapeutic exercise group that did exercise experienced some bone density increases and strength gains. Strength gains and healthy bone density levels have also been linked to experiencing less back pain. #### How and why do therapeutic exercises work? Therapeutic exercise helps to relieve spine pain primarily by increasing your range of motion. Stiff and tight muscles need to be stretched. After receiving a chiropractic adjustment to the spine the joints will be able to move more freely and with more mobility. When you add specific and targeted therapeutic stretches to the muscles around these joints optimal range of motion can be achieved. Imagine being able to bend over and tie your shoes without low back pain, or turning your head while driving without having neck pain. These are some of the benefits seen when combining chiropractic spinal adjustments with targeted therapeutic exercises and stretching. #### What should you expect during your treatment for back pain? It is recommended that in between office visits patients perform their therapeutic exercises at home. You will first be instructed on how to perform your prescribed therapeutic exercises and stretches during your office visit. Then you will be provided instructional handouts on how to perform your prescribed therapeutic exercises at home on your own. #### Good therapeutic exercise prescriptions for back pain include Strengthening exercises - Muscles in your spine, core, or extremities that require strengthening are identified. Often, back pain may be well managed with core strengthening exercises for the abdominal, hip, and spinal stabilizer muscle groups. Flexibility exercises - Muscles that are hyper-contracted, tight, and inflexible are identified. Then you'll be instructed on how to stretch and lengthen these muscles. Functional movement assessment - A functional movement assessment may be performed, which is a movement-based diagnostics system to assess movement patterns that may be contributing to the problem. In summary, spinal adjustment combined with targeted prescribed therapeutic exercises have been shown to be superior in recent studies over participants who had 1. only medication and rest 2. only SMT 3. only therapeutic exercises. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractor Explains How to Avoid Back Injuries URL: https://www.carolinachirocare.com/chiropractor-explains-avoid-back-injuries/ ## Chiropractor Explains How to Avoid Back Injuries  When it comes to avoiding back injuries, your fate is largely in your own hands. It's true that an unexpected fall or auto accident may cause an injury that's beyond your control, but a large percentage of back injuries are caused by your own actions, which means you can take measures to prevent them or stop them from getting worse. Here are a few valuable back injury tips from a chiropractor. ### Pay Attention to Your Lifting Technique How you lift boxes, laundry baskets, children's toys, a pair of shoes, or just about anything else, has a bearing on the health of your back. When you lift correctly your spine is in the proper alignment and there is no added stress placed on your back. This means you should bend your knees and keep your back as straight as possible when you pick anything up off the floor. If you have a lot of lifting to do try to place items on a table or chair so there isn't as much bending required picking it up. Your back is not designed to work as a crane so anytime you use it that way you are putting stress on your back that doesn't need to be there. Take a balanced stance, lift with your legs and move your feet if you need to change direction while holding the object. ### Sensible Body Management Performing activities with your back health in mind is a great strategy to help you avoid back injuries. That means stretching before any type of physical activity, taking it slow if you have a lot of repetitive lifting to do, and taking breaks to rest and stretch during the activity. Getting yourself into good physical condition also protects your back and helps to avoid injuries. This includes losing weight in your midsection and strengthening core muscles, to make lifting and general movement less stressful on your back. Most chiropractors will also tell you that sleeping on a firm mattress is another way you can nurture your back and prevent injuries. ### Don't Let Injuries Linger If you end up with a back injury despite your efforts to avoid it, you should seek treatment with a chiropractor as soon as you can. Spinal misalignment, bulging discs, herniated discs, and other injuries often only get worse if you let them linger. Prompt treatment will restore blood flow to the area, relieve any compressed nerves and get you back to normal in the shortest time possible. At Carolina ChiroCare and Rehab our team is here to help answer your questions.  Please feel free to contact us today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Everyday Practices To Support a Healthy Back URL: https://www.carolinachirocare.com/support-a-healthy-back/ ## Everyday Practices To Support a Healthy Back  Chiropractors at Carolina ChiroCare and Rehab treat several issues, but people with [back pain](https://www.carolinachirocare.com/back-pain/) are one of the most common. There are a lot of different ways back pain shows up in people's lives. From muscle strain to herniated discs, the type and cause of back pain varies widely. When your back hurts, it can make daily activities difficult. Despite this pain and difficulty, most people who suffer from back pain tend to think of it as a part of life they try to get used to. They don't seek out treatment right away because they think they need to tough it out. If you're experiencing back pain, it's best to seek out the help of a chiropractor who can perform a thorough exam. They'll be able to find the source of your back pain and create a treatment plan with gentle and natural adjustments to your spinal column to get you back to your best health. Outside of chiropractic care, there are several strategies you can employ in your daily life to keep your back as healthy as possible to avoid back pain problems. #### Protect Your Body With Exercise Healthy muscle tone will keep you sitting up straighter, protect your spine from injury, and help you recover more quickly when you are injured. It's always best to consult a medical professional before pursuing a new exercise regime, especially if your back is in questionable shape. To support a healthy back, you want to work on strengthening your core muscles. These are found in your abdomen and your lower back. For most people, daily activities won't touch on your core. As your core muscles weaken, it's common to slouch more and have more back pain. A healthy core workout can keep you moving with more ease. #### Wear The Right Shoes Your shoes can have a major impact on your spinal alignment and therefore your back pain. The wrong shoes can have you walking unbalanced and hurting your knees and back. The right shoes for you will be comfortable. They will be balanced and flexible. This will support proper posture. #### Practice Good Posture While we all know that good posture means sitting and standing as straight as possible, there is more to consider here. Practicing good posture means exercising to strengthen your muscles to make good posture easier. It also means getting chiropractic adjustments, since it's extra difficult to have good posture when your back is in pain. A good sign that you have good posture is if you're in a position where you feel less strain. When you are slouched, it may feel easier or more natural to you overall if you are used to slouching. However, as you sit up straighter, you'll notice the sore muscles feel less strained. The more you practice good posture, the more natural it will become, and the healthier your back will be. #### Limit The Amount Of Time You Spend Sitting This is a difficult tip for most people to implement these days, but it is possible with careful thought. Many people find it useful to set a timer. If you spend an hour working at your desk, you can then get up and walk around your office--or better yet, around the building--for even just five minutes. This will keep you more aware of your posture and let your back get some relief. During these breaks, it can also be useful to stretch and move as much as possible. Those who work on their computers all day can also benefit from tools like standing desks. A healthy exercise routine will also help with the impacts of a lot of time spent sitting. #### Improve Your Back Health With Small Changes The above tips are all small adjustments you can make to your daily life to have a big impact on your back health. The more you do these things, the better you'll feel. If you're struggling with your back health, chiropractic will always be able to help you, either by answering your questions on specific issues you're facing or by creating a treatment plan to help you move toward a healthier version of you. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### What’s Causing Your Annoying Neck Pain? URL: https://www.carolinachirocare.com/whats-causing-your-annoying-neck-pain-when-exactly-should-you-see-your-chiropractor/ ## What's Causing Your Annoying Neck Pain?  There are seven cervical vertebrae in the neck. Our chiropractic clinic can teach you about the structure of the neck. In between the vertebrae are the cervical discs or shock absorbers of the spine. The cervical vertebrae sit on top of each other and form joints on each side called the facet joints. Injury, inflammation, degeneration, arthritis can all cause the discs and facet joints in the neck to generate [neck pain](https://www.carolinachirocare.com/neck-pain/). The first cervical vertebrae C1 is called the Atlas. It sits on top of the vertebrae below, C2, and allows for rotation to occur in the head and neck. There are many muscles and ligaments that run up the spine and attach in between and around all seven of the cervical vertebrae into the back of the skull, or the occiput. #### Where Does Neck Pain Come From? Neck pain can come from one or many of the structures of the neck listed above. The facet joints can be prime generators of neck pain. The facet joints over many years can grind on each other causing arthritis to build up in the joints. The facet joints also have joint capsules and a nerve supply which can be a pain generating source. The joint capsules can become entrapped in between the vertebrae causing neck pain. The joint capsules can also become structurally injured in an accident like whiplash, which can permanently disfigure the joint capsule leading to chronic neck pain. The cervical discs in the neck can also become injured or degenerate, causing neck pain. This can happen over time or with an acute injury. Often times there will be nerve pain associated with a disc-related injury or condition. When nerve compression is present in the neck there is oftentimes radiating pain into the arms and hands. #### When Should You See A Chiropractor For Neck Pain? - If the neck pain is unresolved after a few days. - If you have radiating pain, numbness, tingling, or weakness in the arms or hands. - There is an unresolved headache associated with your neck pain. - There is a fever associated with your neck pain. - After a sudden injury like a car accident or fall. There can also be some more rare but serious causes of neck pain including cancer, tumors, infections like meningitis, and even bone infection. #### Chiropractic Care For Neck Pain And Headaches? Chiropractic care for neck pain and headaches includes manual therapy which includes spinal adjustments and muscle work to loosen up tight joints and muscles in the neck. Your chiropractor may also use physical therapies for neck pain such as electrical muscle stimulation or ultrasound therapy which help bring down pain, inflammation, and promote healing. Other treatments often used by Chiropractors include therapeutic stretching and strengthening exercises, or traction therapy to decrease built-up pressure in the neck which may come from aging discs or build-up of arthritis in the neck. Most chiropractors will also help you address the cause of your neck pain, exploring things like your workstation, pillow, or poor posture. If your neck pain seems more serious your Chiropractor will likely utilize an X-ray or MRI study to determine certain causes of neck pain. Neck pain ranks in the top five disorders in the U.S., affecting an estimated 16% to 75% of all individuals at any given time. #### Can a Chiropractor help when you have neck and shoulder pain? Neck and shoulder pain are often related. The muscles around the neck attach around the shoulder blades in the upper back. Another source of neck and shoulder pain is from a pinched nerve in the neck. The nerves that feed your muscles and skin in your arms and hands come out of your neck and run down your shoulder into the hands. When the nerve is pinched in your neck it will cause neck pain and shoulder pain. If you are experiencing neck pain with pain and numbness in the shoulder, arm, and hand you may very well have a pinched nerve in your neck. #### Should your Chiropractor use neck pain exercises? Chiropractors will utilize a variety of modalities to treat your neck pain. Combining chiropractic adjustments with neck pain exercises has been shown to decrease pain faster, increase healing times, and has been proven to work better in multiple studies. The Orthopedic Journal Spine found "for chronic neck pain, the use of strengthening exercise, whether in combination with spinal manipulation appears to be more beneficial to patients with chronic neck pain than the use of spinal manipulation alone". #### The Takeaway In most cases, neck pain will resolve in a short amount of time with a conservative chiropractic treatment plan. In more severe cases, an ongoing treatment plan is needed. This may include diagnostic testing, co-management between multiple healthcare professionals, chiropractic X-Rays, and in some cases even surgery. Chiropractic neck pain exercises and therapies should combine with chiropractic adjustments for optimal benefits. If you have any additional questions about chiropractic neck pain treatments please feel free to get in touch here. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractic Care And Text Neck URL: https://www.carolinachirocare.com/chiropractic-care-and-text-neck/ ## Chiropractic Care And Text Neck  How many hours a day do you spend with your neck hunched forward as you read on a device? Whether it's your computer, tablet, or cell phone, this position gives chiropractors nightmares. It may not seem like a major issue, especially if it doesn't hurt while you're doing it. However, over time, holding your body in this position can cause what many people now refer to as text neck. #### What Text Neck Is And How It Affects Your Spinal Health Text neck affects your neck, shoulders, and upper back. In the past, text neck has also been known as nerd neck. The results are tight upper back muscles, an uncomfortable rounding of the shoulders, and an imbalance that becomes standard for how you hold your posture. If you spend two hours a day looking down at a device in your lap, that's 730 hours a year. Many people spend more than twice that, and for young people, the numbers are even higher. With a habit like this started at a young age, that's a lifelong habit of spending many hours every day with the head hunched forward. This position is hardly new to the human body, but it's still not a natural one for it to stay in for so much of the day. One of the first negative side effects of holding this position is usually neck pain or headaches. Stretching the spine at this angle for prolonged periods can also cause herniated discs, pinched nerves, and spinal misalignment. Holding this poor posture can become a habit. You'll notice people walking around with their heads hunched forward all day long, seeming to have a rounding to their upper backs. This is from holding that posture so often. The earlier text neck is caught, the better. It's easier to work on holding a healthier posture and avoiding the long term effects of text neck the earlier you make positive changes. #### How Chiropractors Can Help You Fight Text Neck Chiropractors can help you keep a healthy spine and fight text neck. They do this in a few ways. Your chiropractor has experience with seeing all stages of this curvature of the spine. After an exam, they can offer you detailed tips personalized to your life that you can use to make sure your spine stays healthy, your head supported, and your neck straight. They'll talk to you about ways to use your devices while holding a steady posture and exercises you can do for proper spinal health. During your appointment, they will also look at any problems that have begun due to text neck. If you were experiencing pain, it may be from a misalignment of the vertebrae in your neck. This can lead to compression on the nerves, which can travel to create pain throughout the body. Your chiropractor can perform gentle adjustments to correct your alignment to its natural position. While this kind of misalignment is nothing new, it is definitely a growing problem in the modern world. That doesn't mean you have to give up your devices. It does mean you should stay mindful of your spinal health, so you can stay healthy and maintain good posture. Your chiropractor will be there to help guide you along the way and offer treatments to help you along the way. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Does Neck Surgery Improve Long-Term Outcomes? Your Chiropractor Explains URL: https://www.carolinachirocare.com/does-neck-surgery-improve-long-term-outcomes-your-chiropractor-explains/ ## Does Neck Surgery Improve Long-Term Outcomes? Your Chiropractor Explains…  #### Does Neck Surgery Improve Long-Term Outcomes?​​ How many times have you heard, "I have a pinched nerve in my neck and have to have surgery." Though there certainly are cases where surgical intervention is required, surgery should ONLY be considered after ALL non-surgical treatment approaches have been tried first (and failed). It is alarming how many cases of cervical radiculopathy (i.e., "pinched nerve") end up being surgically treated with NO trial of non-surgical care. Hence, the focus of this month's article will look at research ("MEDICAL EVIDENCE") that clearly states neck surgery DOES NOT improve the long term outcomes of patients with chronic neck pain. Chronic neck pain (CNP) is, by definition, neck pain that has been present for a minimum of three months. This category of neck pain is very well represented, as many neck pain sufferers have had neck pain, "…for years" or, at least longer than three months. Depending on the intensity of pain and it's the effect on daily function, many patients with CNP often ask their primary care provider, "…is there anything surgically that can be done?" The desire for a "quick fix" is often the focus of those suffering from neck pain. Unfortunately, according to recent studies, there may not be a "quick fix" or, at least surgery is NOT the answer. The December 2012 issue of The European Spine Journal reports that spine surgery did NOT improve outcomes for patients with CNP. Moreover, they pointed to other studies that showed some VERY STRONG REASONS NOT to have spine surgery unless everything else has failed. One of the reasons was a higher hospital readmission rate after spine surgery. Another reported that most studies on surgical vs. conservative [non-surgical] care showed a high risk of bias, suggesting the research on surgical intervention was biased in the research approach used. They further reported, "The benefit of surgery over conservative care is not clearly demonstrated." It is important to point out that the researchers analyzed studies that included patients with and without radiculopathy (radiating arm pain from a pinched nerve), and myelopathy (those with pinching of the spinal cord creating pain, numbness, weakness in the legs, and/or bowel/bladder dysfunction). In February of 2008, the Neck Pain Task Force published overwhelming evidence that research supports the use of cervical spinal manipulation in the treatment of both acute and chronic neck pain with or without radiculopathy. Bronfort published similar findings in 2010 in a large UK based study that looked at the published evidence supporting different types of treatment for various conditions. They found cervical spine manipulation was effective for neck pain of ANY duration (acute or chronic). Chiropractic utilizes manipulation, manual traction, mobilization, muscle release techniques, home cervical traction, exercise, as well as a multitude of physiotherapy modalities when managing patients with CNP. Given the overwhelming research evidence that surgical intervention for CNP is NOT any better than non-surgical care, the greater amount of negative side-effects, and the obviously long recovery time post-surgically, chiropractic treatment of anyone suffering from CNP should be tried FIRST. #### Ok, I Have Neck Pain …But When Should I Come In For Chiropractic Care? A few good rules of thumb I recommend are: - If the pain is worsening and not feeling better each day. This could be a sign that intervention is required to get the [neck pain](https://www.carolinachirocare.com/neck-pain/) to go away. - If the pain is radiating into the arms, hands, or down this spine. This may indicate that there could be nerve irritation in the neck that should be examined as soon as possible. - The pain is affecting your sleep or work. - You are experiencing dizziness, head pain, or feeling faint. These could be underlying signs that something much more significant should be examined and ruled out. - Your neck pain was due to whiplash following a car accident or sports injury. Studied show that early treatment and management has an impact on the long term outcomes of these type of injuries. - Your neck pain is causing [headaches](https://www.carolinachirocare.com/headaches-migraines/). The headaches may run the risk of becoming chronic. We know now that when headaches are "tension headaches" that chemicals get released into the body from the irritated neck joints that trigger headaches. In some instances, this can lead to a vicious cycle of headaches for many years. Make sure to get this looked at if your headaches seem to be related to your neck pain. Many patients wait too long to address their neck pain and end up making the treatment to relieve it take longer and often times more expensive. In Health…Your Chiropractor tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractic Care As Part of Chronic Pain Management URL: https://www.carolinachirocare.com/chronic-pain-management/ ## Chiropractic Care As Part of Chronic Pain Management  How big of a difference can chiropractic care make in a plan for chronic pain management? For some, studies have found that it can cut down their need for prescriptions meds by half. When someone is suffering from chronic pain, they'll likely do just about anything they can to make it more manageable. Chronic pain is a life altering problem. As bad as the pain is, there is also the difficulty of finding ways to live your daily life. That's where pain management strategies become essential. The most common way to deal with chronic pain is through prescription medications. This is expensive, can be mind altering, come with side effects, and runs the risk of becoming addictive. These downsides are less important for people who find they come with the trade off of being able to participate in daily activities and live their lives. However, even with the prescription medications, pain management is a constant struggle. Ever chronic pain sufferer--whether from [back pain](https://www.carolinachirocare.com/back-pain/), migraines, an old injury, or chronic illness--needs as many tools in their box as possible. #### Chiropractic Care As A Natural Solution For Chronic Pain Chiropractic care is pain free, uses no medications, and requires no surgery. Chiropractic treatments are a non-invasive solution for pain management. A chiropractor will discuss your overall health with you. They will then work to find the sources of your pain and offer immediate relief, as well as long term solutions for treatment plans to make the pain manageable. How often you'll need to visit a chiropractor and what your treatments will involve will be personalized to your health needs. Chiropractic treatments involve aligning the spine and joints to their natural positions. The spine has an effect on most parts of the body. This is in large part because the nervous system travels everywhere, and many nerves are adjacent to the spinal column. When a nerve is compressed in one place, the pain can show up anywhere else. One example of this is [sciatica](https://www.carolinachirocare.com/sciatica/). Sciatica is pain from the sciatic nerve, the longest nerve in the body. It is down the backs of both legs into the bottoms of the feet, and in the lower back. When there is a misalignment of the spinal column in the lower back, one of the vertebrae can compress the sciatic nerve. While this may hurt in the lower back, it may not. Instead, the symptoms may be pain or numbness down one leg, or in the foot or feet. Chiropractors are experts in understanding the nervous system and how this can cause different types of chronic pain. At chiropractic treatment, they will manipulate the spine or joints to gently help them realign to their natural position. This may provide immediate pain relief and improve range of motion. As your chiropractor works over time with a person in chronic pain, they will learn more about how often treatment is needed, what treatments work best in the long term, and be able to make adjustments to the treatment plan for better results. The long term goals for chronic pain are to find ways to reduce pain, increase range of motion or other physical abilities, and to lower the need for prescription medications or even over the counter medications to get through the day. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### The Sitting Epidemic URL: https://www.carolinachirocare.com/sitting-epidemic/ ## The Sitting Epidemic  Are you suffering from [lower back pain](https://www.carolinachirocare.com/back-pain/)? Lower back pain is a common complaint for those that sit for long periods of time. A majority of employees work from a desk and are unable to move around throughout the day. Chiropractors at our chiropractic clinic have often urged those who sit for long periods of time that they need to get up and move around. Recently the American Medical Association has recognized this issue and has implemented ways to change this problem for employees. They have recently urged employers to make alternative arrangements for employees so that they will not suffer from lower back pain due to sitting. #### A Nation of Obese Sitters Unfortunately sitting for long periods of time has caused many people to become obese and have health related problems. There are too many activities that the average person participates in that requires sitting.   Whether you are eating, watching television, working, playing a video game, driving, or browsing the internet you're probably sitting. Research at Duke University concluded that employees with a BMI of over 40 filed twice as many workers compensation claims. This research also concluded that their medical bills were 7 percent higher than those with a lower BMI, and that they were likely to miss work 13 times more than the average worker who did not suffer from obesity. #### Tools To Help Fight The Sitting Epidemic The American Heart Association is promoting a new device to help combat obesity by stopping people from sitting for long periods of time. This device is a phone app that is called Hotseat and was created by Fran Melmed. This app works by setting the device to sync with a person's work schedule. The app can be set to allow the user to have various 2-minute breaks throughout the day. Another useful tool that has been implemented is called the treadmill desk to help lower back pain. The treadmill desk is part of the employees work station as they will be able to continue to work while exercising on the treadmill. Other ways to lessen the chances of lower back pain is to take walks after meals and park further away from your door at work. For more information or questions please feel free to contact our chiropractic team at Carolina ChiroCare and Rehab today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### 7 Tips Office Workers Can Use To Improve Their Spinal Health URL: https://www.carolinachirocare.com/7-tips-for-office-workers/ ## 7 Tips Office Workers Can Use To Improve Their Spinal Health  It's no secret that back and neck pain are common problems for office workers today. Sitting for eight hours a day puts a lot more strain on the body than many people suspect. Then, after a long day of work, many people go home to sit while they eat, watch television, and relax for the evening. It's not always realistic to do a large overhaul of your entire life, so many people then shrug away the problem and assume this is just how modern life is. Your chiropractic team at Carolina ChiroCare and Rehab knows this doesn't have to be the case. While you may still need to spend much of your day sitting, there are small adjustments you can make that will lead to improved spinal health and a better sense of overall wellness. Let's see what small changes you can make to move through your day a bit easier. #### 1. Adjust Your Working Environment This is a change that will take you a little time to get set up properly but will then take care of itself. Look at the ergonomics of your desk set up. Is your computer screen at eye level? If you work on a laptop, it's very common for the screen to be too low. If you're looking down at all, you're putting a strain on your neck. Consider getting a separate keyboard you can place on the desk and raising the screen with a book or laptop stand. #### 2. Invest In A Quality Office Chair All office chairs are not created the same. Switching to an office chair with better support for your back can make a large difference in the way you hold yourself while sitting, and this will have a huge impact on your spinal alignment. Try to find a chair that helps your body feel less strain while you sit. #### 3. Exercise Your Core Having a healthy workout routine will help your body feel better overall, especially in terms of your spinal health. Try to work in a fitness routine that exercises your core three times a week. Your core muscles are a large part of your midsection, mainly your lower back and abdomen. A strong core will affect how you hold yourself while sitting or standing. #### 4. Work On Your Posture When you spend a lot of time sitting, your posture can start to suffer. Exercising your core will help you hold a better posture. Other tips include attempting to be mindful. Even if you slip into slouching, again and again, it helps if each time you sit down you take a moment to mindfully position your posture better. This will also get easier if you keep your computer screen at eye level. If you'd like to take this a step further and really improve, there are gadgets online you can wear to keep you mindful of your posture. These tools will vibrate whenever you start to slouch, reminding you to adjust your posture. This can help you build healthier habits. #### 5. Take Breaks How often can you realistically take a two-minute break? Can you set a timer so that every hour you stand up from your chair for two minutes? Take a walk around your office, stretch your muscles, and give your eyes a chance to adjust to looking at something else. These small breaks can do wonders for your long term back health and make you feel better right away as well. This is a brief moment to be mindful of your body as you go through your working day. #### 6. Use a Standing Desk This may not be realistic for everyone, but if you can, a standing desk or treadmill desk will mean a lot less time sitting. Even if you only switch out an hour or two a day of sitting for standing at your desk, your body will thank you for this time spent in a different position. #### 7. Consult a Chiropractor Your chiropractor helps office workers every day. They can answer your questions about what causes your pain, small changes you may be able to make to help with the specific pain you're experiencing, and create a long term treatment plan for spinal adjustments to keep you in your best health. Getting regular treatments means having a professional keep an eye on your spinal health. It means someone has your back--literally. #### Keep Your Back Healthy For The Long Term Employ these tips in your daily life to maintain your back health for the long term. Even if you're not experiencing pain, sitting all day is hard on your body. The more mindful you are about your spinal health, the better you'll protect yourself from future injury. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### How To Protect Your Spine While Working Remote URL: https://www.carolinachirocare.com/protect-spine-while-working-remote/ ## How To Protect Your Spine While Working Remote  Working from home may sound like the perfect opportunity to get cozy on the couch while you settle into your day. This picture makes chiropractors everywhere cringe. Remote work has many advantages, but for the health of your spine, it's important to be mindful about how you're spending your day. When alone at home, the temptation to slouch and get comfortable is strong. Unfortunately, this is terrible for your long term posture and spinal health. Your back muscles may weaken over time. Your spine may come out of alignment more easily. While your chiropractor will always be there for you to treat these problems and improve your spinal health, there are many practices you can be mindful of when working from home to keep yourself in good health. #### Take Breaks Away From Your Desk It's not natural to hold your body in one position for too long. Instead of spending your whole day at your desk, set a timer for every hour. At this time, take at least five minutes to stretch or walk around. If you can, take ten to fifteen minutes a few times a day for a little more movement. This is also a great way to clear your mind. Movement will help you stay more focused and sharper at work, while also giving your body a chance to naturally adjust. #### Consider Your Office Set Up Carefully You want to sit at a desk. This is a healthy practice for a number of reasons. It's a good way to keep your work and home life separate while working remote. It's also a smart ergonomic decision for your body. The first consideration is your office chair. Does it support your back? When you sit in it, do your muscles feel supported, or do you feel the need to shift in your chair to get settled? Your computer screen should be at eye level. If you're working on a laptop, consider getting a separate keyboard you can place on the desk and raise your laptop on a stand or a stack of books. It is best for your wrists if the keyboard is either flat or at a reverse angle. While many keyboards are raised at the top with the bottom touching the desk, this puts your wrists up at an angle. A reverse angle has the bottom of the keyboard raised and the top touching the desk, which is a better angle for your wrists. If you need supplies to set up a more ergonomic desk space, talk to your employer or HR about covering the costs. #### Add Exercise To Your Routine Strong core muscles will support a healthy posture. Regular exercise will keep your body moving and healthy. While exercise is always good for you, checking in on your regular workout routine is a good tip for when you start working remote. #### Check-In With Your Chiropractor As Soon As You Notice Any Problems Does your back hurt? Don't let that go on untreated. The sooner you visit your chiropractor, the sooner you can find the source of the problem and take care of your health. It's natural when you go through any changes in your daily routine for pains to develop in your back, neck, or joints. This may be because of changes in your body or the repetitive motions you're making during your daily routine. Your chiropractor will be able to help you find the source of the problem and create a plan for treatment that will keep you from further injury. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ## Articles: Sciatica, Discs & Pinched Nerves ### Benefits of Spinal Decompression URL: https://www.carolinachirocare.com/benefits-of-spinal-decompression-2/ ## Benefits of spinal decompression https://www.carolinachirocare.com/spinal-decompression-therapy/ [Spinal decompression](https://www.carolinachirocare.com/spinal-decompression-therapy/#:~:text=WHAT%20IS%20SPINAL%20DECOMPRESSION%20THERAPY%3F) is a non-surgical, non-invasive treatment option for individuals suffering from back pain and discomfort caused by spinal conditions, such as herniated discs, degenerative disc disease, and sciatica. The therapy works by gently stretching the spine, which can help relieve pressure on the spinal discs and nerves. In this article, we will explore the benefits of spinal decompression and its potential to improve the quality of life for those affected by spinal conditions. ### Spinal Decompression Pain Relief One of the primary benefits of spinal decompression is its ability to alleviate pain associated with various spinal conditions. By gently stretching the spine, spinal decompression can: - Relieve pressure on the spinal discs, which can alleviate pain caused by herniated or bulging discs. - Reduce pressure on the spinal nerves, which may be compressed by surrounding structures, such as bones, ligaments, or disc material. - Improve the flow of oxygen, nutrients, and other essential substances to the spinal discs, promoting healing and reducing inflammation. #### Restoring Spinal Function Spinal decompression can help restore spinal function in several ways: - **Realigning the spine:** By gently stretching the spine, spinal decompression can help realign the vertebrae, which may have become misaligned due to injury or degenerative changes. - **Enhancing spinal flexibility:** By improving the overall health of the spinal discs and surrounding structures, spinal decompression can help enhance spinal flexibility, allowing for a greater range of motion and reduced stiffness. - **Promoting disc retraction:** Spinal decompression can create negative pressure within the intervertebral disc, which may help retract bulging or herniated discs, reducing pressure on the spinal nerves. #### Non-invasive and Low-risk Unlike surgery, spinal decompression is a non-invasive, low-risk treatment option, making it an attractive alternative for many patients. Some advantages of spinal decompression over surgery include: - **No surgical risks:** Spinal decompression does not carry the same risks associated with surgery, such as infection, blood clots, or anesthesia complications. - **Minimal recovery time:** Spinal decompression therapy requires little to no recovery time, allowing patients to return to their daily activities more quickly than after surgery. - **Lower cost:** Spinal decompression is often less expensive than surgery, making it a more accessible option for many patients. #### Preventing Further Spinal Degeneration Regular spinal decompression therapy may help slow down or prevent further spinal degeneration by maintaining the health and integrity of the spinal discs and surrounding structures. This preventative aspect of spinal decompression can potentially reduce the need for more invasive treatments in the future. #### Improved Quality of Life The combination of pain relief, restored spinal function, and minimal risks associated with spinal decompression therapy can lead to an overall improvement in the quality of life for many patients. By alleviating pain and increasing mobility, patients may experience increased independence, a greater ability to engage in daily activities, and an enhanced sense of well-being. Spinal decompression therapy offers a range of benefits for individuals suffering from spinal conditions, including pain relief, improved spinal function, and a non-invasive, low-risk treatment option. With its potential to enhance the quality of life for those affected by back pain and discomfort, spinal decompression therapy is a valuable tool in the arsenal of non-surgical treatments for spinal conditions. However, it is essential to consult with a healthcare professional to determine if spinal decompression is the right treatment option for your specific condition and needs. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractor Talks about Bulging Discs URL: https://www.carolinachirocare.com/chiropractor-talks-bulging-discs/ ## Chiropractor Talks about Bulging Discs  The concentric rings made from cartilage and other materials that are located between your vertebrae are known as discs. These discs provide a cushion between the vertebrae, preventing them from grinding against one another while your spine is moving. Chiropractors have very good results when treating this type of problem and this article will help to shed some light on the problem. #### What is a Bulging Disc? If you receive a diagnosis of a bulging disc, it means that a portion of one of your intervertebral discs is protruding past the outer edge of the vertebra. When this happens, the likelihood of the disc pressing on a nerve or other tissue increases. [Bulging discs](https://www.carolinachirocare.com/disc-injury/) are common, and while they often remain asymptomatic, they do have the potential to cause debilitating pain in some cases. A bulging disc can be caused by sports injuries or other trauma such as a bad fall or car accident. Regular aging can also cause a bulging disc because the outer portion of your discs can become weaker over time. When pressure from the center of a disc stretches to the outer perimeter, a bulging disc may be the result. #### What Are the Symptoms? Symptoms of a bulging disc begin when the disc puts pressure on nerves in your spine. Almost 90% of bulging discs occur in the lumbar region of the back. In certain cases, pain can radiate from that area to your hips, buttocks, legs, and down to your feet. If you happen to have a bulging disc in your cervical spine, you may notice pain radiating downward from your neck through your arms and to your fingers. In a worst-case scenario, a bulging disc can cause severe pain that almost limits mobility completely. #### Bulging Disc Chiropractic Treatment Chiropractic treatment for a bulging disc may include gentle spinal adjustment at the site of the problem and exercises. Each patient is treated as an individual and treatment plans are customized for maximum effectiveness. Usually, several sessions are required to ensure the disc is successfully improved back to where it needs to be and that the patient is making steady progress. We hope this information helps you to make the best choice for your health.  Our chiropractic team at Carolina ChiroCare and Rehab is here to assist you in any way we can.  Feel free to contact us today for more information tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Signs and Symptoms of a Herniated Disc from your Chiropractor URL: https://www.carolinachirocare.com/signs-and-symptoms-of-a-herniated-disc-from-your-chiropractor/ ## Signs and symptoms of a herniated disc from your chiropractor  We're going to be talking about some signs and symptoms of a [herniated disc](https://www.carolinachirocare.com/disc-injury/). The disc in your spine act as shock absorbers. Think of them like cushions in between the vertebrae. And their purpose is to absorb shock that goes through the spine after a fall, after a trauma, after a pop of your head, for instance. They provide a good level of shock absorption between the vertebrae. #### Pay Attention to Pain Often times, these discs will give way or herniate or bulge and cause symptoms such as severe sharp pain in the neck, severe stabbing, sharp pain in the low back or mid-back. And oftentimes, this pain is accompanied by a radiating pain and numbness that goes into the arms or hands, which is an agitation of the spinal nerves that are being irritated by the bulging or herniated disc. This can be very painful. With the herniated disc in the neck, or the bulging disc in the neck. These nerves go into your arms and hands and give your hands sensation and motor strength when these nerves are agitated often times the neck pain is accompanied by radiating pain or numbness or tingling into the shoulders or hands. In the low back, these nerves go into your legs and your feet. They allow your feet to feel sensation or the muscles in your legs to work properly. When these nerves are irritated in your low back, it's often accompanied by shooting pain into the legs. Sometimes there will be tingling or burning in the feet or pain in the feet as well. So that was a brief description of some symptoms of a herniated disc. If you have any other questions please don't hesitate to consult us. In health..your Chiropractor Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Can a Chiropractor help Pinched Nerves? URL: https://www.carolinachirocare.com/how-does-chiropractic-help-pinched-nerves/ ## Can a Chiropractor help pinched nerves?  Nerve pain, or commonly referred to as a pinched nerve, can be a very painful and even debilitating condition. Nerve pain may feel mild like a tingling numb sensation, but also be very painful and severe. So, what exactly is a pinched nerve? #### Can a Chiropractor help ease the pain from a pinched nerve? A nerve can be "pinched" in many areas of the body. The most commonly pinched nerves happen in the spine. However, pinched nerves can also happen peripherally in the chest, arms, legs, hands, and feet. Usually, pinched nerves in the spine are compressed from a bulging or herniated disc. Arthritis is also the main contributor to pinched nerves in the spine. Tight muscles and ligaments can pinch nerves in the arms and legs. #### How Do I Know I Have A Pinched Nerve? - There is pain that radiates- Most of the time a pinched nerve will cause radiating pain or pain that travels downwards. - There is tingling or numbness- When nerves are compressed they typically cause a tingling or numb sensation. - There is a burning sensation- Pinched inflamed nerves oftentimes feel like a burning sensation. - There is a loss of muscle strength in the arms, legs, feet, or hands- Nerves provide strength to the muscle in the body and when pinched can result in loss of strength. #### How Does Chiropractic Care Help Pinched Nerves? Chiropractic pinched nerve treatments include a variety of methods. Some common treatments for pinched nerves include - Spinal adjustments- Aligning the vertebra in the spine can help increase the space around where the nerves may be being compressed or pinched in the spine. This may be from a disc, arthritis, or ligaments that are pressing on the nerves. - Spinal decompression therapy- This therapy uses a special computerized machine to decompress the vertebrae and discs in the spine to relieve compression of the spinal nerves. - Exercises and stretching- It is important to take an active role in your treatments if you are suffering from a pinched nerve. Proper exercises and stretches should be completed during treatment and at home in between treatments to help you get results faster and longer-lasting. Even when the pain from a pinched nerve has subsided it is very important to continue home exercises so that the pain does not return. - Physiotherapies- Physical therapies like electrical muscle stimulation, manual massage, traction therapy, and ultrasound therapy are often used to help relieve the pain from a pinched nerve. - Diagnostic studies- X-ray studies can help to determine which area of the spine the nerves may be affected. Sometimes conditions require more advanced imaging like an MRI as well. - Referrals fo nerve studies or injections- When conservative treatment fails, you may require nerve studies, a consultation for injections, or surgery. Nerves that are compressed for extended amounts of time can lead to weakened muscles, or in extreme cases permanent loss of strength and sensation. #### Can a Chiropractor fix pinched nerves? Yes! Whether you are suffering from a pinched nerve in your neck, a pinched nerve in your hip, Sciatica, or a pinched nerve in your back Chiropractors are specialists in treating musculoskeletal disorders causing pinched nerves. #### Can a Chiropractor fix a pinched nerve in the arm? If you are having radiating pain in the arm and hand the cause may be a pinched nerve in your neck, chest, arm, or wrist. Your Chiropractor will perform a series of tests through the examination and may order diagnostic studies like X-ray or MRI to determine where the pinched nerve is coming from. Pinched nerve lingo… - Sciatica - a pinched nerve in the back - Carpal Tunnel - a pinched nerve in the wrist - Thoracic Outlet Syndrome - a pinched nerve in the chest - Cervical Radiculopathy - a pinched nerve in the neck - Tarsal Tunnel Syndrome - a pinched nerve in the foot If you have any additional questions about chiropractic care for pinched nerve treatments please feel free to get in touch here. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### How Your Chiropractor Can Ease Pinched Nerves URL: https://www.carolinachirocare.com/how-your-chiropractor-can-ease-pinched-nerves/ ## How Your Chiropractor Can Ease Pinched Nerves  One of the most common conditions treated by a chiropractor is pinched nerves in the neck and [lower back](https://www.carolinachirocare.com/back-pain/). When a nerve is pinched in the mid-back, pain radiates out to the sides along the ribs and can even go into the chest. It is much less common than injuries in the nerves in your neck and lower back. The medical term for this condition is radiculopathy. When it's present in the neck it is referred to as cervical radiculopathy, and in the low back, it's called lumbar radiculopathy. #### What are the signs and symptoms of a pinched nerve? Symptoms that indicate a pinched nerve in your spine include - Radiating pain down your arms or legs into the hands or feet - Tingling into the shoulders or legs - Burning pain that shoots down from the back into the shoulders and hands from the lower back into the hips, thighs, and legs - An electric shock-like sensation that radiates - Feeling like your feet, hands or arms are asleep - Muscle weakness in the legs, arms, hands, or feet #### What causes pinched or compressed nerves? There are a variety of conditions that cause pinched nerves. Some include - A bulging or herniated disc in the neck or back - Spinal stenosis - A bone spur or arthritis in the spine pressing on the nerves - Injuries - Certain types of arthritis - Compression from tight muscles - Obesity - Pregnancy #### How does chiropractic care treat pinched nerves? Chiropractic care treats pinched nerves using a variety of methods. If the pinched nerve is in the spine, spinal adjustments will help restore the mobility and flexibility in the vertebrae, attempting to increase the spacing where the intervertebral nerves are being pinched in the spine. If the nerves are pinched more peripherally in the arms or legs by tight muscles, chiropractors are trained to improve flexibility, using physical therapies to balance out tight muscles and tissues which may be compressing the nerves. Chiropractors also incorporate physical therapy modalities such as ultrasound therapy, electrical muscle stimulation, and traction therapy. These therapies are designed to dull nerve pain and decrease inflammation and swelling around a pinched nerve. [Spinal decompression](https://www.carolinachirocare.com/spinal-decompression-therapy/) is also a therapy used by chiropractors to relieve and heal pinched nerves in the spine. This treatment focuses on decompression of the vertebrae and spinal discs where compression is occurring, causing nerve compression in the spine. Spinal decompression uses computerized mechanical decompressive forces and is a treatment to consider if someone is seeking to avoid surgery. If you are suffering from pain due to a pinched nerve, there is hope. Chiropractic care can treat pinched nerves in the spine and decrease nerve pain and stiffness while relaxing sore, tight, tense, and inflamed muscles. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### What You Need To Know About Life With Sciatica Leg Pain URL: https://www.carolinachirocare.com/life-with-sciatica-leg-pain/ ## What You Need To Know About Life With Sciatica Leg Pain  Many people have heard the term [sciatica](https://www.carolinachirocare.com/sciatica/) without fully understanding what it is. Chiropractors, who are experts in spinal misalignment and how it can cause nerve pain, work with those who suffer from sciatica every day. In this article, Carolina ChiroCare and Rehab is going to cover what sciatica is and ways you can improve your daily life with sciatica leg pain. #### Understanding What Sciatica Is Sciatica can show up as pain in the legs or lower back. This condition refers to the sciatic nerve, which is the longest nerve in your body. It runs through your lower back and down the back of both of your legs. Sciatica is a pain that occurs when this nerve is irritated or inflamed. The pain may show up along the entire nerve, but most often patients experience pain in one leg or the lower back. This pain is sometimes a tingling sensation, burning, or an ache. The type of pain you're experiencing may indicate where along the nerve the irritation is occurring. Sometimes, sciatica may cause a weakness in the leg or foot. Because your sciatic nerve is in your lower back, it's common for a misalignment of the spine to be the source of the irritation for sciatica, though there can be many possible causes for this condition. #### Recognizing Sciatica Symptoms Sciatica pain typically follows the path of the sciatic nerve from the lower back into the buttock and leg, usually on one side. It tends to build gradually rather than starting with intense pain. Long periods of sitting, bending, sneezing, coughing and sudden movements often make it worse. Because several different problems can irritate the nerve, a proper examination is the first step toward the right treatment. #### 5 Tips For Improving Life With Sciatica Sciatica doesn't normally start with sudden and intense pain. Instead, it shows up slowly over time, growing worse. The condition may go away only to come back. There are things you can do to lessen this pain and help prevent the problem when possible. #### 1. Take Shorter Steps Long strides can put more strain on your legs and lower back. Walking is good for you and can help improve your life, so don't avoid it. Instead, focus while you walk and take shorter steps. #### 2. Exercise Regularly The Best You Can Movement can help keep your body in good shape, keep your spinal alignment strong, and improve your nerve pain. Don't do anything too strenuous, as heavy exercise can make it worse. You don't want to jar your spine or cause further injury to your nerve. A lot of hard jumping on your feet can cause you a lot of pain. Instead, try low-impact exercises. #### 3. Build Stronger Core Muscles This may sound odd as a way to resolve your leg pain, but it's a powerful tool for those suffering from sciatica! Remember that your sciatic nerve is in your lower back. Your core muscles are mainly in your lower back and abdomen. When you strengthen your core muscles, your posture will improve and your lower back will be better supported. This can lead to less agitation for the sciatic nerve. #### 4. Don't Sit For Too Long When you hurt, you may want to do nothing but sit as much as possible, maybe take more time in bed. This is understandable. However, prolonged sitting is one of the worst things for your sciatic nerve pain. Take regular breaks and stretch as much as you can. #### 5. Keep Good Posture Sitting up straight will put less pressure on your nerve! If you're slouched, the nerve may be pinched by poor alignment of the spine. Do your best to sit and stand up straight. #### How Your Chiropractor at Carolina ChiroCare and Rehab Can Help A chiropractor can help you with non-invasive, natural treatment plans for your sciatica. This means gentle adjustments for your spinal column that will provide pain relief without medication or surgery. If you've been diagnosed, your chiropractor can be there to help you discover the source of your pain and create a treatment plan for long term solutions. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Spinal Stenosis: Causes and Treatment URL: https://www.carolinachirocare.com/spinal-stenosis-causes-and-treatment/ ## SPINAL STENOSIS: CAUSES AND TREATMENT  #### What is spinal stenosis? Spinal stenosis is simply a narrowing of the canals in which the spinal cord runs through or in which the spinal nerve roots exit from the spinal cord. These canals can narrow from several different conditions or a combination of multiple conditions at once, leading to the narrowing of the canals in the spine in which the spinal cord and nerves travel through on their way out to the rest of the body. #### What causes spinal stenosis? Bulging and [herniated discs](https://www.carolinachirocare.com/disc-injury/) in the neck, mid or lower back. A bulging or herniated disc often, referred to as a slipped disc, can be a very painful condition that causes spinal stenosis. Nearly all herniated or bulging spinal discs push back towards the nerve roots and spinal cord. This narrows the canal space and is one cause of spinal stenosis. Facet Arthrosis. Another condition that can lead to spinal stenosis is called Facet Arthrosis. This is a condition when the facet joints in the vertebrae degenerate and form arthritis. Facet Arthrosis is usually a normal part of the aging process. Think of this as wear and tear on the joints in the spine over time. Trauma can also lead to Facet Arthrosis from a car accident, injury, a fall, or a sports injury. As the facet joints wear and tear and degenerate on each other new calcium deposits form, causing new bone formation in the facet joints. This begins to narrow the canals in the spine causing spinal stenosis. Thickening or hypertrophy of ligaments. Ligaments inside your spinal canal can thicken or grow too big, leading to spinal stenosis. This is usually something that happens with age or to people who use their spine a lot either with their jobs or through their regular activities of daily living. Tumors. Tumors in the spine can press on the spinal cord or nerve roots that exit the spinal cord feeding the arms and legs with nerve distribution. Injuries to the spine. Traumas such as car accidents can cause small fractures or dislocations in the vertebrae in the spine. The displaced bones then narrow the canals of the spinal cord. This can be considered a medical emergency in some instances and may require immediate surgery. #### What are the symptoms of spinal stenosis? Symptoms include pain in the neck, mid or lower back. There is usually radiating pain, numbness, and tingling into the arms or legs. Spinal stenosis can progress to a point that the spinal cord and nerves in the spine become compressed so much that one can lose strength and sensation in the arms hands legs or feet. In severe cases, spinal stenosis can cause problems with balance, walking, and even bowel and bladder dysfunction. #### Can a chiropractor treat spinal stenosis? Chiropractic care for the treatment of spinal stenosis helps improve flexibility, mobility, and range of motion of the vertebrae in the spine. Chiropractors also perform physical therapy within the greater treatment plan for spinal stenosis to reduce swelling and inflammation in tissues which may be contributing factors. Some forms of stenosis respond very well to specific exercises that aim to increase the flexibility and mobility in a region of the spine where spinal stenosis is narrowing the canals. This, combined with chiropractic adjustments aimed at increasing the flexibility and range of motion of specific vertebrae can be a very effective treatment for back and neck pain related to spinal stenosis. Some patients may also be candidates for [spinal decompression therapy](https://www.carolinachirocare.com/spinal-decompression-therapy/), depending on the type and severity of the stenosis and their examination findings. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ## Articles: Headaches, TMJ, Shoulders & Other Conditions ### Chiropractor Discusses Different Types of Headaches URL: https://www.carolinachirocare.com/chiropractor-discusses-different-types-headaches/ ## Chiropractor Discusses Different Types of Headaches  [Headaches](https://www.carolinachirocare.com/headaches-migraines/) are one of those health issues that can be mild and irritating, severe and debilitating, or one of many degrees in between. They can build up slowly or come on suddenly, and no matter how bad it is, almost everyone wants a remedy as soon as possible. There are several different types of headaches that a chiropractor can treat, so it is important to make an appointment if you suffer from any of the following. #### Tension Headaches A tension headache is probably the most common type people experience. Some of the common characteristics of a tension headache include; a pressing or tightening feeling, bilateral location, mild to moderate intensity, and pain lasting from 30 minutes to one week. Tension headaches don't normally include nausea or vomiting, but they may include light or sound sensitivity.  The presence of tension headaches is not attributed to another health disorder. #### Migraine Headaches Migraine headaches aren't as common as tension headaches and they are often mistaken for something else. Quite often, a sufferer will attribute any bad headache pain to a migraine, but this isn't always the case. Migraine is a condition that can be described as a recurrent headache that lasts up to 72 hours, featuring unilateral pulsating pain of moderate to severe intensity. Migraine pain includes nausea and/or sensitivity to light, and it is often made worse with normal physical activity. Approximately 20% of migraine sufferers will experience a neurological symptom known as an aura before they get a migraine. Auras take the form of visual disturbances or other sensory disturbances. Sometimes, auras occur between migraine headache attacks. Migraines aren't typically associated with any other health issue. #### Cluster Headaches Cluster headaches are quite different from both tension headaches and migraines, occurring in only about 1% of the population. While most migraine sufferers are women, men between 20 and 40 are the main recipients of cluster headaches. This type of headache produces severe pain around the eyes or along the side of the head. Attacks usually last from 15 minutes up to 3 hours and have been known to occur 8 times in a single day. Tearing, forehead sweating, and nasal congestion may accompany cluster headaches. The intense pain makes some sufferers restless or agitated during the attack. If you suffer from any of the above types of headaches and want a natural, non-invasive approach to ease your pain, a chiropractor will take the time to assess every aspect of your lifestyle, medical history, and body to find a permanent solution. Contact our team today at Carolina ChiroCare and Rehab to schedule an appointment or learn more.  We look forward to hearing from you. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Can Chiropractors Treat Tension Headaches? URL: https://www.carolinachirocare.com/can-chiropractor-treat-tension-headaches/ ## Can Chiropractors Treat Tension Headaches?  [Headaches](https://www.carolinachirocare.com/headaches-migraines/) can cause a very significant change in one's quality of life. Activities, like being productive at work or school, enjoying family time, social interactions with friends, and participating in sporting and recreational activities, can often be negatively impacted when someone suffers from chronic tension headaches. The pain from headaches can be unbearable at times. #### What is a tension headache? Tension headaches, or cervicogenic headaches, are the most common type of headaches. This is the type of headache you get after sitting at a computer screen all week at work or when you wake up in the morning with a headache after sleeping on your neck the wrong way at night. There is usually associated neck pain/stiffness, upper back pain, and tightness. Tension headaches occur when the joints and muscles at the base of the skull and even in the upper back become irritated, tight, and inflamed. Irritated joints, muscles, nerves, and fascia in and around the spine cause a referred type of headache to the head, also known as a tension headache. #### What causes tension headaches? To understand some of the causes of tension headaches, it is important to understand the anatomy of the upper cervical spine and its relationship to headaches. The top vertebrae in the cervical spine are referred to as C1, or the atlas (the meaning comes from Greek mythology, in which Atlas supported the weight of the world). The C1 vertebrae allow for full movements in the neck and head including rotation, flexion, and extension. C2 is the second cervical vertebrae in the spine and is often referred to as the Dens. The Dens, or C2, acts as a pivot that allows the Atlas and head to rotate and move side to side. These top vertebrae, C1 and C2, are surrounded by nerves, connective tissue, muscles, and ligaments that attach the spine to the base of the skull. They contain highly sensitive nerves and pain fibers because it is in close proximity to the brain and spinal cord. In addition, the vertebral artery runs up through the C1 on the right and left sides of the vertebrae and into your brain to supply it with blood and oxygen. When this highly sensitive region of the upper cervical spine experiences joint dysfunction, or the muscles, ligaments, and nerves become tense and irritated, this, in turn, leads to cervicogenic headache, or "tension headache." #### How can chiropractors treat tension headaches? Chiropractic treatments for these headaches include targeting the irritated and tight joints and muscles that may be the root cause of the tension headaches. Chiropractic spinal manipulations or adjustments restore mobility to the fixated stiff and inflamed vertebrae in the upper cervical spine and upper back, or thoracic spine. When these joints are adjusted mobility is restored to the vertebrae relieving muscle tension and soreness. Chiropractic treatments also include soft tissue therapies where tight muscles and trigger points are treated. It's very important when treating tension headaches to treat the spinal vertebrae, muscles, and ligaments. Chiropractors will also prescribe specific exercises to correct chronic postural problems that may be contributing to your tension headaches. Often times a condition such as forward head posture and poor posture in the upper back are causing the joints and muscles to carry too much of the head's weight, leading to inflammation and irritation in the joints and muscles in the upper cervical spine and upper back. When treating tension headaches, it is also important that we address relaxation techniques, exercise habits, and possible nutritional deficiencies like magnesium, calcium, and vitamin D. In summary, tension headaches are one of the top conditions treated by chiropractors around the country with a great deal of success. In health, Dr. Jeffrey Gerdes D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Headache Relief Treatments: Some Interesting Facts URL: https://www.carolinachirocare.com/headache-relief-treatments-some-interesting-facts/ ## HEADACHE RELIEF TREATMENTS: SOME INTERESTING FACTS:  Did you know that headache treatment is one of the top reasons for visits to chiropractic offices around the country? Patients suffering from headaches often have associated neck pain, upper back pain, tension, tightness, and dysfunction. Often times, this pain and dysfunction originates from dysfunctions in the spine and causes a cervicogenic headache, or "tension headache" #### Some common symptoms of tension headaches  include - Head or face pain which can be unilateral or bilateral and located at the base of the skull or around the eyes - Associated neck pain, tension, stiffness, soreness, pressure - Throbbing, dull, constant pain - Pain and stiffness turning the neck, looking up or down - Head pain made worse with added pressure, such as sneezing or coughing - Pain that can last for hours or even days or that comes with sitting in the same position for several hours a day - Pain around the eyes - Tension, pain, spasms or pins and needles in upper back, shoulders, arms, or hands - Feeling lightheaded - Nausea From a clinical perspective, it is important to note that there is a relationship between chronic tension headaches, and depression. #### Some common causes of cervicogenic, or tension headache - Irritated, tight inflamed neck muscles - Injuries or inflammation in the discs in the neck - Old or new whiplash injuries, usually from car accidents or sports injuries - Forward head posture (the act of holding head out in front of you) or when your head juts too far over the shoulders - Working at a computer all-day - Bad posture #### Factors that may cause an increased risk of developing cervicogenic headaches In many cases, cervicogenic headaches can be prevented. There are risk factors to watch out for in order to avoid such pain. Some of those risk factors are outlined below. - Smoking - this can increase disc degeneration - Age - natural wear and tear can cause disc problems - Occupation - sitting for long periods of time, working in construction, or commercial fishing. - Sports - professional sports with high impact - Sleep - lack of sleep - Lack of exercise - poor physical condition leads to weak muscles - Poor nutrition - can lead to fractures It is important to take note that oftentimes tension headaches come from tiny misalignments in the vertebrae of the spine, usually the cervical and thoracic spine. Chiropractors specialize and are trained to evaluate and treat their patients for these vertebral joint dysfunctions that may be the root cause of cervicogenic, or tension headaches. Vertebrae in the spine are surrounded by sensitive nerves, connective tissue, muscles, and ligaments. These tissues contain highly sensitive nerves and pain fibers. When the vertebrae misalign it causes irritation, excess tension, and inflammation in these surrounding nerves, connective tissues, muscles, and ligaments. The pain and dysfunction are then referred to as the head or face. This is called referred pain. Yes, the body can have an injury or dysfunction in one region that causes pain in a totally separate region of the body. You have heard of someone having shoulder, arm, or jaw pain but no chest pain when they are experiencing early symptoms of a heart attack. The same referral mechanism is responsible for inflammation and dysfunction of the vertebrae in the spine, causing tension headaches. Chiropractors specialize in treating tension headaches of the spine through spinal adjustments, physical therapies and by teaching corrective and preventative measures like helping their patients correct their workstations or underlying postural problems that are causing the headaches and dysfunction in the first place. #### Simple Habits That Help Prevent Headaches - **Move every 30 minutes.** If your job keeps you in one position for hours, get up and move around regularly. - **Choose low-impact exercise during flare-ups.** If you are prone to dull, throbbing headaches, ease off heavy workouts until they are under control. - **Relax your jaw.** Clenching your teeth while exercising or concentrating adds tension that can trigger headaches. If headaches persist despite these steps, especially headaches that seem to start in the neck or upper back, learn how we approach [headache and migraine care](https://www.carolinachirocare.com/headaches-migraines/). In health, Dr. Jeffrey Gerdes D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractor May Help TMJ URL: https://www.carolinachirocare.com/chiropractors-may-help-tmj/ ## Chiropractor May Help TMJ  Among the areas of the body that chiropractors are able to help, many people are surprised to learn that the jaw is on the list. It's easy to associate back pain and neck pain with chiropractic treatment, but people who suffer from TMJ or Temporomandibular Joint Disorder can also find relief. #### What Is TMJ? Temporomandibular Joint Disorder refers to a group of conditions that affect the temporomandibular joint in the jaw. This joint connects your jaw to your skull, so it stands to reason that if you have issues with the muscles or ligaments that control its movement you may experience problems. Some common symptoms of TMJ include pain in your jaw, cheek, teeth or front of the ear when you chew or yawn, clicking noises in the jaw, an inability to open your mouth wide or having your jaw lock when you are able to open it. You also may notice that your upper and lower teeth no longer fit together properly when you close your mouth. Some patients experience headaches, hearing issues, dizziness or earaches as part of Temporomandibular Joint Disorder. #### Causes of TMJ TMJ has a myriad of potential causes that your chiropractors will explore when you book your appointment. Some of the known causes of TMJ include serious jaw trauma or dislocation, physical or emotional stress, or even sitting in a dentist's chair for long periods of time with your mouth wide open. The emotional stress doesn't end up causing TMJ on its own, but if you tend to clench your teeth as a result, this may end up causing it. Statistics show that women are four times as likely to suffer from TMJ as men. #### Can Chiropractic Help TMJ? Once your chiropractor confirms that you do have TMJ, you'll be given a treatment plan based on the specifics of your situation. Our team at Carolina ChiroCare and Rehab wants to get to the cause of your problem so every angle is explored before a thorough plan is created. Usually, a treatment plan for TMJ will include chiropractic adjustments, special exercises, and possibly heat or ice to lessen pain if it is particularly painful. If you have any of the symptoms of TMJ, schedule a consultation with a chiropractor as soon as possible. It's also important that you follow any advice or recommendations given during that consultation and subsequent appointments. Every exercise and treatment is designed to remove the underlying cause of the problem and restore your jaw function back to normal. At Carolina ChiroCare and Rehab our team is here to help answer your questions.  Please feel free to contact us today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Getting Chiropractic Help For Carpal Tunnel Syndrome URL: https://www.carolinachirocare.com/chiropractic-for-carpal-tunnel/ ## Getting Chiropractic Help For Carpal Tunnel Syndrome  Chiropractic adjustments at Carolina ChiroCare and Rehab can be a strong part of a recovery and treatment plan for carpal tunnel syndrome. This condition is fairly common, especially today as we perform more repetitive tasks that put a strain on our hands and wrists. Patients with carpal tunnel syndrome have a host of solutions available to them. Many of them include surgery, immobilizing the wrist, wearing splints, and taking various prescription medications. Many carpal tunnel syndrome patients become frustrated and uncomfortable with these treatment options. Another solution is to turn to chiropractors for natural treatments to get the body back in alignment. To better understand how this works, we should take a closer look at what is happening when you have carpal tunnel syndrome, and then what happens when you visit a chiropractor for solutions. #### Understanding Carpal Tunnel Syndrome Carpal tunnel syndrome is often shortened to CTS. This condition can feel like a tingling or numbness in the hands. It can also involve pain or burning in the wrists or hands or a loss of grip. The dominant hand is usually the first to be affected by CTS. Carpal tunnel syndrome is not only painful but a debilitating condition that can grow worse over time, especially when left untreated. The more often you use your hands, the more at risk you are for severe carpal tunnel syndrome. People who work on their computers all day, factory workers, mechanics, cleaners, and many other professionals are at high risk. Most of us use our hands for work all day and the idea of not being able to isn't something most of us can imagine. Carpal tunnel syndrome happens when the median nerve is compressed. The median nerve runs from your hand up into your forearm. It travels through a part of your wrist that is called the carpal tunnel. There, you have ligaments, blood vessels, nerves, and bones all working together to keep your hands and wrist healthy and mobile. When your median nerve is compressed here, carpal tunnel syndrome can occur and lead to a host of problems. #### What Happens When You Consult a Chiropractor For Carpal Tunnel Syndrome Whenever someone first consults an experienced chiropractor, they're going to perform a thorough exam. This may include gathering information about your medical history, asking about your daily routines and experiences with your health, getting x-rays done, and making gentle adjustments to your spine or wrist to help find the source of your pain or offer some relief. #### A Chiropractor's Goal For Treating CTS Your chiropractor will work with you to create a long term treatment plan with natural strategies for improving your carpal tunnel syndrome. This plan may include adjustments to the bones in your wrist to lessen the compression on your nerves. By making adjustments to the wrist and elbow, the pressure on the median nerve can be lessened and there can be relief from the pain of carpal tunnel syndrome. Your chiropractor may also recommend that you ice your wrists to reduce swelling, rest the affected wrist, performing strengthening exercises, and immobilization techniques. A strong chiropractic plan from Carolina ChiroCare and Rehab can speed along recovery, lessen pain, and lead to a better overall healing process. Ultimately, the goal for carpal tunnel syndrome patients is to either lessen the symptoms or find the true source of the pain and completely recover from the condition. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractors May Help Scoliosis URL: https://www.carolinachirocare.com/chiropractors-may-help-scoliosis/ ## Chiropractors May Help Scoliosis  Among common back conditions, scoliosis is one that has the potential to cause a great deal of discomfort and immobility. Between 5 million and 7 million people in the United States are affected by scoliosis. chiropractors have the ability to provide relief to many scoliosis patients, making their day-to-day lives more manageable. #### What is Scoliosis? Scoliosis is a condition of the spine where a lateral or sideways curvature of greater than 10 degrees develops. Most of the time, the cause of this unique curvature is unknown, but in around 20 percent of the cases, things like neurological disease, trauma, or tumors are responsible. Scoliosis with no known cause is called idiopathic. If someone has functional scoliosis, it means that a postural issue, muscle spasm or legs that are different lengths is the cause. This type of scoliosis can usually be remedied. If scoliosis is considered structural, various postural strategies are usually ineffective. Scoliosis is more common among girls and it typically develops between the ages of 10 and 15. It can also be passed down, so if a parent or sibling has it there is a higher likelihood of a younger child getting it. #### Common Symptoms of Scoliosis Some of the common symptoms of scoliosis include intense pain, reduced range of motion, reduced lung function, and reduced heart function. Psychological problems including decreased self-esteem are also a common issue among people that have scoliosis. Around 80 percent of people with scoliosis have a curvature of fewer than 20 degrees, but since it occurs most often during adolescence, it is possible to see large increases in curvature within a short period. Scoliosis is usually diagnosed through physical evaluation and x-rays to determine the extent of the spinal curvature. #### Chiropractic Treatment for Scoliosis Some of the most effective treatments performed by chiropractors for scoliosis include spinal manipulation, electric muscle stimulation, and therapeutic exercise. This is an area that hasn't received a lot of attention or research, but many patients with scoliosis that have had chiropractic treatment report an improvement in their condition. Even if the spinal curvature is not completely corrected, any associated pain or issues that have been added to the scoliosis discomfort will be addressed. Sometimes the change in posture and gait created by scoliosis causes other areas to overcompensate, causing pain and leading to new issues. Your chiropractor at Carolina ChiroCare and Rehab will search for the underlying cause of all your structural aches and pains and find the solution that works best for your specific situation. At Carolina ChiroCare and Rehab our team is here to help answer your questions.  Please feel free to contact us today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractic Care For Scoliosis Relief URL: https://www.carolinachirocare.com/chiropractic-care-for-scoliosis-relief/ ## Chiropractic Care For Scoliosis Relief  People with scoliosis face the challenge of finding relief and ways to manage this condition in ways that support their lives. If scoliosis pain, inflammation, and other symptoms become too much, it can affect daily life in ways that are a constant struggle. While prescription and over the counter medications are one solution that provides some relief, chiropractic care can help with managing spinal and joint pain and inflammation for scoliosis. #### Chiropractic Care For Gentle and Natural Scoliosis Relief Scoliosis is a sideways curve to the spine. For most people, there aren't yet answers on what caused their scoliosis. We do know a lot about the experience of living with scoliosis though. Chiropractors are professionals who work every day with joint health and spinal alignment. For scoliosis patients, it can be difficult to manage pain that comes from inflammation in the joints. There are also problems with spinal misalignment. When one of the discs or vertebrae press on a nerve, it can cause pain throughout the body. While this is true for everyone, it's a problem scoliosis patients face more regularly. Many scoliosis patients have found pain relief through chiropractic treatments, which leads to a better quality of day to day living with less need for pain medications. Chiropractors perform non-invasive treatments that involve no medication or pain. They manipulate the joints or the spine so the body may return to its more natural position for optimal function. Sometimes there will be immediate relief from acute pain. Treatments will also provide gentle longer term solutions to help people get through the following days. Scoliosis patients will work with their chiropractor on long term treatment solutions. As your condition may sometimes change over time, you will regularly communicate with your chiropractor and adjust your treatment plans to keep managing your symptoms in a way that works best for you. Chiropractic treatments are highly personalized, which is one of their great advantages for scoliosis patients who need long term and detailed care. Your chiropractor can also talk to you about your overall wellness and options for other things you can do to keep improving your condition for long term best health. #### Finding A Chiropractor For Scoliosis Ultimately, a chiropractic treatment plan will include goals like relieving pain, decreasing inflammation, and increasing the natural ability to move through gentle exercise and daily activities without impairment. Chiropractic treatment can also work to improve your range of motion and flexibility. #### So how do you find the chiropractor who is right for you? If you have friends with scoliosis, ask them who they recommend as a chiropractor. With a few personal recommendations, it can be a bit easier to feel good about visiting an office. Your first office visit to a chiropractic clinic is where you'll really make a decision about whether a chiropractor is a good fit for your wellness goals. In the case of scoliosis, you will want to find a chiropractor you feel comfortable with and can trust. It's a good idea to go in for a consultation, meet the chiropractor, have an exam, discuss your history, and ask any questions you have. You will work closely with your chiropractor to create a long term treatment plan that is personalized to work best for your health concerns as they change over time. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractic Care for Tinnitus URL: https://www.carolinachirocare.com/chiropractic-care-for-tinnitus/ ## Chiropractic Care for Tinnitus  Do you hear a ringing in your ears that no one else can hear? This ringing is usually high-pitched, distracting, sometimes painful, and can interfere with daily life. It may be something you hear in both ears or just one, and the consistency can vary. Tinnitus is a more difficult symptom to live with than many people realize. While there is not a single cause for tinnitus, there are many possible causes, some of which can be helped with treatments from a chiropractor. Let's take a deeper look at what causes tinnitus and what can be done for people suffering from it. #### What Causes Tinnitus When you first visit your doctor about the sound only you can hear, they'll want to look into any other symptoms you have right away. Sometimes, tinnitus can be a symptom alerting you to a serious situation like a tumor, aneurysm, or other condition they'll need to look into right away. Once these have been ruled out, many doctors will stop having answers for you. If they've determined you're also suffering from hearing loss, they will prescribe a hearing aid to help. So what are some of the possible causes of tinnitus? Sometimes, this can be a problem with the inner ears. In this case, it's often Meniere's disease, which can also be associated with vertigo, loss of balance, and hearing loss. Blood pressure issues can also cause tinnitus when there are issues with blood vessels in the skull. Some patients have found that they were deficient in vitamin B-12 and correcting this deficiency improved their symptoms. Vitamin B-12 can be found in some grains, beef, chicken, and salmon. Getting tested for a vitamin deficiency may be useful in finding relief from tinnitus. Tinnitus is sometimes a symptom associated with an injury to the upper cervical spine, the vestibulocochlear nerve, or a subluxation of the upper neck. In these cases, a chiropractor may be able to help with relief. #### How Chiropractors Approach Tinnitus Relief Chiropractors are experts in spinal alignment. The spine is made up of thirty-three vertebrae with small discs in between. This is a lot of moving parts. When a vertebrae or disc slips out of alignment, they will often impinge on nerves and cause pain or other problems, like tinnitus. A chiropractor can perform gentle adjustments to help the body get back to its natural, healthy positioning. When you visit a chiropractor for tinnitus relief, they will first talk to you about what you've tried before and what your symptoms have been like. They will then perform an exam to work to find the cause of your symptoms. Many patients have found that during their first appointment and adjustment, they found some relief from the ringing. Other patients have found it took them several appointments before they experienced results from their tinnitus. This can vary from person to person, depending on the cause and damage. Depending on what is discovered during the exam and treatments, your chiropractor may work with you to create a long term treatment plan to keep your tinnitus under control. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Why People Visit Chiropractors For Allergies URL: https://www.carolinachirocare.com/why-people-visit-chiropractors-for-allergies/ ## Why People Visit Chiropractors For Allergies  Chiropractic care can help with a wide variety of health concerns. While many people associate chiropractors with back pain, whiplash, or concerns after a car accident, they can actually help with a lot more than that. Many people have found that regular chiropractic treatments have worked to improve their allergy symptoms. **How does that work?** #### How Spinal Misalignment Affects Your Health Actually, the true answer to how spinal misalignment may affect your health is much wider than we currently understand. Researchers are uncovering more ways that your spinal health affects your overall wellness every day. However, we do already know quite a bit. The spinal column is a key part of the body, consisting of many small parts. These small parts need to stay in alignment for optimal health. The spine allows the body to rotate, which provides the full range of motion for the body. When one of the small bones or discs in the spinal column comes out of alignment, it can compress any of the many nerves in the area. A number of things can happen when this occurs. Sometimes there is pain. Sometimes there is numbness or tingling. So far, we've covered that the spinal column, when misaligned, may impact the nervous system. Did you know that the nervous system and the immune system are linked? A chiropractor will perform a spinal adjustment as part of a treatment plan. This is pain free and simply helps the body move back to its natural state of healthy alignment. Once the spine is properly aligned, the nervous system finds relief. This helps the immune system function at its best. There are many ways that spinal alignment can affect your overall health. Improvements that allow your body to function better overall, including your immune system, is one area that can make great overall improvements to daily health for many people. #### A Stronger Immune System Handles Allergies Better Allergies are not a weak immune system, they are an immune system overreaction. The body sees an invader, like pollen, and then overreacts to this by producing extra effort to fight the pollen off. This creates allergy symptoms that can be unpleasant and make it difficult to get through the day. While we usually think of improving the immune system as something to be done when it's weak, this can also help better balance concerns like allergies. #### Feeling Better To Handle Allergy Symptoms Another reason allergy sufferers make regular treatment plans with chiropractors is to feel better overall. Allergy symptoms are one thing. But on top of all the other aches and pains that come along with spinal misalignment, it can be extra difficult to get through the day. If you're suffering from regular allergy symptoms, it is easy to assign all of your health concerns and feeling rundown to your allergies. Having a properly aligned spine can help with problems like back pain, neck pain, sleeping problems, headaches, and other common issues that are easy to dismiss as part of the allergy symptoms. Only once people are free of the troubles of spinal misalignment do they realize it wasn't the allergies afterall. When you visit your chiropractor, it's a good time to discuss all of your health concerns. Ask questions about how things work. Tell them about your concerns about sleep or the headaches you get in the early afternoons. They can use this information to help you find answers and create a treatment plan for your best health. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractic Care And Other Ways to Improve Life With PMS Symptoms URL: https://www.carolinachirocare.com/improve-life-pms-symptoms/ ## Chiropractic Care And Other Ways to Improve Life With PMS Symptoms  Symptoms for PMS are a lot more varied than just mood swings or cramps. While for some, it may be a slight inconvenience, for others it can be disabling. There are also all of those inbetween who are managing to make it through their daily life, but who are miserable for a week every month. Managing PMS symptoms can be a challenge. As part of an overall wellness plan for dealing with these symptoms, chiropractic adjustments may offer relief from some of the worst struggles. #### Common PMS Experiences About a week or so before the start of the period, Premenstrual Syndrome starts. Some may barely notice anything. Some describe this time with symptoms that have a small effect, like mild breast tenderness, acne, or changes in appetite. For others, this can be a painful time every month that affects their daily lives. This can include the mild symptoms above (though sometimes they are much worse for some), headaches, mood swings, difficulty sleeping, stomach pain of various types, depression, and even joint pain. #### How Chiropractic Care Can Help Manage PMS Nerves affect most of the body. They can send pain places and interfere with normal body functions. When the spinal column is misaligned, it often means that a vertebra or disc has come out of its proper place and is compressing a nerve. A nerve needs to be able to send signals across the body. When this function is impaired, and the nerve can't do its job, a whole host of symptoms can occur. When the pains of PMS arrive, it's common for the lower spine to become misaligned. This happens during a time when many are experiencing sore muscles and aching bodies anyway, so it's easier to assign these symptoms to PMS than consider other culprits, like spinal misalignment. With spinal misalignment, and the nerves not sending healthy messages across the body, things don't function as well. That can make this difficult time a lot worse. Chiropractic care has been seen as a therapeutic and natural treatment solution that helps ease symptoms like bloating, fatigue, lower back pain, and headaches. With some marked improvement, a chiropractor will work to create a long term treatment plan so that as these symptoms arise every month, they become more manageable. #### Other Natural Treatments for PMS Symptoms It's common for people to decide to approach their PMS management with a complete treatment plan. Having a toolbox of tips is important for keeping symptoms under control. When discussing your personal symptoms with your chiropractor, they can help provide other suggestions for managing your symptoms. Excercise is one common solution that provides relief for many. It may seem like the last thing you want to do when you don't feel well, but by pushing through with some mild exercise, the movement can help the body restore its natural flow. A good walk is usually the best exercise in this situation, but talk to your chiropractor about your symptoms for tips. Adjusting your diet during this time of the month can also help. Some have found that avoiding too much salt, sugar, or fat during this time greatly increases their overall wellness. How do you know what will work best for you? Discuss your symptoms and options with your chiropractor. Downloading a free period tracker app can also be useful. This is a great way to track your symptoms month to month and even share this information with your chiropractor or other medical professional. By tracking your symptoms, you'll be able to see what treatments you've tried have improved things so you can remember to do more of that. The more tools you have to make your symptoms manageable month to month, the better your experience will become. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### What are the Best Arthritis Treatments? URL: https://www.carolinachirocare.com/what-are-the-best-arthritis-treatments/ ## What Are The Best Arthritis Treatments?  Living with arthritis pain can seem hopeless at times. Over the years, chiropractic care has become a popular treatment method for the management of arthritis pain, particularly in the spine. A 2010 study by the Agency for Healthcare Research and Quality (AHRQ) found that spinal adjustments used by chiropractors were as effective as medication for low back pain. Even more, a 2013 study published in Osteoarthritis and Cartilage found that seeing a chiropractor for 12 treatments, two times a week for six weeks, was superior to daily stretching and patient education for osteoarthritis of the hip. With more and more positive research being published on chiropractic care for the management of pain, it's easy to see why many sufferers of arthritis pain choose chiropractic care. Anyone that lives with arthritis knows that it is a constantly evolving management of symptoms. #### Arthritis treatment - What you need to know about symptoms Arthritis is a general term and there are several different types of arthritis. Some different types of arthritis include - Osteoarthritis (OA) occurs when the cartilage inside the joints degrades and is worn down. It is characterized often by a decrease in joint space which, in time, may cause the bones to wear on each other because they lack the protective cartilage between them. The pain can worsen over time as the body dehydrates with age and the body's cartilage degrades even further as part of the normal aging process. - Rheumatoid Arthritis (RA) is an autoimmune disease in which the body starts to attack its own immune system by destroying and eroding cartilage, connective tissue, ligaments, and joints in the body. - Psoriatic Arthritis is another autoimmune disease in which the body's immune system begins to destroy the connective tissues, tendons, ligaments, and joints spaces in and around bones. It may even affect the skin and fingernails. - Ankylosing spondylitis (AS) is a condition where the ligaments in and around the spine begin to harden and stiffen over time. Typically, AS starts in males in their early to mid-'20s. This condition can cause poor posture (kyphosis), chronic stiffness, and pain in the back. - Degenerative Disc Disease (DDD) is a condition where the spinal discs at multiple levels begin to degenerate and thin. Symptoms include chronic pain and stiffness in the neck and back, even radiating pain and numbness into the arms or legs. - Lupus is another autoimmune inflammatory disease that may affect more than the joints in the body and cause organ damage in the kidneys, brain or other organs. Symptoms include fatigue, rashes, kidney problems, fever, and even loss of hair. - Fibromyalgia is a condition in which the brain and body do not properly process pain signals or inflammatory mediators in the body, which drive pain, often called cytokines. Symptoms include chronic fatigue, chronic pain, depression, sleep problems, and mood problems. #### How chiropractic care is able to help with arthritis pain Most chiropractors utilize physical therapy as part of their practice. These treatments for arthritis pain usually include - Ultrasound therapy for arthritis pain - The deep penetrating ultrasonic heat can provide a significant decrease in stiffness, pain, and inflammation in joints ligaments, nerves, and muscles. - Electrotherapy for arthritis pain - Targeted electrical impulses are used to soothe tense, inflamed muscles, and dull overactive, excited nerves. - Manual therapy for arthritis pain - The clinician will stretch or gently massage areas of inflamed and sore tissues. This causes increased circulation to the affected region and increases mobility, flexibility to muscles, fascia, tendons, and joints. - Targeted therapeutic exercises for arthritis pain - The clinician prescribes and performs targeted therapeutic stretches and exercises to increase circulation, increase strength, and increase flexibility. Arthritis treatment in summary… Chiropractic care should be considered as a valuable tool for managing chronic pain from arthritis. For certain more serious autoimmune conditions such as Rheumatoid Arthritis, Lupus, and Psoriatic Arthritis, co-management should be included with a Rheumatologist. If you are experiencing back, neck, or joint pain from arthritis please feel free to reach out to us for questions or to book an appointment. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractic Clinics Help Joint Inflammation URL: https://www.carolinachirocare.com/chiropractic-care-can-help-joint-inflammation/ ## Chiropractic Clinics Help Joint Inflammation  The human body has several different types of joints, including ball and socket joints, gliding joints, hinge joints, and saddle joints. Considering the complex mechanisms that go into making it all work together, it's little wonder that joint pain is a big issue in society. Chiropractors treat cases relating to joint pain on a regular basis, and the primary cause is inflammation. #### What Is Joint Inflammation? Inflammation is a normal body reaction that's part of the immune response. Sometimes when there is an injury, your body benefits from the subsequent inflammation because it aids in the healing process. However, there are times when existing inflammation creates more inflammation, which is not a good situation. Arthritis is the most common form of joint inflammation and most people know someone that has it. The two main types of arthritis are known as osteoarthritis and rheumatoid arthritis. Osteoarthritis refers to wear and tear in the joints due to injury, overuse, or normal aging. Rheumatoid arthritis happens when there is a problem with immune system function, causing joint inflammation. #### Foods that Cause Joint Inflammation There are certain foods that tend to trigger joint inflammation for many patients. If you suffer from joint inflammation, you may be instructed to limit some foods. Some of the main culprits include processed sugars, trans fats, refined flour, MSG, gluten, and alcohol.  Certain eating plans have shown positive results when it comes to reducing inflammation. #### Chiropractic Care for Inflammation Our chiropractic team at Carolina ChiroCare and Rehab regularly uses joint adjustments to ease inflammation and treat the cause of joint pain. Since every patient is different, and every situation is different, treatments are customized so they will have the greatest effect. Sometimes, ultrasound therapy or ice treatments will also be part of the overall treatment protocol. Reducing pressure on your joints by strengthening the surrounding muscles is another tactic that can help with joint inflammation. Movement therapies like yoga, tai chi, or Pilates can help to strengthen and lengthen muscles at the same time. This will give the affected joints a break and will reduce pain and swelling caused by overuse. The most important step is to book a consultation so your chiropractor can assess the situation and come up with a suitable treatment plan and solution for your joint inflammation. At Carolina ChiroCare and Rehab our team is here to help answer your questions.  Please feel free to contact us today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Living Well With Joint Inflammation URL: https://www.carolinachirocare.com/living-well-with-joint-inflammation/ ## Living Well With Joint Inflammation  Joint inflammation can feel overwhelming. To better manage your health and live your life well, you need a supportive team on your side and a list of tools you can use to stay in your best shape. Chiropractors treat people with joint pain to help them ease the aches of inflammation. Joint health is complicated and unique to each person, but with experienced experts from Carolina ChiroCare and Rehab on your side, it can become more manageable. #### How People Manage Life With Joint Pain Living life with chronic joint pain introduces new challenges. While it's stressful trying to adapt, with some patience and a well-thought-out plan, the inflammation can become more manageable in your day-to-day life. #### A Diet To Reduce Inflammation One of the first things your doctor will talk to you about will be your diet. Certain foods can cause more inflammation, while others can help reduce joint inflammation. Everyone's experience will vary somewhat, so you'll want to try adding and subtracting certain foods one at a time, track your results, and see what does best for you. As general rules, you'll want to avoid eating a lot of processed sugars, MSG, and trans fats. Some patients have found removing gluten from their diet to be helpful. Limiting your alcohol can also be useful. It's worth noting that some alcohols are worse than others, and some patients have found that drinking a moderate amount of red wine is actually helpful with their joint inflammation, so track your own results to find what works best for your health. You'll also want to try adding foods to your diet to improve your joint health. Fatty fish high in omega-3s are one of the most popular choices for joint inflammation. Try adding salmon, mackerel, trout, or sardines to your diet a few times a week. Other great foods for inflammation include spinach, berries, garlic, ginger, broccoli, kale, olive oil, and a moderate amount of dark chocolate. #### Healthy, Low-Impact Movements When you strengthen the muscles around your joints, your joints tend to sit better in the body. They're more supported. This can lead to better joint health and less pain. Exercising may not feel like the thing to do when your joints are inflamed, which is understandable, but finding some low-impact exercise plans that work for you long-term can lead to great results. A lot of patients with joint inflammation turn to exercises like swimming and yoga for joint health. You can also talk to your chiropractor about movement therapies and your specific joint pains to create an exercise regime that works for your body. The important thing is to develop a routine that will work for you over time. #### Chiropractic Care For Joint Inflammation Chiropractors are experts on spinal and joint health. They help patients with inflammation and alignment. When you first visit a chiropractor for joint health, you'll have a consultation and exam where you can tell them exactly what your history with joint inflammation has been so far. Tell them what you've tried and what your biggest obstacles are day to day. After performing an exam and listening to your experiences, they'll work with you to create a personalized treatment plan moving forward. Your chiropractor may have additional practices for you to work into your daily routine, like specific exercises for strengthening muscles that will help you the most and ice therapies. Carolina ChiroCare and Rehab can also create a plan for gentle treatments to keep your bones in alignment and minimize inflammation so you can continue living your life day to day with as little interruption as possible. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### 5 Home Remedies for Shoulder Pain URL: https://www.carolinachirocare.com/5-home-remedies-for-shoulder-pain/ ## 5 Home remedies for shoulder pain  You just finished a long day of work or a great workout at the gym, and then it strikes you again: a deep, achy pain in the front of your arm or in the back around your shoulder blade and spine. Shoulder pain can be a big problem, and it affects millions of people every year in the United States. #### Below are five treatments you can do at home to help relieve shoulder pain. Home remedy for shoulder pain 1 Refrain from activities that are causing shoulder pain…Rest your shoulder** Oftentimes, shoulder pain is caused by tendonitis from repetitive movements of the arm and back. If you are able to stop and rest from the movements or activities that are causing the underlying shoulder pain it will give your shoulder a chance to heal and decrease the pain and discomfort that you are experiencing. Home remedy for shoulder pain 2 Use ice again, one of the main causes of shoulder pain is tendonitis and inflammation in the ligaments and muscles in the shoulder. Ice is a natural remedy for tendonitis and inflammation. Ice acts by restricting blood circulation, dulling pain signals in the body, and decreasing inflammatory chemicals that get released when the body is experiencing inflammation and injury. Try to combine number one above (rest) with number two (ice) for optimal results. Picture the baseball pitcher after a long game wrapping his shoulder in an ice compression to minimize shoulder pain and repetitive injury. Home remedy for shoulder pain 3 Take care of your neck problems in the neck are often the underlying cause of shoulder pain. A pinched nerve in the neck can cause pain in the shoulder. Tight muscles in the neck, which run down and attach close to the shoulder and around the shoulder blade, often contribute to shoulder pain as well. Try some neck stretches at home to keep your neck and shoulder muscles loose and limber. Consider a massage to work the kinks out in the muscles around the shoulder and neck. If your neck pain is coming from your pillow or mattress at home consider switching them out until your neck and shoulder pain are resolved. Home remedy for shoulder pain 4 Strengthen the muscles between your shoulder blades, and stretch your chest muscles. Oftentimes, shoulder pain is caused by poor posture. A condition called kyphosis, where your upper back and shoulders are rounded too far forward (picture the Hunchback of Notre Dame), can cause biomechanical stressors on the shoulders and lead to shoulder pain. If you like to focus on chest and biceps at the gym, take some time to learn how to work your back muscles. Consider taking up yoga or pilates which strengthens the muscles around the shoulder blades and spine. Develop a plan to combat the 8 to 10 hours that most of us spend during the day in flexion at the computers, along with all the other activities of daily life. On the other hand, as we sit in flexion for 8 to 10 hours a day, our chest muscles become chronically shortened and tightened. This pulls the shoulders forward, rounding them excessively, causing shoulder pain. Stretching your contracted pectoral muscles, which may be pulling your shoulders forward, will release your shoulder tension and may decrease your shoulder pain. Home remedy for shoulder pain 5 Come up with a home exercise strengthening plan for your rotator cuff you don't need fancy equipment or a gym membership to strengthen your rotator cuff and shoulder muscles at home. In fact, most research suggests that low tech equipment, such as Therabands, and using your own body's weight are superior to heavyweights when strengthening your rotator cuff. If you need any help with a home strengthening plan feel free to contact us to discuss it. It's important to note that, oftentimes, there may be a more serious underlying pathology or dysfunction in the neck or back joints causing your shoulder pain. These conditions require the attention of a licensed medical professional. So, if you have tried treating your shoulder pain at home with no success make sure to seek out an appointment to get an evaluation by a licensed medical professional. If home remedies are not enough -  or if you are looking to add in a layer of professional help to combat and treat your shoulder pain, book an appointment with us today. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Shoulder Pain – Top Causes & Treatment Options URL: https://www.carolinachirocare.com/shoulder-pain-top-causes-treatment-options/ ## Shoulder Pain - Top Causes & Treatment Options  The shoulder is a ball and socket joint that moves in all ranges of motion and planes, making it a very dynamic joint. It is one of the most functional joints in the body, used for lifting, pulling, and other movements. Our chiropractic clinic can treat shoulder pain. --- #### What causes shoulder pain? - Tendonitis causes shoulder pain. This occurs when the tendons of the shoulder become inflamed or irritated, usually from repetitive use or acute injuries. The biceps tendon and rotator cuff tendons are the tendons typically involved in tendinitis. The symptoms feel like a deep ache or soreness in the shoulder, which is often exacerbated by repetitive activities involving the arm and shoulder. - Sprains and strains cause shoulder pain. Sprains and strains may occur after an acute injury from an accident, such as a car accident, or an injury to the shoulder muscles and ligaments during a fall or sports-related injury. There may be swelling in the shoulder joints and surrounding muscles. Overhead reach and raising the arm typically causes shoulder pain. There is typically pain in the shoulder at night, causing trouble sleeping on the affected shoulder and restriction with a full range of motion in the shoulder. There may also be trouble putting on clothing and reaching behind the back. - Tearing of the rotator cuff causes shoulder pain. A tear in the rotator cuff is when one or more of the ligaments in the rotator cuff tear. There are four muscles and ligaments that make up the rotator cuff in the shoulder. The rotator cuff helps you raise and rotate your arm and provides stability to the shoulder joint. The tear can be a partial tear where the ligament tears but is still intact or a larger, full-thickness tear where the ligament tears completely. - Tearing of the shoulder labrum causes shoulder pain. The shoulder labrum is round cartilage that helps to hold together the shoulder ball and socket joint, comprised of the humerus and glenoid. The labrum is a major stabilizing structure in the shoulder. The should labrum tears from a traumatic force. Symptoms include pain, instability in the shoulder, and often clicking or popping with certain movements of the arm. - Dislocation causes shoulder pain. This will occur after a traumatic event. Any movement of the arm and shoulder will be severely painful and limited. It's important to seek immediate attention if one has dislocated their shoulder. It's very common to have shoulder pain many years after a prior dislocated shoulder. - Fractures cause shoulder pain. A fracture is a break in the bone. There are several bones that make up the shoulder that may fracture during a traumatic event, including the clavicle, scapula, and humerus. A fracture may be closed or open. - Myalgia causes shoulder pain. Myalgia is muscle pain from chronic or acute inflammation of the muscles around the shoulder. This may include the deltoid muscle, the pectoral muscles, upper back muscles, and muscles around the scapular region of the shoulder. - Pinched nerves in the neck cause shoulder pain. When nerves are pinched or pressed on in the neck this irritation radiates down the shoulder and arm. This condition is called radiculopathy and may be the cause of shoulder pain when the underlying condition is a dysfunction in the neck. Symptoms include shooting pain, numbness and tingling, and a chronic ache or intermittent radiating pain into the shoulder, arm, and hand. - Poor posture can cause shoulder pain. Chronic poor posture in the upper back and neck causes excessive strain and imbalance in the shoulders, causing shoulder pain. This is referred to as a condition called upper crossed syndrome where the extensor muscles in the body are not properly strengthened and used, leading to a rounding of the shoulders and contraction of the pectoral muscles. - Arthritis causes shoulder pain. Like any other joints in our bodies, shoulder joints can get arthritis. This happens when the joint spaces and cartilage deteriorate in the body. This can happen with chronic use or naturally as we age. - Cancer can cause shoulder pain. Some forms of cancer cause shoulder pain. This may come from metastasis or other bone tumors which occur in the long bones of the skeleton, such as the humerus. Red flags for shoulder pain from cancer would include lethargy, shoulder pain at night. sudden unexplained weight loss or weight gain. #### How is shoulder pain diagnosed? X-Ray - The typical first step is obtaining plain film x-rays which can show the joint spacing, bony structures, and some general soft tissue findings. MRI - This is the superior gold standard choice for diagnosing shoulder problems. MRIs are highly sensitive for soft tissue pathology in the ligaments, muscles, and labrum surrounding the shoulder. #### What are the common treatments for shoulder pain? Common treatments include - Resting the shoulder from activities that may be causing shoulder pain and dysfunction. - Nonsteroidal anti-inflammatory medications such as ibuprofen and naproxen. - Heat and ice to reduce chronic pain or acute inflammation and swelling. - Cortisone injections into the shoulder. - Physical therapies which include - strengthening and improving the range of motion in the shoulder, therapeutic ultrasound to promote healing and decrease inflammation and pain. - Electrical muscle stimulation to modulate pain and increase the normal range of motion. - Spinal chiropractic adjustments to address pinched nerves in the neck or dysfunctions in the upper thoracic spine and shoulder blades. - Corrective spinal exercises to address underlying postural issues causing shoulder pain. - Shoulder surgery to repair torn ligaments or labrum. If you suffer from shoulder pain and are looking for relief, book an appointment today. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Can Chiropractors Help with Sleep? URL: https://www.carolinachirocare.com/can-chiropractors-help-with-sleep/ ## Can Chiropractors help with sleep?  It's recommended that we get between seven to nine hours of sleep a night. Sadly, for many, getting an adequate amount of sleep each night is a significant problem. Chronic sleep deprivation causes inflammation systemically in the entire body, raises insulin and cortisol levels, increases the risk of heart disease, diabetes, cancer, and obesity. A recent Harvard University study links sleep deprivation to several health-related problems including: Weight gain: Those who had less than six hours of sleep at night gained weight and ended up having a higher BMI. There is now a link between type two diabetes, obesity, weight gain, and lack of sleep. Heart disease: Poor sleep habits or insomnia affect blood pressure and there are now several studies linking sleep apnea and heart disease to lack of proper sleep. Mental disorders and high-stress levels: Insomnia and sleep deprivation can lead to depression, anxiety, elevated cortisol levels(the body's stress hormone), and chronic stress. Shortened life expectancy: Recent epidemiology studies showed that sleep deprivation and getting less than five hours of sleep per night increase the risk of death by around 15 percent. Sleep deprivation has also been linked to increased risk of causing a car accident, an increase of accidents on the job, and a decrease in quality of life. #### So, can chiropractors help with sleep? Sometimes, spine pain is the cause of a patient's lack of sleep because the pain keeps them awake. Whether it's back pain, neck pain, arm pain, headaches, or shoulder pain, chiropractic care can be the solution that allows you to sleep better through the night and wake up with less joint pain and stiffness. Chiropractic care not only helps relieve spine pain but also relaxes muscles, which helps your body increase circulation and increases stress-reducing hormones. Chiropractic adjustment can help immediately reduce pain and induce muscle relaxation. If pain is the underlying cause of lack of sleep, this will allow the body to rest better at night. In a recent paper published by Lennar Vernon, he suggested that chiropractic subluxation and insomnia could be connected. He reported that by removing subluxations from the spinal vertebrae through chiropractic adjustments, the endocrine system and nerve impulses were positively affected. This chemical, and neurological dysfunction, caused an imbalance in brain chemistry, causing insomnia in participants. By removing the vertebral dysfunctions through chiropractic adjustments, participants in the study showed an increase in dopamine and serotonin levels and were able to get improvement from insomnia. Most chiropractors will also offer advice on using the proper pillow and mattress. Most patients are also taught proper stretching and strengthening exercises to address muscular and biomechanical dysfunctions that lead to spine pain. This, over time, can help reduce spine and muscle pain at night which causes a lack of sleep. If you are suffering from insomnia due to pain at night, there is hope. Chiropractic care decreases spinal pain and stiffness while relaxing sore, tight, tense, and inflamed muscles to help you sleep better and wake up with less stiffness. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### How Chiropractic Treatments Can Reduce Stress URL: https://www.carolinachirocare.com/how-chiropractic-treatments-can-reduce-stress/ ## How Chiropractic Treatments Can Reduce Stress  Reducing stress improves overall health. A lot of people know this, but have no idea how to realistically lessen the stress in their lives. People suggest activities like yoga, a healthy diet, exercise, meditation, and journaling. They also commonly suggest working less, more vacations, and reducing stressful activities and obligations in your life. While these are all good suggestions that will help, they may not be enough and some things may not be possible for you. Everyone suffering from excess stress needs as many methods for stress reduction as possible. Chiropractic treatments can help reduce muscle tension and ease the physical symptoms of stress, which can in term alleviate some of the emotional stress. #### How Chiropractic Treatment Can Reduce Stress On The Body Have you ever woken up with an aching back after a restless night of sleep? Have you woken up with a sore jaw from a long night of grinding your teeth? These are physical manifestations of stress in the body. When people are chronically stressed, this can show up as muscle tension that presents itself in a lot of different ways. Sometimes stress can lead to depression, digestive issues, headaches, sleep troubles, and aches and pains. Chiropractic treatments can address these symptoms. Chiropractors use different treatment options to help patients on their wellness journeys. One of the key ways they do this is through spinal alignment adjustments. When the spinal column becomes misaligned, it can cause a host of symptoms. When your muscles are tense, this can make spinal alignment problems worse. Muscles can also become tense because of pain from a previously existing spinal alignment. All of this makes the symptoms of stress worse. A chiropractic treatment can get the spinal column back to its natural state. This can provide immediate relief from muscle tension. As the muscles relax, so do many of the other symptoms of chronic stress. #### Chiropractors Help Reduce Stress Everyday Chiropractic adjustments are just one of the ways chiropractors help people deal with stress. They are expert confidants in this area. Many people who come in for adjustments with stress-related symptoms find it helpful to discuss all of their health concerns and seek out advice from their chiropractor. Your chiropractor can offer you advice on different small adjustments you can make to your daily life to help improve the symptoms of stress. For example, improving your posture may improve the stress on your back muscles. They may talk to you about ways to improve your posture while you're at the office, exercises you can perform to improve your posture, and your sleeping habits. Strategies like this approach your stress from an entirely different angle than most people are used to. While relaxation techniques, exercise, and a healthy diet are all great ways to reduce stress, chiropractic care approaches things from angles you are less likely to explore through other avenues. #### Ask Questions To Get The Help You Need Don't ignore your stress and hope it goes away. It won't get easier to deal with, it will likely become more difficult. Stress tends to build over time. When you visit a chiropractor for stress reduction, ask the questions you need answers to. Be sure to tell your chiropractor about your concerns and where you're feeling things most. It's common for people to want to hide their stress symptoms. This is especially true when they've heard the same advice multiple times and they aren't willing to make those specific changes. Don't worry. An experienced chiropractor isn't there to tell you what to do. They can offer you new angles and insights to how stress is being carried in your body and what you can do to improve your health. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ## Articles: Car Accidents & Whiplash ### 6 Signs of Whiplash URL: https://www.carolinachirocare.com/6-signs-of-whiplash/ ## 6 Signs of Whiplash  [Whiplash](https://www.carolinachirocare.com/car-accident/) is most commonly associated with rear-end car accidents, but it can happen from any kind of trauma to the body. Sports accidents and physical abuse are often causes of whiplash. The name comes from the experience of the body, where the neck is jarred forward and then backward at a rapid pace, similar to the cracking of a whip. If you've gone through an experience where whiplash might have occurred, it's always best to seek our care right away to prevent future problems. #### Why You Need To Watch For the Signs of Whiplash People don't always know when they have whiplash. It's common for the symptoms not to show up for days after the event. Even then, the symptoms may seem like something you should tough out. We often wake up with a stiff neck and simply go about our days. In the weeks following a whiplash incident, it's essential to treat the problem. This will help with the immediate symptoms, and also prevent the issue from becoming a long term problem. While most people with whiplash will follow a treatment plan to help the injury, those who don't sometimes develop life problems with neck pain or other complications. #### 6 Signs of Whiplash **1. A Loss of Range of Motion In The Neck** Whiplash can cause the muscles in your neck and shoulders to become so stiff that you can't move your head from side to side. Because this seems like a symptom that could happen from sleeping at an odd angle, it might be something you try to suffer through. Watch out for this sign of whiplash, since it can get worse the longer it goes on. **2. Headaches, Dizziness, or Difficulty Thinking** These can all be signs of a concussion as well, so they're something you should take very seriously. **3. Tingling Or Numbness** The pins and needles feeling could also appear as a burning. It most likely shows up in your arms. This can mean a pinched nerve or other issue from spinal misalignment in the neck. **4. Tinnitus (Your Ears Ring)** Are you hearing sounds that only you hear? The ringing can vary from person to person, but is not pleasant. If you have experienced whiplash, tinnitus is a sign something isn't right. **5. You're Having a Difficult Time Eating** Is it hard to chew or swallow? This could mean an injury to the esophagus and larynx. You'll want to have this checked by a doctor right away. **6. Fatigue** It may seem normal to be extra tired after an accident. And it is! But it can also be a sign of whiplash. This is why so many experts recommend getting checked out by a professional after any major trauma to the body. It's hard to notice what's a symptom of whiplash and what may be a benign reaction to a traumatic event. #### Consulting a Chiropractic After Physical Trauma When you visit a chiropractic clinic after a physical trauma, they'll want to ask you for as many details as you can remember of what happened with your body during the event. They'll then perform a thorough exam to see how you're doing. If you're experiencing pain, a chiropractor can treat you with spinal manipulation that is natural and pain free to help you achieve relief right away. If you have whiplash or other injuries from the event, they'll work with you to create a treatment plan so you can stay free of pain and in good health while you recover. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### What are the Most Common Car Accident Injuries? URL: https://www.carolinachirocare.com/what-are-the-most-common-car-accident-injuries/ ## What Are The most common car accident injuries?  Car accidents can cause numerous types of personal injuries, some that are serious. [Car accident injuries](https://www.carolinachirocare.com/car-accident/) can cause expensive medical bills, time in the hospital, missed time from work, injuries that last for years, and even require surgery. Here are the most common injuries one experiences after a car accident: Most common car accident injury #1- Whiplash - The neck and head are very exposed in a car accident. During the force of an impact, the head and neck are whipped forwards and backward like a whip. causing hyperflexion and hyperextension injuries to the ligaments and muscles in the neck. - Symptoms of whiplash include neck pain, headaches, dizziness, blurred vision, tingling in the arms, and muscle spasms in the neck and upper back. #### Some Expert Tips To Help Prevent and Treat Whiplash Make sure your headrest is even with the back of your head in your vehicle. Improper placement of a headrest can lead to greater bodily injury. Use ice heavily on your neck for the first 72 hours. Ice decreases inflammation and increases healing time. Seek treatments, like chiropractic and physical therapy, as soon as possible. The mobilization of neck joints and strengthening of the muscles in the neck decreases pain and increases healing time, as well as long-term outcomes. Most common car accident injury 2- Headaches - Headaches are common injuries experienced after a car accident. Headaches typically result from trauma to the head and neck during a car accident. There are several different types of headaches we see as practitioners after a car accident. - Post-traumatic headaches - this type of headache is caused by injury and trauma to the head and neck, usually from whiplash to the neck joints, muscles, ligaments, and nerves. The pain can be described as throbbing, deep, constant, and sometimes does not appear for several days or even weeks after the car accident. - Headaches as the result of a concussion - headaches after an accident can occur after a concussion. The jarring of the brain can cause an inflammatory process in the head which causes headaches. There may be a loss of consciousness with the concussion, or not. Symptoms of a post-concussive headache may include loss of memory, dizziness, anxiety, speech disturbance, headaches, balance problems, ringing in the ears, depression, anxiety, and confusion. If you've experienced a concussion and headaches after a car accident makes sure to seek immediate medical attention. See a Neurologist or Neuropsychologist immediately. Most common car accident injury 3- Back injuries - Mid and low back injuries are very common after a car accident. Injuries to the mid and lower back can cause muscle spasms and contractions which may last for several months after a car accident. Muscles and ligaments can overstretch around the vertebrae in the back, which can create instability of the vertebrae for quite some time after the accident. Some people may have pre-existing spinal conditions, such as spinal stenosis, bulging discs, or arthritis which will become aggravated by an acute injury such as a car accident. - If you've injured your back after a car accident uses ice for 72 hours on and off for 15 minutes at a time. Rest your back if you have a job that requires physical activity. Consider taking a few days off work to rest your back. Seek chiropractic care and physical therapy very soon in order to bring down your back pain, increase your strength and mobility in your back. Most common car accident injury #4- Herniated discs - Herniated discs happen from the powerful and fast impact that happens during a car accident. The gravitational forces generated during accident travel through the spine which causes the spinal disc to rupture or herniate. Symptoms of a herniated disc can include shooting sharp pain into the arms or legs, numbness into the arms or legs, pain radiating from the neck or lower back into the arms or legs, sharp burning pain in the neck or back, muscle spasms, and headaches. Herniated discs can take six months to a year to fully heal and in severe cases may require surgical intervention. - If you think you have signs and symptoms of a herniated disc after a car accident seeks immediate medical attention. MRIs are the best imaging tools to diagnose a herniated disc in your spine. Ask your healthcare provider for advice on getting an MRI to document a herniated disc after a car accident. Most common car accident injury #5- Shoulder and knee injuries - Shoulder and knee injuries can happen in an instant during a car accident. The arms are restricted by the limited space within the car and can be thrown into the adjacent doors or front consoles. If you're experiencing unresolved shoulder pain after a car accident, or weakness or inability to raise your arms, you may have experienced a significant shoulder injury. It's not uncommon to tear ligaments of the rotator cuff or labrum after a car accident. - Injuries to the knee can occur when the feet are planted down hard on the floor of the car during a car accident or when the knee strikes the front console of the car. Keep an eye out for swelling, bruising, pain when walking, weakness, and instability in the legs after a car accident, as this may be a sign of a more serious injury to the knee. - Seek immediate medical attention if you've experienced an injury to your knees or shoulders after a car accident. Swelling, weakness, pain, instability in the knees and shoulders can be a sign of a more serious knee or shoulder injury. - X-rays and CT scans may show fractures, dislocations, or bony pathologies in the shoulders and knees. Talk with your medical providers about obtaining an MRI of the shoulder or knee to determine if you may have experienced a torn or ruptured ligament or labrum. In summary, car accident injuries can cause bodily injury which can take months or sometimes years to fully resolve. Working with medical providers experienced in treating these injuries is an important part of one's optimal treatment and recovery. #### Other Injuries to Get Checked After a Collision - **Chest injuries.** Hitting the steering wheel or door can injure the chest. Get evaluated for rib fractures, which can damage the lungs. - **Abdominal and pelvic injuries.** Hip and pelvic fractures and injuries to the spleen, liver or kidneys need emergency evaluation. - **Knee, ankle and foot injuries.** Bracing hard on the brake or hitting the dashboard can injure the lower limbs. An X-ray is important if there is swelling, to rule out a fracture. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### 7 Steps to Take Immediately After a Car Accident URL: https://www.carolinachirocare.com/7-steps-to-take-immediately-after-a-car-accident/ ## 7 Steps To Take Immediately After A Car Accident  It's estimated that 40-60% of the population sees a Chiropractor after a car accident. Chiropractors are great for soft tissue injuries like whiplash, sprains, and strains from a car accident because they specialize in soft tissue injuries and spinal care. Car accidents can happen in the blink of a moment, leaving damaged vehicles, injured bodies, and at times even death. If you've been in a car accident please read the steps below to know what to do after the accident has taken place. #### What To Do After A Car Accident What you do immediately following a car accident is very important for your safety and future health, particularly if you were injured and dealing with insurance companies: **Step 1:** Make sure you are safe. Get your vehicle out of traffic. Check others in the car to make sure they are safe. Turn off your engine to prevent a fire or gasoline from spilling and igniting. Turn on your lights or blinkers to prevent other accidents. Never drive away from the scene of a car accident. Check yourself and passengers for signs of injury. Did anyone lose consciousness or experience a concussion? Is anyone experiencing neck pain, back pain, head pain, blurry vision, shoulder, or knee pain? These can all be signs an injury has occurred. If there were injuries call 911 immediately. **Step 2:** Call the police. It's very important to call the police immediately following a car accident even if there were no serious injuries. You'll need a police report to report the accident to the car insurance Oftentimes, there is damage, even in minor accidents, that is not visible on the exterior of the vehicles. There may be internal damage to the frame or undercarriage of the vehicle. It is also quite common not to feel pain immediately from all the adrenaline after a car accident. It is common for neck pain, back pain, or headaches to develop in the hours and days following the car accident. It is important initially to get it documented by the police that you were involved in a car accident and injured. But more importantly, you must get seen by a medical provider to document you were injured from the car accident. **Step 3:** Make detailed records of the complete details of the accident. When the police arrive tell them everything you know involving the car accident. Gather witnesses who saw the accident so that they can also inform the police of exactly what happened. **Step 4:** Take pictures. If you have a cell phone or camera in your vehicle make sure to take pictures of the visible damage to all vehicles involved. You want to make sure that you have pictures of the vehicles as soon as possible so try to take them from the scene if you can. **Step 5:** Exchange information. Make sure to exchange your insurance information and contact information with the other involved parties in the car accident. It's also important to gather the names of the drivers and passengers and all the vehicles involved. Get the license plate numbers, makes and models of all vehicles involved, and the contact information of eyewitnesses. It's also important to write down the location of the accident and the police officers' names, jurisdictions, and badge numbers. **Step 6:** If you were injured, GO TO STEP 1: Get immediate medical attention. This should be number one on the list if you feel the injuries were significant. Go straight to the hospital. It's not uncommon to suffer fractures, head injuries, torn ligaments, whiplash, damage to internal organs, or herniated discs as a result of a car accident. Many report feeling symptoms increase in the hours and days following a car accident. It may be required to seek chiropractic care and physical therapy, which can last for months. Chiropractors specialize in injury recovery and modalities to promote healing of injured tissue. Remember that when injuries do not fully heal it leads to chronic conditions like arthritis in the spine and joints. **Step 7:** Keep good records. Make detailed notes on all of your conversations with insurance adjusters, attorneys, and medical providers. Keep records of all missed time from work, doctor visits, and bills related to the car accident injuries. Being in a car accident is a stressful life event. The steps you take following this unforeseen life event can make a substantial difference when getting your car fixed, treating injuries, and dealing with insurance companies for monetary compensation. #### In the Days and Weeks After the Accident - **Get checked even if the pain seems mild.** Symptoms can appear hours or days later, and many people are simply told to ice and take pain medication without a thorough exam. An early [car accident injury evaluation](https://www.carolinachirocare.com/car-accident/) documents your injuries and starts the right care sooner. - **Stay as active as your injuries allow.** People who are fit, strong and flexible tend to recover from accident injuries more easily. - **Lower your risk next time.** Put the phone away, avoid driving when tired, upset or angry, and adjust your speed and following distance for the weather. As mentioned previously, you may need to seek chiropractic care for months afterward. Feel free to reach out to us for questions or to book an appointment. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ## Articles: Sports, Exercise & Posture ### Pro Athletes That Use Chiropractic Care URL: https://www.carolinachirocare.com/pro-athletes-that-use-chiropractic-care-2/ ## Pro Athletes That Use Chiropractic Care https://www.carolinachirocare.com/sports-injuries/#:~:text=HOW%20CAN%20CHIROPRACTIC%20AID%20ATHLETES%3F Chiropractic care has become increasingly popular among professional athletes in recent years. From injury prevention to enhanced performance, chiropractic care offers numerous benefits that can help athletes stay at the top of their game. In this article, we'll explore some well-known pro athletes who rely on chiropractic care to maintain peak performance and stay ahead of the competition. - **Tom Brady**** Tom Brady, the legendary NFL quarterback, has long been an advocate of chiropractic care as part of his health and wellness routine. Brady credits chiropractic care for helping him maintain optimal performance on the field, recover more quickly from injuries, and extend his career well into his 40s. Chiropractic care is an integral component of Brady's holistic approach to health, which also includes proper nutrition, sleep, and mental well-being. - Michael Phelps**** Michael Phelps, the most decorated Olympian of all time, has been open about his use of chiropractic care throughout his swimming career. Phelps relied on regular chiropractic adjustments to help maintain proper alignment, flexibility, and joint mobility, essential factors for a swimmer's performance. Chiropractic care played a vital role in Phelps' success, helping him achieve his incredible 28 Olympic medals. - Usain Bolt**** The fastest man in the world, Usain Bolt, has also turned to chiropractic care to support his performance on the track. Bolt's chiropractor worked with him to address muscle imbalances and optimize his biomechanics, ensuring that his body was functioning at its best. Chiropractic care was an essential part of Bolt's training and recovery regimen, contributing to his world-record-breaking success. - Sidney Crosby**** NHL superstar Sidney Crosby has also benefited from chiropractic care throughout his career. Crosby has worked with chiropractors to address injuries, prevent future issues, and maintain optimal performance on the ice. Chiropractic care has helped Crosby achieve an impressive record, including multiple Stanley Cup championships and Olympic gold medals. - Venus Williams**** Tennis great Venus Williams has long been an advocate for chiropractic care. She credits regular chiropractic adjustments for helping her stay in peak condition and recover more quickly from the physical demands of professional tennis. Chiropractic care has played a significant role in Williams' ability to maintain a successful career spanning over two decades. - Jerry Rice**** NFL Hall of Famer Jerry Rice is another professional athlete who has praised the benefits of chiropractic care. Rice credits chiropractic care for helping him maintain his exceptional performance on the field and recover from the physical toll of a demanding football career. Rice even became a spokesperson for the Foundation for Chiropractic Progress, highlighting the importance of chiropractic care for athletes. Chiropractic care is a powerful tool for professional athletes, helping them prevent injuries, enhance performance, and recover more quickly from the physical demands of their sport. Tom Brady, Michael Phelps, Usain Bolt, Sidney Crosby, Venus Williams, and Jerry Rice are just a few examples of well-known pro athletes who have experienced the benefits of chiropractic care firsthand. As more athletes recognize the advantages of chiropractic care, it's likely that its popularity in the world of sports will continue to grow, supporting the health and performance of athletes at all levels. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Athletes Improve with Chiropractic Care URL: https://www.carolinachirocare.com/athletes-improve-chiropractic-care/ ## Athletes Improve with Chiropractic Care  Athletes are always looking for an edge to take their performances to another level. No matter what sport you play, the competition is always getting bigger, faster, and stronger which means you have to continually improve in order to keep up. Some athletes turn to dishonest methods like performance-enhancing drugs to get ahead, but most look to nutrition, enhanced training concepts and similar methods to get better. One way athletes can improve is through chiropractic care at our chiropractic clinic. #### Enhanced Injury Treatment Injuries are an unfortunate part of all sports, and recovering from injuries quickly and completely is critical. Chiropractic care helps athletes recover from injuries the same way it can help an auto accident victim recover from injuries. Spinal adjustments can align your vertebrae so your tendons and muscles heal correctly. If you're experiencing pain from a past injury, chiropractic care can get to the root of the injury and correct the problem so your symptoms lessen or disappear. #### Improved Performance Athletes can also expect improved overall performance with regular chiropractic care. High-impact athletes can minimize their risk of injury and reduce pain, and low-impact athletes can relieve much of the strain placed on the body while playing their sport. This is true for sports like golf, bowling, and tennis. With improved strength, balance, stability, flexibility, and range of motion, it stands to reason that athletes will notice improved performance with regular chiropractic treatment. For athletes that play through longer seasons or play year-round, the improvement will be noticed as competitors start feeling fatigued and suffering minor injuries. The ability to "stay fresh" from the beginning of the season until the end provides a tremendous advantage to most athletes. #### How Chiropractic Helps Whether it's to enhance performance or help heal an injury, chiropractic helps athletes by taking pressure off nerves in the spinal column. When your spinal vertebrae are misaligned, the impulses sent from your brain to parts of your body through your spine may not be as clear as they should be. When these impulses are restricted, your body is not operating at full capacity, and your athletic performance can suffer. If you are truly looking for an edge and want to take your performance to the next level, try chiropractic treatment and see if it helps. Once the pathways between your brain and muscles, heart, and lungs are clear, you'll be amazed at what you can do. At Carolina ChiroCare and Rehab our team is here to help answer your questions.  