Welcome to our new location in El Dorado Hills! I am excited to share my invention and new rehabilitation product SwivX within our new clinic. There is no clinic in the world that can deliver real-time functional posture analysis for both neck and back until now! What does this mean for you? I have always gone to great lengths to not only help my patients get out of pain but to help them stay out of pain. I do this by taking the time to educate my patients and explain the biomechanics involved as it relates to the mechanism of injury. I literally show patients how to stay out of my clinic which is in contrast to making people sign long contracts to get care or maybe just a “pop” and out the door. My feeling is that if you are required to sign a contract for continued care you are likely part of a business plan not a treatment plan.  My approach may not be the best business plan but it is my passion to empower YOU the patient which is ultimately why I became a doctor. SwivX is a new posture tool that I designed to give my patients long-lasting and constant results with the intent to not only help their biomechanics but to also help increase spinal stability with corrective exercises within the SwivX App. Comprehensive care requires addressing mobility, stability and proper body mechanics, and SwivX provides powerful applications to help facilitate this triad of rehabilitation.  It’s like having your own personal posture coach and trainer 24/7.  I would like to thank all of my patients for allowing me the time and flexibility to complete this product. I guess you can call SwivX my labor of love, but I am also confident once you try it you will love it too!  

My first question when I evaluate my patient’s shoulder is… Can you sleep on your shoulder? This question helps me determine if the patient’s shoulder capsule is swollen. There are many reasons why a person develops shoulder pain but knowing the mechanism of the injury helps to narrow the diagnosis. You might injure it in a fall or accident, or you could have overdone a chore like painting. Sometimes shoulder pain comes from a condition like arthritis. If your shoulder pain started after trauma like a fall a special study might be indicated. The pain may come more gradual and then it progresses rapidly to the point of very limited motion. We sometime refer to this as frozen shoulder or medically known as adhesive capsulitis.

I often see patients develop minimal pain in the front of their shoulder as they perform task such as weight lifting. This pain may naturally subside due to slight bursa inflammation or as we call it bursitis. However, if the pain becomes worse with activity there may be slight connective tissue or scar tissue causing increase friction. The progression of symptoms for some patients can range. I have patients that develop only achiness and then it goes away for awhile and pops up from time to time.

Generally this may indication that there is mild scar tissue formation. But I also have patients that can’t move their should overnight with no real history of injury. This can be a mystery, however, I would guess that 90% of these patients did a task the day before that placed the shoulder in a compromised position. If you are noticing your shoulder pain in not going away it is important to come in and get appropriate care so that the injury does not progress into something that requires more invasive treatment options.

Personally I find that once I examine the patient and diagnosis the injury a bit of relief is seen on their face because the unknown was scary. More often than not the shoulder injury is easily resolved with applying a sports medicine protocol in just a few sessions. Although every injury has a little different presentation we can apply the concepts in a direct way to help the patient understand the mechanism of the injury as well as develop a treatment plan that is tailored for their needs. This may involve soft tissue work, ultrasound, myofascial release, electrical stimulation, cryotherapy (GameReady), and corrective exercises. If you are suffering from nagging shoulder pain don’t hesitate to make an appointment by pressing the tab above. I look for forward in helping you get back to your game!

Are you ready for the latest in rehabilitative technology? Professional athletes are now using SAM Sport with their injury recovery and seeing staggering results. As a healthcare provider, I am always evaluating the latest and greatest in sports recovery and rehabilitation. I typically look at new products with  a little skepticism but this product caught my eye.

My approach to treating accumulative trauma injuries that result in tendonitis and other  “itis” involves a therapeutic approach. This may include soft tissue or myofascial  release, electric stimulation, corrective exercise and ultrasound. However, many of my patients are athletes and the last thing they want to do is stop. Having a wearable ultrasound unit enhances collagen type I and type III fibers for tissue rebuilding. Although we have only had the unit at our Folsom clinic for a short time, it is showing great results.