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Click HERE to learn more about Dr. Nic https://www.summitchiroandrehab.com/blog/ka0ceai1tfckbeg9gqhdtkqr4v5xez monthly 0.5 2020-12-02 https://www.summitchiroandrehab.com/blog/skiers-thumb monthly 0.5 2020-11-30 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1606262345706-DIYAY7FKFOZZIXXXZK64/UCL+of+the+thumb BLOG - Skier’s Thumb: Tape depicting the location and approximate structure of the UCL of the thumb https://www.summitchiroandrehab.com/blog/foosh-injury/wrist-pain monthly 0.5 2020-11-18 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1604984241968-P5SKSEJHPRA7QJDDEATL/wrist+pain BLOG - FOOSH Injury: Why it can cause wrist pain Circled is the anatomical snuffbox of the wrist https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1605042938970-H0UC1I2KQOIO6YYHEXWF/labelled+wrist+anatomy BLOG - FOOSH Injury: Why it can cause wrist pain Labelled are the scaphoid, lunate, radius and ulna of the wrist. https://www.summitchiroandrehab.com/blog/fai monthly 0.5 2020-11-13 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1605291544758-7X2NBET2CMFZC0KP0ZWN/FAI_+the+pinch+that+wont+quit.png BLOG - FAI: The Hip Pinch That Won’t Quit. https://www.summitchiroandrehab.com/blog/hippain monthly 0.5 2020-10-21 https://www.summitchiroandrehab.com/blog/what-is-dns-part-3-babies-and-movement monthly 0.5 2020-09-07 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1599489414139-RHJEZA7N3P2RIQP6NPBL/Ronan+Deep+squat+.jpeg BLOG - What is DNS Part 3: Babies and Movement https://www.summitchiroandrehab.com/blog/what-is-dns-part-2-the-czech-instructors monthly 0.5 2020-09-02 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1598540344614-8YKAY5X5FXZEQ992M80C/Pavel.jpg BLOG - What is DNS? Part 2: The Czech Instructors - Pavel Kolar Pt, Paed., Dr., PhD Pavel Kolar PT, Paed. Dr., Ph.D. Creator of DNS https://www.summitchiroandrehab.com/blog/wasu7wane517ylf787wkqplx56mh9t monthly 0.5 2020-09-01 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1598538579830-D6425K0WJWY6ATUBDEO2/Dr+Nic+and+Dr+Winchester.jpg BLOG - What is DNS? 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https://www.summitchiroandrehab.com/blog/tag/physical+therapy monthly 0.5 https://www.summitchiroandrehab.com/blog/tag/Skiing+injury monthly 0.5 https://www.summitchiroandrehab.com/our-team daily 0.75 2026-04-01 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1599872229423-60X1PZPBKG2M9WXJBEZ4/IMG_0047.jpg OUR TEAM - Dr. Ivo Waerlop DC, DABCN, CCRP Dr Ivo was born in Biloxi, Mississippi on Kessler Air Force Base and grew up in upstate New York. He is a 1986 summa cum laude graduate of the New York Chiropractic College. He received his post-graduate neurology diplomate from Logan Chiropractic College and became board certified in 1990. Dr Ivo works with a broad base of patients including Olympic level, professional and paraprofessional running, skiing and cycling athletes… Click below to learn more about Dr. Ivo! https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1599872431291-L89XE544KPGEOFSEIYBU/IMG_0086.jpg OUR TEAM - Dr. John Asthalter DC, CSCS Dr. John Asthalter DC, CSCS, Cross Fit lvl 1 Dr. John M. Asthalter graduated from the Los Angeles College of Chiropractic at Southern California University of Health Sciences in 2006. He brings a wealth of life experience to his practice…. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/7be725e0-cb79-45f0-8afa-4b9d4de43616/IMG_4548.jpeg OUR TEAM - Dr. Sharon Blumenthal Dr. Sharon Blumenthal FNP Dr. John M. Asthalter graduated from Regis University. She has over 18 years of experience as Family Nurse Practitioner. She specializes in Peptide and IV therapies. If you would like to schedule an appointment with Sharon, please call our office at 970-513-9234 and schedule a telehealth appointment. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/501a1727-6d6f-450c-b14c-69391106d17c/F5AA06A3-90B4-4805-A99E-DBD634120E9B.jpg OUR TEAM - Jenna Glorioso Jenna graduated from USCI, with additional study at Colorado Learning Center of Human Anatomy. She offers Swedish, deep tissue, myofascial release, trigger point therapy, cupping, and hot stone massage. Click below to see and learn more! https://www.summitchiroandrehab.com/treatment daily 0.75 2022-08-18 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1629393985163-71L6FEQCAN8JAHUEVDA4/adjustment-low+back https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1629394053694-YJOAVI1WZI6U64XUBJU8/Ankle+Manip.png https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614179011845-IGIHF48WMS3OW6I6GORB/Needle%2Bstock%2Bphoto.jpg TREATMENTS old https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1629395254962-892R8EPMHDSXKEJZXB3A/Dry+needling+.png TREATMENTS old Dr. Ivo Dry needling the anterior deltoid while teaching a seminar at the office https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1629394997295-M3KSCHCN1CN9AKTNPWL6/IMG_1976.JPG TREATMENTS old https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1629394843437-1S0TWB3XSG2V3UX5ESRI/IMG_0246.jpg TREATMENTS old https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1629393729578-Y9X2OR81YOXUSZVCK4L2/orthotic+molding+.png TREATMENTS old https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1629393785406-YMDCNOW8DCSV062H9TOP/Bike%2Bfit%2Bphoto%2B.jpg TREATMENTS old https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1629394120147-FC5Y7F7CTMFV8PUAZROY/shop--leg-arm-1.jpg TREATMENTS old https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1629394385339-BOTA3M7WX7RV9X7NKMQC/laser+therapy+.png TREATMENTS old https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1629394763613-ZUPEA4J7H4KBQYGLWPJO/IMG_2205.JPG TREATMENTS old https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1629394679647-O9PLNF6M6YWQCX598AFS/Knee+ultrasound+.png TREATMENTS old https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1601666671500-GNC2G6WCU1PE4PRRRKAR/IMG_1918.JPG TREATMENTS old https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1595020257553-ONVCBI70498JSRCIDPKH/IMG_1916.JPG TREATMENTS old https://www.summitchiroandrehab.com/about daily 0.75 2021-01-27 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1594152104794-AO3MTIUSPXUER8ECZ8OT/outdoor%2Bsign%2B.jpg ABOUT - Headquartered in Dillon Colorado, Summit Chiropractic and Rehabilitation (SCR3) has been providing the highly active community of Summit county with expert level conservative management for over twenty years. Our docs specialize in non-surgical, non-pharmacological interventions for spine pain, sciatica, muscle strains, headaches, as well as knee, shoulder, elbow, hip, foot, hand, finger and wrist injuries. Whether you’re a skier, mountain biker, rock climber, trail runner, or someone who wants to get back into action, our doctors can properly diagnose and treat the issues preventing you from doing the things you love. With our wide array of treatments and diagnostic imaging, we are able to ensure that we have the proper diagnosis and management strategies for you, and if not we will be sure to refer you to other great healthcare professionals for your care. Call today to see how we can help you; reach your summit https://www.summitchiroandrehab.com/contact-us daily 0.75 2020-08-11 https://www.summitchiroandrehab.com/home daily 1.0 2026-02-23 https://www.summitchiroandrehab.com/about-drnic daily 0.75 2026-04-01 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1593531185123-FTHZ4YYNLPT1XX77NO0Z/Nic+on+running+times+.JPG About Dr. Nic Dr. Nic on the Cover of running times with his high school teammates https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1593531185384-CM2UV4VXL1ARYBO5K78W/Nic+Climbing+.jpg About Dr. Nic Dr. Nic Rock Climbing in the Red River Gorge https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1593531192063-H6Y27LVHBJ24QD7M604O/Nic+teaching+.JPG About Dr. Nic https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1593531553183-8LVSN6P3XRN8DQYUF99M/Vigil+open+.jpg About Dr. Nic https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1593103476940-JBIJ0JWPS8WTA75SC3ZL/Dr.