Please feel free to contact us today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Top Reasons You Need a Sports Chiropractor URL: https://www.carolinachirocare.com/top-reasons-you-need-a-sports-chiropractor/ ## Top reasons you need a sports chiropractor Play Video For many years the world's top athletes (Olympic, professional, and college athletes) have sought out chiropractic care from sports chiropractors for performance enhancement, injury recovery, and wellness. #### Sports chiropractors share expertise in treating sports-related injuries including: - Sprains and strains - Running injuries - Repetitive use injuries - Herniated discs - [Shoulder and hip bursitis](/shockwave-therapy/) - Tight and sore muscles - IT band syndromes - Evaluating for head trauma and concussions - Muscle injuries - Tendonitis #### Here are a few ways chiropractic care by a sports chiropractor can help athletes enhance and improve performance: - Work on your body biomechanics. - Provide guidance on nutritional needs for athletes. - Treat overuse injuries. - Treat repetitive injuries. - Test for muscular and joint imbalances and dysfunctions. - Treat soft tissues when they become inflamed or injured. - Remobilize injured or stiff joints allowing increased mobility, flexibility, and range of motions that are essential to sports performance. #### Why should you visit a sports chiropractor? - Sports chiropractors are licensed to perform physical therapy which gives them a unique perspective in helping athletes recover after they experience a sports injury. - Unlike Physical Therapists, who do not hold doctorate degrees, sports chiropractors are able to make referrals to other medical specialists like orthopedists, neurosurgeons, and pain management physicians when there may be a more serious underlying sports injury, like a fracture, ruptured tendon, torn ligament or head injury. - You can also receive physical therapy. - Chiropractic joint mobilization. - Many sports chiropractors provide X-Ray services in their office which may help diagnose your injury more quickly. - Sports chiropractors are able to order outside imaging such as MRIs, CAT scans, and lab work which can be used to diagnose and manage sports injuries. - Many sports chiropractors have advanced education in treating sports injuries. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Sports Injury Treatment: Why You Should Consider A Chiropractor URL: https://www.carolinachirocare.com/sports-injury-treatment-why-you-should-consider-a-chiropractor/ ## SPORTS INJURY TREATMENT: WHY YOU SHOULD CONSIDER A CHIROPRACTOR in Raleigh NC  When it comes to sports injuries, chiropractors in Raleigh NC provide healthcare services with many beneficial outcomes and treatments. Chiropractors have an understanding of the body's biomechanical principles, and not only treat sports injuries, but focus their practices on injury prevention, functionality, stability, strength, and flexibility. Chiropractic care is often used by world-class athletes for sports performance enhancement, injury recovery, injury prevention, and treating pain. Chiropractors are on staff with all of the NFL football teams and some estimates by experts have shown that 90% of all world-class athletes use chiropractic care. 72% of PGA golfers use chiropractors, as well as the majority of the NBA, MLB, and NHL teams. #### Most chiropractors in every state are licensed to perform physical therapy. Some treatments for sports injuries in chiropractic offices include: - Bracing and taping - Ultrasound therapy for injury recovery - Electrical muscle stimulation for pain management - Spinal manipulative therapy for joint care and function - Prescribing and supplying DME (durable medical equipment) such as back braces, knee braces, shoulder braces, and tens units - Nutritional and supplement advice - Cold laser therapy - Ice and heat therapy - Stretching and strengthening protocols - Muscle tissue work to break up scar tissue Spine injuries make up 3% of all athletic injuries, and while the chiropractor is well trained in managing shoulder, knee, ankle, elbow, and wrist injuries, he or she must be well prepared to deal with spinal injuries from sports-related accidents too. #### Can chiropractic care in Raleigh NC improve athletic performance? An injured or misaligned spine can interfere with the body's ability to perform in athletics. Spinal adjustments and chiropractic treatments keep the spine working properly, which can aid in performance enhancement. In one study, athletes had a 6.12% increase in performance after receiving chiropractic treatment. Another study found a 30% improvement in hand-eye coordination after 12 weeks of chiropractic care. Studies from the annals of internal medicine and British Medical Journal both found that for shoulder pain, adding shoulder manipulations or adjustments to traditional rehab techniques improved the outcomes and reduced pain associated with certain shoulder injuries. For ankle injuries, a similar study by the JMPT (Journal of Manipulative Physiological Therapeutics) found that chiropractic care of ankle sprains helped increase motion, lessen pain, and provide better ankle function. Many musculoskeletal injuries and complaints are the results of a sports injury. For most athletes, even the weekend warriors, the body is undergoing constant stressors from running, jumping, twisting, lifting, contact, and competing. #### Some of the common injuries experienced in sports include: - Ligament tears - Sprains and strains - Contusions - Herniated discs - Repetitive stress injuries - Torn muscles - Joint pain - Tendinitis - Headaches Many times, knee and back problems are coming from sacroiliac joint dysfunction. Sacroiliac joint imbalances, that, when treated, lead to a decrease in repetitive stress and pain in the knees, feet, ankles, and lower back. In summary, chiropractors specialize in the body's biomechanical structure/function, and successfully treat and manage athletic-related conditions and injuries. Chiropractic joint manipulation, combined with physical therapy, custom orthotics, and nutritional management is used successfully to treat the weekend athlete as well as many of the world's top athletes. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Most Common Running Injuries, And Their Treatment URL: https://www.carolinachirocare.com/most-common-running-injuries-and-their-treatment/ ## MOST COMMON RUNNING INJURIES, AND THEIR TREATMENT  Many assume chiropractors only crack backs and necks. If you do too, you're not alone. However, this is a misconception. Chiropractors are trained to treat a variety of musculoskeletal conditions, to help battle injuries, to optimize athletic performance and prevent injury, and to enhance recovery in runners. In fact, chiropractic care is chosen by many, including some of the world's top athletes. Chiropractors treat many different athletes, including runners, who typically tend to present with a variety of musculoskeletal complaints. Runners tend to suffer from repetitive stress injuries in the back, pelvis, hips, knees, feet, and ankles. Here are the most common running-related injuries and how chiropractic care can treat and manage them. #### Top 3 Running Related Injuries 1. Lower back pain from inflamed lumbar discs Running causes a repetitive impact on the lumbar discs. The discs become inflamed and can bulge or herniate. This can lead to [low back pain](https://www.carolinachirocare.com/back-pain/), sciatica, nerve pain, and muscle spasms. - Low back pain from running is a condition treated frequently by chiropractors, typically with spinal and pelvic adjustments to restore proper mobility, electrical muscle stimulation to modulate pain, muscle spasms, inflamed nerves, and stiffness. Lumbar traction is also often used to decompress the lumbar discs, along with targeted strengthening and stretching exercises to strengthen weak muscles and stretch contracted and tight muscles. 2. Sacroiliac joint, pelvic and spinal alignment issues - Excessively tight and short muscles, improper shoes, running on slanted services, and running the same course daily can have an effect on proper pelvic, sacroiliac joint, and spinal vertebral alignment. It's a good idea to train on different running surfaces. Try switching it up by running in the woods or on the beach. When running on the beach, try running on the harder sand surfaces and not the loose sand. This will provide a more stable surface for your knees, ankles, hips, and low back. It's also a good idea to switch up your shoes and try alternating the pairs that you train in. You should also always stretch after your runs and in between training sessions. Recent studies point to a decreased risk of injury by stretching after running and an increased risk of injuries when stretching before running. Focus on the muscles and ligaments getting the most wear and tear, like the piriformis muscles, gluteus medius, TFL, IT band, paralumbar muscles, calf muscles, hamstrings, and quadriceps. Chiropractic adjustments will help to mobilize and balance joint misalignments. When chiropractors align the joints in your sacroiliac and lumbar spine, they will move more smoothly and freely when you run, providing increased performance and decreasing the risk of injury. Your chiropractor may also perform adjustments to your feet, knees, ankles, and hips to help manage extremity dysfunctions. Chiropractic adjustments combined with the proper strengthening and stretching exercises will target the surrounding muscles and ligaments of the joints. 3. Knee Pain & IT Band Syndrome - IT band syndrome occurs when the IT band becomes irritated, inflamed, and hyper-contracted. It is a form of tendinitis. The IT band starts as a muscle in your gluteal muscles. The gluteus medius muscle turns into a fibrous fascia called the TFL or Tensor Fascia Lata. The TFL then turns into a tendon that attaches to the outside of your knee, often called the IT Band. These muscles, fascia, and tendons should be stretched aggressively in runners to avoid knee pain, sacroiliac joint dysfunction, and lower back pain. Running causes repetitive wear and tear on the knees, which causes a loss in joint space. The repetitive pounding from running can wear down and damage the medial and lateral meniscus in the knees, which are considered shock absorbers for the knee, located in both the inside and outside knee joints. Your chiropractor may also recommend bracing, rest, and physical therapy to help manage your knee pain from running. Many times, overpronation, or over supination issues in the feet need to be addressed with custom orthotics, or proper shoes. Patellar tracking issues are often related to the meniscus, which often responds well to switching over to custom foot orthotics and chiropractic alignments of the patella joint. In health, Dr. Jeffrey Gerdes D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Improve Your Golf Game with Chiropractic URL: https://www.carolinachirocare.com/improve-golf-game-chiropractic/ ## Improve Your Golf Game with Chiropractic  Choosing to receive treatment from a chiropractor won't stop your slice or improve your putting, but it just might end up improving your overall game and lowering your score. It's no secret that golf can be hard on your lower back. The quick, repetitive twisting motion required to swing a club puts your back at risk every time you play, and if you already have a back injury you're putting other muscle groups at risk. Keep reading to learn how to improve your golf game with chiropractic care. ### How Chiropractic Boosts Your Game Since a chiropractor is specifically trained to treat the entire neuromusculoskeletal system they are able to help golfers reduce the amount of stress and strain placed on their bodies. The lower back does undergo a lot of stress with the torque of a standard golf swing, but there are other body parts that can affect your golf game, too. Pain or range of motion issues in your shoulders, elbows, knees, or wrists will definitely affect your swing and lead to inflated scores. Chiropractic treatment can put your body back into alignment, remove nerve compression, and improve blood flow to vital muscles. When you are free from pain and your mobility isn't hindered in any way, you can swing freely and focus on your game. #### It All Begins With You Although you can improve your golf game with chiropractic, taking steps to help yourself will improve it even further. Arrive early at the course and do some warm-up stretching and light swings before your game. Whether you hit some balls at the practice range or not, stretching and loosening up is key. You'll also want to perform some light stretches after your round to keep your muscles loose and lengthened. It's easy to get dehydrated out on the golf course, but not drinking enough can set the stage for a strained muscle or similar injury. Make sure you drink plenty of water before, during, and after playing golf, especially if it is hot outside. If you walk the course when you play, avoid carrying your bag and pull it instead. Carrying a heavy golf bag over 18 holes can cause disc problems and irritate nerves. If you have the option, avoid wearing metal spikes when you play. They have the potential to get stuck in the ground during your swing, causing a serious knee or back injury. If you find that your swing is causing pain in any area of your body, consider taking lessons to learn a more efficient way to swing your clubs. If you follow these tips you'll enjoy a pain-free round every time out.  Our chiropractic team at Carolina ChiroCare and Rehab is here to help. At Carolina ChiroCare and Rehab our team is here to help answer your questions.  Please feel free to contact us today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Fitness Tips from a Chiropractor URL: https://www.carolinachirocare.com/fitness-tips-chiropractor/ ## Fitness Tips from a Chiropractor  A chiropractor is no stranger to seeing patients that have injured themselves working out or playing sports. Pulled muscles, strains, sprains, ligament tears, and misaligned discs are all part of the practice. Virtually every type of fitness injury can be successfully assessed and treated with chiropractic care, but prevention is an even better prescription. Here are some fitness tips from a chiropractor you should take to heart. #### Importance of Your Warm-Up Quite often the stage is set for an injury even before you begin to exercise. Warming up is an integral part of any safe fitness regimen, but it's also a step that many people tend to neglect. If your muscles are cold and tight and you launch right into exercise, you increase the risk of pulling a hamstring, straining your lower back, or tearing a ligament. Light stretching or some gentle calisthenics before you exercise will get the blood flowing, lengthen your muscles, and reduce the likelihood of getting hurt. #### Proper Technique to Reduce Injury Using the proper technique while performing specific exercises or playing your sport is also a critical element for preventing an injury. Learn how to perform the exercises and movements correctly, then follow those instructions every time you play or practice. Always try to stay within your own skill level and don't overdo it. Being competitive is great, but pushing yourself too hard may end up putting you out of commission for an extended period of time. #### Flexible Muscles Recover Faster Maintaining good flexibility in all your muscle groups will help your athletic ability and it will prevent injury. Develop a stretching routine and stick to it so you won't have to visit a chiropractor with an injury you could have prevented. At the very least, stretch the muscles that you use the most in your specific sport or activity. #### Critical Cool Downs Cooling down properly after exercise is another important fitness tip that chiropractors recommend. After your exercise session or game, make sure you take 10 or 15 minutes and stretch out your muscles and joints before you finish up. Just like with the warm-up, cooling down will help you avoid strains, sprains, and muscle pulls. Remember to drink water throughout the day to keep your muscles and discs well hydrated. This will also go a long way toward preventing injury. If you do happen to hurt yourself, despite you best prevention efforts, don't hesitate to call a chiropractor and get the treatment process started. The sooner you begin the sooner you'll be healed and back at it.  Our outstanding team at Carolina ChiroCare and Rehab is here to help. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### 6 Fitness Tips Chiropractors Want You To Remember URL: https://www.carolinachirocare.com/6-fitness-tips/ ## 6 Fitness Tips Chiropractors Want You To Remember  Proper exercise supports a healthy body. Strong muscles can help keep your spine and joints in proper alignment, give you more energy, and keep you feeling great. However, while working on fitness goals, many people end up with injuries of all sizes. Chiropractors see these types of strains every day. While sometimes accidents happen, there are practices you can employ to keep your body safe while you work on your fitness goals. Below, we've covered six tips to keep in mind while you're keeping up regular exercise habits. #### 1. Don't Work Out Too Hard While you may have temporary fitness goals, exercise is a lifelong habit. It's best to ramp up your routines slowly over time. Don't overdo it and workout too hard. This is the number one way to end up with muscle strain. If you hurt yourself by working out too hard, it won't encourage you to come back and do it again soon. Be gentle with yourself and your body for better health and to build up long term habits. Building strength takes time. Give your body a chance to keep up with your ambitious fitness goals. #### 2. Value Your Warm-Up Don't skip your warm-up! Get your body moving, stretching, and feel the heat build in your muscles. You'll do better on your more strenuous exercises and your muscles and joints will thank you for it. #### 3. Don't Be Afraid to Learn How To Properly Use the Equipment Sometimes, we just want to dive in. It may feel embarrassing to have to ask for help learning how to properly use exercise equipment. We feel like we should already know the proper way to lift the weight or use the machine. Everyone starts somewhere! And knowing the proper form is always best. With many types of lifts, having your limbs positioned slightly off can lead to a pretty painful injury. Ask a professional for help on your form to build muscles the healthiest way possible. #### 4. Switch Up Your Routine People who exercise long term usually have a few different routines mixed into their week. You may hear them say they have three days for cardio, a leg day, and an arm day. Why do they do this? When you perform the same exercise routine day in and day out, you are likely to miss certain muscle groups. This means you'll be weaker in some areas and stronger than others. You'll see better results by mixing things up and lessen the workout plateaus that happen where you stop seeing results. Doing the exact same workout routine can also put a strain on your muscles from repetitive movements. Varying the types of movements is better for your spinal alignment. #### 5. Stay Hydrated Drink plenty of work before and after your workout. When you're not properly hydrated, your muscle tissue isn't in the best shape. This makes it easier for injury to occur. #### 6. Value Your Cool Down Just like your warm-up, make sure you value your cool down! Spend some time at the end of your workout stretching and letting your muscles find a healthy place. #### Be Mindful Of Your Body Fitness is an important part of a health and wellness plan. Make sure to stay mindful of your body and listen to what's happening. If you're experiencing back or neck pain while you're working out, don't ignore it. If your knees hurt, make sure you take note and adjust how you're using your body. Strain and injuries build up over time. If you have any questions, concerns, or pain, know that you can always consult an experienced chiropractor to get your body back in top shape to help you reach your fitness goals. If you're new to working out, it's normal for your body to experience some growing pains. Your chiropractic team at Carolina ChiroCare and Rehab can help you naturally work through these for your best long term results. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Weight Lifting Tips For Chiropractic Health URL: https://www.carolinachirocare.com/weight-lifting-tips/ ## Weight Lifting Tips For Chiropractic Health in Raleigh NC  Weight lifting is an excellent practice for your chiropractic health. Strong muscles support your spine and joints to keep them in place. However, improper weight lifting practices cause injury that can lead to long term problems. Proper care should be taken to make sure you're watching out for your overall health today and in the long term. Here are some tips for taking care of your spine and joints while building muscle. #### Build Your Routine Slowly Over Time Most people start off a fitness routine wanting to reach their goals as soon as possible. This enthusiasm is understandable and respectable. However, it can get in the way of your best interests in the long term. Your lifting routine is going to become a long term part of your life. Make sure you are setting reasonable goals and building muscle slowly over time. As your muscles build, they will prevent injury as you lift heavier weights. Learn your limits and don't push yourself too far too fast. #### Don't Skip Your Warm Up Or Cool Down Stretching at the beginning and end of your lifting sessions are the best way to keep your muscles loose and prevent injury. It may feel like a waste of your time, but don't skip this essential practice for your health. #### Consult An Expert On Technique It may seem like the best thing to do is to start lifting weights and getting on a better health practice right away without any barriers, but it's too easy to hurt yourself while lifting heavy weights when done improperly. Visit a consultant at the gym for tips on healthy posture while lifting weights. If you're lifting at home, you can still consult an expert online. Find a weight lifting trainer you trust. They will offer you guidance on techniques for weight lifting, and then have you submit videos of you lifting the weights. This way, you can check that your form is correct and gain valuable input. It will not only help you build muscle, but prevent injury as well. #### Don't Lift With Your Back This is classic advice for a reason. If you lift with your back, you're likely to strain muscles and possibly hurt your spinal alignment. It's easy to end up with a compressed nerve and a lot of pain. Never twist your body as you're lifting weights. Be mindful of keeping a straight spine before you lift. #### Keep A Strong Core Don't forget about your core when you're building muscle! By keeping a strong core, you'll have an easier time on arm and leg day. A strong core leads to a better posture, which means an easier time keeping your spine straight and a better overall practice for weight lifting. #### Improve Performance And Prevent Injury With Chiropractic Treatments Chiropractic treatments can help improve your performance, treat injuries, and prevent them. The goal of your fitness routine is to maintain your current level of fitness and to change your health. As your body changes, it's good practice to seek out the help of a chiropractor who can keep your spine in alignment and watch out for your joint health. With a chiropractor watching out for you, you're more likely to become aware if something you're doing during your workout is causing you injury. By keeping your body in proper alignment through chiropractic treatments, you can prevent injuries from becoming worse and building over time. Talk to your chiropractor about your lifting routine and a good treatment schedule to make sure your spine and joint health is taken care of. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Exercise Smarter URL: https://www.carolinachirocare.com/exercise-smarter/ ## Exercise Smarter  Who doesn't take pride in working hard and reaching their goals?  Regardless of the situation, it is human nature to enjoy the accolades that come with seeing results. In this day and age however, it is almost as though just reaching goals is not enough.  We have to reach our goals FASTER!  There are several reasons why "fast" is not necessarily the appropriate speed to obtain your goals, in fact racing toward results could actually hinder rather than help. Contact our chiropractic office to learn more. How many times have we all heard the same story?  Someone resolves to "get in shape".  They buy the gear, the shoes, the gym membership.  They head to the gym one, two, or several more times.  They have grandiose dreams of a perfect body and want it after the first few trips. The reality of the matter is they fail to properly prepare for the exercise program, they over do it the first few trips, they end up being sore for days or self inflicting an injury causing even longer delays and potential medical bills.  The goal of beginning an exercise program and getting into shape is often never realized because those that have set the goal are trying to rush the process, exercising harder and not smarter. #### How To Exercise Smarter So what does exercising smarter entail?  That is a simple answer, TAKE IT SLOW!  If you have not been exercising your body is capable of doing only a little bit of exercise before it becomes strained and sore. Additionally, even if you have been exercising for some time, you should not increase the intensity of your workout drastically because you risk the same soreness and potential injury.  Rushing yourself will most likely result in injury and keep you from slow steady progress that will lead to you reaching your goals. #### Exercise for Life The smartest exercise strategy is slow, gradual and long-term, depending upon your age and current fitness level.  It may be wise to begin with a walking program, gradually increasing your pace and length of the walk over time.  An exercise program should not be something you tackle for a few weeks or months.  It should be a lifelong healthy habit. The same slow, gradual approach should be used regardless of the type of exercise you are performing.  If you are using weights, doing pilates or yoga, it is wise to take it very slow at first.   Always listen to what your body is telling you, less is more in the long run.  If you are consistent you will begin to notice amazing results like increased energy levels, better posture and flexibility, healthier complexion, and a more restful sleep. #### Chiropractic - Another Smart Decision! Chiropractic care is a great complement to any exercise program.  As you exercise and increase your strength and fitness levels you may suffer minor injuries that go unnoticed.  Regular chiropractic care can aid in preventing potential injuries or speeding the healing process through increased joint mobility. Most injuries that occur are the result of tight muscles and poor flexibility. Chiropractic care helps restore and maintain joint flexibility in your spine allowing it to handle the physical demands of regular exercise. Chiropractic should be an integral part of any exercise program. **Just Exercise Smarter.** Don't wait until you have an injury to start chiropractic care!  Call our dedicated team at Carolina ChiroCare and Rehab today with any questions you might have. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractor Describes Stretching URL: https://www.carolinachirocare.com/chiropractor-describes-stretching/ ## Chiropractic Describes Stretching  Keeping your muscles, tendons, and ligaments flexible through regular stretching is important, but an often-ignored piece of the overall health puzzle. Many people find stretching to be time-consuming and boring, but it helps prevent scores of different injuries and has an anti-aging effect on the body. We see many patients at our chiropractic clinic that may have been able to avoid their back pain, neck pain, or shoulder pain with a quality stretching routine. #### Important Reasons for Stretching Perhaps the most important reason to incorporate regular stretching into your life is that it lengthens your muscles and increases flexibility. Many muscle tears and strains could be avoided if those muscles weren't so short and tight. Additionally, stretching the larger muscles of your quadriceps, hamstrings, and calves helps to lengthen your lower back muscles, increasing the benefit even more. #### When Should I Stretch? Static stretching or stretching performed without any bouncing or movement should be done before and after exercise to reduce your risk of injury. You may want to do some light calisthenics prior to stretching cold muscles, just to reduce your chance of injury. #### Stretching Tips and Tricks When you schedule a consultation at a chiropractic clinic, we can help to provide you with stretching resources. The first thing to remember about the stretching technique is not to rush through it. Even a mildly pulled muscle can cause pain and hinder your ability to exercise for quite some time. Take your time when you stretch, even if it cuts into your exercise time. Another tip you should follow is to stretch gently and focus on what you are doing. Reaching for a little bit more is a good way to cause an injury. Just relax and breathe and be in the moment and you'll know how far to go. Using visualization is an effective tool when it comes to stretching. Try to keep a mental image of the muscle group you're stretching and watch it elongating. Breathe deeply while you're stretching and visualizing to help create a stronger brain/muscle connection. You're bound to pick up little bits of stretching advice here and there, but the main thing to remember is that it is supposed to feel good. If you get into a situation where stretching any muscle is causing pain, it's best to stop and reconsider what you are doing. With proper treatment and proper stretching on your own time, you'll be able to avoid injuries and keep all areas of your body feeling great. At Carolina ChiroCare and Rehab our team is here to help answer your questions.  Please feel free to contact us today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractors Help Range of Motion URL: https://www.carolinachirocare.com/chiropractors-help-range-motion/ ## Chiropractors Help Range of Motion  A body in motion is a beautiful thing, but through poor lifestyle choices, injuries, and general aging our range of motion can diminish to the point that we can barely bend over to pick something up off the floor. Everyone seems to take their flexibility and ease of movement for granted when they are younger. However, as time goes by those simple movements become more challenging and you are more prone to tightness and injury. chiropractors help patients with a range of motion issues on a daily basis, and they can help you too. #### Range of Motion for Daily Activities Activities like brushing your teeth or hair, tying your shoes, or backing the car into the driveway all require joints in your body to move. Whether it is your shoulders, elbows, wrists, cervical and lumbar spine, knees, or neck; joints have to move freely in order to complete basic daily activities. Most of the time, you'll never even notice these joints working. But if you have an injury or degenerative condition in even one of these joints, you'll often feel the pain every day and simple tasks will become a challenge. #### The Spine and Range of Motion Your spine is one the primary areas of treatment for chiropractic doctors and when your spinal range of motion is reduced, it affects many areas of your life. Issues with your spine are responsible for conditions such as carpal tunnel syndrome, headaches, and debilitating back pain.  As your spinal range of motion continues to decrease, it's likely you'll be able to do less and less and experience greater discomfort. Having your spine in alignment is crucial for a free and easy range of motion. There are so many ways that your vertebrae can become misaligned that visiting a chiropractor is a good idea even if you still feel good. #### Chiropractic Help Our chiropractic team at Carolina ChiroCare and Rehab can work wonders when it comes to an increasing the range of motion in your spine and other areas of the body. Even if you've been out of commission for years, a few sessions with a reputable chiropractor can help restore blood flow, improve nerve impingement, and get your discs back in alignment.  Chiropractic treatment for range of motion issues may include spinal adjustments and possibly manipulation to other parts of the body. You might also be given specific stretches or exercises to strengthen supporting muscles and lengthen tendons and ligaments in the affected areas. Once your range of motion is restored and you're feeling good, you should be able to get back to normal activities without any pain or restriction. At Carolina ChiroCare and Rehab our team is here to help answer your questions.  Please feel free to contact us today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractic Care To Improve Your Range of Motion URL: https://www.carolinachirocare.com/chiropractic-care-to-improve-your-range-of-motion/ ## Chiropractic Care To Improve Your Range of Motion  Range of motion is something most people take for granted until it's gone. If you've injured your shoulder and can't rotate it fully, this is something you will think about all day, every day. It affects simple and complicated tasks. When your range of motion becomes limited, what can you do? When you are considering movement in the body, you are considering the health of your joints and spine. This is the primary focus for chiropractors, who treat joint and spinal health issues at Carolina ChiroCare and Rehab to improve overall wellness. #### What Range of Motion Means Range of motion is sometimes abbreviated to ROM. It's your ability to freely move your body, which is something often associated with the range of movement around a joint or the joint's flexibility. When you bend your body to the side or turn your wrist in a circle, you are exploring your range of motion. When you can't do this without experiencing pain or discomfort, your range has become limited. Your ROM is important to your daily activities like driving a vehicle, loading a dishwasher, or walking. Depending on the issue, it can make any activity difficult. It's also important to have a healthy ROM so you can prevent further injury. If your range of motion is already limited and you push your body to go past the pain, you can sustain further injury to the joint or spine. The pain is a sign that something needs treatment. Without proper care, it's easy for injuries like tears and sprains to happen, or further inflammation that result in even more limited range of motion. This creates a cycle of injury that causes more pain, limited movement, and will take longer to heal. #### How A Limited ROM Happens There are many causes of limited range of motion issues. Sometimes, this may be the result of an injury or trauma to the body. After a car accident, it's common for people to experience whiplash. This can limit your ability to turn your head from side to side, rotate your shoulder, or other everyday movements. Many medical problems can cause limited range of motion. When your body is recovering from a surgery where you've been spending a lot of time stiff and not moving, it can be hard to get going again. Chronic inflammation in the joints can make it difficult to move. So can conditions like carpal tunnel syndrome. People who work at their desk all day may come to experience a limited range of motion. This may not seem like an injury, as it doesn't happen all of a sudden, but from repetitive motions that took their toll on an aching joint. Another common cause of loss of range of motion is spinal misalignment. Whether from repetitive movement, an accident, or just living your day to day life, spinal misalignment can make it difficult to turn your body. When your back hurts, any simple movement can feel painful. #### Chiropractic Care For Improved Range of Motion With natural and non-invasive treatments, chiropractors can help you realign your spine or get your joints feeling better. These adjustments are gentle and pain free. By realigning your body to its natural alignment, blood flow can be resorted, compressed nerves can be freed of pain, and the discs in your spine can be put back into alignment. During your appointment, your chiropractor will likely perform spinal adjustments, and possibly perform manipulations to other parts of your body to get your range of motion back. Depending on the problem, they may discuss future appointments with you as part of a long term treatment plan to keep your range of motion strong. They will also likely discuss things you can do at home to help keep you in your best health. Your chiropractor at Carolina ChiroCare and Rehab will know stretches you can do and exercises to strengthen specific muscles that will keep the affected areas in good health. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### 5 Simple Tips for Better Posture URL: https://www.carolinachirocare.com/5-simple-tips-for-better-posture/ ## 5 Simple Tips for Better Posture  Slouching becomes a lifelong habit that's hard to break. When your posture is poor, holding your body up straight can feel uncomfortable and even painful. Chiropractic care helps many people today with their spinal alignment so they can improve their posture, their health, and feel more confident in the way they hold themselves. Outside of regular appointments with a professional chiropractor, there are small adjustments you can make to your lifestyle to start actively improving your posture. Below are five simple tips you can start using today for better spinal health. #### 1. Discover What's Affecting Your Posture Everyone has habits that affect their posture. The key to improving your posture is to discover what your individual problem areas are, and then taking targeted steps to correct them. Do you spend all day looking up for down at a device? Getting on a natural level can make a big difference. Are you wearing tall high heels every day? If you love your shoes you may not need to give them up entirely, but wearing better shoes for your posture more regularly can have a positive impact on your spinal health. Consulting a chiropractor can give you a lot of insight on where you can improve. After an exam, they'll be able to offer you their findings on where your posture is suffering and the types of things you can do to improve. #### 2. Watch How Much You're Sitting In today's world, most people are sitting for a large portion of their day. It may be unrealistic for you to avoid sitting as much as you do. However, you can counteract the effects of this much time spent in your chair by taking a five minute break every hour to stand, stretch, and walk around your office. The more you can move around, the better. #### 3. Check Your Sleeping Habits A large portion of your life is spent sleeping. During the night, you hold mostly the same posture. That's a lot of time for your spine to be in mainly one position. Is it being held in the best way possible? If you're already sleeping on your back, excellent! If not, make a new practice of starting every night on your back. You can grow more used to this with time. Placing a pillow under your knees or lower back may make this more comfortable for you. Investing in a comfortable pillow that properly supports your neck is also ideal for your spinal health and will affect your posture during the day. #### 4. Treat Injuries Right Away Don't put off seeking treatment when you're injured. It's common after a car accident, sports injury, or other traumatic event to put off seeking treatment. The thinking is that you will wait to see if the pain gets worse before bothering to get help. By treating any injuries right away, you'll protect your spinal health and keep your posture strong for the long term. Consulting a chiropractor anytime you are injured can offer you peace of mind and keep your wellness in check. #### 5. Exercise Often With Healthy Techniques Keeping a regular excercise schedule is one of the best things you can do for your overall health. For your posture, it's important to do targeted exercises to strengthen your core muscles two to three times a week. It's also important to work with a personal trainer to develop strong techniques for weight lifting. Improper weight lifting can cause muscle strain and spinal misalignment. When done properly, strong muscles will help hold your spine and joints in their natural position and work to improve your posture. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### How To Improve Your Posture While You Sleep URL: https://www.carolinachirocare.com/improve-your-posture-while-you-sleep/ ## How To Improve Your Posture While You Sleep  Experienced chiropractors know that your spinal health is affected by more than your activities during the day time. A great deal of our lives are spent in bed, sleeping. How much a person sleeps, and how they do it, has a large impact on overall health. If you don't sleep enough, you may be groggy for a morning meeting. If you sleep at a wrong angle, you may wake up with a sore neck. While most people will acknowledge that sleeping strangely can mean waking up with a new ache, few of us think about how we sleep every night has a long term effect on spinal health and how we generally feel. In fact, proper sleeping habits can have a positive impact on our spinal health and our posture. #### Relax Your Body Before Sleep Going to sleep with tense muscles can mean for a rough night of sleep and bad conditions for your spine and joints. If you've been sitting in a chair all day, it can be useful to go for a short walk, do some yoga, or stretch out your body as the first step toward winding down for bed. Next, consider taking a bath. Soaking in Epsom salts or essential oils can help you relax. #### Don't Underestimate The Value of A Great Pillow Ideally, you want to have one pillow under your head at night. This pillow should support your neck and head. When you get comfortable for sleep, you should feel like your muscles are able to relax and be supported. You don't want to be shifting your head or turning at a different angle to get comfortable. It's not good for your neck to stay in that position all night long. The right pillow will be different for everyone, so you might need to experiment to find what's right for you. #### Sleep In A Cool Room You may wonder what this has to do with your chiropractic health. When you sleep in a room that's too warm, you're likely to toss and turn all night. This makes it more difficult to keep the right posture while you sleep. Sleep in a cool and comfortable room to help you stay relaxed and in a healthy position. #### Practice Sleeping On Your Back Sleeping on your back is the healthiest position for your spinal alignment. This isn't the easiest habit for everyone. You can start by practicing going to sleep this way every night. If you feel uncomfortable, try placent pillow under your knees or a rolled up towel under your lower back to see if this helps. #### Do Not Sleep On Your Stomach Stomach sleepers hate hearing this. It's understandable. If it feels like your most comfortable sleeping position, changing things up seems like a path to getting less sleep for a while, and no one wants that. However, there is no way to sleep on your stomach that is healthy for your spinal alignment. Over the long term, this causes alignment problems that can be difficult to overcome. For your long term back health, practice sleeping on your back as much as possible. This may take time, but it's worth working on. #### Be Careful Sleeping On Your Side For your longterm chiropractic health, it's still best to sleep on your back and is a great idea to practice doing that. However, if you're going to sleep on your side, work on doing this in as healthy a way as possible. That means keeping your spine straight. Try to sleep with your hands in front of you instead of tucked under your pillow. Put a pillow between your knees to keep your body straight. #### How Are You Sleeping At Night? Are you waking up feeling rested? Do you have aches and pains? Are you going through the day hunched over and feeling like it's too much work to sit up straighter? The above sleeping practices can help you get a better night's rest and improve your posture so you hold yourself better during the day. They're not the only things you can do to see improvement, though. Getting a healthy amount of exercise can help you get to sleep at night. Doing some targeted exercises to strengthen your core muscles can improve your posture as it will be easier for you to sit up straight. Visiting your chiropractor at Carolina ChiroCare and Rehab regularly can also help you discover what your individual problem areas are. Your chiropractor can work to find the source of your health issues and develop a long term plan for better sleep and health. With gentle spinal adjustments, many find that they sleep better and develop better posture. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractor Discusses Proper Child Backpacks URL: https://www.carolinachirocare.com/chiropractor-discusses-proper-child-backpacks/ ## Chiropractor Discusses Proper Child Backpacks  Although children are smaller than adults, and their bodies are still growing and developing, parents tend to weigh them down with backpacks that are far too heavy and unbalanced. Lower back pain is the most common health issue suffered by Americans and in many cases, it all starts in childhood with those oversized backpacks. No parent wants their child to suffer so listen to the advice of a chiropractor when it comes to proper child backpacks. #### Selecting a Backpack The first order of business is to select a backpack that will be supportive and won't put undue stress on any part of a child's body. Child backpacks should be made of lightweight material and be proportionate to the size of the child's body. Buying large backpacks with the thought of fitting more into them will only cause problems. Look for backpacks that have several individualized compartments to help you balance out the weight effectively. Padded shoulder straps that are at least two inches wide and a strap that goes around the waist also features to look for when making your purchase. #### Packing the Backpack When packing the backpack, distribute the weight evenly and try to ensure it weighs less than 15% of the child's body weight. If it is too heavy the child will bend forward slightly to try and counterbalance the weight on the shoulders. The heaviest items in the backpack should be packed closest to the body and if it isn't necessary leave it out. #### Wearing the Backpack When a child is wearing a backpack the shoulder straps should be adjusted so that the pack is close to the body. This will distribute the weight of the pack evenly over the spine and prevent misalignment. It's important that kids use both of the straps on the backpack so the weight distribution remains equal. You should also show your child how to bend at the knees to pick up the backpack and instruct him not to twist or bend at the waist while wearing it. #### Potential Issues For some reason, we don't seem to think that children are at risk for the same types of physical issues as adults when it comes to wearing heavy backpacks. Most chiropractors will tell you this isn't true and that children can suffer from many of the same issues as adults. Regular use of a heavy backpack can result in: - Back and shoulder pain - Numbness and tingling in the arms - Poor posture - Reduced blood flow - Headache and neck pain - Distorted natural spine curvature - Muscle strain caused by overcompensation Wearing an improper backpack sets the stage for a host of physical problems later in life. If you're not sure how to proceed or your child is already showing some of the above symptoms contact our team at Carolina ChiroCare and Rehab today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Ice vs Heat For Injuries URL: https://www.carolinachirocare.com/ice-vs-heat-for-injuries-2/ ## Ice vs Heat For Injuries  When it comes to treating injuries, choosing between ice and heat can be a confusing decision. Both methods have their own unique benefits and are suited for different types of injuries and conditions. This article aims to provide a comprehensive comparison of ice and heat therapy, outlining when each method is most appropriate and how to use them effectively. ### Ice Therapy (Cryotherapy): Ice therapy, also known as cryotherapy, involves applying cold to an injured area. The cold constricts blood vessels, reducing blood flow, inflammation, and swelling. It can also numb the area, providing temporary pain relief. #### When to Use Ice: Ice therapy is best suited for acute injuries and conditions, such as: - Sprains and strains - Inflammation and swelling - Bruises and contusions - Minor burns #### How to Apply Ice: - Use a cold pack, ice bag, or a bag of frozen vegetables wrapped in a towel to prevent direct skin contact. - Apply ice to the injured area for 15-20 minutes at a time, allowing at least 1 hour between applications. - Repeat the process several times a day for the first 24-48 hours following the injury. ### Heat Therapy (Thermotherapy): Heat therapy, or thermotherapy, involves applying warmth to an injured area. Heat dilates blood vessels, increasing blood flow and promoting relaxation in the muscles. This can help reduce stiffness and increase flexibility. #### When to Use Heat: Heat therapy is best suited for chronic conditions and muscle tension, such as: - Muscle spasms - Stiff joints and arthritis - Chronic pain and discomfort - Delayed onset muscle soreness (DOMS) #### How to Apply Heat: - Use a heating pad, hot water bottle, or a warm towel to provide consistent warmth. - Apply heat to the affected area for 15-20 minutes at a time. - Repeat the process several times a day, as needed. #### Important Considerations: - **Timing:** Ice therapy is most effective when used immediately following an injury, while heat therapy should not be used until 48 hours after the injury. Applying heat too soon can increase inflammation and swelling. - **Pre-existing conditions:** Individuals with conditions such as diabetes, Raynaud's disease, or vascular diseases should consult a healthcare professional before using ice or heat therapy, as these treatments may have unintended effects on circulation. - **Skin sensitivity:** Always protect your skin by wrapping ice packs or heating pads in a towel to avoid burns or frostbite. - **Pain and discomfort:** If either ice or heat therapy causes increased pain or discomfort, discontinue use and consult a healthcare professional. Both ice and heat therapy can be effective in treating various injuries and conditions. Ice therapy is best suited for acute injuries and inflammation, while heat therapy is more appropriate for chronic conditions and muscle tension. By understanding the differences between these two treatments and knowing when to use each one, you can optimize your recovery and get back to your normal activities as soon as possible. Always consult a healthcare professional if you are unsure about the appropriate treatment for your specific situation. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Ice or Heat After an Injury? URL: https://www.carolinachirocare.com/what-is-better-after-an-injury-ice-or-heat/ ## What is better after an injury. ice or heat?  It's Doctor Jeffery Gerdes here, your Chiropractor. And the author of 'Getting Relief - A Consumer's Guide to Treating Neck and Back Pain at Home' and co-author of 'Understanding Whiplash'. Today I want to talk real briefly about 2 questions I get asked here in the office, should I use ice or heat after an injury? #### ice or heat after an injury? A good rule of thumb is you want to use ice in an acute injury. Acute meaning the first 72 hours or 3 days. Should you sprain your shoulder at the gym, have some type of whiplash, car accident or injury your knee playing soccer, you want to use a lot of heavy ice that first 72 hours. Now as far as heat is concerned, heat is going to better promote the healing process in an injury that is post subacute or chronic. So something that's after 3 days or conditions that have been bothering you for quite some time. The heat is going to decrease inflammation and also increase the healing response process as well. So that's a quick rule of reference for the utilization of ice or heat after an injury. With any other questions or if you would like to request a free copy of one of my books, please don't hesitate to contact our office. In health, Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Cryotherapy vs. Thermotherapy: Which is Better for You? URL: https://www.carolinachirocare.com/cryotherapy-vs-thermotherapy-which-is-better-for-you/ ## Cryotherapy vs. thermotherapy: which is better for you?  Some of the most traditional treatments for certain injuries involve putting an ice pack or a warm compress on them. Heat and cold can both do wonders for reducing pain and inflammation, so it can be difficult discerning which treatment to use. After experiencing trauma or injury, chiropractors often recommend that you do either cryotherapy or thermotherapy. Both have their pros and cons, and which treatment you should rely on depends on your specific condition. Let's dive deeper into these two treatments and see whether one is any better than the other. --- #### Cryotherapy Cryotherapy has really taken off in the past couple of years. We've seen numerous articles written about it, and an abundance of YouTube videos dedicated to it. It's easy to conclude that cryotherapy is just a popular trend, but it's an effective treatment. It's used for treating sciatica, arthritis, back pain, herniated discs, and more. It involves exposing your body, or part of your body, to temperatures of around -200°F (-129°C) for just a few minutes. Such low temperatures are most commonly achieved with the use of liquid nitrogen. Types of cryotherapy include - Ice packs - Ice baths - Ice massage - Cryotherapy chambers (whole-body cryotherapy), and more. - Most clinicians will advise against whole-body cryotherapy unless it's truly necessary. Local cryotherapy is often more than enough to achieve the desired results. --- #### Thermotherapy Thermotherapy is on the other end of the spectrum. While cryotherapy will expose you to low temperatures, thermotherapy will expose you to high temperatures. Of course, the temperatures won't be nearly as extreme as they are in cryotherapy. Thermotherapy doesn't go above 113°F (45°C). Higher temperatures can be detrimental and can cause burns and irritations, so they're never applied in thermotherapy. There are various types of thermotherapy - Saunas - Warm compressions - Infrared lamps - Hot water baths - Paraffin baths - Ultrasound therapy, and more. - A chiropractor will recommend thermotherapy for chronic pain, joint stiffness, tense muscles, etc. A cryotherapy session is very short, lasting up to 3 minutes. But a thermotherapy session can often last over an hour, depending on your specific condition and needs. --- #### Pros and Cons of Cryotherapy Cryotherapy has countless benefits but can come with a few side-effects as well. Before you opt for this treatment, you should familiarize yourself with all its pros and cons. **Pros** Cryotherapy aims to reduce blood flow to injured areas. By narrowing the blood vessels and reducing the blood flow, the inflammation you're experiencing can also be reduced. An added benefit is that the cold can have a numbing effect, successfully eliminating pain and soreness. That's why anesthesia is often not even necessary for cryosurgery. Some of the most significant benefits of cryotherapy include - Reducing muscle pain - Helping with migraines - Eliminating eczema - Fighting cancer - Improving bodily functions in patients with multiple sclerosis. - Cryotherapy is commonly used by athletes precisely because of its effect on sore muscles. After cryotherapy, athletes will feel more energized and be able to push their limits further. Cryotherapy can also boost your metabolism and help you burn calories faster, making it ideal for those on a weight-loss plan. Your body needs to work harder to stay warm during this therapy, so more energy is spent - resulting in more calories burned. **Cons** Cryotherapy can have some side-effects that might not be very pleasant. Before you can even start the treatment, your chiropractor will ask some health-related questions. You shouldn't try cryotherapy if you have a history of: - High blood pressure - Stroke - Seizures - If you're pregnant. - It's of utmost importance to talk with your doctor or chiropractor before you try cryotherapy. They will help you design the right therapy that will produce the right results. If your doctors do recommend cryotherapy, it's critical that you go to a certified practitioner for it. If your cryotherapist doesn't know what they're doing exactly, they can: - Worsen your condition - Cause your blood pressure to spike up uncontrollably - Cause frostbite - Cause you significant discomfort - Always talk to your doctors before cryotherapy, and should you feel uncomfortable stop with the therapy immediately. --- #### Pros and Cons of Thermotherapy Thermotherapy comes with its own set of pros and cons. Let's take a look. **Pros** Thermotherapy affects your body in a completely different way to cryotherapy. Whereas cryotherapy will reduce blood flow, thermotherapy will increase it. Increasing the blood flow will allow for more oxygen and nutrients to pass through the blood vessels. That will help with healing damaged tissue and improving your mobility. Heat therapy can penetrate deep within the skin, and as a result, can help with joint stiffness and muscle tension. The main benefits of thermotherapy include - Increasing blood flow - Relaxing muscles - Preventing pain and stiffness - Improving mobility - Boosting circulation - Cryotherapy is often used for dealing with new injuries and is best applied within the first 72 hours. - Thermotherapy, on the other hand, is better applied later, once the injury has already started to heal. **Cons** Since thermotherapy increases blood flow and promotes circulation, it can have negative side-effects. Especially if applied to new injuries or when you're suffering from inflammation. Your body's natural reaction to new injuries is to send white blood cells to heal it. Promoting stronger blood flow and sending more blood to injured areas can cause greater swelling and irritation. Thermotherapy should always be supervised by a certified practitioner. Otherwise, you risk - Worsening your condition - Incurring burns - Causing inflammation - Promoting swelling. - Thermotherapy is best applied to older injuries that are still causing pain. Consult with your doctor to find out whether thermotherapy will improve or worsen your condition. #### In Summary Both cryotherapy and thermotherapy can be effective in reducing pain and helping you fight certain conditions. Sometimes, cryotherapy and thermotherapy are used together to achieve the best results. Cryotherapy can help in the first stages, while thermotherapy can help in the final stages of fighting pain and injury. Your chiropractor will know best which therapy will be the right choice for you. So, always consult with medical professionals before attempting either of these therapies. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### 10 Benefits of Cryotherapy That Might Surprise You URL: https://www.carolinachirocare.com/10-benefits-of-cryotherapy-that-might-surprise-you/ ## 10 Benefits of cryotherapy that might surprise you  How would you like to submerge your whole body into a cold chamber? Sounds unpleasant? It doesn't have to be. In fact, cryotherapy can have many beneficial effects. If you've ever wondered what all the hype around cryotherapy was about, then this article is for you. By the end of it, you may even want to book a session with us at our chiropractic clinic. In this article, we'll explain the benefits of cryotherapy on: - Muscle pain - Weight loss - Inflammation - Dementia - Cancer - Depression and anxiety - Eczema - [Migraines](https://www.carolinachirocare.com/headaches-migraines/) - Multiple sclerosis #### Benefits of Cryotherapy **1. Muscle Pain** If you've ever suffered a minor injury from work or sports, you've probably applied a cold ice pack to relieve the pain. And if it helped relieve the pain, it's because it works. Now imagine you could submerge your whole body in ice packs. That's what cryotherapy can do for you - but that's not all. Cryotherapy has not only been shown to help with muscle soreness but also with recovery after exercise. Even more impressive is the positive effects on patients suffering from rheumatoid arthritis. **2. Weight Loss** You've probably noticed that many people include weight loss as one of their New Year's Resolutions every January and good on them for doing so. But sometimes you need a little bit of extra help to shed those pounds. You guessed it… cryotherapy can help. It's by no means a magic pill that'll make you fit. But since it reduces muscle soreness, it'll help you get back to the gym faster than the average person. And there's another bonus: Improved metabolism. Cryotherapy will gradually help your body adjust to cold temperatures and thus boost your body's natural metabolism rate - which helps you burn more calories. **3. Inflammation** Although the word inflammation has negative connotations for most people, it's actually a positive condition. Why? Because it's part of the healing process when you have an infection. The body's immune system uses inflammation to fight the infection. And although it may seem painful, it holds true to the old adage - no pain, no gain. That said, inflammation is also linked to health problems, so it's good to get rid of it as soon as possible. How do you do that? Well, cryotherapy can help reduce inflammation in the body, which means you'll feel better a lot sooner than normal. **4. Dementia** Since cryotherapy can help reduce inflammation, it also has some surprising positive side effects. One of these is that it works as a preventative treatment for cognitive impairment, such as dementia. Some of the symptoms of dementia include oxidative stress and bodily inflammation, both of which cryotherapy can help prevent. A study on rats suggests that due to these healing properties, cryotherapy has an indirect preventative effect on dementia and other cognitive impairments that appear with the onset of old age. **5. Cancer** Another condition that is connected to inflammation is cancer. And while cryotherapy cannot cure all forms of cancer, it's a well-established treatment used by medical doctors for certain kinds of the disease. Want to know how it works? If you suffer from skin or cervix cancer, doctors can use cryotherapy to freeze off the cancerous cells, which in turn can contribute to the remission of cancer as a whole. **6. Depression and Anxiety** Mental health is important, and it can have grave consequences for your physical health if the symptoms aren't treated. Part of the physical symptoms caused by depression and anxiety is inflammation. Since cryotherapy can reduce inflammation in the body, it can also counter some of the negative effects of mental health issues. A study testing the effects of cryotherapy on patients suffering from depression and anxiety found that it reduced these symptoms by half. The researchers used a control group for the study and found that the placebo effect was not enough to explain the difference in recovery. **7. Eczema** Eczema is a condition that causes patches to become dry and itchy. It can be rather uncomfortable, which is why doctors often prescribe medications to combat the symptoms. But since the symptom of eczema is a form of skin inflammation, it means the healing properties of cryotherapy can help reduce them. A study looked into whether or not it could work, and found that participants who suffered from eczema actually saw reduced symptoms after cryotherapy sessions. **8. Migraines** We've covered headaches and migraines a lot on our blog, and readers will know that the root cause of them often lies somewhere around the area of the neck. Cryotherapy isn't just for the whole body - it can be targeted on specific areas. That means targeted cryotherapy can, when applied to the neck area, reduce the symptoms of migraine and headaches. **9. Multiple Sclerosis** MS is an autoimmune disease that often leads to a weakening of the body, chronic fatigue, muscular spasms, and a general feeling of numbness. In other words, it's a very unpleasant condition. But a study examined the effects of cryotherapy on patients suffering from MS and found that it not only improved their bodily functions but also the symptoms of fatigue. **10. Fibromyalgia** Not a whole lot is known about fibromyalgia. It's a disorder with no certain cause, but that doesn't make it any less unpleasant or dangerous. The symptoms of fibromyalgia include muscle soreness, skeletal pain, problems sleeping, and chronic fatigue. Fortunately, cryotherapy has also been shown to remedy some of these symptoms in patients. A single treatment was reported to improve their quality of life for up to one month afterward. #### Ready for the Cold? If you're suffering from the symptoms of any of these conditions, then give us a call. We'd love to show you the benefits of cryotherapy first-hand. When it comes to cryotherapy, residents rely on Carolina ChiroCare to help them reduce the symptoms of inflammation. Call us today to discuss your cryotherapy session tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ## Articles: Pregnancy & Wellness ### Is Chiropractic ok for Pregnancy? URL: https://www.carolinachirocare.com/chiropractic-ok-pregnancy/ ## Is Chiropractic ok for Pregnancy?  Many expectant moms hear conflicting advice about chiropractic care in pregnancy. Some worry it may not be safe for the baby, while others report less pain and smoother deliveries with regular care. Current evidence and clinical experience show that, when performed by a licensed chiropractor trained in prenatal care, chiropractic treatment is generally considered safe for both mother and baby and can offer meaningful relief from pregnancy-related discomfort. It should always complement, not replace, the care you receive from your OB/GYN or midwife. --- ### How Chiropractic Helps During Pregnancy Chiropractic care focuses on gently improving joint alignment and nervous system function without drugs or surgery. During pregnancy, your body goes through rapid changes that can affect your spine, posture, and balance. - **Most licensed chiropractors** receive training in how to safely evaluate and treat pregnant women, and many use special tables or pillows to accommodate a growing belly. - Some chiropractors complete **additional prenatal and pregnancy-focused certifications**, giving them extra expertise with issues like pelvic balance, [low back pain](https://www.carolinachirocare.com/back-pain/), and sciatica in pregnancy. When appropriate for your situation and cleared by your prenatal provider, chiropractic care may help: - Reduce lower back, hip, neck, and pelvic pain. - Ease pressure on nerves that can cause pain, tingling, or numbness in the legs, arms, or hands. - Improve posture and comfort as your center of gravity shifts and your belly grows. Always let your chiropractor know you are pregnant and inform them about any complications (such as high-risk pregnancy, bleeding, or severe pain) before beginning or continuing care. --- ### Common Pregnancy Discomforts Chiropractic May Help As your baby grows, your body adapts in ways that can strain your joints and muscles: - Extra weight and a forward‑shifting belly can stress the **lower back, hips, neck, and knees**. - Ligaments become more flexible due to hormonal changes, which can lead to instability and misalignment in the spine and pelvis. - Everyday activities like getting out of bed, lifting older children, or standing at work can start to feel harder and more painful. Gentle, pregnancy‑safe adjustments may help: - Decrease tension and stiffness in the spine and surrounding muscles. - Improve joint movement in the hips and pelvis. - Support better posture and balance so daily tasks are more comfortable. --- ### Simple Self‑Care Tips During Pregnancy Chiropractic care is only one part of feeling better during pregnancy. You can also support your body with a few practical habits: - **Stay moderately active** Low‑impact activities like walking or swimming can improve circulation and keep muscles working. - If you were inactive before pregnancy, ask your prenatal provider what level of exercise is safe for you before starting. - **Choose supportive footwear** Skip high heels while pregnant; they can make you less steady and worsen posture and back pain. - Stick with flat, supportive shoes that help you feel stable. - **Lift safely** When lifting children or objects, bend at your knees and hips rather than your waist. - Hold items close to your body and avoid twisting while lifting. - If something feels too heavy, ask for help instead of straining. - **Support your body while resting and working** When sleeping, lie on your side with a pillow between your knees to reduce pressure on your lower back and hips. - If you sit at a desk, use a small footrest to take pressure off your legs and lower back. - Try to stand up, stretch, and walk for a minute every 20-30 minutes instead of sitting for long periods. --- ### After Baby: Postpartum Chiropractic Care Your body continues to change after delivery as your muscles, ligaments, and joints slowly return toward their pre‑pregnancy state. Lifting your baby, feeding positions, and disrupted sleep can all add new strain. Postpartum chiropractic care may help you: - Recover more comfortably from the physical stress of pregnancy and delivery. - Address new pain in the neck, upper back, or low back from nursing, bottle‑feeding, or carrying your baby. - Improve posture and mobility so you can move, bend, and lift more comfortably. --- ### When to Ask for Help If you're pregnant and dealing with ongoing back, neck, or pelvic pain-or you're simply unsure whether chiropractic care is right for you-reach out to a qualified prenatal chiropractor and your OB/GYN or midwife. They can review your health history and pregnancy, discuss potential benefits and risks, and create a care plan that prioritizes your safety and comfort. If you're in the Raleigh area and have questions about pregnancy‑safe chiropractic care, the team at Carolina ChiroCare and Rehab can review your situation, coordinate with your prenatal provider as needed, and help you decide on the best next step. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractic Adjustments For a Happy Pregnancy URL: https://www.carolinachirocare.com/chiropractic-for-a-happy-pregnancy/ ## Chiropractic Adjustments For a Happy Pregnancy  Chiropractic adjustments at our clinic are gentle treatments to keep the body in its natural alignment. They relieve pressure on the nerves and work to keep vertebra in their natural positions. Pregnancy Is a miracle full of many wonderful things, but these things also cause major changes and shifts in the body. While your body attempts to make adjustments for the growing pregnancy, there are often bumps along the way that cause a lot of unpleasant side effects. #### Changes To The Body During Pregnancy It's fairly common for pregnancy to include headaches, for your balance to be off, and for there to be a lot of stress on the knees, hips, back, and neck. As the body changes, weight is distributed differently. The pelvic bones shift and change to adjust to a growing uterus. You may have noticed that pregnant people walk differently. This can be due to pressure on the spine as the belly grows, or it can be caused by spinal misalignment or things shifting out of balance. #### Chiropractic Adjustments As Natural Treatments Any parent-to-be is likely to first ask the question: Is it safe? Yes, chiropractic adjustments have been shown to be safe for pregnancy. They are natural treatments, without any medications that may harm the pregnancy. The adjustments are handled with extra care toward the health of the pregnancy. It's important to discuss your pregnancy with your chiropractor as things develop. Non-invasive chiropractic treatments will gently help to keep your joints and spine in alignment throughout the pregnancy. This will lower the amount of stress put on your body. It also helps the body to feel less discomfort during pregnancy, which encourages more walking and other exercises, as well as improves sleep. Healthy exercise and a regular sleep schedule are essential parts of a healthy pregnancy. Many studies and parents have reported that with quality chiropractic care throughout pregnancy, their experience along the way and during labor were greatly improved. This makes sense, considering that the better your overall health the easier labor will be. With a spine out of alignment, sleepless nights, and not enough movement over the past several months, labor can be a more painful and longer experience. Being in the best possible shape for a healthy labor is a great goal for any pregnancy. Discussing your personal goals and pain points with your chiropractor can be a powerful part of pregnancy planning. #### Every Step of The Way During the first trimester, headaches are a common symptom of pregnancy. Possible causes of this include added stress, dehydration, adjustments to a new busy schedule, morning sickness, or a misalignment of the spine. Chiropractic adjustments can help treat these pains and lessen the symptoms. The second and third trimesters often bring major changes to the body that show up as gained weight that is distributed differently, headaches, back pains, and other health issues that your chiropractor can help you naturally find solutions to. After labor, your body will have gone through a major event. While you're dealing with a lack of sleep and carrying a new bundle of joy in your arms, it's all too easy for your spinal column to fall into misalignment. With your chiropractor there for you every step of the way, you can be in improved health to better enjoy your new little miracle. If you have any questions at all about how chiropractic care can help during your pregnancy, be sure to ask your chiropractor at Carolina ChiroCare and Rehab! A quality chiropractic office is always happy to answer any questions along your pregnancy journey. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractic for Pregnancy URL: https://www.carolinachirocare.com/chiropractic-pregnancy/ ## Chiropractor for Pregnancy  There are over 6 million children born in the United States, over 14% of these births come with some sort of complication. So, not only is labor painful enough, but there are always risks that may occur. There are several ways to minimize these risks, including exercise, proper nutrition, supplementation, as well as chiropractic care at our chiropractic office. When a woman is pregnant changes within the body occur immediately. All of these changes are to support the life that is growing inside the woman. Pregnancy, as beautiful of an event as it may be, can cause the mother a certain amount of discomfort or pain. During the first trimester, morning sickness is a very common experience. This occurs due to the increase in hormone levels and the growth of the placenta. With the extreme rise in hormone levels and the growth of the placenta, the liver is working significantly harder which can create a lot of stress on the organ. By receiving care at Carolina ChiroCare and Rehab, we will work to eliminate any stress on the nervous system and optimize the function of the liver, compensating for its increased workload. Headaches are also a common symptom during the first trimester of pregnancy but are known to last throughout the whole pregnancy. There are several possible reasons for this, including misalignment(s) within the neck and upper back, dehydration, stress, in addition to sugar and caffeine withdrawal. Through chiropractic adjustments, proper nutrition, and a healthy sleep cycle these headaches can be greatly reduced or eliminated. During the second trimester the "baby weight" begins to show and the mother's body has been undergoing physical changes to accommodate this weight. If you already have misalignments within your spine it is very possible for a pregnancy to exacerbate the symptoms causing headaches, acid reflux, constipation, diarrhea, or pain. Throughout the pregnancy, the pelvis is shifting forward changing the lower back curve. This is supposed to happen but if you have a misalignment within your lower back or spine already, this could create substantial pain and complications. The real benefits of chiropractic care during pregnancy can be seen when a woman goes into labor. The average length of labor is 10 ½ hours. First-time mothers receiving chiropractic care can experience a 24% decreased labor time and mothers that have had children can experience a 39% decrease in labor time. Most importantly, women that have been receiving regular care often do not find a need for drugs during delivery because they have been able to better prepare their bodies for the experience. #### Complications during pregnancy can be minimized or even avoided with total prenatal care. This includes: - Chiropractic care - Exercise - Proper nutrition - Supplementation - Drinking lots of water - Plenty of sleep At Carolina ChiroCare and Rehab, providing health care is more than our job.  Instead, it's our passion to care for mothers as they await the arrival of their little miracle. Our passion doesn't stop there either! We are also here to ensure that your child(ren) grows and develops with the best possible health, allowing them to reach their optimal potential. If you have any questions please feel free to call our chiropractic team today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Benefits of Chiropractic During Pregnancy URL: https://www.carolinachirocare.com/benefits-of-chiropractic-during-pregnancy/ ## Benefits of Chiropractic during pregnancy  Pregnancy affects your body significantly. The uterus swells 500 times its regular size, blood volume increases by up to 50%, and the feet change shape and size. Pregnant women definitely feel those changes. Back pains are quite common during those 9 months too. Research has shown that around 50% of females experience back problems during pregnancy. But is there anything you can do to avoid all that pain or at least to relieve it? Paying a visit to your local chiropractor could help you a lot. But when is the right time to seek chiropractic help? Are there any risks you should be aware of? Here are a few things you need to know about chiropractic treatment during pregnancy. #### Is Chiropractic Care Safe for Pregnant Women? Childbirth is challenging both on a physical and mental level. That's why you need to be in the best shape possible during labor. Activities like yoga, pilates, and swimming can keep your body strong during pregnancy. Exercises can leave your body aching even more. That's where chiropractors come into play. Our chiropractors perform chiropractic adjustments every day. A good percentage of the adjustments chiropractors perform is on pregnant women. Chiropractic treatment will relieve you from any [back pain](https://www.carolinachirocare.com/back-pain/). Unlike acupuncture, chiropractic treatment doesn't require any needles, which also means it's painless. It's a form of physical therapy that eases the spinal nerve stress and promotes your well-being. Before we start talking about the benefits of the treatment, here are a few things you should be aware of before you visit your chiropractor. #### Treatments Not Meant for Pregnant Women Normal chiropractic care is safe for pregnant women. Yet some treatments are not recommended for high-risk pregnancies. Other situations where chiropractic treatment isn't recommended include - Vaginal hemorrhage - Intense toxemia - Ectopic pregnancy - Placental abruption - Chiropractic treatment sometimes involves medication. Some drugs used during treatment, like anti-inflammatories, are not suited for late-stage pregnancy. Furthermore, the body can be hypersensitive during pregnancy. You should talk to your chiropractor if there's laxity in your lower or upper ligaments. Once he's aware of that, he'll know to apply light pressure on these areas. Every certified chiropractor is aware of the potential risks we discussed above. Nonetheless, you should still go to a chiropractor who specializes in prenatal care. With that in mind, let's talk about the benefits of chiropractic care during pregnancy. #### Painless Lower Back Chronic back pain is possibly the biggest discomfort you can deal with during pregnancy. A child's kicks and turns result in compression of the pelvic sacroiliac joints and the lumbar spine. Obviously, that can lead to much discomfort. A chiropractor will go through your medical records and perform a physical. After the checkup, they will try to figure out the best treatment for you. They may try to bring the alignment and movement back to your joints. A chiropractor adjusts your pelvis and massages the surrounding tissue to bring the balance to the pelvic area. These procedures will bring relief to the lower back and help ease pelvic discomfort. They also help the child descend into a perfect position to be ready for delivery. It's also always good to talk to your doctor before opting for chiropractic care for joint, back, or hip pain. #### Stabilizing and Aligning the Pelvis The body undergoes various hormonal changes during pregnancy. For instance, your body secretes relaxin. This hormone loosens your ligaments in preparation for the child's head to fit through the pelvis. The relaxation of joints causes pain when you are walking, rolling over the bed, or when standing up. A chiropractor will apply certain stretches to optimize the spine and pelvic ligaments. That has the effect of stabilizing this area. As the baby develops in the belly and becomes heftier, your posture and center of gravity will also adjust. This, too, can cause a misalignment in the spine and joints. You'll need professional care to realign them back to the correct position. #### Preventing Leg and Foot Pain Your growing belly, uterus, and the baby's head during the third trimester can create extra pressure. These occurrences can lead to extra pressure on the sciatic nerve, which can lead to symptoms such as sharp shooting pain in the legs with every step you take. It can also manifest itself in the form of a feeling of numbness and tingling in the back of the leg down to the foot. These feelings can create discomfort during your pregnancy. You might need a chiropractic adjustment to reduce the symptoms and ensure an easier delivery. #### Safer Delivery for the Mother and Baby Your child can be delivered correctly, only if your pelvis is in balance. With proper balance, you won't have to worry about complications such as a breeched or a posterior-facing baby. The best delivery position is when the child is facing the rear, with its head down. A misaligned pelvis makes it difficult for a baby to assume this position. Only 3% to 4% of full-term babies will sit in the stubborn breech position. But it's better to be safe than sorry. Most OB-GYNs will opt for a C-section when that happens. Proper pelvic alignment reduces the probability of a breech presentation occurring. This minimizes the possibility of a long and complicated birth. Chiropractic care will benefit you not only in childbirth but also during pregnancy. If your pelvis is out of alignment, it can restrict the space that the baby needs to develop. It can cause an intrauterine constraint. #### Final Thoughts The benefits of chiropractic therapy for pregnant women are well-documented. Therapy will prevent back pain, loosen your ligaments, and even help you give birth easier. Whether you are going for a hospital or home birth, a chiropractor can help you. Only a few visits can reduce the possible complications that can occur during pregnancy or childbirth. When seeking chiropractors, ensure you consult your doctor for advice and referrals. You shouldn't do anything without your doctor's knowledge. Select a chiropractor that has experience with pregnant patients. Need a chiropractor? Contact us today! tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractor Explains the Value of Health URL: https://www.carolinachirocare.com/chiropractor-explains-value-health/ ## Chiropractor Explains the Value of Health  The value of health is something that can never be overstated, no matter how long you talk about it. It's easy to place other aspects of life ahead of health on the priority list, but once your health falters none of those other things matter. If you aren't healthy enough to work, look after children or spend time with friends, then your health becomes all that matters. Take these pieces of advice from a chiropractor in order to truly understand the value of health. #### Many Facets of Health and Wellness Health and wellness is made up of a lot more than just your physical condition. Your physical body is important and it is when this part starts breaking down that you might contact a chiropractor for treatment, but it's just one piece of the puzzle. Emotional wellness is another element that can directly contribute to your physical well-being. If you've been through emotional traumas and haven't dealt with them along the way, they tend to manifest in other areas of life that affect your overall health. It's always best to express your emotions freely and manage them so you're not hurting anyone else in the process. Maintaining strong social bonds with family and friends is another way to strengthen your health. Study after study shows the importance of having strong social connections when it comes to your health. The most important relationship you'll have is with yourself, but a sense of community and sharing with others is also a critical element. Enjoying what you do in life is another important aspect of your overall health and wellness. So many people feel like they are trapped in professions they don't find rewarding or that actually drain them physically and mentally. It's almost impossible to be happy and healthy when you dread going to work five days per week. #### Living Life on Your Own Terms When all of these facets are in balance and your health is thriving, you get to live life on your own terms rather than relying on doctors and medicine to keep you going. Seeing a chiropractor can certainly reduce pain and increase your range of motion, but all of the different elements of wellness work together, ignoring some of them isn't going to make you feel better overall. At the end of the day health is all you really have and luckily, you're in control. At Carolina ChiroCare and Rehab our team is here to help answer your questions.  Please feel free to contact us today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractor Talks about Wellness Care URL: https://www.carolinachirocare.com/chiropractor-talks-wellness-care/ ## Chiropractor Talks about Wellness Care  Being healthy from a physical perspective and being healthy from a wellness perspective are two separate things. Many world-class athletes look healthy and perform well in their chosen field, but they would fail an overall wellness test that incorporates all the different elements of wellness. Keep reading to discover what a chiropractor thinks about wellness care. #### Your Physical Body More often than not, when all aspects of your health are not in balance your physical body ends up paying the price. Chronic diseases and chronic pain are a big part of many people's lives and they don't always stem from being inactive or having poor nutrition. These elements are definitely important if you wish to keep your physical body fine-tuned and working well, but they aren't the only things. #### Emotional Wellness It's not uncommon for a chiropractor to see patients with chronic pain that originates in emotional trauma. Emotional wellness refers to letting go of past traumas and expressing yourself openly and freely. Pent-up emotional baggage has to go somewhere, and a lot of the time it ends up as pain in your back and neck. #### Social Wellness Being socially active and having a network of family and friends to spend time with is another important aspect of total wellness. It's true that some people are more introverted than others, and may not require the same amount of social stimulation, but everyone needs someone. It's important to be able to share both the good times and the bad times with other people. #### Tying It All Together When all of these different aspects of wellness are firing on all cylinders and working together in unison, it's almost impossible not to be healthy. Your chiropractor treats the whole person and not only the physical ailments that accompany your greater health issues. Chiropractic care focuses on treating the underlying cause of the physical symptoms. Much of the time, this means misaligned spinal vertebrae causing pain in some part of the body, but it can mean other things, too. As part of a total wellness plan, your chiropractic team at Carolina ChiroCare and Rehab will get to know you as a person to help untangle any wellness elements that may not be working in your favor. Once the cause of your problem is brought out into the open and addressed, you can start working on a solution so the pain will go away. At Carolina ChiroCare and Rehab our team is here to help answer your questions.  Please feel free to contact us today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractor Talks About Improving Your Health URL: https://www.carolinachirocare.com/time-improve-health/ ## Chiropractor Talks About Improving Your Health  Every year, hundreds if not thousands of people suffer some type of lower back injury. This often requires a visit to their chiropractor as a result of gardening or doing some other type of yard work. This happens a lot in the spring when people are anxious to get outside and tend to their yards after months of being penned indoors by the winter season. It is relatively easy to injure your back, especially if you are moving heavy objects around the yard. While good chiropractic care is always one of the first things you should do after receiving such an injury, you also want to consider the fact that chiropractic care, that occurs on a fairly regular basis, may help to curb some of these injuries in the first place as does following some common safety precautions when you are working in your yard. There are a number of tips that can help you when it comes to preventing back injuries while you are working in your yard. Perhaps one of the most important things to remember is that in most cases the more fit you are, the less likely you are to suffer an injury of this type. Fitness is a good idea in any case, and this is especially true when you are performing any type of rigorous physical activity. Good muscle tone and flexibility will go a long way toward helping you stay healthy and free from back injuries that can be very painful. In addition, you always want to lift properly. Always lift with your knees, and keep your feet in front of you approximately a shoulder-length apart. Whatever you do, never lift with your back. This is one of the primary reasons that people receive back injuries in the first place. Another thing you can do to reduce your chances of injuring your back is to use tools that work well for you. If you are an individual with a smaller build, you need to use smaller tools and try not to move things that are too heavy without help. Of course, if you do feel tightness in your back or you have had an especially hard day, you can typically relieve much of the tension by icing the muscles appropriately. If you prefer, you may want to alternate ice and heat in order to reduce inflammation and then relax the muscles. Ensure that you do not apply ice directly to the skin and that you use caution when applying heat. It is always a good idea to visit your chiropractor on a regular basis even if you are not currently experiencing any problems. This can prevent you from suffering a back injury or some other type of injury while you are working in your yard. In the event that you do suffer an injury, visiting Carolina ChiroCare and Rehab in can be an integral part of the recovery process. Working in your yard and getting ready for spring is something that most people enjoy, but it is also something that you should do carefully in order to ensure that you do not injure yourself. Be safe and contact us with any questions you may have. At Carolina ChiroCare and Rehab our team is here to help answer your questions.  Please feel free to contact us today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Achieve a Healthier Spine URL: https://www.carolinachirocare.com/achieve-healthier-spine/ ## Achieve a Healthier Spine  How many times daily do you stop and think about your spine? If you are like a lot of us that number sits a solid "zero". As long as we can carry on daily we simply assume everything is just fine, that is unless you suffer from [back pain](https://www.carolinachirocare.com/back-pain/). Those suffering from chronic back pain or back injury have a difficult time getting it off their mind, whether it is the pain itself or coupled with the chain reaction of events that are caused by it. Back pain is not without cost, monetarily and emotionally. Contact our chiropractic clinic for more information. While most of us do not think of our spinal health on a daily basis, statistics have shown that nearly 80-90% of the population will be affected by spinal issues and back pain at any point during a lifetime. Accident victims aside, those who run the highest risk are smokers, the overweight, and heavy lifters. With such a high likelihood there is a solid argument in favor of leading a healthy lifestyle, and in turn, striving for a healthy spine. Below are some proven strategies for a healthy spine/back: #### Healthy Diet and Exercise - Know your ideal body weight and stay within 10 pounds of that weight. Common sense supports the biomechanical logic that carrying around unnecessary body weight will put stress on all areas of the human frame, including the spine. - Strengthen your core muscles. Lack of muscle in this area can pull your entire body out of alignment, starting with your lower back. - Work diligently on eating a reasonably portioned and healthy diet. Couple this diet with a consistent exercise program that fits into your schedule, and you will see results not only in your weight but in your overall health and confidence. - Always stretch before and after your workout. - Consult with your physician before beginning any diet or exercise program. There may be issues specific to your health conditions that warrant professional guidance. #### Smoking Cessation In terms of physical healing, smokers are far worse off than non-smokers. Blood flow is severely restricted throughout the body by the more-than 4000 chemicals in cigarettes. This restriction slows the healing process to all parts of the body, and the spine is no exception. #### Sleeping Habits - Try to support your body as you sleep. Pain at any time is not normal, and if you are feeling pain while you are trying to sleep, find a position that alleviates the pain. - Back sleepers on average place nearly 50 pounds of additional pressure on the spine that can be reduced by nearly half if a supportive pillow is placed under the knees. - Side sleepers can reduce pressure on the spine by placing a pillow between the knees. #### Standing - Standing with the knees locked places pressure on the lower back. Relax your stance by placing one foot in front of the other, slightly bending the knees. - Avoid standing bent at the waist for any period of time, this places undue stress on the spine as well. #### Lifting - Always engage your legs when lifting. Do not lift solely with your back muscles. - Avoid twisting when lifting anything. - If pushing or pulling an item is an option, choose it. Always choose pushing before pulling, and engage your leg muscles to lessen the strain on the back. - Ask for help. - If carrying the object after lifting, keep it close to the body and spread the weight evenly between both hands. #### Sitting - Avoid slumping in your chair. Keep the shoulders back and the spine straight. Do not let your shoulders become rounded or allow your lower back lose its natural curve. - Knees should be slightly higher than the hips. - Keep the head up and looking straight forward. #### Bending/Reaching - Bend the legs to pick up items below waist level. Do not bend at the waist. - If reaching for an item higher than shoulder height, use a stool. Straining to reach something above the head can cause injury to the neck, shoulders, and mid-back. - Place your body as close to the object as you reasonably can to further reduce any potential strain. - Like anything in life, there are no guarantees you will avoid back pain, but employing these simple, commonsense strategies certainly increase your chances of leading a pain free, healthy life! If you have any further questions don't hesitate to contact our team at Carolina ChiroCare and Rehab today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Keeping Your Spine Healthy: 5 Spinal Wellness Tips URL: https://www.carolinachirocare.com/keeping-your-spine-healthy-5-spinal-wellness-tips/ ## Keeping your spine healthy: 5 spinal wellness tips  Not many people are aware that your spinal health impacts your overall health. That's why some people start thinking about spinal wellness only when they begin to feel pain. Others continue to ignore the problem even when the pain becomes chronic. A recent ATPA survey revealed that 37% of people who experience chronic back pain don't seek professional help. If you ignore a problem, you'll never find a solution. Especially if we're talking about the spine. Fortunately, chiropractors are all about solutions. #### Importance of Keeping a Healthy Spine Your spine is made up of 24 vertebrae, which are separated by discs. In addition to keeping your spine together, the discs also act as shock absorbers. As you move, the discs allow your spinal column to move in different directions. #### Your spine has three major functions - Communication: An electrical current travels up and down your spine. The current sends signals that allow certain body parts to communicate with your brain. - Reflexes: A reflex is an involuntary response that occurs from stimuli involving your spine, brain, and peripheral nervous system. - Movement: The simple act of taking a step would be impossible without a spine. The spine is made out of neurons, which send the signals from your brain to make your leg muscles move.