+Nic About Dr. Nic - Dr. Nicholas Hedges DC, MS, CCSP®, Cert MDT Dr. Nic is a 2019 graduate of Logan University in St Louis MO. While pursuing his doctorate in chiropractic, he also received a master's degree in sports science and rehabilitation. While in school, Dr. Nic was very active in clubs and as a tutor. He was the president of the motion palpation institute club at his school, providing lectures to classmates on both adjustments and rehabilitation techniques. He also tutored both anatomy and neuroanatomy to his classmates. Dr. Nic also attended over 500 contact hours of continuing education coursework in adjustment techniques, dynamic neuromuscular stabilization, acupuncture, dry needling, soft tissue therapy, and more. Before chiropractic school, Dr. Nic ran cross country and track at Adams State University. He graduated in 2016 with a degree in sports psychology. During his time at Adams State, he also discovered a love for the outdoors of Colorado and found a passion for rock climbing, trail running, and skiing. When not practicing or enjoying the outdoors, Nic enjoys reading, cooking, and teaching. Dr. Nic also writes not only for the blog on SCR3, but for academic publications and websites as well. He has written on a variety of topics ranging from chronic spine pain to how to properly rehabilitate an ankle sprain. Click on the links below to check out some of his writings. Since graduation, Dr. Nic has also continued his education to become a Certified Chiropractic Sports Physician® (CCSP®), as well as becoming attaining the MDT certification. The CCSP is an indicator of specific education and experience in working with and treating athletic populations. MDT stands for Mechanical Diagnosis and Therapy. This is a method that is designed to empower you to understand the nature of your symptoms and how they respond to exercises and movements. This is not a cookie cutter approach, and is designed to give you the specific exercises and rehabilitation to help you improve in the most cost effective manner. MDT is a method that is effective for all regions of the spine including the low back, mid back and neck (see the Journal of Research indicates that trained and certified MDT clinicians are more effective in evaluating and helping patients with MDT than non-certified clinicians (Halliday et al., 2019). Dr. Nic is the ONLY trained MDT clinician that has received certification status in Summit County. If you are a patient and would like more information please click the link HERE If you are a physician or other medical provider wishing to learn about the method for referring patients with neck, back, or extremity pain, click HERE Academic Papers: Williamson, T.J., Bolles, C.L., Hedges, N.A. et al. Chronic Primary Pain of the Spine: an Integrative Perspective Part 1. SN Compr. Clin. Med. (2021). https://doi.org/10.1007/s42399-021-00772-z Williamson, T.J., Bolles, C.L., Hedges, N.A. et al. Chronic Primary Pain of the Spine: an Integrative Perspective Part 2. SN Compr. Clin. Med. (2021). https://doi.org/10.1007/s42399-021-00779-6 Climbing Rehabilitation Article: https://theclimbingdoctor.com/ankle-sprain-assessment-and-rehab/ Want to learn From Dr. Nic? Check out his podcast at Artofprevention.org or Chiropractors can get CEUs by going to chirocredit.com https://www.summitchiroandrehab.com/about-dr-john daily 0.75 2026-04-01 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1599588147900-VALWRCQO0GB4KI2V7401/John+Portrait+.jpg About Dr. John - Dr. John Asthalter DC, CSCS, Cross Fit lvl 1 Dr. John Asthalter DC, CSCS, Cross Fit lvl 1 Dr. John M. Asthalter graduated from the Los Angeles College of Chiropractic at Southern California University of https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1594063241750-085AFFICOCMDX4UCSVGF/john+swimming.jpg About Dr. John https://www.summitchiroandrehab.com/about-dr-ivo daily 0.75 2020-11-13 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1593531852573-UYARR5WBE2ZBQ9IP764B/Ivo+Skiing+.JPG About Dr. Ivo https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1593531959253-62DPGXNMKOJ2KJAHPLYS/IVO+teaching+Canada+.jpg About Dr. Ivo https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1593532014580-4UCOE11PTMI6F7RCKZOI/IVO+teaching+.jpg About Dr. Ivo https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1594144423391-M4KRDA98RS9PNDQMQMBB/Ivo+and+fam+.jpg About Dr. Ivo https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1594144371809-X3T9HUFLAGPSLPCDBRQD/Dr.+Ivo-about About Dr. Ivo - Dr. Ivo Waerlop DC, DACBN, CCRP, CCSP Dr Ivo was born in Biloxi, Mississippi on Kessler Air Force Base and grew up in upstate New York. He is a 1986 summa cum laude graduate of the New York Chiropractic College. He received his post-graduate neurology diplomate from Logan Chiropractic College and became board certified in 1990. Dr Ivo works with a broad base of patients including Olympic level, professional and paraprofessional running, skiing and cycling athletes. He is an adjunct faculty member with the National School of Post-Graduate Education and is one of the 2 founding members of "The Gait Guys", a consulting group which studies and teaches about lower extremity biomechanics, rehabilitation and movement and gait related disorders. Dr Ivo researches, publishes and PODcasts extensively. He is a board certified Chiropractic Neurologist, Chiropractic Rehabilitation Physician and certified Chiropractic Sports Physician. He lectures in the US and Canada on foot-ankle and gait biomechanics in sports, rehabilitation, dry needling and acupuncture techniques. He is co-author of the textbook, Pedographs and Gait Analysis: Clinical Applications and Pearls. Additional Background Dr Ivo F Waerlop attended SUNY at Albany for his undergraduate work and graduated from the New York Chiropractic College in 1986. He then joined the Core Science faculty at the college and taught anatomy and human cadaver dissection as well as Gonstead and Diversified chiropractic techniques. It was at this time he conducted research performing a serial dissection of alar ligaments in cadavers and completed post graduate work in Sports Medicine, receiving his Certified Chiropractic Sports Physician certification. Dr Ivo then moved to Gloucester, Massachusetts where he founded Gloucester Chiropractic and Rehabilitation, a medically referral based office complete with CYBEX lab. During his time in Massachusetts, he completed additional post graduate work in rehabilitation and was accepted into the chiropractic neurology program at Logan Chiropractic College in St Louis, Missouri. Here, he was one of the fortunate doctors who studied directly under Dr Ted Carrick, and after 3 years and passing his written and oral board examinations, was awarded his Diplomate in Neurology Degree in May of 1991. At this point in time, Dr Waerlop began his post graduate teaching career, 1st in rehabilitation and later in neurology. In late 1996, Dr Ivo relocated to Summit County Colorado, continuing to teach on a post graduate level and began a private practice in Frisco at the CARE Health Group. He began teaching Anatomy and Physiology locally at the Colorado Mountain College, which he discontinued after the birth of his 1st son. In 1999, he relocated to a larger facility in Silverthorne and founded Summit Chiropractic and Rehabilitation, PC, a rehabilitation and neurology referral based practice, with an emphasis on gait and movement analysis. In 2004, he became interested in acupuncture, largely because his 150 pound German Shepherd (Atlas) was epileptic, and a Veterinary Acupuncturist from Grand Junction (Dr Shalona McFarland) was able to help him control his seizures. Dr Ivo began his studies shortly thereafter and received his acupuncture license in the summer of 2005. He then studied neuromuscular acupuncture under Dr Yun Tao Ma and oulse diagnosis and cosmetic acupuncture under Dr Martha Lucas. In August of 2006, Dr John Asthlater joined the practice and the office was moved to our new facility in the Dillon Tech Center, in Dillon. In addition to injury, rehabilitative and preventative care, the new center offers the latest in cutting edge diagnostics, inclluding digial x ray and diagnostic ultrasound, video motion analysis for both gait and bike pedal stroke, an orthotic lab, full blood testing, lactate testing, training programs, and expanded hours. When Dr Ivo isn’t seeing patients or lecturing, he enjoys spending time skiing, mountain and road biking with his wife, Lisa and his 2 sons Vander and Saxxon. His hobbies include reading, music and cooking. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1595017971950-HSJT19SZDWQH31X2OQ6V/The+Gait+Guys+.jpg About Dr. Ivo - The Gait Guys An overall combined 45+ years of clinical / medical experience, teaching, and lecturing experience heavily weighted in biomechanics, neurology, orthopedics, manual medicine, acupuncture, advanced gait and running knowledge. Dr. Ivo Waerlop (summitchiroandrehab.com) and Dr. Shawn Allen (doctorallen.co & shawnallen.net) are finally bringing what has long been needed to the information/web age, enough knowledge and experience to help clarify the truths and dispel the myths that are abundant on the internet and in seminar halls. The blog has been active and live since early 2011 with over 1500 article entries. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1595018110782-7GW91R4HAJHSSVFX2FAP/Rehabchalktalk About Dr. Ivo - Rehabchalktalk Functional Integrative Rehabilitation Education educational investments that pay clinical dividends https://www.summitchiroandrehab.com/massage daily 0.75 2026-03-31 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/4a464b24-3f72-4ca2-9787-e858bad51aa5/F5AA06A3-90B4-4805-A99E-DBD634120E9B.jpg Massage Therapy - Jenna Glorioso Her Mission Statement:To facilitate transformation in individuals who are willing and able to change using a body/mind/spirit approach. I achieve this through massage therapy, and teaching. What I require to be successful in this endeavor is an individual with desire to change, belief that change is possible and the ability to do whatever it takes to create the environment for transformation. Copyright 2006-2007 Summit Chiropractic & Rehabilitation, PC. Summit County, Colorado Chiropractor and Acup https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1594769728402-W72E70PMVS2WST54IVXR/calf+soft+tissue+.png Massage Therapy https://www.summitchiroandrehab.com/normatec daily 0.75 2023-02-28 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1593981437857-ALUH3HW8EQL91PMKLCCI/NormaTec2460_matt_side_pulse2.jpg NormaTec https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1593981479299-I3D7ZOSGU1DKSSDPFIH9/Normatec+science-hero.jpg NormaTec https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1593981514114-83E71ZMIAYXC1DOMX6EZ/Normatec.jpg NormaTec https://www.summitchiroandrehab.com/spinal-manipulation daily 0.75 2021-10-20 https://www.summitchiroandrehab.com/extremity-manipulation daily 0.75 2021-10-20 https://www.summitchiroandrehab.com/diagnostics-xray-ultrasound daily 0.75 2021-03-08 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1602185148163-404BLIQE8L1IGYLNQXDY/X-Ray+evaluation Diagnostic Imaging - X-Ray X-rays or radiographs are used to assess the bones and joints. This can help us rule out things like fractures and other serious ailments. We use radiographs only when necessary and indicated in cases like trauma, or when your condition does not respond normally to conservative management. The x-ray unit is digital, so the results appear and are explained to you in real time within only a few minutes. Our charge is $60 per view and we typically take 2-3 shots depending on the injury and its location; we are one of the most reasonable imaging offices in Summit County. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1602185227515-UC8YFAM9Z414R70KN5XN/Patellar+tendon+dxus.JPG Diagnostic Imaging - Diagnostic ultrasound Diagnostic ultrasound is an incredible tool for looking at and assessing the integrity of soft tissues underneath the skin. Ultrasound works by using sound waves and their reflexions to get a glimpse at what is going on in the connective tissues that we cannot ordinarily see. In many cases in which diagnostic ultrasound is used like ankle sprains, shoulder pain, and knee pain; ultrasound is just as sensitive to pathology as an MRI. While it is just as effective is assessing certain condition, it is a fraction of the price. In some cases, such as pulley ruptures in climbers, diagnostic ultrasound is superior to MRI in that we can perform a dynamic exam and stress the tissue while looking directly at them. Price: Full Regional exam: $165 abbreviated exam: $65 https://www.summitchiroandrehab.com/orthotics-bikefit-skifit daily 0.75 2021-02-24 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1602621435398-FZIXV9YZVAZD3K4PJDNQ/Ivo+orthotic+.JPG Custom Fitting https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614182935894-APFQ0UPIRWODNZEARP0Z/Bike%2Bfit%2Bphoto%2B.jpg Custom Fitting https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614183057988-P8A2NYPKZAD0EKHEGN2A/skier%2Bgeneric.jpg Custom Fitting https://www.summitchiroandrehab.com/conditions daily 0.75 2022-11-15 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614208192816-BDM3UCHIDKTNNLKZRZJX/low%2Bback%2Band%2Bleg%2Bpain%2B.jpg CONDITIONS https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614536650468-MV4ZWL5NESD9GMM6BAML/low%2Bback%2Bpain%2B.jpg CONDITIONS https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614531508108-STZZ9DKDRTRVAK2FI0WB/IT%2BBand%2BPain%2B.jpg CONDITIONS https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1106b20f-8e55-455f-ac5f-4ec0bdb00743/3-8-19+%2803%29+Powder+Day_Curtis+DeVore.jpg CONDITIONS https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614532007698-8M0OCCL6DMA9WF15CB6U/Neck%2Bpain%2Bgen.jpg CONDITIONS https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/e89e6a5f-7908-473a-b6d7-bddb637a02ff/Shoulder+pain CONDITIONS https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1615322177969-BUHBVEO5WZ6H0PZC9DUG/ankle%2Bsprain%2Bstock%2B.jpg CONDITIONS https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1615322340151-1BQ688S3JMAGKYS0KX9B/Plantar%2Bfasciitis%2Bstock.jpg CONDITIONS https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1615322704910-I81QC36F64Q9AK65CZQD/achilles%253A%2Bankle%2B.jpg CONDITIONS https://www.summitchiroandrehab.com/low-back-pain-condition daily 0.75 2021-03-01 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614538161495-3S1MGCKBK6J7DM7NWMHG/IMG_0114.JPG Low Back Pain Condition - Muscle Strain One of the most common reasons that we get acute pain in the lower back. The occurs when the load placed on the lumbar spine muscles is more than what they are accustom to, leading to an overload beyond their capacity. This results in pain along the back, as well as tightness and soreness in the muscles next to the spine. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614537953561-S3EF6O1BG2DNWBZEZ082/Intervertebral%2Bdisc%2B.jpg Low Back Pain Condition - Disc Herniation Another common culprit in low back pain is the intervertebral disc. The intervertebral discs are in between the bones of the vertebral column. They have two different components to them; the annulus fibrosis and the nucleus pulposus. The annulus runs around the disc and is very tough. The nucleus pulposis in the inside of the disc. The Nucleus pulposus houses a gelatinous material which aids our body’s natural shock absorption mechanism. If the annulus fibrosis is overloaded, then the gelatinous material of the nucleus pulposus can herniate through it. This can sometimes be the cause of acute pain both in the back and running down the leg as pressure is placed on nerve roots emanating from the lumbar spine. It is important to recognize the most of these instances do not require drugs or surgery to become better. In fact, with proper education, therapies, and active rehabilitation, the majority of disc herniations will heal and resolve on their own. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614538036982-TH148ZAU2YJEM9RS14YJ/low%2Bback%2Bpain%2B.jpg Low Back Pain Condition - Mechanical Low back pain This low back syndrome is characterized as an inability or provocation of symptoms when moving in a certain direction. The most common direction that provokes symptoms in bending forwards (flexion). Biomechanically speaking, flexion also produces significant stress on the intervertebral disc. Treatment for directionally responsive low back pain consists of repetitive movements in a specific direction. This specific direction is called your direction of preference and can be found by performing a proper mechanical evaluation. https://www.summitchiroandrehab.com/skiingsnowboard-injury daily 0.75 2021-02-08 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1612801099608-P8QU9KZSX9ZRMEF0IMLM/skier%2Bgeneric.jpg Skiing/Snowboard injury - Skiing The most common injury to skiers is to the knees. Sprain of the ligaments surrounding the knee and strain of the musculature around the knee are very common conditions, especially if the ski failed to release during a fall. Other common areas of injury include the hip, lower back, and the thumb due to improperly looping ski poles (check out a blog about thumb injuries in skiers by pressing HERE ). https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1612801351805-UW89AD09Z4WVGO5B5SN6/Powder+Day_Curtis+DeVore.jpg Skiing/Snowboard injury - Snowboarding The most common area injured in snowboarders is the wrist. Wrist injuries are especially prevalent in beginners and terrain park athletes who sustain many falls landing on an outstretched arm. Other common injuries include shoulder strain and ankle sprain. https://www.summitchiroandrehab.com/kneeinjury daily 0.75 2022-03-05 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614397572679-JEFYYL9HCP0MFAMJHT5X/knee+pain+.png Knee injury - Knee Arthritis Previously thought of as a solely structural and “wear and tear” type issue, we now know that many factors go into making an arthritic knee painful. These factors range from overall inflammation, to simple muscle weakness. A large study of over 46,000 people found that weakness in the knee extensors (quads) was a risk factor for the development of knee osteoarthritis (Øiestad et al. 2021). This is definitely one of the cases in which preventative measures for knee arthritis really include resistance training of the knee. In the treatment of knee arthritis itself, contrary to what some may believe, movement can be exceedingly beneficial whether that be walking, squatting, lunging, or running. Long term management with over the counter anti inflammatories and injections are potentially dangerous in that they may decrease what cartilage is left in an unhappy knee (Perry et al. 2021; Singh et al. 2021; Orchard 2020). Some things that may be beneficial include supplementation with collagen peptides and also movement assessments to look for a direction of preference (Zdzieblik et al. 2017; Rosedale et al. 2014). https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614543075048-ANOQ8R20PIT3Y8UN90R6/knee%2Bcap%2Bpain%2B.jpg Knee injury - Patellofemoral Pain syndrome. This is an interesting pain manifestation behind the kneecap which causes pain while squatting, going up stairs, and can even present after sitting for long periods of time. We used to think that the patella was tracking incorrectly along the condyles of the knee and that these “tracking issues” led to abnormal wear and tear and then pain the back of the kneecap. Unfortunately, tracking the patella is easier said than done, and when we do track it, it seems as though all tracking manners are present even in people without pain in their patella. A few things that were found to be very helpful include some manual therapies along with active exercises. These HAVE to be done together because performing one of these alone is not superior to doing both. The manual therapies that can be helpful to the recovering knee include soft tissue therapies like pin and stretch of the muscles surrounding the knee, as well as acupuncture. The rehabilitation of this injury has also changed significantly in the past 5 years. We once thought that we needed to target the tracking issue of the knee and support it with tape in controlled ranges of motion. However, this has been found to be less effective than a graded loading program to the extensors and stabilizers of the knee. Ironically many of the major stabilizers of the knee are located up in the hip. The muscles in the outside and back of the hips are major players of knee stability, and can be easily strengthened with specific exercises that do not even require a resistance band or tape ((Willy et al. 2019; Winters et al. 2020) https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614543610536-2FTOAQKG28H7WERFE2ES/knee%2Bwith%2Bligaments%2B.jpg Knee injury - Ligament Injuries some ligament injuries can (and should) be treated conservatively and without surgery, while some will likely need surgery to repair important structures that provide the knee with some crucial aspects of stability. The four major ligaments of the knee that provide really important stability for skiers are the Anterior cruciate ligament (ACL), Posterior Cruciate ligament (PCL), Medial collateral ligament (MCL) and the Lateral Collateral ligament (LCL). One of the most important things that we do in our office regarding knee pain is a thorough assessment and evaluation if you are a good candidate for our care. Complete tears of one of these ligaments compromises the structural integrity of the knee and leads to significant laxity, which can then lead to damage in other areas and tissues of the knee, which can predispose you to arthritis and joint damage. Luckily, orthopedic tests as well as thorough history taking (both of which can be performed by trained sports chiropractors) can be effective in figuring out if a referral to a surgeon or for imaging is necessary. Complete tears of the ACL and other ligaments are the best candidates for surgery, but minor tears and sprains of ligaments like the MCL and LCL are very effectively managed with non surgical means. The best way to manage these is through a combination of manual techniques and guided rehabilitation which can be performed by sports chiropractors and physical therapists. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614542988924-65R9S8X85CSS98X4M1ZL/knee%2Bpain%2Brunner%2B.jpg Knee injury - Patellar tendonitis Occurring frequently in athletes that have to jump or accelerate dynamically, Patellar Tendonitis is a condition in which the tendon on the front of the knee becomes inflamed and irritated due to overload. When chronically painful, tendonopathy ensues, which is characterized as both pain and disorganization of the tendon collagen matrix. Tendonitis and tendinopathy are best managed with proper education and rehabilitation. This includes a progressive loading strategy, which will bridge the gap between your current functional capacity back to full capacity without pain. https://www.summitchiroandrehab.com/sciatica daily 0.75 2021-03-01 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614396382291-M2DX17ZU6J7BIBDB7XO2/sciatica Sciatica - Discogenic Sciatica Pathology in the intervertebral disc is often associated with Sciatica symptoms. These discs lie in between the individual vertebra to assist with shock absorb and movement in the spine. However, they can also cause issues when herniations place pressure on the nerves which course down the leg. Luckily, the presence of these herniations does not necessarily mean that you will have long standing pain and disability. In fact, many people have disc herniations present in their spine with no symptoms whatsoever, and there is also a high rate of healing in these discs. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614396307835-RUR3ZR413O51K1CZP52V/sciatic+nerve Sciatica - Nerve Mobility issue A the sciatic nerve courses from the low back, all the way to its endpoints in the toes, It has to traverse through multiple anatomical tunnels composed of muscle, fascia, and other connective tissues. Sometimes nerves can get “stuck” in these tightly wound tunnels of anatomy. This can decrease the nerves blood supply and cause an alarm reaction, leading to pain. The nerve can also be shortened due to previous injury and/or sedentary lifestyle. In both of theses cases specific stretching exercises which target nerve mobility can be employed to increase the resilience and blood supply to the nerve. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614396674660-SAILRILFVSDFZ3OLRER4/Hamstring+Strain+.png Sciatica - Hamstring Tendinopathy Pain down the back of the thigh can also be emanating from the muscles behind the thigh, namely the hamstrings. An unresolved hamstring strain or tendinopathy can easily mimic sciatica symptoms. For this specific cause of pain down the thigh, the best treatment is a specific loading strategy to properly rehabilitate the injury. This way we can reintroduce load in a safe way to increase its capacity and function back to normal levels. https://www.summitchiroandrehab.com/shoulder-pain daily 0.75 2021-03-01 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614532995155-WREM49KHP9GDU1HSJXMX/Rotator+cuff+tear Shoulder Pain - Rotator Cuff tear We can injure all muscles of the shoulder, especially the notorious rotator cuff muscles which are responsible for helping to coordinate some of the fine movements in the shoulder. These muscle injuries can range from a small tear to a complete rupture. Smaller tears can typically be managed with conservative therapy with very good success rates (over 90% will recover with rehab and strengthening alone) while a complete rupture will likely need surgical intervention in order for full function to return. One tool that is very useful in diagnosing and grading rotator cuff tears is diagnostic ultrasound, which you can learn more about by clicking HERE https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614533170364-N45RGSPIVF3XA2ZXVTWG/shoulder%2Bpain%2B.jpg Shoulder Pain - Spinal source of shoulder pain Pain in the shoulder is often a referred pain from an issue in the neck. Best practice is to rule out a neck issue before tackling a potential shoulder issue. This can be done with repeated movements of the head and neck. If neck movements have a significant effect on your shoulder symptoms, then it is likely that the neck is causing the issue. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614533871118-8EOFFUHIBAC60UAA8QJN/AC+joint+Sprain Shoulder Pain - AC Joint sprain The AC joint is the only true joint connecting the shoulder to the body. This joint can get sprained, especially after a fall. Rehabilitation of this joint is important and can also be helped by acupuncture, and soft tissue therapy. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614536336659-U899BMMJ6CFH12FSEBW9/labral+tear Shoulder Pain - Labrum Tear The labrum of the shoulder works to increase the amount of contact and stability between the shoulder blade and the upper arm. This can, and is often partially torn or injured; especially in the region that the bicep attaches. Diagnosis and management of this condition involves orthopedic testing, and a gradual process of rehabilitation to decrease painful responses to movement. There is a growing body of evidence that show labrum tears to be common in people with no shoulder pain at all. Thus policy changes have been enacted (rightly so) to first perform a trial of 6-12 weeks of conservative care including manual therapy, acupuncture, and progressive rehab before performing things like injections, surgery, or other invasive procedures. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614533604364-NJYYI7I45XWH8YIEBISE/Woman%252Bshoulder%252B.jpg Shoulder Pain - Frozen Shoulder For how common it is, frozen shoulder is a widely misunderstood diagnosis. One misunderstood aspect is that there are multiple types of frozen shoulder; Primary Frozen shoulder is a tightening of the capsule from an injury, trauma or surgery. Secondary frozen shoulder can be related to metabolic or hormonal changes. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614534358802-Q4W6ZNLTCHDSBP9S0WFR/shoulder%2Banatomy%2B.jpg Shoulder Pain - Shoulder dislocation Dislocations are unfortunately a fairly common occurrence in the shoulder. This is because of the very high amount of mobility we have in the shoulder. The trade off for this mobility is the increased predisposition to dislocate it. When a dislocation occurs, the capsule and tendons of the shoulder become stretched further than they were initially designed. Like an overstretched rubber band, the capsule is then more loose and predisposes the individual to further dislocations. Sometimes a fracture can occur between the two bones that dislocate the shoulder, as well as other deformity of the soft tissues. In the absence of these deformities, stabilization and rehabilitation of the shoulder are key components to reducing the risk of further shoulder dislocations. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614534699026-6Q13VKJZL1M2K8RKZS5Q/shoulder%2Bpain%2Bmale%2B.jpg Shoulder Pain - Shoulder Impingement As the supraspinatus muscle (one of the rotator cuff muscles) traverses along the shoulder from the scapula to the humerus (upper arm), it has to go underneath a piece of bone called the acromion. This area is a common location of pain and discomfort for people with pain in the front of the shoulder. It was once thought that different shapes of the acromion were the cause of this issue. This has been shown to not be the case however, as surgical correction does not yield better results than rehabilitation and conservative care alone (Paavola et al. 2017). It is now no longer recommended to get surgery for this condition (Vandvik et al. 2019). The best treatment for this condition included mobilization, strengthening, and rehabilitation exercise (Painful Shoulder: Exercise Can Reduce...). https://www.summitchiroandrehab.com/acupuncture/dryneedling daily 0.75 2021-10-18 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1634341656201-OHKYJYSBYQL5R8SOPG6F/acupuncture+and+chiropractic Acupuncture/dry needling https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1634341714759-5KNR2X3S1VM17BU5NUQR/Dry%2Bneedle+and+chiropractic Acupuncture/dry needling https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1611785110641-HQDZVIEAL7ONC6A3I5WI/IVO+teaching+.jpg Acupuncture/dry needling - Functional Integrative Rehabilitative Education If you are a clinician or individual who is interested in learning more about the physiological and neurological effects of dry needling and acupuncture, check out Dr. Ivo’s personal blog on the topic. https://www.summitchiroandrehab.com/neck-pain daily 0.75 2021-03-01 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614540429117-GFKRII2H1HQFLW6IVZP2/Neck%2Bpain%2B+muscle+strain Neck Pain - Muscle Strain One of the most common reasons that we get acute pain in the neck. The occurs when the load placed on the cervical spine muscles is more than what they are accustomed to, leading to an overload beyond their capacity. This results in pain along the neck, as well as tightness and soreness in the muscles next to the spine and/or shoulder. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614540623672-ANPVLYPUKZIF35WJJSTA/Disc+Herniation Neck Pain - Disc Herniation Another common culprit in neck pain is the intervertebral disc. The intervertebral discs are in between the bones of the vertebral column. They have two different components to them; the annulus fibrosis and the nucleus pulposus. The annulus runs around the disc and is very tough. The nucleus pulposus in the inside of the disc. The Nucleus pulposus houses a gelatinous material which aids our body’s natural shock absorption mechanism. If the annulus fibrosis is overloaded, then the gelatinous material of the nucleus pulposus can herniate through it. This can sometimes be the cause of acute pain both in the neck and running down the arm as pressure is placed on nerve roots emanating from the cervical spine. It is important to recognize the most of these instances do not require drugs or surgery to become better. In fact, with proper education, therapies, and active rehabilitation, the majority of disc herniations will heal and resolve. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614541645919-ZI5YHQ8RM0SLWR54V0J3/Neck%2BPain Neck Pain - Mechanical Neck Pain This neck syndrome is characterized as a provocation of symptoms when moving in a certain direction. The most common direction that provokes symptoms is protruding the head forewards. Biomechanically speaking, this reverses the cervical curve, and can place significant stress on the connective tissues of the neck including the ligaments and disc tissues. Treatment for directionally responsive neck pain consists of repetitive movements in a specific direction. This specific direction is called your direction of preference and can be found by performing a proper mechanical evaluation. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614542162444-FBWYWSRQHNVUCNV89GFZ/Neck+arthritis Neck Pain - Neck Arthritis Much of our understanding of arthritis and other forms of degenerative joint disease (DJD) has changed over the years. It is now widely know that degenerative changes in the neck (as well as other locations such as the back and knees) is a normal part of the aging process. These changes in joint spacing and shape are present in both individuals experiencing pain, as well as individuals not experiencing any pain at all. Certain treatments such as spinal manipulative therapy, and also rehabilitative exercise can help to restore normal range of motion, as well as decrease neck stiffness associated with arthritis. These two therapies can be assisted by other therapies such as acupuncture to get the results you need to get back to doing what you love. https://www.summitchiroandrehab.com/scr3-athletes daily 0.75 2021-12-11 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614570272545-5CQL5ZWM0FNIEJHP2969/Stephan%2B.jpg SCR3 ATHLETES - Stefan Seeling Stefan has been a coach of the high caliber Team Breck slopestyle athletes for about 7 years. He has been coaching for almost 15 years now and shows no signs of slowing down. Don’t take his coaching status and think he can’t still shred, or do a backflip any time, in any place. Click below to check out our interview with Stefan and hear him give us a few pearls of wisdom from his many years of coaching high level skiers. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614570854398-4FR8L6JA6M2OSS2S5D4O/3-8-19+%2803%29+Powder+Day_Curtis+DeVore.jpg SCR3 ATHLETES - Joshua Stock I have the ridiculous privilege of making my living traveling the globe as a snowboarder/coach/pastor. I also play and coach soccer as well as biking and swimming and chasing my two little kids. I generally run myself ragged and burn the candle from the middle as well as from both ends. I’m hampered by a handful of injuries from my teen and young adult years, so Doctor Ivo and the staff here at SCR3 have their hands full every time I walk through the doors with a new injury. From shoulders to ankles to ribs to allergies, the team here not only has my back but my entire body as well. They’ve been here supporting me for around 15 years and I hope we’ve got another 15 more together! https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1620916359834-KFC8O102T0X8NUNQ8BCC/Jared+and+Taneil.png SCR3 ATHLETES - Jared and Taneil As the owners of Crossfit Low Oxygen, Jared and Taneil have not just given the people of Frisco and Summit county a place to workout. They have given their members a sense of community and belonging. You will often see them coaching and training alongside the members of the community. Along with competing and co-owning the gym, these two are also responsible for bringing the fit-to-recover program to summit county; providing a safe space for individuals that have had setbacks in their lives to get fit and exercise. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1623178522922-S2AWNQKS7MWC92EONQP8/iusa_400x400.70238627_g4st.jpg SCR3 ATHLETES - Johnathan Buckhouse I have been snowboarding for 11 years. As a kid, I always wanted to snowboard for a living but didn’t have the opportunity to go snowboarding ever. After turning 18 I never gave up on the dream of snowboarding for a living, so I moved to Breckenridge Colorado and started to perfect my craft. 