** You experience problems from head to toe if your spine isn't working properly. So what causes spinal injuries? Unsurprisingly, two of the most common causes of spinal injuries are: Car crashes, which are responsible for 31.5% of injuries; Slips and falls, which are responsible for 25.3% of injuries. Most accidents happen without any warning, which means you can't influence them. Does that mean you can't do anything to keep your spine healthy? No, not at all. There are certain things you can do to decrease the strain on your spine and prevent possible injuries. #### 5 Tips for Keeping a Healthy Spine Injuring your spine is much easier if you put too much pressure on it all the time. Some of the things you do are fairly obvious, while others are not. Here are a few tips for spine wellness that will help you keep your back in great condition. 1. Get Up from Your Desk Every 30 Minutes** A majority of people that suffer from spine problems and chronic back pain must spend all day on their feet, right? Not quite. Research has shown that more than 50% of people who experience major back problems spend 8 hours a day sitting behind their desks. Simply put, your body isn't designed to sit at a 90-degree angle for so long. Make sure to give your spine an opportunity to decompress regularly if you spend a lot of your time sitting down. Take a break, go for a walk, and do a couple of stretching exercises, every 30 to 45 minutes. **2. Stand Up from Your Couch Every Hour** As we established, sitting down for long periods won't do your spine any favors. And according to new medical findings, lying down for prolonged periods has the same effect as sitting down. Basically, it means that you should take a break from time to time, even when you're resting. Make sure to stand up, walk, and do some stretching, every half-an-hour. Put a pillow under your knees and rest for an hour without taking a break, if you're feeling completely drained. The pillow will at least keep your spine straight while you're resting. **3. Work on Your Lifting Form** The phrase "lifting form" is mostly used by weightlifters. However, even the average person should pay attention to this. New studies suggest that vibration from driving long distances and heavy lifting can cause " occupational back pain." Common back injuries such as pulled back muscles and herniated discs happen because of poor lifting forms. First, squat down to the object you want to lift with one foot in front of the other, if you want to prevent possible injuries. Then bend and lift the object from your hips and knees. **4. Be Careful While You're Texting** Americans check their phones 80 times a day, on average. That means most of us to check our phones every 12 minutes or so. What's worse, 10% of people check their phones around 240 times a day or every 4 minutes. It's safe to say that we keep our heads down, to stare at our phones, a lot. This is a bigger problem than you think. You can develop a condition called "text neck " and wreck your spine if you keep your head down to look at your phone. When texting, bring your arms up and put your phone in front of your face while typing on your phone, to avoid this problem. That way, you won't tilt your head down to see your screen. **5. Start Warming Up Properly Before Exercising** Possibly the easiest way to hurt yourself is to engage in physical activity without a proper warm-up. You need to do the proper stretches before you start exercising to avoid getting injured, whether you're a jogger, runner, or lifter. As the American Council on Exercising explains, stretching can improve your joint flexibility and in turn, decreases your risk of injury. Try to stretch as part of your routine. Do some stretches in the morning before work. That'll ensure that you never forget to stretch before you start to workout, ever again. **Final Thoughts** Most spinal injuries go unreported. In some cases, people simply won't visit a doctor. Some 37% of people who experience back problems don't visit a medical professional. In other cases, people are not even aware that their spine needs treatment. A slight backache may turn into chronic pain. Chronic pain may be a sign of something more serious. Your spine is, quite literally, the backbone of everything you do. You wouldn't be able to work, exercise, or even rest properly if something happened to your spine. Use our tips to ensure your spine stays as healthy as possible for the rest of your life. Make sure to seek professional help if you feel any pain. Remember, the spine is the main pillar of health. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### 3 Tips from a Chiropractor URL: https://www.carolinachirocare.com/3-tips-chiropractor/ ## 3 Tips from a Chiropractor  Since chiropractors see the results of poor lifestyle choices on a daily basis, it's only natural to formulate opinions and offer tips to patients so they can help themselves. From sore backs, necks, shoulders, and irregular sleeping patterns to back pain, we provide help in a wide range of areas. Here is 3 tips from a chiropractor that will help keep your body operating efficiently. #### 1) Try Not to Sit so Much Sitting seems like a relatively innocent activity, but the negative effects that prolonged sitting creates are numerous. Extensive sitting has always been associated with back pain and spinal issues, but recent research also suggests a link between too much sitting and heart disease. If you have a sedentary job like so many people do, make a point of getting up and moving around at least once per hour. You can take phone calls standing up, buy an adjustable standing desk, do deep knee bends, jump jacks or just go for a quick walk. The key is to stand up and move around to relieve pressure and stay healthy. #### 2) Get Injuries Treated Promptly Another important tip from a chiropractic team is to get quick treatment if you've suffered an injury. A little twist or tweak now can lead to years of discomfort and improper muscle function if you just leave it alone. It's always wise to apply ice to injuries to help reduce swelling, but visiting a chiropractor as soon as possible will help with the healing process and keep your muscles and joints functioning at full capacity. Leaving minor injuries may not cause a great deal of pain, but the effects will be felt in the future. Many people end up using various pain medications or having reduced mobility as they get older because they chose to leave an injury alone. #### 3) Incorporate Stretching Into Your Day Treating injuries promptly is a good idea, but preventing them altogether is even better. Keeping your muscles, tendons, and ligaments flexible with daily stretching will help you avoid many common injuries. You can incorporate the stretches into your morning routine or as part of your daily workout regimen. As you age, those muscles will become tighter and tighter leaving you prone to injury. Working for long hours hunched over a desk also shortens muscles and opens the door to injury. Stretching tips from a chiropractor include your hamstrings, quadriceps, calves, chest, hips, and back. It only takes a few minutes a day, but you'll notice the results for the rest of your life. If you have any further questions don't hesitate to contact our team at Carolina ChiroCare and Rehab today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ## Articles: Understanding Chiropractic Care ### What Do Chiropractors Do? URL: https://www.carolinachirocare.com/what-do-chiropractors-do/ ## What Do Chiropractors do?  I often hear people ask, "What do chiropractors actually do?" So, I would love to answer this question for all of you who are curious about visiting a chiropractor. It's estimated that between 20 and 25 million Americans visit a chiropractor each year. Of these patients who visit a chiropractor, around 35% go for relief of back pain. Back pain can come from many sources, including degeneration of the spine, poor posture, injuries from a car accident or sports injury, sprains and strains of the back, herniated discs in the back, and lifestyle issues such as being overweight or sitting at work all day. The majority of the other visits to Chiropractors include symptoms such as neck pain, shoulder pain, headaches, sciatica, nerve pain, as well as other conditions like carpal tunnel syndrome, fibromyalgia, and arthritis. #### Is what chiropractors do often covered by insurance? Yes; chiropractic care is covered by nearly all insurance carriers including Medicare and Medicaid. Chiropractors utilize diagnostic testing and lab work to diagnose their patients with many conditions. The diagnostic studies Chiropractors typically utilize include plain film x-ray's, MRIs, CT scans, and routine lab work. Chiropractors also utilize nerve conduction studies, or NCVs, diagnostic ultrasound, and videofluoroscopy. #### A few facts about chiropractors: In most states, Chiropractors do not write prescription medications, but in some states, like New Mexico, they do. Chiropractors who do not practice in clinical practice are often part of the university system or other organizations like the US Olympic team or professional sports teams. Currently, the chief medical officer for the US Olympic team is a Chiropractor. Many Chiropractors also take government jobs with the state and local Department of Health. **Summary** Chiropractic care is sought out by millions of Americans each year for a host of conditions. Chiropractors work in a wide range of settings utilizing their specialty. Chiropractic care is a form of physical medicine that primarily focuses on dysfunctions of the spine and musculoskeletal system. If you have any additional questions about what chiropractors do, please feel free to get in touch. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### How do Chiropractic Adjustments Work? URL: https://www.carolinachirocare.com/how-do-chiropractic-adjustments-work/ ## How do chiropractic adjustments work? Play Video Chiropractic adjustments work by restoring the spine's natural mobility in the vertebral column in the neck, mid-lower back, sacrum and pelvis. The cracking and popping heard during a chiropractic adjustment are caused by the capsules around the vertebral facet joints being reset. The vertebral capsules contain synovial joint fluid and gases. Adjusting the spinal vertebrae restores the synovial fluid pressure and releases a build-up in gases that may cause pressure, pain, inflammation, and tightness in and around the spine and muscles. As the synovial joint pressure decreases during a chiropractic adjustment, gas is released. This causes something called cavitation, which is the cracking or popping sound you hear. #### Why do chiropractic adjustments treat pain? Joint capsules around the facets can also become entrapped, causing sharp, sometimes severe pain in the neck, mid and lower back. Joint capsule fibers are very sensitive to pain, and when entrapped in the spinal facet joints, can become a very bothersome condition. Very often, chiropractic adjustments are able to successfully relieve this pain. The re-setting of the vertebral facet joints can decrease the irritation and inflammation on the compressed nerves that are pressed on or around the spine, which leads to relief of the pain being caused by the ligaments and muscles that have been irritated by the vertebral joints not functioning with full mobility. When vertebral joints experience dysfunction and inflammation, this also affects the spinal discs which can become irritated and inflamed. The cracking, popping, and realigning of the spinal vertebral column can take unnecessary weight distributions off of the spinal discs and lead to a decrease in pain and increase in function and mobility. In summary, Chiropractic adjustments have been used for over 100 years as an effective way to manage musculoskeletal pain with minimal side effects in comparison to many medications such as NSAIDS and Opiates. Chiropractic adjustments are covered by most insurance, Medicare, and Medicaid. Below is an example of a recent chiropractic adjustment and physical therapy performed on a patient experiencing neck and back pain caused by her job…Enjoy the cracks and pops! In Health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### What is the Popping and Cracking Sound Heard During a Chiropractic Adjustment? URL: https://www.carolinachirocare.com/what-is-the-popping-and-crackling-sound-heard-during-a-chiropractic-adjustment/ ## What Is The Popping And Cracking Sound Heard During A Chiropractic Adjustment? Play Video As a Chiropractor, I'm often asked… #### What is the popping and cracking sound that I hear during a chiropractic adjustment? In between the vertebrae, we have the facet joints. These are the joints that bring the vertebrae together and allow the vertebral joints and the vertebrae to move together, as your body is turning in space, looking up and down, and bending. Facet joints are no different from any other joints in your body, like your knee, your ankle, or your shoulder. They are designed to move in different planes of motion. It's a little harder to understand this because these joints are within your spine, and you don't see your spine. They are inside your body, as compared to your wrists, knees, and hands that are a little easier to understand since you see the movements. Around the facet joints, there are capsules. When these vertebrae misalign and get stuck out of their normal position, it may build up pressure inside the joint capsules. This pressure can cause an underlying neck and back pain, stiffness, pressure, and discomfort in the spine. #### What happens when a Chiropractor cracks your back? When the chiropractic adjustment takes place, it releases the pressure of gases inside the joint capsules and you hear an audible pop. The Popping is a combination of the facet joints realigning into their normal position and gas being released from the joints in the spine. As part of the overall treatment, it is very important to address the muscles and ligaments in the spine as well. We do recommend exercises and stretches for our patients. It is important for patients to maintain the postural corrections that we make in our treatments. Stretching and strengthening, in combination with the chiropractic spinal adjustments to the spine, provides optimal outcomes. #### Can you damage your back by cracking it? Cracking your own back generally is safe but there is a small chance you could injure yourself. Chiropractic care is considered safe. Like any other medical treatment, there are risks and benefits that should be discussed with your Chiropractor before beginning any treatment. #### Is it possible to have a chiropractic adjustment without hearing cracking? Yes. Most chiropractors are trained in techniques to use on patients who are scared of neck and back cracking. Chiropractic adjustments with cracking are not always recommended either. With certain conditions like Osteopenia, metastatic cancers, and prior spine surgery manual chiropractic adjustments are not recommended. Most Chiropractors offer techniques where the spine does not crack but the vertebrae are still aligned. The Activator Technique® and Cox Flexion Distraction Technique® are two popular techniques used in our clinic for patients who are not candidates for manual chiropractic adjustments. There are a few reasons you may have a chiropractic adjustment with no pop… - Your spine was too stiff - The Chiropractor was inaccurate in his adjustment - The Chiropractor was inexperienced - Your spine popped but you did not hear it - You were nervous and clenched your muscle The Takeaway Chiropractic adjustments are safe and effective treatments for a variety of musculoskeletal conditions like back pain, neck pain, sciatica, pinched nerves, headaches, car accident injuries, TMJ, whiplash, and vertigo. The cracking and popping sound heard is a combination of gas and pressure being released as the facet joints in the spine align. Pain blocking feel-good chemicals are released which facilitates healing and injury recovery while increasing ranges of motion in stiff and tight joints. If you have any additional questions about the safety of chiropractic care please feel free to get in touch. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### What is the "Cracking" Sound During a Chiropractic Adjustment? URL: https://www.carolinachirocare.com/what-is-the-cracking-sound-during-a-chiropractic-adjustment/ ## What is the "Cracking" Sound during a chiropractic adjustment?  Today I want to answer some of the questions we get asked here in the office. #### What are the popping and cracking? Your spine is a series of moveable joints. Those spinal joints can move, lock, and fixate out of their normal position. When this happens, pressure and gas build up in the spine causing pain, headaches, sometimes some nerve irritation. Chiropractors remobilize these spinal joints and realign them. When that happens, oftentimes, there will be an audible pop or a cracking sound. Quite simply what that sound is, is gas being released from the joints. It's a combination of oxygen and CO2, and the joints sliding back into their normal position. The purpose of these chiropractic treatments is to relieve pressure and pain in the spine. So I hope this answers all your questions. Until next time, its Doctor Jeffery Gerdes, your Chiropractor. In health, Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractic Is Not The Same As Cracking Your Own Back URL: https://www.carolinachirocare.com/chiropractic-not-the-same-as-cracking-your-own-back/ ## Chiropractic Is Not The Same As Cracking Your Own Back  There are many myths around chiropractic care. These are repeated so often that it becomes difficult for people to know the things they should know about how chiropractors can help them when they have health concerns. Chiropractors are experts in spinal health and joint health. They help a variety of issues. While it's true they help back pain, they also help people with issues like carpal tunnel syndrome, headaches, sciatica, neck pain, and other concerns. Let's dive into some of the common chiropractic care myths so you can be better informed with the truth for the next time you hear one of these rumors. #### Chiropractic Care Is Just Cracking Your Back When someone cracks their knuckles, back, or neck they are harshly moving their joints. They may be moving them into their natural position, or they may not. They are not trained professionals who understand how to properly, naturally, and gently help the body back to its natural alignment. It is true that chiropractors perform spinal manipulation treatments. After performing an exam, a trained and experienced chiropractor can help move the body back to its natural alignment. They know where the vertebrae and discs in the spine should be and how to gently help them back to those positions. They can also help with joint alignment and other health issues. #### Chiropractic Treatment Hurts Chiropractic treatments are actually gentle. They are natural and shouldn't cause any pain. Many people experience immediate physical relief after a treatment. #### Chiropractic Care is Dangerous Part of believing that chiropractors just crack people's backs is believing they could be dangerous. It sounds dangerous when you put it that way! You should not let an untrained person do anything to your neck or spine. They are delicate and vital parts of your body. A professional chiropractic is educated, trained, licensed, and experienced. They perform gentle and pain free treatments that help the body move naturally again. They don't do anything harsh or dangerous. They can also answer your questions on things that would be dangerous to do so you can be careful and stay in your best health. #### Chiropractors Are Expensive When compared with a normal medical doctor, the costs of physical therapy and more pain medications, chiropractors are often a less expensive option for many people. #### People Visit Chiropractors Forever Many people believe that chiropractic treatment is something people get sucked into and end up doing forever. Part of the reason for this misconception about chiropractic care is that many people with chronic health issues do continue to seek out chiropractic treatment. For example, a chronic migraine sufferer may find that regular treatments give them fewer migraines. When they stop going, their migraines return. By visiting a chiropractor regularly, they are able to avoid pain medications and days spent in bed suffering. They create a treatment plan with their chiropractor for the long term. However, this isn't the case for many who visit chiropractors. People who visit a chiropractor for an acute issue, like a sudden back pain or whiplash from a trauma, will often have short treatment plans. You will create a schedule with your chiropractor that works best for your health. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Does Chiropractic Even Work? URL: https://www.carolinachirocare.com/does-chiropractic-even-work/ ## Does Chiropractic Even Work?  Hi! It's Doctor Jeffery Gerdes here, your chiropractor. Today I want to talk briefly and answer the question. #### Does Chiropractic work? Like any other treatment option, chiropractic has its risks and benefits. Similar to physical therapy, taking medications, surgery, or doing nothing at all. It does not work for every individual, but it is a treatment option to consider when seeking out other treatment options. #### To answer the question, does chiropractic work? It does work. Does it work for everyone? Of course not. It does not work for every individual. But it is a treatment option that can be very effective in treating neck pain, back pain, and spinal injuries. You may be a candidate for chiropractic care. If you have other questions, please don't hesitate to contact my office. In health, Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### How Many Visits To The Chiropractor Before I Feel Better? URL: https://www.carolinachirocare.com/how-many-visits-to-the-chiropractor-before-i-feel-better/ ## How Many Visits To The Chiropractor Before I Feel Better?  I am often asked how many visits will it take to fix someone's condition and make them feel better. This is a good question and an important question to address with your chiropractor when you begin treatment. The right answer to this question is that it varies because everybody's body and conditions are different. Good Chiropractors do everything they can to help their patients improve and respond as quickly as possible with the fewest amount of treatments while empowering their patients to keep up with things at home on their own that can make the chiropractic treatments longer lasting and more effective. First and foremost, a good chiropractor's job is to treat and manage patient's conditions in the shortest amount of time with the greatest amount of benefit. The goal of any chiropractic treatment should be an improvement in function and a decrease in pain levels. The general rule with chiropractic treatment is to go through 1 to 4 weeks of treatment at 2-3 visits a week and then determine how the condition is responding. It is recommended that once improvements start to be seen in patients, the treatment frequency tapers back. Now, there are exceptions to this (such as conditions like herniated discs, sprains, and strains, ligament tears, chronic conditions like degenerative disc disease, chronic headaches, and migraines, advanced age, or having a history of prior surgeries). There are also exceptions where a patient only requires 1 to 4 visits because they have shown a resolution of their symptoms in a very short amount of time. It may be viewed as unethical for a Chiropractor to recommend continuing treatment to a patient that no longer has the original symptoms that they started treatment with. The chiropractor should also utilize referrals with other medical professionals when treatment is slow, not progressing, or ineffective at all. #### Initial Questions to Ask Your Chiropractor 1. What chiropractic services do they offer? Does he/she offer physical therapies, like exercises and muscle work (which have been shown when combined with chiropractic care to improve medical conditions much faster)? 2. Do they require pre-payments for treatment? This may be a sign that the chiropractor is willing to hold you into a certain amount of treatments regardless of how quickly or slowly you're showing improvements. 3. Do they work with other doctors like pain management physicians, orthopedic surgeons, neurosurgeons, physical therapists, massage therapists, acupuncturists, and primary care physicians? 4. Ask your chiropractor if treatments are necessary once the symptoms have resolved. If the chiropractor begins discussing ongoing continued treatment when symptoms have resolved, this is a potential red flag that the chiropractor may have the wrong motives. 5. Lastly, make sure to ask your chiropractor what will we happen if you're not improving with the treatment in 2-6 weeks? In summary, there are a variety of factors and conditions that may require more extensive chiropractic treatment to bring to a resolution, such as car accident injuries, sports injuries, advanced age, and chronic conditions. On the other hand, there are many conditions that should resolve within a short amount of time, usually between two and four weeks with chiropractic treatment, and that should be brought to a conclusion or tapered back once symptoms are resolving or improving. If you have any additional questions, please feel free to get in touch. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Which Chiropractic Therapy is Right for You? URL: https://www.carolinachirocare.com/which-chiropractic-therapy-is-right-for-you/ ## Which Chiropractic Therapy Is Right For You?  Chiropractors use a variety of therapeutic services to address their patient's conditions. While many are familiar with spinal adjustments for the neck, mid and low back, and pelvis, there are a variety of other therapies and adjustments that chiropractors utilize to treat their patients. #### So, how does your chiropractor choose which therapies to treat you with? Pain in the shoulders, knees hands elbows? Did you know that chiropractors can adjust/manipulate the joints in the extremities like shoulders, wrists, elbows, knees, and feet? These extremity joints can misalign, causing pain and dysfunction. #### Conditions such as - Carpal and tarsal tunnel syndrome - Golfer and tennis elbow - Adhesive capsulitis in the shoulder These conditions often respond well to gentle joint adjustments/mobilizations in the extremities, especially when combined with other therapy modalities like stretching, manual therapy, and targeted strengthening exercises. **Electrical muscle stimulation** Electrical muscle stimulation has popular use in physical therapy and chiropractic offices to help manage pain. It has been used since the 1960s. It involves placing small pads around the area of injury or area of pain. Electrical impulses are put into the body through the pads for around 10 to 15 minutes. The electricity has an effect on the body's experiencing pain. It is thought that electrical muscle stimulation has an effect on the Gate Control Theory in which pain signals are sent and received in the brain via nervous stimulation. Electrical stimulation is thought to block the way the body experiences pain. It's also thought that electrical muscle stimulation causes the brain to release chemicals which are natural painkillers called enkephalins and endorphins. Your chiropractor may choose to use electrical muscle stimulation for both acute and chronic conditions such as - [Whiplash](https://www.carolinachirocare.com/car-accident/) - Sprains and strains - Muscle tension - Arthritis - Chronic spine pain - Degenerative disc disease - Bulging or [herniated discs](https://www.carolinachirocare.com/disc-injury/) **Mechanical traction** Mechanical traction involves the use of a machine to spread apart/stretch the vertebral spine joints either in the cervical spine, thoracic spine, or lumbopelvic spine. Often times there is radiating pain from irritated spinal nerves that accompany neck and [low back pain](https://www.carolinachirocare.com/back-pain/). This irritation around the vertebral joints can be treated using mechanical traction. Mechanical traction stretches the neck, head, lower back, and pelvis while the patient lies on their back or stomach. This pulling or stretching expands and decompresses the space between the vertebrae where the nerves come out of while stretching the ligaments, muscles, and fascia around the spinal vertebrae. There are very few side effects with mechanical traction. #### Your chiropractor may use mechanical/intersegmental traction for: - Pinched nerves - Degenerative disc disease - Bulging or herniated disc - Nerve pain - To provide stretching and flexibility after an injury or too stiff joints - [Neck pain](https://www.carolinachirocare.com/neck-pain/) - Back pain - Arm or leg numbness/tingling/pain - Sciatica - Spinal stenosis **Manual therapy** Manual therapy is a hands-on therapeutic approach many health care practitioners use on muscles, joints, ligaments, fascia, muscle spasms, muscle tension, and joint dysfunction. It is used to treat joints that do not have proper mobility and range of motion. Manual therapy is also used to treat post-surgical adhesions or chronic pain from arthritis. Whether your chiropractor is treating a new injury or an older injury like whiplash, arthritis, or degenerative disc disease, manual therapy involves stretching and mobilizing soft tissues to increase circulation, flexibility, tone, and strength. #### Conditions that your chiropractor may recommend manual therapy for include - Muscle spasms - Stiff, sore spine or extremity joints that lack mobility - Tension or knots in the back or muscles - Pinched nerves and muscle spasms - New injuries such as whiplash that require stretching and mobilization of the spinal joints to heal properly - Shoulder stiffness and pain - Myalgia (muscle pain) - Fibromyalgia - Overuse injuries such as carpal tunnel syndrome or golfer's/tennis elbow **Targeted Therapeutic Exercises and Stretches** Targeted Therapeutic Exercises and Stretches are commonly recommended in chiropractic offices to treat and manage spinal and extremity conditions. Your Chiropractor may find weak or tight muscles which are the root cause of your condition(s). Often times imbalances in certain muscles that are too tight or week need to be properly addressed. For instance, tight hamstring muscles that attach to the lower part of the pelvis, when not properly stretched will pull on the upper part of the pelvis and lumbar spine joints causing low back pain. Poor posture in the upper back or thoracic spine will lead to rounding of the shoulders which in turn juts out the chin and head, which can lead to chronic neck pain and headaches. This is common among office workers who sit at their work computers all day. These are two common examples of conditions that require therapeutic exercises/stretches. The goal is to strengthen weak, inactivated muscles while stretching tight hypertonic muscles in the extremities and spine. Therapeutic exercises are currently thought to have some of the most beneficial effects on pain management and injury recovery. It's also important that patients are put on a home care exercise stretching program to best facilitate their recovery and long-term outcome. **Ultrasound therapy** Ultrasound therapy is a medical treatment used in chiropractic offices to promote tissue healing, injury recovery, and manage pain. Ultrasound therapy uses ultrasonic vibrations that penetrate deep into the spinal or extremity joints, causing heating of the underlying soft tissues and fascia. Ultrasound therapy is used to treat - Joint pain - Arthritis - Muscle pain - Sprains and Strains - Back pain - Neck pain - Headaches - Whiplash - Degenerative disc disease - Carpal tunnel syndrome - Tendinitis - Overuse injuries such as Golfers and tennis elbow In health, Dr. Jeffrey Gerdes D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractic Ultrasound Therapy URL: https://www.carolinachirocare.com/chiropractic-ultrasound-therapy/ ## CHIROPRACTIC ULTRASOUND THERAPY  Ultrasound therapy is a medical treatment used most often by chiropractic physicians, physical therapists, or occupational therapists to treat and manage pain, promote tissue healing and injury recovery. #### Some common conditions of chiropractic ultrasound therapy are used to treat include - Muscle pain (myofascial pain.) - Joint pain. - Osteoarthritis. - Sprains and strains. - Back pain. - Neck pain. - Whiplash injuries. - Degenerative disc disease. - Carpal tunnel syndrome. - Tendinitis. - Overuse injuries, such as golfers and tennis elbow. The history of ultrasound therapy Ultrasound therapy became popular around World War II when sonar systems were being built. It was discovered that the ultrasonic waves could be used to heat and kill fish. Researchers then started investigating its heating and healing effects. Physical Therapists and Occupational Therapists then began using it as a treatment modality in the 1940s. #### How does chiropractic ultrasound therapy work? Ultrasound therapy causes a gentle ultrasonic vibrational massage, or heating of the muscles, tendons, and ligaments. A gel is placed over the skin well the head of the ultrasound moves in tiny circles. This gel is used to reduce friction and assist in the transmission of the ultrasonic waves. There are basically two types of ultrasound therapy, thermal and mechanical. Both therapies are designed to penetrate the muscle fascia and soft tissues in the body. The only difference being the rate at which the ultrasound waves penetrate the body. Thermal ultrasound therapy uses a more continuous transmission of ultrasonic waves, which increases deep heat in the body, which causes a warming up of tissues caused by the ultrasonic heat waves. This encourages healing by increasing the metabolism of the injured cells and tissues. Mechanical ultrasound therapy uses intermittent pulses of ultrasonic waves to penetrate the body's muscle, fascia, and tissues. This has less of a warming effect but causes expansion and contraction of the tissues. This helps decrease inflammation, reduce swelling, and decrease pain while increasing recovery time from injuries. #### What does ultrasonic ultrasound therapy feel like? You may feel slight warming and heating of your muscles and skin, and there should be no pain felt. #### Is ultrasound chiropractic therapy safe? Ultrasound chiropractic therapy has been deemed safe by the FDA, provided it's performed by a licensed healthcare professional. Ultrasound therapy should not be performed over - Areas of unknown cancer or tumor - Over lesions or open wounds - Healing fractures - Over the abdominal region of pregnant women - Over any areas of plastic implants #### What are the benefits of ultrasound chiropractic therapy? Ultrasound therapy speeds up the healing process by increasing blood flow and vasodilation to the affected area. Ultrasound therapy reduces edema and swelling inflammation, which causes a decrease in pain in the affected area #### Will ultrasound chiropractic therapy work for me? Like any other treatment or pain medications, you will need to find the right frequency, duration, and intensity of ultrasound therapy that works for your condition(s). There should be a trial and error period initially as you start ultrasound therapy. If you have not shown improvement after 2-4 weeks make sure to ask your doctor about trying something else. #### Is chiropractic ultrasound therapy expensive, or covered by my insurance? Fortunately, most major medical insurance companies cover chiropractic ultrasound therapy. For patients dealing with injuries, chronic pain, or who are concerned about the long term side effects of opiates and NSAIDS medications, ultrasound therapy offers significant potential benefits without potentially harmful side effects, when administered in a clinical setting. In health, Jeffrey S. Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractic Electrotherapy: Electrical Muscle Stimulation URL: https://www.carolinachirocare.com/chiropractic-electrotherapy-in-raliegh-nc-electrical-muscle-stimulation/ ## CHIROPRACTIC ELECTROTHERAPY: ELECTRICAL MUSCLE STIMULATION  Chiropractic electrotherapy is a physical therapy modality that has been used for hundreds of years to treat acute and chronic pain. #### Electrotherapy is used to treat acute and chronic pain conditions, such as: - Back pain - Neck Pain - Sciatica & nerve pain - Tension headaches - Migraine headaches - Wound healing - Shoulder pain - Diabetic nerve pain - Carpal tunnel syndrome - Hip pain - Fibromyalgia - Sports injuries - Whiplash injuries - Muscle tension/soreness (myalgia) While electrotherapy has more typically been used in pain management, physical therapy, and chiropractic treatment, it has recently been receiving more attention as a potential treatment for the risks and side effects of opioid (narcotic) medications for pain. Electrotherapy usually refers to Electrical Muscle Stimulation (EMS) or transcutaneous electrical nerve stimulation (TENS) therapy. These therapies use specific and targeted electrical currents to reduce pain, improve circulation, repair tissues, and strengthen muscles, leading to pain reduction, injury recovery, and improved function. Electrical stimulation is thought to block pain and nerve signals from the body, which reduces pain. It also promotes the release of endorphins, which are the body's pain-blocking and feel-good chemicals. Endorphins are your "feel-good chemicals". Think of the feeling you get after a long jog, often described as a runner's high. Endorphins are some of the chemicals that produce this euphoric feeling. #### How does chiropractic electrical stimulation therapy feel? Initially, one may feel slightly uncomfortable due to the forced muscle contractions being administered into the body. This sensation is often described as a tingling, buzzing feeling. But typically, as the therapy progresses, the sensation begins to feel similar to a massaging effect by relaxing the muscles and blocking pain. #### Is chiropractic electrotherapy expensive, and is it covered by my insurance? Several of the newer products are available over the counter but may lack the strength and effectiveness that you would find in a clinical setting. These over the counter devices sold without a prescription are not covered by insurance. Fortunately, most major medical insurance companies cover electrotherapy in a chiropractic office. Electrical muscle stimulation therapy (EMS), and often times TENS of home units, are covered by insurance when prescribed for pain and injury recovery. In summary, electrotherapy is used in chiropractic, physical therapy, pain management, and post-surgical care. For patients concerned about the long term side effects of opiates or NSAIDS when managing pain, targeted electrotherapy offers significant potential benefits without potentially harmful side effects, when administered in a clinical setting. In health, Jeffrey S. Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractic Adjustment on Radio Show Host at Carolina ChiroCare and Rehab URL: https://www.carolinachirocare.com/chiropractic-adjustment-on-radio-show-host-at-carolina-chirocare-and-rehab/ ## Chiropractic Adjustment on radio show host at carolina chirocare and rehab in Raleigh NC  It's Dr. Jeffrey Gerdes here, your Raleigh NC Chiropractor. Here is a quick video blog of a full spine spinal chiropractic adjustment on a local radio show host from La Grande Radio. #### What Happened in Raleigh NC He was in for a full spine chiropractic adjustment. These spinal adjustment helps to decrease pain, increase mobility, flexibility, strength, improve sleep disturbances, and overall well being. Chiropractors use various non-surgical treatments in treating patients with [lower back pain](https://www.carolinachirocare.com/back-pain/), sciatica, [neck pain](https://www.carolinachirocare.com/neck-pain/), repetitive strains, headaches, car accident injuries, sports injuries, arthritic pain, muscle pain among other conditions. While focusing on treating the neuro-musculoskeletal disorders, chiropractors successfully treat and manage pain and injuries. When appropriate, a chiropractor refers to the patient(s) to other physicians for treatment. Most chiropractors have local referral networks or work as a team with other specialists. An adjustment was first administered to the cervical spine using the diversified technique. The Diversified technique is one of is the popular technique in chiropractic for its ease of use and patient satisfaction. The patient then received an anterior thoracic adjustment using the diversified technique. These spinal misalignments in the thoracic spine can cause shoulder pain, upper, mid, and lower back pain. Often times, neck pain is associated with thoracic pain because the muscles in the upper back attach to the vertebral spine joints in the neck and head. After checking the patient's sacroiliac joints alignment I then administered a Gonstead method lumbar and pelvic adjustments. Sacroiliac joint dysfunction usually causes dull and nagging pain in the lower back. Often times going from sitting causes pain as well as driving, standing, sitting, or bending. In health, Dr. Jefrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### A Loud Cracking Full Spine Chiropractic Adjustment at Carolina ChiroCare & Rehab URL: https://www.carolinachirocare.com/a-loud-cracking-full-spine-chiropractic-adjustment-at-carolina-chirocare-rehab/ ## a loud cracking full spine chiropractic adjustment at carolina chirocare and rehab Play Video "LOUD CRACKING" Chiropractic Adjustment On Radio Show Host Play Video Chiropractic Adjustment It's Dr. Gerdes here, your Chiropractor. I wanted to share a recent video of a full spine chiropractic adjustment (see video below). #### Chiropractic Spinal Adjustment Explained These spinal adjustments are effective treatments for back and neck pain, sciatica, headaches, whiplash, and car accident injuries, back spasms, arthritis pain, stiff joints, sports injuries, and many other musculoskeletal conditions. **Spinal manipulation & manual manipulation** This kind of manual manipulation is a high-velocity and short lever arm thrust applied to the vertebra with the aim of improving functionality, restoring range of motion, and reducing nerve irritability. It's also commonly referred to as a chiropractic adjustment **Mobilization** Chiropractic mobilization is high-velocity low amplitude manipulation or movement or stretching of muscles and joints which aim to increase a range of motion in those areas. The patient received a manual diversified adjustment to the cervical, thoracic, lumbar, and pelvic spine. These adjustments in conjunction with other physical therapies can help to manage pain, facilitate recovery after a car accident or sports injury, increase flexibility, help with sleep issues, and increase mobility and strength. #### Forms of Chiropractic Therapy Some of the physiological therapeutic measures often utilized in chiropractic care include- - Physical therapies; most chiropractors will use physical therapies such as electrical muscle stimulation (EMS), ultrasound therapy, laser therapy, topical pain relief cream applied to the skin, traction therapy or massage therapy - Heat and cold; Chiropractors might alternate between heat and ice therapy to help in treating patients back pain. The Ice packs can be used to numb your back for ten to the fifteen-minute window and then switch using a heating pad to help in restoring blood flow and promote fast healing. - Exercise; Chiropractors provide patients with a set of instructions for an exercise program focusing on stretching as well as strengthening the affected region. - Manual therapy; Chiropractors will stretch or massage your irritated soft tissues to boost circulation, reduce swelling & inflammation associated with pain, as well as encourage healing. - Dietary management. Chiropractors will often provide their patients with tips on how an improved diet can help to reduce pain, while others might recommend dietary supplements after spinal manipulation. Typically the patient will feel relief after these spinal chiropractic adjustments. Occasionally, there may be some minor soreness after the initial treatments. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### What a Chiropractor Can Help URL: https://www.carolinachirocare.com/chiropractor-can-help/ ## What a Raleigh NC Chiropractor Can Help  An assortment of diverse and difficult health conditions can be helped by a chiropractor. Patients usually only associate chiropractic care with back problems, but in reality, chiropractic can be helpful for the entire nervous system and musculoskeletal system. Treating mild to severe headaches is probably not a thing most people think chiropractors can help, however, that and many other conditions are pretty common to see in our office. Naturally, the sources of headaches can vary and many things could be the trigger or cause. It's important to remember that any kind of pain which causes us to alter our natural posture or the way we walk requires professional care or treatment. Therapeutic stretches and exercises can be given by a chiropractor which will help you avoid the same issues later on. Many chiropractors also offer lifestyle recommendations and nutrition that you can utilize to help improve your condition. No matter what affliction or health problem you're dealing with you want to have the best treatment solution. Having a precise diagnosis is the first step. Giving our doctor as much information as possible is critical. Providing us with a complete health history is an important first step. At Carolina ChiroCare and Rehab if we cannot take care of your problem or help with the pain you are going through, we will take steps to point you to another healthcare provider. Our treatment methods can certainly be carried out in conjunction with various other medical treatments, thus giving a more holistic approach to musculoskeletal problems. Selecting the right chiropractor can seem difficult, but it needn't be when you stick to a couple of easy guidelines. If possible a referral from a good friend or co-worker can be a very smart way to find a good connection. Find a doctor that you can communicate well with and you're well on your way. If you have any questions please feel free to contact our team at Carolina ChiroCare and Rehab today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### 3 Common Conditions Chiropractors Help URL: https://www.carolinachirocare.com/3-common-conditions-chiropractors-help/ ## 3 Common Conditions Chiropractors Help  Chiropractic is a treatment method that has moved from more of an alternative treatment to widespread mainstream acceptance over the past few decades. There will always be pockets of naysayers that question its validity, but the millions of satisfied patients around the world speak volumes about the effectiveness of chiropractic treatment on the human body. There are literally dozens of health issues that benefit from chiropractic adjustments, but here are 3 common conditions that our chiropractor can help: #### 1) Headaches We all get [headaches](https://www.carolinachirocare.com/headaches-migraines/) from time to time. Some are mild, some are more severe, but all of them have the potential to disrupt your day. Whether it is a tension headache caused by hours of sitting at a desk or a migraine brought on by a specific health condition when the pain starts it is difficult to focus on anything else. Chiropractors help relieve headache pain on a regular basis. A lot of the time the pain you feel in your head is actually being caused by misalignment of the vertebrae in your spine. After a gentle adjustment and proper maintenance, many patients report no more pain and no more need for pain medication. #### 2) Shoulder Pain Shoulder pain is a problem that far too many people deal with.  Pain in the shoulder can be referred pain from the spinal misalignments, or it can be caused by a misalignment in the shoulder. No matter what specific type of shoulder pain you have, chiropractors help relieve both the pain and any range of motion issues that are present. Our team will help to access your condition and give you the best advice we can on what you can do to remedy the situation. #### 3) Lower Back Pain If headaches and shoulder pain are among the most common conditions for the general public then [lower back pain](https://www.carolinachirocare.com/back-pain/) is probably at the head of the pack. One of the most common reasons for lumbar pain is misaligned spinal segments. Our Carolina ChiroCare and Rehab team can help with the pain and reduced mobility associated with lumbar strains and sprains and help patients get back to their normal routines. Even if you've had lower back pain for years and have been told there is nothing that will help, it's always worth the time to explore your possibilities. Please don't hesitate to call our team with any questions you might have.  Today is a great day to get started on a new path to health. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### 6 Signs It’s Time To Consult a Chiropractor URL: https://www.carolinachirocare.com/6-signs-its-time-to-consult-a-chiropractor/ ## 6 Signs It's Time To Consult a Chiropractor  People seek out the help of a chiropractor for many different reasons. Chiropractors provide natural solutions to a wide variety of health problems. When your health just feels off, and you aren't sure what to do, it can often be improved with the help of proper alignment in the body. Carolina ChiroCare and Rehab can perform an exam, find the source of your issue, and offer a non-invasive treatment plan that corrects the issue. What types of issues? While often people see a chiropractor after a car accident or because they have been suffering from a chronic diagnosed issue like carpal tunnel syndrome, [sciatica](https://www.carolinachirocare.com/sciatica/), or scoliosis, it's also common for something to just feel off. Here are six different signs it's time to consult a chiropractor to see if they can provide solutions for better long term health. #### 1. Back or Neck Pain Chiropractic adjustments can naturally realign your spinal column, which can lead to an improvement in back or neck pain. Whether the problem is something new or a chronic issue, seeking out the help of a chiropractor can put you back on the path toward spinal health. #### 2. A Tingling Sensation Do your hands tingle? Is there a strange pins-and-needles feeling in your leg or legs? These may be signs of carpal tunnel syndrome or sciatica. Whenever you have a tingling sensation, it's something you should consult for help with. In the case of carpal tunnel syndrome, there may be some compression on the nerve in your wrists causing your problem. In the case of sciatica, there may be compression in your lower back. Your chiropractor can make adjustments to the alignment of the bones in your wrist of the vertebra in your lower back to relieve some of the pain. They can create a long term treatment plan to improve your condition. #### 3. You Aren't Sleeping There are many reasons people have trouble sleeping at night. The emotional and physical stress our bodies experience during the day can lead to tension that keeps us awake at night. If your bed isn't supporting your body, or if you are sleeping in an awkward position, or if your body is being put through stress during the day, it may be uncomfortable and painful to sleep at night. Chiropractic adjustments can lead to a better night's rest. #### 4. You're Relying on Painkillers Every Day Have painkillers become a normal part of your life? Maybe you're experiencing headaches, [migraines](https://www.carolinachirocare.com/headaches-migraines/), [back pain](https://www.carolinachirocare.com/back-pain/), or a variety of other issues. Many patients find that chiropractic adjustments can lower their need for painkillers to help them get through the day. #### 5. Pregnancy Experienced chiropractors have been trained to help mothers-to-be as their bodies rapidly change throughout pregnancy and after. As your body goes through the stages of pregnancy, your balance may suffer, you may experience back pain, and there may be other aches and pains that can be difficult to deal with. Chiropractic adjustments are a natural solution that can improve health during pregnancy without medications. #### 6. Headaches or Migraines Have Become Normal For You Chiropractic adjustments can be an effective way to improve life with headaches and migraines. It's difficult to say what causes most people's headaches or migraines. This is in large part because there can be a problem almost anywhere in the body that refers pain to your head. If there is a misalignment in your neck, this can show up as a terrible headache. Chiropractic treatments can be a long term solution to treat and prevent headaches naturally. #### Improve Your Health For Better Daily Life When your health is even a little bit improved, you can move through your day with a lot more ease. If you're experiencing health problems and looking for a natural way to get your body feeling better, consult an experienced chiropractor you feel comfortable with to get your health where you need it to be. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### 4 Reasons to Choose a Chiropractor URL: https://www.carolinachirocare.com/4-reasons-choose-chiropractor/ ## 4 Reasons to Choose a Chiropractor  Chiropractic has proven itself as a worthy and incredibly effective way to treat an assortment of different health issues. From headaches to backaches, and sleep disorders, chiropractic care can make a world of difference. Of course, choosing a chiropractor can be difficult. Here are 4 reasons to choose a chiropractor: #### 1) Your Best Interests at Heart One of the primary reasons a Carolina ChiroCare and Rehab chiropractor is a great choice is because we have your best interests at heart. This means, our sole objective is to eliminate your specific health issue by treating the underlying cause of the problem. Conventional medicine tends to work at treating symptoms.  This can be helpful, but our focus is on finding the cause of the condition. #### 2) Experience It's true that all licensed chiropractors go through extensive training before they are able to treat patients, but there is still something to be said for experience. When you choose a chiropractor there is a good chance that we have helped other patients with the same problem. For most patients, this provides peace of mind and a level of comfort that may not be available if the chiropractor has less experience. #### 3) Honesty Along with the experience factor, you'll get complete honesty and transparency when you choose a chiropractor from Carolina ChiroCare and Rehab. We will communicate openly about your condition and detail the steps we feel are required to find a solution. We'll also let you know when you can scale back the treatments. The point of visiting a chiropractor is to remedy your current health situation and we want to earn your trust from the start. #### 4) Feels Like Home It's never easy to experience healing in a cold, sterile environment. We take the time to make our office feel warm and inviting and we treat each patient as a member of the family. When you're comfortable and relaxed the healing is much faster and more complete. If you have any questions about the services we provide at Carolina ChiroCare and Rehab please feel free to contact us.  Our caring staff is here to help you achieve all of your healthcare goals.  We look forward to being a part of your healthcare team. If you have any further questions don't hesitate to contact our team at Carolina ChiroCare and Rehab today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### What Are The Educational Requirements For A Chiropractor? URL: https://www.carolinachirocare.com/educational-requirements-chiropractor/ ## What Are The Educational Requirements For A Chiropractor?  Wondering how your chiropractor's education stacks up against other doctors? Here's a clear breakdown of chiropractic training, and how it compares to medical school, so you can feel confident in your care. ### Chiropractic Education Requirements Chiropractors complete rigorous, doctor-level training before treating patients: - **Bachelor's degree** (pre-med coursework like biology, chemistry, physics) - **4+ years at accredited chiropractic college** (minimum **4,200 classroom/lab hours**) - **1,000+ hours of hands-on clinical practice** under licensed doctors - **National board exams** (4 parts covering basic sciences, diagnostics, imaging, case management) - **State licensure** + ongoing continuing education (e.g., 40 hours every 2 years in many states) **Key classroom focus**: Anatomy, physiology, diagnosis, radiology, orthopedics, neurology, nutrition, pediatrics, and clinical research, more hours than MDs in anatomy, physiology, x-rays, and musculoskeletal care. ### Why This Matters for Your Care Chiropractic training emphasizes non-surgical solutions for back pain, neck pain, headaches, sciatica, and injuries. Our doctors at Carolina ChiroCare and Rehab have this extensive background plus advanced certifications in spinal decompression, laser therapy, and injury rehab. This means personalized care that targets the root cause, not just symptoms. **Ready to discuss your situation?** Contact our Raleigh team today or [schedule online](https://www.carolinachirocare.com/contact-us/). We're here to answer your questions and coordinate with your other providers. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Chiropractors have Extensive Schooling URL: https://www.carolinachirocare.com/chiropractors-extensive-schooling/ ## Chiropractors have Extensive Schooling  One question that many people seem to have about chiropractors concerns the amount of schooling required in order to practice. It wasn't too long ago that some people referred to chiropractic as "quackery", or at best, an incomplete healing discipline. Times have changed and today people from all walks of life utilize chiropractic, but the educational requirements are still a source of mystery to many. The truth is, chiropractors have extensive schooling that enables them to treat a wide range of health issues effectively and safely. #### Extensive Educational Requirements In order to become a chiropractor, you are required to meet some of the most demanding educational requirements of any health care profession. Most chiropractors have already taken close to four years of pre-med undergraduate courses before they even apply to chiropractic college. This includes biology, physics, psychology, inorganic and organic chemistry, and all of the associated lab work. If you are accepted into an accredited chiropractic college, then the really demanding work begins. You'll work through four to five academic years, which includes a lot of time learning the hands-on adjusting techniques that will become a big part of your practice. A chiropractor has no room for error when recommending a treatment path and then adjusting a patient's spine, so the training must be deep and detailed. The complete educational curriculum for chiropractors includes a minimum classroom, laboratory, and clinical experience of 4,200 hours. The accrediting agency that approves the courses is recognized by the U.S. Department of Education, which has been true for over 25 years. Chiropractors must be able to assess a specific health condition, provide appropriate advice and treatment, and refer patients to other health care professionals when necessary. Chiropractors have classroom requirements equal to or greater than traditional medical professionals.  This in-depth training allows doctors of chiropractic to be considered primary care physicians.  Primary care physicians are considered point of entry physicians and do not require a referral. We hope this information was helpful.  Our team at Carolina ChiroCare and Rehab is here to help with any questions that you might have. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ## Articles: Choosing a Chiropractor ### Finding a Chiropractor URL: https://www.carolinachirocare.com/finding-chiropractor/ ## Finding a Chiropractor  If you are considering [chiropractic care](https://www.carolinachirocare.com/chiropractic-manual-therapy/) and have browsed the web or local yellow pages to find a doctor to help you it is likely that you have discovered that there are multiple possible choices.  This is where it becomes a little more difficult. The next question you have probably asked yourself is what makes one chiropractor different from the next, or how do I find the best chiropractor for me? While this can be challenging, there are a few things that can set one chiropractor apart from another. Knowing these things will go a long way in helping you find the best chiropractor for you, and as a result, lead to better results during your care. This article has been designed to assist you with some questions to ask and aspects of a chiropractor to evaluate when deciding which one is right for you. ### Tips for finding the best chiropractor: - Often, the first place to start your search shouldn't be the internet or local yellow pages, but instead by asking trusted friends and relatives. Ask these people about their experiences with different doctors and who they would seek for care if they needed help.  Recommendations or referrals can speak a lot about the practices of different offices. - Once you have narrowed your search, it is often helpful to schedule an initial consultation with a chiropractor to ask any questions you have. It has been found that the results of the treatment at any health care facility are not only dependent on the care provided by the doctor, but also how comfortable the patient feels around the treating physician. - When searching for a chiropractor many people don't realize that there are a number of different techniques that they can use. Typically, chiropractors have been taught a variety of techniques and will refine one or more to meet your individual condition. When searching for a doctor make sure to include questions about how the doctor adjusts. Chiropractic adjustments can vary from the doctor using their hands to the use of a variety of instruments. They can also be so light that you may feel only a light sensation or the adjustment may cause a popping sound called cavitation. Not only is it important to find a chiropractor that you are comfortable talking to, but also make sure you are comfortable with their adjusting technique. - Finally, it is also useful to determine your chiropractors' educational background. While all chiropractors undergo a rigorous academic career, there are a number of different chiropractic schools to attend. Ensuring that the chiropractor you are researching has graduated from a school that is accredited by the Council on Chiropractic education is fundamental. Additionally, researching if your prospective doctor has any additional certifications can be useful. - We hope this article has been helpful for you. While one chiropractor may be the best for one particular person you may find that another is the best for you. Using your own judgment and common sense can go a long way in the determination process. If you have any further questions please feel free to [contact our team](https://www.carolinachirocare.com/contact-us/) today at Carolina ChiroCare and Rehab. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Choosing a Chiropractor URL: https://www.carolinachirocare.com/choosing-chiropractor/ ## Choosing a Chiropractor  One of the most common questions I get asked as a doctor is how do I find a great chiropractor?  In some cities, there are dozens to choose from and it can be difficult to know if the doctor you are considering is right for you.  This article will help to walk you through the steps that I would use to find a great doctor to take care of me. #### How To Choose A Chiropractor Most patients choose their chiropractor based on the look of the outside of the office or how nice their website is.  I agree that a doctor that keeps up their office and that has a great website is probably a good choice, but there's more to it than that.  Chiropractic is a very diverse profession so there are some deeper questions to ask. The best way to know if a chiropractor is right for you is to sit down and talk to them.  Learn about who they are as a person and why they became a chiropractor.  There are many different styles of adjusting and many different philosophies in the chiropractic field.  When you find a passionate doctor you have found what you're looking for. Ultimately you need to find someone that really cares about you and your well-being.  A doctor that is going to be focused on your health and that has a plan to get you back on track.  If you feel uncomfortable then do your homework and you'll find the best choice for you. If you have been struggling with a health condition and it feels like you're going around in circles, I encourage you to give us a call today.  If for any reason we feel that we cannot help you we will get you pointed in the right direction.  We are here to be a resource for you in any way that we can. Today is a great day to improve your health.  We encourage you to give our team at Carolina ChiroCare and Rehab a call today.  Our friendly staff will set up a time for you to come in and learn about who we are and what we can do for you. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### How to Choose a Chiropractic Office URL: https://www.carolinachirocare.com/choose-chiropractic-office/ ## How to Choose a Raleigh NC Chiropractic Office  Whether you are looking to change from your current chiropractor or you're trying chiropractic treatment for the first time, it's important to choose the right one to suit your needs and your lifestyle. Chiropractic care is an effective way to eliminate scores of health issues naturally, but it's still important to find a chiropractor you feel at ease with. Here are tips on how to choose a chiropractic office. ### Ask the Right Questions When you have your initial consultation with a new chiropractor it's important to ask questions. Find out how long he or she has been practicing, ask if they have a special area of expertise, and make sure to ask about their experience with your specific health issue. You'll also get a good sense of whether they're the right one by watching how they respond to your basic questions. Ideally, you'd like someone that is patient, friendly, and courteous throughout the consultation. If you notice the chiropractor seems agitated or isn't allowing you to finish your sentences before answering, you might want to shop around. Since chiropractic treatment is foreign to a lot of people, it's important for the chiropractor to take the time necessary to explain the entire process clearly until you understand it. ### Follow Your Instincts Sometimes everything seems to check out but you just have a bad feeling for one reason or another. You're always in control when it comes to selecting a chiropractic office, so follow your instincts whether they are good or bad. You'll find that most chiropractors are great people that are looking to provide you with the best possible care.  If you do your homework you'll find one that resonates with you. At Carolina ChiroCare and Rehab our team is here to help answer your questions.  Please feel free to contact us today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Are You Looking for a Top Chiropractor? URL: https://www.carolinachirocare.com/looking-top-chiropractor/ ## Are You Looking for a Top Chiropractor?  The decision to seek out a reputable chiropractor to help with your sore back, sore neck, poor range of motion, or other health condition is a great way to get your body back into balance. Whether you've suffered an injury playing sports, been in an auto accident, or just feel the wear and tear of everyday life, chiropractic treatment can make a big difference in the way you feel on a day-to-day basis. Here are a few reasons why so many people are looking for a chiropractor. #### Relief From Chronic Pain Chronic pain, or pain that is ongoing and persists for months or even years, is a huge problem in modern society. People have back pain, shoulder pain, knee pain, and headaches that interfere with their quality of life. Receiving treatment from a chiropractor can ease your chronic pain and often eliminate it entirely. #### Treating Causes Instead of Symptoms The reason chiropractors have such a good track record when it comes to reducing pain is that they look at the body as a whole and treat the cause of the pain, not just the symptoms. If a patient suffers from debilitating headaches caused by misaligned vertebrae in the neck, pumping them full of pain medication is only treating the symptom of the main problem. When the medication wears off, the symptom, or pain, persists because the cause wasn't addressed. When the cause is treated effectively the symptoms can disappear. #### Follow These Tips Of course, doing a little research to make sure you're with the right chiropractic office is also important. Ask around to your family members, friends, and co-workers to see if any of them can recommend a chiropractor in your area. Chances are, you're going to have more than just one treatment so you'll want to find one that makes you feel comfortable. When looking for a chiropractor, ask questions such as: - How long have you been in business? - Do you specialize in one area over others? - How many different chiropractors work at this office? As you speak with the chiropractor, you'll also be able to get a feel for who they are and if they are a good fit for you. If you feel comfortable throughout the process and are encouraged that your pain will be reduced, you're at the right place. At Carolina ChiroCare and Rehab our team is here to help answer your questions.  Please feel free to contact us today. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### 7 Simple Ways to Choose a Chiropractor URL: https://www.carolinachirocare.com/7-simple-ways-to-choose-a-chiropractor/ ## 7 Simple Ways to choose a chiropractor in Raleigh NC  Choosing a Chiropractor can be a very intimidating and confusing experience.** The chiropractic industry has many different techniques and philosophies which can at times leave the consumer confused and overwhelmed. When done correctly, quality chiropractic care can greatly enhance your life and help with the management of musculoskeletal pain, athletic performance, and acute injuries. #### Here Are 7 Simple Ways To Choose The Best Chiropractor For You - Referrals from friends, family members, primary care physicians, physical therapists, massage therapists, other medical specialists, or professionals. - Check the Chiropractor's credentials, certifications, curriculum vitae, experience, and education. - Look to see that the Chiropractor treats the conditions you are looking to treat: Most chiropractors specialize in musculoskeletal conditions like back pain, neck pain, headaches, sciatica, nerve pain, car accident injuries, sports injuries, carpal tunnel, and whiplash. - Some Chiropractors specialize in other conditions like functional medicine to treat diabetes, obesity, and nutritional deficiencies. - A quick search of the Chiropractor near you should give you an idea of the types of treatments the chiropractor offers. - Check that the Chiropractor takes your health insurance: This can save you money and lets you know that the Chiropractor works in a medically accepted framework. Carolina ChiroCare and Rehab are Chiropractors In who take Blue Cross Blue Shield, Aetna, CIGNA, MedCost, and Medicare health insurance. - We also accept third-party payers, car insurance, and workers' compensation insurance after an injury. - Review the Chiropractor's online reputation and reviews: Sites like Google my business and Yelp will give you a quick insight into the past customers' experience with that Chiropractor. - Research the Chiropractor's hours and location: If you're unable to get to your chiropractic appointments the relationship between you and your new chiropractor won't go very far. - Look for a chiropractor who also has walk-in appointments for those emergency days where you throw your back out or slip down the stairs. - Look for red flags with the Chiropractor. #### This may be the most important. There may be a few things you want to avoid when choosing a new chiropractor. Here are a few red flags to look for: - The Chiropractor recommends months of treatment upfront. Many conditions will resolve in four or fewer weeks of treatment. If you're feeling better after a short duration of chiropractic care there's no need to be locked into several months of unnecessary treatments. More information here on how many visits to the Chiropractor before you'll feel better. - The Chiropractor collects co-pays upfront for future visits. This is illegal. - The Chiropractor requires prepayment packages upfront for treatment. Again, there's no need to be locked in financially for treatment that may or may not be successful. Finding the right Chiropractor for you can greatly enhance your life over the years. I hope this guide helps. If you have any additional questions about choosing a Chiropractor please feel free to get in touch here. In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### The Top 4 Ways to Choose The Best Chiropractor For You URL: https://www.carolinachirocare.com/the-top-4-ways-to-choose-the-best-chiropractor-for-you/ ## THE TOP 4 WAYS TO CHOOSE THE BEST CHIROPRACTOR FOR YOU  Whether you just moved from out of state or have recently moved to another part of town and are looking for a Chiropractor - finding a good Chiropractor near you can be a confusing and challenging task. Chiropractic care includes many different techniques, costs, and approaches leaving the consumer confused and weary. Here are the top four considerations to keep in mind when choosing a new Chiropractor. #### 1. Does The Chiropractor Take My Insurance? This should be at the top of the consideration list when looking for a new Chiropractor. While most Chiropractors do take health insurance, Medicare, or Medicaid, some do not. The ones that do not typically require purchasing large amounts of treatment upfront where payments are broken up into monthly payments. Others require a membership where there is a monthly fee. The cost per treatment may be lower but there is also a monthly fee for access to the clinic whether you use the service that month or not. If you're involved in a [car accident](https://www.carolinachirocare.com/car-accident/) or work injury, finding a chiropractic clinic experienced in billing third-party payers is important. In most circumstances, the worker's compensation insurance or car insurance will cover reasonable and medically necessary treatment after a car accident or work-related injury. But again, only a percentage of chiropractic offices are experienced in these types of billing matters. At Carolina ChiroCare and Rehab we are Chiropractors who accept Blue Cross Blue Shield, Anthem, Cigna, Aetna, Medicare, and United Healthcare health insurance. Our expert billers are very experienced in billing third-party insurances after a car accident or work injury. Here is a list of insurances we accept at our Chiropractor's office. #### 2. The Chiropractors' Specialty Or Technique In chiropractic, you will find many different specialties and techniques. If you're an athlete, you may want to find a chiropractor who has special training and experience working with athletes. Some chiropractors specialized in treating only certain parts of the spine, like the Atlas. Other Chiropractors have a great deal of experience treating post-traumatic injuries in med-legal areas. These chiropractors may have great experience testifying in court and navigating through challenging medical-legal insurance matters that can come up after an injury. Some Chiropractors specialize in using machines to do the adjusting part. This may be better for the patient who is hesitant or afraid to hear their joints cracking. Other patients prefer manual adjustments done by hand and should ensure that the new chiropractor is experienced and trained in manual chiropractic adjustments. #### 3. The Chiropractor's Location and Hours This should be important when choosing a new Chiropractor. Ultimately, most chiropractic treatment requires a few weeks to a few months to see results. If the location is not convenient the patient is much less likely to be able to comply with the treatment plan. If the chiropractor's office closes at 5 o'clock and you get off work at 5 o'clock you simply will not be able to make your required treatment. #### 4. Does The Chiropractor Offer Other Services Like Physiotherapy Or X-Ray? Many Chiropractors only offer adjustments to the spine. Many health conditions like nerve pain, sciatica, chronic headaches, and disc-related issues respond better when chiropractic adjustments are combined with physical therapy like exercises, stretches, electrical muscle stimulation, ultrasound therapy, traction therapy, or massage therapy. Finding a new Chiropractor experienced with advanced diagnostics like X-ray, MRI, ultrasound, basic lab work or CT scans should be taken into consideration. Many chiropractic offices have X-ray on-site and some do not. If your conditions require an X-ray you will have to make another appointment offsite which may be inconvenient for your schedule. Many of these items discussed above will have an impact on how many visits to the Chiropractor it will take until you feel better. Read more here. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### 5 Things to Consider When Choosing the Best Chiropractor for You URL: https://www.carolinachirocare.com/5-things-to-consider-when-choosing-the-best-chiropractor-for-you/ ## 5 Things to Consider When Choosing the Best Chiropractor for You  It's your Chiropractor, Dr. Jeffrey Gerdes from Carolina ChiroCare and Rehab here and in this issue I want to discuss 5 things to consider when choosing a doctor of chiropractic. #### What is a Chiropractor? A Chiropractor is a healthcare professional that diagnoses and treats musculoskeletal disorders with spinal manipulative therapy (SMT) physical therapies. SMT is often referred to as chiropractic adjustments. Chiropractors are not Physical Therapists but are trained and licensed to perform physical therapy which in many chiropractic offices may include therapeutic exercises and stretches, laser therapy, ultrasound therapy, electrical muscle stimulation, decompression therapy (DTS), massage therapy, acupuncture, dry needling, cupping and TENS therapy. Some common conditions frequently treated by chiropractors include -  Low back pain - Neck Pain - Back Pain - Sciatica - Herniated and bulging spinal discs - Car accident injuries - Sports injuries - Sprains and strains - Arthritis pain - Whiplash - Carpal tunnel syndrome - Migraine and tension headaches #### So what is the best way to choose a Chiropractor? A good start may be to assess friends and family or your primary care physician. They may have recommendations for a chiropractor with a good reputation. You want to make sure that when you meet your chiropractor you're comfortable with his or her personality. You want to have an open relationship where you can discuss her health concerns and ask questions freely and openly. Spine-Health.com How To Select The Best Chiropractor has some other great tips for choosing the best chiropractor…but here are my top 5. - I recommend staying away from any chiropractor who requests pre-paid care or a contract costing thousands of dollars upfront before beginning treatment. Nearly all of the insurance companies cover chiropractic treatment. I frequently see patients in my office who have been presented with extensive treatment plans costing thousands of dollars by the chiropractor they were consulting with. They were asked to pay for the costly and extensive treatments upfront before starting any treatment. This has been going on the way far too long in the chiropractic profession. I urge any patient to be skeptical of chiropractors practicing this practice. In my chiropractic office, I see 1-2 patients a month who encountered this scenario and they are very rightfully so skeptical and hesitant to begin chiropractic care. A chiropractic treatment trial of 4-6 weeks where after a reevaluation is performed and discussed is sufficient for most conditions. - Consider how long the chiropractor has been in practice. While an older Chiropractor may have been practicing longer a newer Chiropractor may be more up to date on his education and techniques. He may have more convenient office hours are offered different services that are congruent with your needs. Consider your Chiropractor's educational experience. Review his resume or CV (curriculum vitae). You want to choose a chiropractor who continues their postdoctoral education and is involved in their community. [Chiropractor's Curriculum Vitae.](https://www.carolinachirocare.com/us/) - In general, avoid any chiropractor who continually recommends ongoing care that never ends. Your condition(s) should be improving under chiropractic care and should ultimately come to an endpoint. This endpoint can be different for a variety of health-related conditions and may include a referral out to another health care provider if the treatment has failed or not achieved the desired outcome. Avoid chiropractors recommending long-term treatment plans such as seeing you three times a week for six months to a year then another two times a week for another six months to a year. - Consider choosing a Chiropractor in-network with your insurance company. At Carolina ChiroCare and Rehab we are Chiropractors who take and are in-network with Blue Cross Blue Shield, Cigna, United Health Care, Aetna, and MedCost. Again avoid chiropractors who are asking for contracts or money upfront to begin treatments. Here is a complete list of all the health insurance accepted at my office Chiropractors - Find out whats techniques your potential Chiropractor uses. Some Chiropractors use specialized machines for their spinal adjustment. Other Chiropractors use their hand or perform "manual chiropractic adjustments". Some specialize in soft tissue therapy similar to massage therapy. Some chiropractors incorporate physical therapies, massage, and nutritional counseling into their treatments others do not. You may have to sample a few chiropractic offices before discovering which techniques and treatments you prefer. For some, the sounds of joints cracking make them uncomfortable. Many chiropractors are trained in more gentle techniques like the Activator Method which I use in my office. Many Chiropractors specialize in certain areas or injuries such as working with athletes, car accident injuries, headaches, women's health care, headache management, pediatrics, neurological conditions. Find a Chiropractor who works frequently with your population or condition(s). I hope you found some value in this article. Until next time! In health, Dr. Jeffrey Gerdes, D.C. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ## Optional ### Balance Is The Key URL: https://www.carolinachirocare.com/balance-is-the-key/ ## Balance Is Key By: / **Embrace Your Inner Wisdom ** Life is a balancing act.  Chiropractors recognize that there is a balancing act between different forces on us both from outside and inside of our bodies.  A fascinating aspect of our bodies is that there are forces that build our body up and forces that break us down.  Astronauts, for example, suffer from all manner of ailments if they spend extended time out of earth's gravity, like decreased muscle and bone strength, for example.  Gravity on the other hand, can cause us to hunch forward and become stooped and bent over, over time.  The key is that the right balance of forces is critical for our body to be able to fully express great health, and to heal from stress, trauma and injury, In day to day life, the positive stress of physical activity is another example of forces that are necessary for the body.  Regular physical activity is a set of forces that our bodies respond to positively and get stronger with over time.  Bed rest, alternately, is one of the most harmful activities for the body, as extended bed rest is known to rapidly re-create the effects of aging. Chiropractic is a specific force designed to restore function, alignment, and healing.  Applying the right amount and right kind of forces is a critical part of a healthy, vibrant, functioning body.  Chiropractic can help you line up the right forces and avoid the wrong ones. **"Don't Make Your Chiropractor Say *'Yikes!'*"** Your body loves variety.  A variety of movement and a variety of different postures.  Chiropractors know that our current society has a problem - a sitting problem.  A sitting problem at work, when we travel, and even at home. Recent estimates have found that we sit on the average of 9-10 hours per day, according to a recent piece called *"Sitting Ducks"* by the British Journal of Sports Medicine.  With an average sleeping time of 7 hours, this leaves barely a quarter of the day for anything else besides sleeping and sitting.  It's no wonder that chiropractors are getting a little bit uncomfortable about the current state of affairs when it comes to people's health.  They know that the body does best with a wide array of different types of movement, and that this variety puts the right types of positive stress on all of our bodies' different systems. When the amount of sitting gets high enough, the harmful effects of being sedentary can't even be fully overcome by regular exercise.  This publication also details how even for people with regular physical activity, excess sitting still increases mortality risk in research studies, despite the presence of exercise. So if you find yourself stuck too long in the chair, take frequent breaks and get up and walk around - a proven strategy to reduce the stress of too much sitting.  It will help your chiropractor's state of mind. Because the way society is sitting around right now, they are saying *"Yikes!"* tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Be Glad You Made It URL: https://www.carolinachirocare.com/be-glad-you-made-it/ ## Be Glad You Made It by [Align](/) **Embrace Your Inner Wisdom** Finding the right solution to any problem is key in life.  A chiropractic principle famous in the profession for many decades is the virtue of specificity in chiropractic adjusting.  That is the real value of having an expert helping you with your problems - they have the skill sets to find the specific solution to your specific problem.   The same applies to our everyday life.  Chiropractors often do this, figure out what works in principle in one setting and find how to make use of that principle elsewhere.  When we know that the answer to any problem that we face is a specific solution, it makes it easy find what works, and keep refining towards more and more effective solutions.   Just like every spine is a unique variation of a common pattern, we are the same in our lives.  We all have similar issues.  Know that there is a unique solution for your life’s difficulties, and since we are all human, it’s probably a variation on what has worked for someone else in the past.  Just like your body, the more specific the solution is to you, the better it works!  And chiropractors are experts in finding the changing pattern that leads to the right specific solution.   **“Don’t Make Your Chiropractor Say *‘Yikes!’*”** There is a fascinating book that tells a vital lesson about our most common posture.  It’s a book only a chiropractor would fall in love with at first site - it’s called The Chair, by Galen Cranz, Ph. D. The Chair is one that goes straight to a chiropractors heart.  What’s so meaningful inside it?  The book reveals the full history of the chair, and shows that it is in fact an unnatural human posture - and actually a recent invention historically. It turns out that most societies, and most humans that have lived, didn’t have chairs the way we think of them, and that people sat comfortably on the floor or mats in dozens of other options.  The book details clearly how there is no way to make sitting in chairs work for a healthy posture, as sitting is simply a series of slowly sliding down a chair’s surface, to re-adjust back into a less slouched position.  In other words, it’s a temporary solution. And like we’ve seen for many of our inventions, they make us as much as we make them.  So realize that, yes, we are all going to do some unavoidable sitting, but that it is an unnatural process for your body.  What’s happened is that we’ve gotten confused as to what is “normal,” and a new thought process about what sitting in chairs is will go a long way to help change behaviors. For a great example, check out what Standupkids.org has done.  Recognizing that the common isn’t normal, they helped get sitting desks out of schools, and got great results replacing them with ‘stand-up’ desks!  As could be expected, grades, enjoyment, and behavior all went up when the kids were moved to movement-oriented school days.  It turns out moving towards better, more natural movement is a simple solution that everyone, kids and adults, can pattern themselves after.  Something else chiropractors love. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Best Way To Sleep URL: https://www.carolinachirocare.com/best-way-to-sleep/ ## Best Way To Sleep by: [Align](/) **Embrace Your Inner Wisdom** Life is easier and less confusing when we embrace the simple truths that are inside of us already.  Chiropractors make use of this wisdom and work with the body to achieve results, both with chiropractic care and in life in general.  Take the way that our bodies communicate for example.  The communication inside is amazing, with a city’s worth of information going along wiring connecting your body and brain across lines known as your spinal cord and nerves.  These nerves carry information in them, just like communication lines. This exchange of information coordinates massive amounts of action inside your body.  Every single signal creates some level of response.  Movement, regulation of organs, reflexes, and even our own external communication are all coordinated by the communication taking place inside your body.  And huge volumes of this information are being processed by your brain at all times, which is taking data in and sending the best signals back out.  Properly coordinated exchanges of information lead to the most harmonious functions inside your body.  Chiropractors’ goal is to improve the spine and nervous system to facilitate this communication to keep signals from ‘getting crossed.’ The same principle can work in our lives, when our communication with those around us, family, work, friends, our partner, etc., is high quality, nearly everything is easier.  And when that communication gets a little sideways, the big picture of our lives can do the same.  Make it a goal to have clear communication inside your body, and outside with the world, and see how great the outcomes are that you can create, in both your body and your life. ** “Don’t Make Your Chiropractor Say *‘Yikes!’*”** A super common question in chiropractic offices is: *“What’s the best way to sleep?”* This is a great question and the place to start is do you sleep on your back, your side, or your front?  This is a bit of a trick question because all three of these positions can be done ‘wrong,’ but only two of them can end up in a good sleeping position. This is because the third way (on your belly) just doesn’t work in terms of a healthy sleeping posture.  At least, not without setting yourself up for big problems down the road.  Belly sleeping is a big no-no in terms of healthy sleep positions.  Sleep is when our body is working hard on repairing the stress of the day, so best to give it what it needs - less stress!  The truth on sleep is that being on your belly with your head turned for the length of your night’s sleep wreaks havoc on your neck (and also your upper back), and all of the tissues surrounding it. Take a minute and talk to your chiropractor about strategies to make changes to help you get better at this, and ultimately get better sleep all the way around.  They’ve seen lots and lots of people using every sleep position imaginable so don’t be afraid to talk it over.  Make use of a great resource! tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Call Your Mom URL: https://www.carolinachirocare.com/call-your-mom/ ## Call Your Mother Everything we experience in life is experienced through our brain and nervous system.  It is strange when we stop to think about it, but we don't see reality exactly how it is, we see how it impacts our bodies.  And that impact becomes known to us by our nervous system.  At a fundamental level, we see a representation of the world around us through how it is absorbed and processed by our bodies, and the part of our body that does that is our brain. There is a strange concept that is well understood by psychologists, and it is that our memories are only partially accurate.  One study found that of 239 criminal cases that were subsequently overturned due to later DNA and laboratory testing, 73 percent were based on eyewitness testimony.  Another study found that a third of people would believe a memory was true when it was given in a group of written experiences, when one fictional account was given in a group of true stories from family members.  The point here is that the reality of our life is a construct form our brain of the world around us, and is not perfect, and that our memories are predictably only somewhat accurate.  Just like everyone is, in our own way, not perfect. This reminds us that the interaction between our brain and the outside world is not perfect, and probably never will be.  Chiropractic is beautiful in that is built to eliminate stress to the nervous system  - the way we go about experiencing our own life.  Chiropractic and a stress free nerve system is critical help with the inevitable challenges and uncertainties life throws us. Did you call your mother today? And if so, did you hurt someone doing it? This is about how we talk on the phone - and the absolute worst way to talk on the phone.  And that is sticking the phone between your ear and your shoulder so that you can use both hands while you talk.  That is a strategy that will make your chiropractor cringe and definitely set you up for a neck and upper back problem. In the past, office phones would have big curved add-ons to the handheld phones, to minimize the stress this phone-to-shoulder position had on office workers' necks and upper backs.  Now our phones have gotten even smaller, and we would need a foot and a half of curved foam to save us while using both hands and talking on the phone at the same time!  Wondering how you may have gotten your neck and upper back into tough shape?  Look at how you are using your phone, and definitely watch out for that old habit of sticking it into the space between your shoulder and your ear.  Keep that space wide open - for your listening and your health.  Mom will be glad you did. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Checked Out URL: https://www.carolinachirocare.com/checked-out/ ## Checked Out by: [Align](/) **Embrace Your Inner Wisdom** The world has more information at our disposal than ever before.  This information has created wonders in society, but for people has also created confusion.  Some of this confusion is based on the constant search outside ourselves for answers, and not looking inside of ourselves for what we already know. Because of this we tend to forget what we know inside.  This concept of “embracing your inner wisdom” is about getting in touch with what you already have inside you.   Profit from your own wisdom and protect yourself from the stress of information overload and never-ending to-do lists.  It can also protect you from your harshest critic - your own mind.  How often do we tell ourselves that we are doing it wrong, or are not doing enough of the right things? Give yourself permission to stop collecting tidbits of information like some never endless to-do list.  Let your internal guide be your ally and not your personal punisher by embracing your inner wisdom. Chiropractic is founded on the principle of freeing the body’s communication of innate wisdom.  Once we see how valuable our inner wisdom is – and not only in our minds but also our bodies – it gets easier knowing how to act out those truths in the real world. And when we do, life gets simpler and easier.  Like the ease of things that, by their design – like a chiropractic adjustment – work to restore our body’s natural healing capacity - and inner wisdom. **“Don’t Make Your Chiropractor Say *‘Yikes!’*”** Avoid disaster with your body by avoiding those moments when you unwittingly put yourself in truly terrible postures and positions - the ones that stress all of your soft tissue parts that hold you together.  In other words, ligaments, soft tissue of the joints, and discs, and on and on.  These are the moments when your chiropractor, if he were to walk into the room, would grimace and cringe to see you undoing all of their good efforts. For example, when you work hard at the gym for an hour and then hop mindlessly onto the couch looking at your mobile device with your head on the arm of the couch, forcing your neck forward into a 90 degree angle.  Times like these that turn ‘break time’ into total disaster. And too often, these moments are the ones we don’t even notice when we are doing them.  Help your chiropractor help you. Be present with your body and you will find that you are able to spot many of the times when you may be your own worst enemy.  And the best way to do this is start by avoiding the bottom 20% of your absolute worst habits.  These moments are too often avoidable, and are what keep people from getting the full benefits of their good work. So keep your chiropractor - and your body - happy.  Use your own self-awareness as a tool and you will be able to make sure you are getting the most benefits out of their work. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Crunches Never Again URL: https://www.carolinachirocare.com/crunches-never-again/ ## Crunches Never Again by: / **Embrace Your Inner Wisdom** Life is about our daily habits that make us who we are.  The other aspect to regular habits is they also create the opportunity for dynamic breakthroughs.  The wisdom of our bodies responds very strongly to our regular, daily habits.  Think of any time when you had a regular routine - either filled with good habits or bad.  