7 years later I started a YouTube channel that turned my life’s dream into a reality! I have now been snowboarding for a living for the last 3 years and have created that life through YouTube. The best part is I am just getting started! https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/b325f745-cee9-4614-8bec-b709b10f71da/Benton+portrait.jpg SCR3 ATHLETES - Benton Obregon One day as a little kid, I was out on the hill skiing. I remember just sitting there in amazement, watching snowboarders fly pass me at insane speeds. I instantly fell in love with the sport before I even started. From that day forward, I just knew that’s what I wanted to do with my life. It has been over 20 years now and I am extremely grateful to have had the opportunity to travel and compete in events around the world. However, with time comes change, you will not find me into many competitions these days. Instead, I am out on the mountain with my best friends making daily YouTube videos. My passion for snowboarding carries on and off the mountain and is reflected daily in my pursuit in pushing the sport forward! https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1620916408095-MMO77T3OFEPNCVQ0AO4I/Garrett+Climbing+.png SCR3 ATHLETES - Garrett Hutson A staple of the local climbing community. Garrett is a long time local who has also significantly progressed in his climbing abilities over the years. When not traveling to crags across the country with his dog Mudgens and his wife Stevie, he can usually be found crawling up the walls of Rifle Canyon. https://www.summitchiroandrehab.com/general-1 daily 0.75 2021-03-06 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1589847902870-ZOUR0EX0L2QSQNRC1SP2/image-asset.jpeg General 1 - Make it stand out. It all begins with an idea. Maybe you want to launch a business. Maybe you want to turn a hobby into something more. Or maybe you have a creative project to share with the world. Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1589847903067-57HDPDJ6TWU40QPAQLS4/image-asset.jpeg General 1 - Make it stand out. It all begins with an idea. Maybe you want to launch a business. Maybe you want to turn a hobby into something more. Or maybe you have a creative project to share with the world. Whatever it is, the way you tell your story online can make all the difference. https://www.summitchiroandrehab.com/conditions/ankle daily 0.75 2021-03-09 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1615321729677-A2BSMMQT2E8PHWJXAOTE/ankle%2Bsprain%2Bstock%2B.jpg Ankle Injury - Ankle Sprain An ankle sprain is one of the most common injuries in athletic populations. Athletes that commonly sprain their ankles range from soccer players to rock climbers, snowboarders, trail runners, and hikers. About 23,000 Americans sprain their ankles every single day. The issue with an ankle sprain is that if not rehabilitated properly it can lead to more recurrent ankle sprain and then Chronic Ankle instability. Chronic ankle instability can lead to laxity in the ankle joint and can predispose individuals to ankle arthritis. Some of the therapies that can decrease the chance of CAI after an ankle sprain are listed below. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1615304559141-VLFAL0LARI0PLS15SR9T/Ankle%2BManip.jpg Ankle Injury https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1615304677007-2WLOESVG7R16PSDN1EGE/Needle%2Bstock%2Bphoto.jpg Ankle Injury https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1615304830212-48OQCXYZKUVSF24PWT7V/plyometric%2Bbox%2Bjump%2B.jpg Ankle Injury https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1615242284261-TR5BEOFDGGP37A9BGTJF/IMG_2205+2.JPG Ankle Injury - Ankle Fracture Lets be clear, if you have a known ankle fracture, then our office is not the place for you. However, if you are unsure if your ankle is fractured or not, then we have the tools necessary to evaluate and diagnose your ankle. At times it can be very difficult to distinguish an ankle fracture from a bad sprain. In our office we are able to use digital x-ray to evaluate if a fracture is present, and we are also able to use diagnostic ultrasound to evaluate the muscles tendons and ligaments of your ankle to make sure they are all intact. Click on the button below to check out our diagnostic imaging page. https://www.summitchiroandrehab.com/achilles-tendinitis daily 0.75 2022-08-24 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1615323371304-BZ9UBTTZX58L78PU98IT/Tendon+Treatment Achilles Tendinitis - Treatments to avoid with tendon injury. When it comes to tendon injury, there is a right way and a wrong way to get back to your full activities and function. Click below to see some of the treatments to avoid when you are experiencing tendon pain. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/2924f982-656e-4b6c-a87b-0999bba85ac9/IMG_0507.jpg https://www.summitchiroandrehab.com/tendontreatmentstoavoid daily 0.75 2021-03-21 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1616366853941-X2U42YN3GNCRC3H1QA1Q/immobilization%252Bboot%252B.jpg Tendon Treatments to Avoid - Treatments to Avoid #1: Complete Rest let’s clarify complete rest first. Complete rest is fully unloading a tendon or immobilizing it so that it no longer experiences any loads whatsoever. Over time, complete rest actually decreases the stiffness in the tendon, as well as decreases the strength and size of the muscle that connects with it. We may mistakenly take the initial decrease in pain as a good sign of healing, unfortunately once we try to return to normal load and activities, the pain comes back as well. The initial stage of tendon rehab is typically a modification of both loads as well as activities, not totally stopping them all together. The best treatment for tendon pathology and pain is to begin incorporating the right kinds of loads so that we can increase the capacity of both the healthy portions of the tendons, as well as the muscles that connect to them. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1616367206918-Q9505Z3OU4H8RZ76LL2H/runners%2Blegs%2B.jpg Tendon Treatments to Avoid - Tendon Treatments to Avoid Part 2: Incorrect Exercise It is important to prescribe the correct types of load when rehabilitating tendons. The types of loads that can commonly cause tendon pain are high intensity dynamic loads, which is why athletes such as runners, jumpers, and gymnasts have higher rates of tendinopathy than powerlifters and athletes that use more higher loads, at a slower rate. One of the ways we have to modify activities is that we need to begin incorporating heavy, slow loads, and initially avoid the loads that may have brought about the tendon changes. If you are consistently experiencing a recurrence in your tendon pain, it is likely that you are using incorrect loads for your rehab. Start doing the correct type of loads consistently, and over time the tendon and muscle will adapt to increase your load tolerance as you get back to normal activities. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1616367749084-948501T3EAE9QQJPCGJW/RICE%2BProtocol%2B.jpg Tendon Treatments to Avoid - Tendon treatments to avoid #3: In tendon pain, passive treatment = short term benefit without long term gain. Treatments like rest, compression, elevation, as well as electrical and other modalities can sometimes decrease pain in the short term. However, there is not a long term benefit to the capacity of the connective tissues. In order to increase the capacity and health of the tissues long term, we have to give them the proper stimulus in the form of a loading program. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1616368403023-ZA5TZ6MUS7X3545LN9KI/Injection+treatment.png Tendon Treatments to Avoid - Tendon treatments to avoid #4 A treatment that used to be quite commonplace for tendon pain was injection of corticosteroid medication. This was especially prevalent back when we really thought that inflammation was the big factor in the development and chronification of tendon pain, however this is not the case. Injecting steroids into tendons may seem like a good idea at first, but this does nothing for benefiting the structure of the tendon, nor does it produce long lasting changes in tendon capacity. Sometimes injections can have a short term benefit in reducing pain, but over time, and especially if injections are repeated, these therapies can degrade the structure of the tendon and potentially make it more susceptible to rupture. The best treatment for chronic tendon pain is going to be a consistently followed loading program. Injection therapy should not even be considered until multiple months of conservative management and loading have failed. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1616368580079-755TMHRVYUK6EUXVVPR2/ignoring+tendon+pain.+.png Tendon Treatments to Avoid - Tendon treatments to avoid #5: Ignoring tendon pain Have you been trying the same treatments over and over for your tendon pain and now just ignore it? Often times pain can be a centrally mediated phenomenon, meaning that the amount of pain we are in are due to processes occurring in our brain and spinal cord. This has to be true because we are able to alter our amount of pain, as well as our functional capacity, long before we are able to alter the actual structure of our tendons. Proper loading strategies change muscle activity, as well as pain activity, both of which are also centrally mediated. With a consistent and well executed loading strategy, we can work on slowly decreasing pain and increasing your function. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1616368819465-82K90IMMFLC3ADCW8ONI/Tendon+Tx+to+avoid+pt+6.png Tendon Treatments to Avoid - Tendon treatments to avoid #6: stretching tendons When we have tight and uncomfortable tendons, it may seem like a good idea to stretch them out, but this isn’t necessarily the case. Stretching tendons like the achilles and hamstring can create compressive loads on the tendon, which is one of the ways we develop tendon pain in the first place. Creating compressive loads on tendons can exacerbate and worsen our tendon pain. Passive stretching does not actively load the tendon to create lasting change. We want to load these tendons, which will actually do more in elongating the tendon and increasing its elasticity in the long run…. (pun intended) https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1616369108775-YAEK7MXJ5T8AP10ZL6R4/Tendon+Tx+to+avoid+part+7.png Tendon Treatments to Avoid - Tendon tx to avoid: #7: cross friction massage Lets clarify here, we are referring to cross friction or “deep tissue” DIRECTLY on a tendon. This kind of therapy can actually irritate the tendon or the synovial sheath that surrounds it, which will bring the tendon back into a more reactive state. Sometimes the muscle up the chain can become tight and sore, in which case massage and manual therapies can be beneficial when applied to the muscle. There is sometimes a short term benefit in decreasing pain, but long term we want to load and increase the capacity of the tendon. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1616369370363-6P43BZ5OKSJ0RMY3OPWL/Tendon+Tx+to+avoid+part+8.png Tendon Treatments to Avoid - Tendon Treatments to avoid #8 While imaging can sometimes be useful in diagnosing tendon pathology, we have to recognize the images are only a part of the whole picture (pun intended) in tendon pathology. Once tendon pathology is visible on imaging, it is very difficult to change the structure back to normal. However, this does not mean that we can’t return to being fully functional. What we do know is that the vast majority of individuals with tendon pathology still have enough good tendon to be fully functional and meet their goals. What this means is that we shouldn’t focus on changing the altered portions of the tendon, but focus on increasing the capacity of the healthy portions of the tendons. https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1616369571979-UE25QKIDKSRV0T0GTLQ8/Worrying+about+tendon+rupture.png Tendon Treatments to Avoid - Tendon treatment to avoid #9: worrying about rupture It makes a lot of sense to worry about painful structures breaking, but in the case of tendons, it is not something we should spend a whole lot of time worrying about. In fact one of the first loading programs was actually performed as a patient was actively attempting to rupture their own achilles! This patient had debilitating achilles tendon pain, and their doctor refused to do surgery because the tendon was not ruptured. So this patient attempted to rupture their own achilles by performing repeated heel drops. To their surprise they did not rupture their achilles, but they actually started having less pain! This was the first loading program ever (named the Alfredson protocol in case you’re interested) used in treating tendon pain and is now recognized as the best practice model in treating tendons (especially after refining the loading programs based on athlete needs). https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1616369951041-NT7K4B189AGA3N66WGFW/Avoid+rushing+tendon+rehab.png Tendon Treatments to Avoid - Tendon Treatments to avoid #10 Coming back from tendon injury is a bit of a journey, one that requires persistence and diligence with a loading program. Some of the best researchers on tendon pathology suggest that it can typically take approximately 6-8 months to return to full capacity. That may sound like a crushing blow, but that is just the reality of the matter.We have to recognize that gimmick treatments and quick fixes are not the best answer to tendon pain. Now during that time period, we will be loading the tendon and using sound programming to manage loads properly, and in most cases sport activities can be resumed much earlier than 6-8 months. The important thing to know is that it is not a fast process, but it is a process that you have to trust in order to get back to a full, or maybe even better capacity. https://www.summitchiroandrehab.com/plantar-fasciitis daily 0.75 2022-08-24 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1629392613700-2P2GG1F0XAMKJW1ONTYE/Bosu%252BBalance%252BTraining.jpg Plantar Fasciitis https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1629392969938-B8OOWOFWKRAWKZITRH3D/orthotic%2Bmolding%2B.jpg Plantar Fasciitis https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1629393104669-86UY1F5ZNZMVZV5ZUYAE/IMG_0237.jpg Plantar Fasciitis https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/78d60eab-bb7b-4a7d-9989-dd3be9c22072/KMT_plantarfasciitis_Radial_June2021.jpg https://www.summitchiroandrehab.com/stefan-page daily 0.75 2021-12-11 https://images.squarespace-cdn.com/content/v1/5ef36f4c4d7e6f0e9d624a8c/1614570272545-5CQL5ZWM0FNIEJHP2969/Stephan%2B.jpg Stefan page - Coach Stefan Seeling Stefan has been a coach of high caliber slopestyle athletes for about 7 years. 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