The daily workout of a bodybuilder or the 16 hour computer routine of a professional game player will show the results of consistent patterns of behavior over time, the longer we do them.  Just like our lives can end up being defined by what we do with regularity, for both good and bad, the same goes for the body. The body also responds strongly and quickly to receiving what it truly needs and has been missing.  Chiropractors see this regularly when someone new to care has dramatic symptomatic improvements very quickly.  This is obviously great to see patients have great changes quickly. However both of these concepts occur in tandem - even great breakthroughs don't change the power of habits to make or break us over time. Chiropractic is the same - great lifestyle coupled with great care makes great outcomes.  And it is easier to facilitate a great change quickly with someone that has taken very good care of themselves. While habits may seem like work, they are actually part of what make the great breakthroughs occur. **"Don't Make Your Chiropractor Say *'Yikes!'*"** One of the avoidable problems a chiropractor sees is when a patient has hurt themselves working out.  All of that hard work can end up going down the drain.  Make sure you get the benefit of the hard work that you do while you are exercising at the gym by avoiding the biggest mistakes. Most importantly, avoid the very worst exercise for most people - sit-ups!  While some people can do sit-ups fine and get away with the various stresses they cause, the group of people that should be most cautious of relying on sit-ups as a big part of their fitness routine is anyone that has had a history of [lower back trouble](https://www.carolinachirocare.com/back-pain/).  The most sensitive positions of the lower back involve rounding the low back forward, especially if that forward rounding involves side-bending or rotation movements - exactly the ones that many people use during sit-up variations.  These are the positions where the lower back is the most susceptible to stresses, and any force on it gets amplified substantially. The reason why this exercise is so commonly used by the exact same people that should avoid them the most - people with a history of lower back trouble - is because they want to strengthen their core to avoid further injury.  This is the unfortunate definition of irony, and something that your chiropractor can help you avoid.  Once you know the most basic mechanics of the low back, you can be a lot safer in the gym. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Design Your Recovery URL: https://www.carolinachirocare.com/design-your-recovery/ ## Design Your Recovery By: / ** *"While other professions are concerned with changing the environment to suit the weakened body, chiropractic is concerned with strengthening the body to suit the environment." * -BJ Palmer, Developer of chiropractic. The healing process involves a lot of steps.  Making calls, setting appointments, getting help.  You can probably remember yourself at that point or can think of a friend or loved one facing it now.  Next, there is finding out what is the problem (and what caused it), and what you need to change to get better. On the other hand, the healing process is also really simple.  Most of the time, you don't even have to think about it.  Your body takes care of all of it (or nearly all) without you even having to think about it.  Just running in the background, like an app or software that doesn't require any monitoring. Most of the stress you cause to your body, your body just effortlessly handles all by itself.  At least it seems effortless.  Of course, repair takes effort and energy from your body's reserves - but the point is what it doesn't take. Conscious effort.  Your body simply runs on autopilot.  The rest of the time? When your brain has to get actively involved, that is where trouble can start.  So many decisions - what to change, what habits do you need to start (or stop), do you need to eat differently, get a special workout, stretching etc etc.  And the biggest question of who do you need help from. What if you could design your own recovery?   What would it look like? First of all, the kind of healing we experience most is what you would most want to take advantage of. In other words, to maximize your conscious-effort free healing. Fortunately, chiropractic was designed for just this purpose, if you read the writing of its founders. The purpose of maximizing your strength and resistance to the stress around you - both physical and mental - not to mention the constantly increasing toxic stew of our modern lifestyle. So while chiropractors are great at laying out a simple, stress-free plan of how often and when to get help, what to do at home, and what to focus on avoiding (to keep from further hurting yourself), the most important thing you can get - the blessing of stress-free resilience and recovery… …was precisely what chiropractic was designed to achieve. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Hypo and Hyper Movement URL: https://www.carolinachirocare.com/hypo-and-hyper-movement/ ## Hypo and Hyper Movement By: / **Embrace Your Inner Wisdom** Chiropractors have a unique skill in the world of health care. Unique in that it is not found in any other area of health care or practitioner. Practitioners of all sorts may assess movement, strength, and pain, but there is one thing they do not do. Outside of chiropractors, that is. And that skill is to determine, by hand, and also through other valuable tests, together what exact segments of the spine need help. And which ones are great just the way that they are. In other words, are best left alone. An old research paper describes fascinating details of this in a large group of patients with cervical spine pain and/or radiating symptoms, referred from different areas of the neck. And what they found, after months of thorough research, speaks perfectly to this specialty unique to chiropractic. Firstly, they noted how important a very detailed and specific exam was to precisely determine the source of the problem. They used an exam of the spine, specific types of x-rays and other tests. And found that the detailed exam was highly necessary, stating: *“In attempting to find the disk level and the nerve root involved, a careful physical examination is essential.”**1* And one of the reasons why a detailed evaluation is so critical, and relates to chiropractors’ unique ability and training, is this - they found that often the bony segment of the spine that needed help, that wasn’t moving, was right next to one that was already moving too much. Meaning, when someone is having trouble, and could really use some help getting better, you can see how helpful and important this skill really is. About this finding, these researchers noted: *“A very interesting combination is a hypermobile vertebra,”* ie, one that is moving too much already, found *“proxi**mal to a fixed segment.*” And they used specific x-rays to find these right next to each. Thank goodness for old research - and the combo of specific exams and uniquely skilled hands. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Keep Your Feet On The Ground URL: https://www.carolinachirocare.com/keep-your-feet-on-the-ground/ ## Feet On The Ground by: [Align](/) **Embrace Your Inner Wisdom ** Our body can teach us important lessons if we know how to listen.  A great lesson that is easy to see once we “look under the hood” is how our bodies protect what is most valuable.  In other words, the body has its most vital organs, the brain and spinal cord, wrapped inside tough bony structures - our skull and spine.  And just like our body protects its most valuable possessions tightly, with hard, unyielding bone, it is important that we protect our most vital possessions.  And among the most vital possessions you could have is your health. Today, however, health is often taken for granted in a way that it never has been before.  In the past, securing food, safety, shelter, and water for our bodies was a full time job - our most important, and maybe only, job.  Today there are too many other pursuits to focus on - the demands of work, family, and finances, and the pursuit of leisure and entertainment.  But what we realize when we lose our good health, is all of that can go away so quickly. We are already full of wisdom that can guide us towards living lives with less stress.  Many times we don’t need more from what is outside of us, and simply need to recognize what we already have.  And the wisdom of the body shows that it is valuable to protect our most important possessions.  And not just occasionally, or some of the time - but ultimately it is a full time job.  Chiropractors recognize this and make their full time job protecting the function of the spine and nervous system for their patients. **“Don’t Make Your Chiropractor Say *‘Yikes!’*”** Chiropractors want the best for their patients, and that means helping them avoid disastrous choices with their body.  This one is a double-whammy, and after reading you will see why. A big postural mistake can be seen regularly driving in the car.  And that mistake is slouching in the front seat of the car while putting your feet way up in the air on the dashboard (or out the window!) instead of on the floor where they belong.  This terrible posture stresses your sacrum and low back, not to mention the upper back and neck as well.  However, the really scary part of all this is the double-whammy. Not only is sitting in this posture not good for your body, it also comes with another real risk.  And that is in the event of a crash; or even worse, an airbag malfunction.  The speed with which an airbag deploys can reach 100 to over 200 miles per hour, a speed that brings enough force to have knocked legs clean off of crash test dummies in simulations of these kinds of crashes.  It’s even scarier when we consider over 10 million airbags have been recalled due to faulty function, even propelling metal shards on impact, making a minor crash or malfunction extremely dangerous.  So keep your feet on the ground and avoid the double whammy of benefit-less risk while riding in the car. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### Nature’s Cycles – And Why Low Back Pain is Worse in the AM URL: https://www.carolinachirocare.com/natures-cycles/ ## Nature’s Cycles - And Why Low Back Pain is Worse in the AM By: / This time of year drives tens of thousands of people into the mountains of the northeast and other forested areas.  Travelers spend a few weekend days seeing the turning of leaves and the seas of reds, oranges and yellows covering the hillsides and mountains.   Typically we associate the cycle of life with the spring season and the rebirth of everything green.  Bunnies, flowers and leaf buds are the symbols of nature’s annual re-birth. But the cycles of life happen at all times throughout nature and in all places - and even in ourselves.  We also have all sorts of cycles that we go through, of all lengths and kinds. A peculiar cycle that we all go through impacts the spine.  And particularly those with any history of lower back difficulty.  Anyone who has seen someone struggle in the morning with low back pain has observed how they can be so much worse in the morning.   *“Just give me an hour or two and I’ll be just fine!”* Until tomorrow morning that is. It turns out the reason for this phenomena is the cycle of the ‘smaller-than-a-maple-leaf’ intervertebral discs in your spine.  The discs in the spine naturally absorb fluid like a sponge, and your activity and upright posture during the day squeezes some of this fluid out.  When we lie down for extended periods of sleep, these thirsty little discs soak more fluid back up to keep themselves healthy.   Unfortunately, when the spine isn’t healthy, and the tissue is already stressed and swollen, this makes for an unhappy time in the morning.  Increased pain, stiffness and sensitivity is very common.  As the excess fluid levels go down to ‘generally inflamed’ from ‘way, way,  over-stressed,’ the movement and symptoms get a little bit better too. Interestingly enough, researchers have found that not excessively bending forward (the position where the low back is weakest) early in the AM is a good strategy for people struggling with their lower spine.  They tested this out and found that being cautious with forward bending led these people to be less symptomatic than the group given general exercise recommendations.   So try walking first thing in the morning before anything else if this all sounds very familiar to you or someone you care about.  And consider that chiropractic is natural health care that - just like nature - allows for cycles of growth and rejuvenation to alternate with your cycles of stress.  Make the call if you or someone you know needs some springtime for those faded leaves in your spine. 1. Spine (Phila Pa 1976). 1998 Dec 1;23(23):2601-7. The reduction of chronic nonspecific low back pain through the control of early morning lumbar flexion. A randomized controlled trial.  Snook SH, Webster BS, McGorry RW, Fogleman MT, McCann KB. --- ### Ouch Take A Painkiller URL: https://www.carolinachirocare.com/ouch-take-a-painkiller/ ## Ouch Take A Painkiller by: [Align](/) **Embrace Your Inner Wisdom** Health is a game of spirals.  Meaning that once your health starts moving in a direction, it is much easier to spiral up or down in that same direction. No matter which direction, once you start going one direction it is easier to keep going - either getting healthier or getting sick. When you are laid up with an illness or injury, how much harder is it to focus on good choices when we already don’t feel good?  Or are stuck in the house, with junk food and the television calling?  Unfortunately, this is the story for millions of people.  Once problems begin to snowball, the amount of work needed to get on the other side of them gets larger and larger as the results of lost health make getting healthier even harder.  People’s health problems become their obstacle to getting healthier. Fortunately, the other side of the coin is the same way.  When you feel good, you make good choices.  You want to take care of yourself.  You can enjoy going out and being active.  You can feel proud of where you are at, and stimulated to continue making more good decisions. The fact is that while we all go up and down from week to week, the big picture of our health is also moving in a bigger, broader direction.  And whatever that direction is, it gets easier to keep going over time.  This is something that every chiropractor understands about health, and wants to help you.  Because they know whichever direction it is going, it can easily pick up steam. **“Don’t Make Your Chiropractor Say *‘Yikes!’*”** The way that we walk is something that most of us don’t think of often, if ever.  Chiropractors, on the other hand, can’t stop from watching for patterns.  Patterns like how people move, their posture, and even patterns of how we walk.  The funny part is that most of us are not ever taught the basics of how to stand, move and walk, the simplest things we do every day.  To figure out if you are causing yourself trouble or not, here’s a basic outline of what to look for. Proper alignment in standing or walking involves having both feet pointing forward, while they are placed approximately underneath the hip joints - which you can approximate finding by putting your hands on the bony spots on the front of your waistline just under the belt.  The farther outside of this pattern you spend in day-to-day life, the more stress is on the hips, the knees and other joints, such as the pelvis and lower back, stressing these joint structures. This mistake can end up looking like feet that point way inwards towards each other, or one or both feet pointing way out to the side.  Or it could also look like both feet very close to each other.   When in doubt, think of your feet making the number 11 when you look down, with a natural space between the feet.  Use these keys to help avoid problems in the future, and next time you are out people watching, you will start to see some scary patterns of movement yourself. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### What DO You DO When You Are Feeling Good? URL: https://www.carolinachirocare.com/feeling-good/ ## What DO You DO When You Are Feeling Good? By: / A lesson you learn working in a chiropractic office is that people are motivated by pain. You have likely experienced this yourself. A problem arises, seems relatively minor, and gets no attention – until it gets worse, and worse, and worse, and DEMANDS your ATTENTION with PAIN.  When pain gets past a certain threshold, it dominates your attention. Then another funny thing happens – it demands action.  In other words, you try to get away from what is happening. But on the other hand, what do you do when you are feeling good? You again likely have a specific pattern.  One that is unique and different from everybody else.   Maybe you learn a new sport or outdoor activity. Or maybe you double down on doing your thing that you do (just the way you do it) that makes you, YOU. And when your energy is good, your body feels good, and your mind follows, seeing optimism everywhere and in everything, you also do the same thing as everyone else. More.  You just have your own version of it that is different from everyone else.   What you do MORE of, that is. The key to the other half of this equation (the other side of pain = motivation), is that as part of doing MORE, the tendency most people have, (and you most likely do as well) is to push the envelope.   And this doing MORE, pushing the envelope, does two things.  It helps build you up – new skills, new experiences, moving past your previous physical abilities.  Doing More creates BECOMING MORE. But it can also break you down.  Life has risks, movement has risks, exercise and sport carries risk. On the other hand, not doing these things at all – and choosing sedentism as a lifestyle, carries more than risk.  It is inherently damaging.  And the worse that you generally feel – if you are like most people, the less you move.  The less you do.  You become not MORE, but LESS. This concept then becomes a game of understanding how to get your body performing well enough so that you feel good and do more.   And then can take advantage of that increased activity.  And not have it break you down.  Because who hasn’t had grand plans to pick up a challenge – start running, lose weight, feel better about yourself, look better and feel better in your clothes, and more confident – only to be waylaid within weeks or even DAYS and not be able to physically accomplish what your mind set out to do? A little pain starts to arise, and how easy is it to think *“that’s a bad sign, maybe I better not?”* --- ### When You Feel Weak URL: https://www.carolinachirocare.com/when-you-feel-weak/ ## When You Feel Weak By: / Being weak isn’t just about a certain level of strength.  About not having big muscles, like Arnold Schwarzenegger, or NFL football players.  And it’s not about combat, like a tough UFC fighter, or a competitive collegiate wrestler. While those are all examples of strength, not being one of those things does not necessarily make you the opposite of strength – weakness. Weakness is different than the opposite of strong.  You can be not strong, and still be capable. Weakness, however, brings the element of not being able to do what you want – or need – to do. There is being able to do what you want.  That is something that could be called ‘capability.’  When capability is developed well enough that it can become competitive – that might be a good definition of strength. The ability to not only do something, but to do it under adversity, when opposed by others, or in a competitive manner. Weakness on the other hand, is very different.  When you feel weak – an old injury, a chronic limitation, or just some nagging constant weak spot – the challenge becomes solo. Shoveling the driveway. Taking out the trash.  Holding your own at work. Rather than the connected relationships of competition – weakness can be isolating. Competitiveness has relationship built in. Every competitive move is instinctively calculated.  Actions and counteractions, anticipating the reactions of an adversary.  Competition can be physical, but it is always mental. But weakness takes those 1000s of mental gymnastics per minute and spreads them out over days, weeks or months.  It is a game of wondering what will happen… not what you will do or should do… but what will happen *to you*. Weakness becomes not wanting to ask for help.  Feeling like a burden.  Being unsure of participating with ‘everyone’ else.  And wondering if your weakness will hold up to what you are asking of it. So, the key piece to dealing with feelings of weakness in your body?  Don’t go it alone.  Ask for help.  Find the right trusted resources.  Ones that understand what it feels like to not always have everything go right the first time. Reach out and communicate.  Because instead of engaging in life – we all have something we want to accomplish, something that we will get a little bit fired up about doing, even if it means competing with others… Feeling weak takes that away… and replaces it with a vague, fearful, wondering.  *“Can I do it at all?”* And that’s the worst part – is that can quickly become a feeling of being alone – or lost… And the same way that so many chiropractors found chiropractic… seeing a loved one struggle and get turned around and find themselves – or even as a patient themselves.  They know the process. They understand weak vs capable vs strong - and that you can even be weak and strong at the same time. tel:9193518368 [Schedule a New Patient Appointment](/np-schedule/) **OFFICE HOURS** **Monday**** 9:00am - 6:00pm Tuesday**** 9:00am - 6:00pm Wednesday**** 9:00am - 6:00pm Thursday**** 9:00am - 6:00pm Friday**** 10:00am - 4:00pm Saturday & Sunday** Closed https://reliefnowlaser.com/providers/raleigh/ Carolina ChiroCare and Rehab [(919) 351-8368](tel:9193518368)    --- ### HIPAA Privacy Policy URL: https://www.carolinachirocare.com/hipaa-privacy-policy/ ## NOTICE OF PRIVACY PRACTICES Carolina ChiroCare and Rehab - 1207 Ridge Rd, Raleigh NC 27607 Jeffrey Gerdes D.C. - (919) 351-8368 Effective Date: 8-8-13 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. We understand the importance of privacy and are committed to maintaining the confidentiality of your medical information. We make a record of the medical care we provide and may receive such records from others. We use these records to provide or enable other health care providers to provide quality medical care, to obtain payment for services provided to you as allowed by your health plan and to enable us to meet our professional and legal obligations to operate this medical practice properly. We are required by law to maintain the privacy of protected health information, to provide individuals with notice of our legal duties and privacy practices with respect to protected health information, and to notify affected individuals following a breach of unsecured protected health information. This notice describes how we may use and disclose your medical information. It also describes your rights and our legal obligations with respect to your medical information. If you have any questions about this Notice, please contact our Privacy Officer listed above. TABLE OF CONTENTS - How This Medical Practice May Use or Disclose Your Health Information - When This Medical Practice May Not Use or Disclose Your Health Information - Your Health Information Rights - Right to Request Special Privacy Protections - Right to Request Confidential Communications - Right to Inspect and Copy - Right to Amend or Supplement - Right to an Accounting of Disclosures - Right to a Paper or Electronic Copy of this Notice - Changes to this Notice of Privacy Practices - Complaints A. How This Medical Practice May Use or Disclose Your Health Information This medical practice collects health information about you and stores it in a chart and on a computer. This is your medical record. The medical record is the property of this medical practice, but the information in the medical record belongs to you. The law permits us to use or disclose your health information for the following purposes: - Treatment. We use medical information about you to provide your medical care. We disclose medical information to our employees and others who are involved in providing the care you need. For example, we may share your medical information with other physicians or other health care providers who will provide services that we do not provide. Or we may share this information with a pharmacist who needs it to dispense a prescription to you, or a laboratory that performs a test. We may also disclose medical information to members of your family or others who can help you when you are sick or injured, or after you die. - Payment. We use and disclose medical information about you to obtain payment for the services we provide. For example, we give your health plan the information it requires before it will pay us. We may also disclose information to other health care providers to assist them in obtaining payment for services they have provided to you. - Health Care Operations. We may use and disclose medical information about you to operate this medical practice. For example, we may use and disclose this information to review and improve the quality of care we provide, or the competence and qualifications of our professional staff. Or we may use and disclose this information to get your health plan to authorize services or referrals. We may also use and disclose this information as necessary for medical reviews, legal services and audits, including fraud and abuse detection and compliance programs and business planning and management. We may also share your medical information with our "business associates," such as our billing service, that perform administrative services for us. We have a written contract with each of these business associates that contains terms requiring them and their subcontractors to protect the confidentiality and security of your protected health information. We may also share your information with other health care providers, health care clearinghouses or health plans that have a relationship with you, when they request this information to help them with their quality assessment and improvement activities, their patient-safety activities, their population-based efforts to improve health or reduce health care costs, their protocol development, case management or care-coordination activities, their review of competence, qualifications and performance of health care professionals, their training programs, their accreditation, certification or licensing activities, or their health care fraud and abuse detection and compliance efforts. We may also share medical information about you with the other health care providers, health care clearinghouses and health plans that participate with us in "organized health care arrangements" (OHCAs) for any of the OHCAs' health care operations. OHCAs include hospitals, physician organizations, health plans, and other entities which collectively provide health care services. A listing of the OHCAs we participate in is available from the Privacy Official. - Appointment Reminders. We may use and disclose medical information to contact and remind you about appointments. If you are not home, we may leave this information on your answering machine or in a message left with the person answering the phone. - Sign In Sheet. We may use and disclose medical information about you by having you sign in when you arrive at our office. We may also call out your name when we are ready to see you. - Notification and Communication With Family. We may disclose your health information to notify or assist in notifying a family member, your personal representative or another person responsible for your care about your location, your general condition or, unless you had instructed us otherwise, in the event of your death. In the event of a disaster, we may disclose information to a relief organization so that they may coordinate these notification efforts. We may also disclose information to someone who is involved with your care or helps pay for your care. If you are able and available to agree or object, we will give you the opportunity to object prior to making these disclosures, although we may disclose this information in a disaster even over your objection if we believe it is necessary to respond to the emergency circumstances. If you are unable or unavailable to agree or object, our health professionals will use their best judgment in communication with your family and others. - Marketing. Provided we do not receive any payment for making these communications, we may contact you to give you information about products or services related to your treatment, case management or care coordination, or to direct or recommend other treatments, therapies, health care providers or settings of care that may be of interest to you. We may similarly describe products or services provided by this practice and tell you which health plans this practice participates in. We may also encourage you to maintain a healthy lifestyle and get recommended tests, participate in a disease management program, provide you with small gifts, tell you about government sponsored health programs or encourage you to purchase a product or service when we see you, for which we may be paid. Finally, we may receive compensation which covers our cost of reminding you to take and refill your medication, or otherwise communicate about a drug or biologic that is currently prescribed for you. We will not otherwise use or disclose your medical information for marketing purposes or accept any payment for other marketing communications without your prior written authorization. The authorization will disclose whether we receive any compensation for any marketing activity you authorize, and we will stop any future marketing activity to the extent you revoke that authorization. - Sale of Health Information. We will not sell your health information without your prior written authorization. The authorization will disclose that we will receive compensation for your health information if you authorize us to sell it, and we will stop any future sales of your information to the extent that you revoke that authorization.Required by Law. As required by law, we will use and disclose your health information, but we will limit our use or disclosure to the relevant requirements of the law. When the law requires us to report abuse, neglect or domestic violence, or respond to judicial or administrative proceedings, or to law enforcement officials, we will further comply with the requirement set forth below concerning those activities. - Public Health. We may, and are sometimes required by law, to disclose your health information to public health authorities for purposes related to: preventing or controlling disease, injury or disability; reporting child, elder or dependent adult abuse or neglect; reporting domestic violence; reporting to the Food and Drug Administration problems with products and reactions to medications; and reporting disease or infection exposure. When we report suspected elder or dependent adult abuse or domestic violence, we will inform you or your personal representative promptly unless in our best professional judgment, we believe the notification would place you at risk of serious harm or would require informing a personal representative we believe is responsible for the abuse or harm. - Health Oversight Activities. We may, and are sometimes required by law, to disclose your health information to health oversight agencies during the course of audits, investigations, inspections, licensure and other proceedings, subject to the limitations imposed by law. - Judicial and Administrative Proceedings. We may, and are sometimes required by law, to disclose your health information in the course of any administrative or judicial proceeding to the extent expressly authorized by a court or administrative order. We may also disclose information about you in response to a subpoena, discovery request or other lawful process if reasonable efforts have been made to notify you of the request and you have not objected, or if your objections have been resolved by a court or administrative order. - Law Enforcement. We may, and are sometimes required by law, to disclose your health information to a law enforcement official for purposes such as identifying or locating a suspect, fugitive, material witness or missing person, complying with a court order, warrant, grand jury subpoena and other law enforcement purposes. - Coroners. We may, and are often required by law, to disclose your health information to coroners in connection with their investigations of deaths. - Organ or Tissue Donation. We may disclose your health information to organizations involved in procuring, banking or transplanting organs and tissues. - Public Safety. We may, and are sometimes required by law, to disclose your health information to appropriate persons in order to prevent or lessen a serious and imminent threat to the health or safety of a particular person or the general public. - Proof of Immunization. We will disclose proof of immunization to a school that is required to have it before admitting a student where you have agreed to the disclosure on behalf of yourself or your dependent. - Specialized Government Functions. We may disclose your health information for military or national security purposes or to correctional institutions or law enforcement officers that have you in their lawful custody. - Workers' Compensation. We may disclose your health information as necessary to comply with workers' compensation laws. For example, to the extent your care is covered by workers' compensation, we will make periodic reports to your employer about your condition. We are also required by law to report cases of occupational injury or occupational illness to the employer or workers' compensation insurer. - Change of Ownership. In the event that this medical practice is sold or merged with another organization, your health information/record will become the property of the new owner, although you will maintain the right to request that copies of your health information be transferred to another physician or medical group. - Breach Notification. In the case of a breach of unsecured protected health information, we will notify you as required by law. If you have provided us with a current e-mail address, we may use e-mail to communicate information related to the breach. In some circumstances our business associate may provide the notification. We may also provide notification by other methods as appropriate. B. When This Medical Practice May Not Use or Disclose Your Health Information Except as described in this Notice of Privacy Practices, this medical practice will, consistent with its legal obligations, not use or disclose health information which identifies you without your written authorization. If you do authorize this medical practice to use or disclose your health information for another purpose, you may revoke your authorization in writing at any time. C. Your Health Information Rights - Right to Request Special Privacy Protections. You have the right to request restrictions on certain uses and disclosures of your health information by a written request specifying what information you want to limit, and what limitations on our use or disclosure of that information you wish to have imposed. If you tell us not to disclose information to your commercial health plan concerning health care items or services for which you paid for in full out-of-pocket, we will abide by your request, unless we must disclose the information for treatment or legal reasons. We reserve the right to accept or reject any other request, and will notify you of our decision. - Right to Request Confidential Communications. You have the right to request that you receive your health information in a specific way or at a specific location. For example, you may ask that we send information to a particular e-mail account or to your work address. We will comply with all reasonable requests submitted in writing which specify how or where you wish to receive these communications. - Right to Inspect and Copy. You have the right to inspect and copy your health information, with limited exceptions. To access your medical information, you must submit a written request detailing what information you want access to, whether you want to inspect it or get a copy of it, and if you want a copy, your preferred form and format. We will provide copies in your requested form and format if it is readily producible, or we will provide you with an alternative format you find acceptable, or if we can't agree and we maintain the record in an electronic format, your choice of a readable electronic or hardcopy format. We will also send a copy to any other person you designate in writing. We will charge a reasonable fee which covers our costs for labor, supplies, postage, and if requested and agreed to in advance, the cost of preparing an explanation or summary. We may deny your request under limited circumstances. If we deny your request to access your child's records or the records of an incapacitated adult you are representing because we believe allowing access would be reasonably likely to cause substantial harm to the patient, you will have a right to appeal our decision. If we deny your request to access your psychotherapy notes, you will have the right to have them transferred to another mental health professional. - Right to Amend or Supplement. You have a right to request that we amend your health information that you believe is incorrect or incomplete. You must make a request to amend in writing, and include the reasons you believe the information is inaccurate or incomplete. We are not required to change your health information, and will provide you with information about this medical practice's denial and how you can disagree with the denial. We may deny your request if we do not have the information, if we did not create the information (unless the person or entity that created the information is no longer available to make the amendment), if you would not be permitted to inspect or copy the information at issue, or if the information is accurate and complete as is. If we deny your request, you may submit a written statement of your disagreement with that decision, and we may, in turn, prepare a written rebuttal. All information related to any request to amend will be maintained and disclosed in conjunction with any subsequent disclosure of the disputed information. - Right to an Accounting of Disclosures. You have a right to receive an accounting of disclosures of your health information made by this medical practice, except that this medical practice does not have to account for the disclosures provided to you or pursuant to your written authorization, or as described in paragraphs 1 (treatment), 2 (payment), 3 (health care operations), 6 (notification and communication with family) and 18 (specialized government functions) of Section A of this Notice of Privacy Practices or disclosures for purposes of research or public health which exclude direct patient identifiers, or which are incident to a use or disclosure otherwise permitted or authorized by law, or the disclosures to a health oversight agency or law enforcement official to the extent this medical practice has received notice from that agency or official that providing this accounting would be reasonably likely to impede their activities. - Right to a Paper or Electronic Copy of this Notice. You have a right to notice of our legal duties and privacy practices with respect to your health information, including a right to a paper copy of this Notice of Privacy Practices, even if you have previously requested its receipt by e-mail. If you would like to have a more detailed explanation of these rights or if you would like to exercise one or more of these rights, contact our Privacy Officer listed at the top of this Notice of Privacy Practices. D. Changes to this Notice of Privacy Practices We reserve the right to amend this Notice of Privacy Practices at any time in the future. Until such amendment is made, we are required by law to comply with the terms of this Notice currently in effect. After an amendment is made, the revised Notice of Privacy Protections will apply to all protected health information that we maintain, regardless of when it was created or received. We will keep a copy of the current notice posted in our reception area, and a copy will be available at each appointment. We will also post the current notice on our website. E. Complaints Complaints about this Notice of Privacy Practices or how this medical practice handles your health information should be directed to our Privacy Officer listed at the top of this Notice of Privacy Practices. If you are not satisfied with the manner in which this office handles a complaint, you may submit a formal complaint to: [OCRMail@hhs.gov](mailto:OCRMail@hhs.gov) The complaint form may be found at [https://www.hhs.gov/hipaa/filing-a-complaint/what-to-expect/index.html](https://www.hhs.gov/hipaa/filing-a-complaint/what-to-expect/index.html). You will not be penalized in any way for filing a complaint. --- ### Accessibility URL: https://www.carolinachirocare.com/accessibility/ ## Accessibility Statement UPDATED: December 2017 --- ### General Carolina ChiroCare and Rehab strives to ensure that its services are accessible to people with disabilities. Carolina ChiroCare and Rehab has invested a significant amount of resources to help ensure that its website is made easier to use and more accessible for people with disabilities, with the strong belief that every person has the right to live with dignity, equality, comfort and independence. --- ### Accessibility Carolina ChiroCare and Rehab makes available the [UserWay Website](https://userway.org/) Accessibility Widget that is powered by a dedicated accessibility server. The software allows Carolina ChiroCare and Rehab to improve its compliance with the Web Content Accessibility Guidelines (WCAG 2.0). --- ### Enabling the Accessibility Menu The accessibility menu can be enabled by clicking the accessibility menu icon that appears on the corner of the page. After triggering the accessibility menu, please wait a moment for the accessibility menu to load in its entirety. --- **Disclaimer** Carolina ChiroCare and Rehab continues its efforts to constantly improve the accessibility of its site and services in the belief that it is our collective moral obligation to allow seamless, accessible and unhindered use also for those of us with disabilities. Despite our efforts to make all pages and content on [www.carolinachirocare.com](https://www.carolinachirocare.com) fully accessible, some content may not have yet been fully adapted to the strictest accessibility standards. This may be a result of not having found or identified the most appropriate technological solution. --- **Here For You** If you are experiencing difficulty with any content on [www.carolinachirocare.com](https://www.carolinachirocare.com) or require assistance with any part of our site, please contact us during normal business hours as detailed below and we will be happy to assist. --- **Contact Us** If you wish to report an accessibility issue, have any questions or need assistance, please [contact Carolina ChiroCare and Rehab](/contact-us/) Customer Support. --- ### Anti-Discrimination URL: https://www.carolinachirocare.com/anti-discrimination/ ## Anti-Discrimination Disclaimer This office complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. This office does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. This office: - Provides free aids and services to people with disabilities to communicate effectively with us, which may include: Qualified sign language interpreters - Written information in other formats (large print, audio, accessible electronic formats, other formats) - Provides free languages services to people whose primary language is not English, which may include: Qualified interpreters - Translation services - Information written in other languages If you need these services, contact our Doctor at the address, phone number or email address provided on this website under the "Contact" tab. If you believe that this office has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with our Doctor at the address, phone number or email address provided on this website under the "Contact" tab. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, our Doctor and staff are available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at [https://ocrportal.hhs.gov/ocr/portal/lobby.jsf](https://ocrportal.hhs.gov/ocr/portal/lobby.jsf), or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD) Complaint forms are available at [https://eforms.state.gov/Forms/ds4282.PDF](https://eforms.state.gov/Forms/ds4282.PDF) --- ### Website Terms of Service URL: https://www.carolinachirocare.com/terms-service/ ## Website Terms of Service 1. Terms By accessing this web site, you are agreeing to be bound by these web site Terms and Conditions of Use, all applicable laws and regulations, and agree that you are responsible for compliance with any applicable local laws. If you do not agree with any of these terms, you are prohibited from using or accessing this site. The materials contained in this web site are protected by applicable copyright and trade mark law. 2. Use License Permission is granted to temporarily download one copy of the materials (information or software) on Carolina ChiroCare and Rehab web site for personal, non-commercial transitory viewing only. This is the grant of a license, not a transfer of title, and under this license you may not: modify or copy the materials; use the materials for any commercial purpose, or for any public display (commercial or non-commercial); attempt to decompile or reverse engineer any software contained on Carolina ChiroCare and Rehab web site; remove any copyright or other proprietary notations from the materials; or transfer the materials to another person or "mirror" the materials on any other server. This license shall automatically terminate if you violate any of these restrictions and may be terminated by Carolina ChiroCare and Rehab at any time. Upon terminating your viewing of these materials or upon the termination of this license, you must destroy any downloaded materials in your possession whether in electronic or printed format. 3. Disclaimer The materials on Carolina ChiroCare and Rehab web site are provided "as is". Carolina ChiroCare and Rehab makes no warranties, expressed or implied, and hereby disclaims and negates all other warranties, including without limitation, implied warranties or conditions of merchantability, fitness for a particular purpose, or non-infringement of intellectual property or other violation of rights. Further, Carolina ChiroCare and Rehab does not warrant or make any representations concerning the accuracy, likely results, or reliability of the use of the materials on its Internet web site or otherwise relating to such materials or on any sites linked to this site. 4. Limitations In no event shall Carolina ChiroCare and Rehab or its suppliers be liable for any damages (including, without limitation, damages for loss of data or profit, or due to business interruption,) arising out of the use or inability to use the materials on Carolina ChiroCare and Rehab Internet site, even if Carolina ChiroCare and Rehab or a Carolina ChiroCare and Rehab authorized representative has been notified orally or in writing of the possibility of such damage. Because some jurisdictions do not allow limitations on implied warranties, or limitations of liability for consequential or incidental damages, these limitations may not apply to you. 5. Revisions and Errata The materials appearing on Carolina ChiroCare and Rehab web site could include technical, typographical, or photographic errors. Carolina ChiroCare and Rehab does not warrant that any of the materials on its web site are accurate, complete, or current. Carolina ChiroCare and Rehab may make changes to the materials contained on its web site at any time without notice. Carolina ChiroCare and Rehab does not, however, make any commitment to update the materials. 6. Links Carolina ChiroCare and Rehab has not reviewed all of the sites linked to its Internet web site and is not responsible for the contents of any such linked site. The inclusion of any link does not imply endorsement by Carolina ChiroCare and Rehab of the site. Use of any such linked web site is at the user's own risk. 7. Site Terms of Use Modifications Carolina ChiroCare and Rehab may revise these terms of use for its web site at any time without notice. By using this web site you are agreeing to be bound by the then current version of these Terms and Conditions of Use. 8. Governing Law Any claim relating to Carolina ChiroCare and Rehab web site shall be governed by the laws of the State of the clinic without regard to its conflict of law provisions. General Terms and Conditions applicable to Use of a Web Site. ---