Our Chiropractic Clinic Blog

Interested in reducing pain and improving fitness? Our chiropractors give tips on building a healthier lifestyle through chiropractic care, nutrition, and more!
Dr. Sam Reals

The Rehab Teeter-Totter

Rehab-Teeter-Totte_20201123-192342_1 The Rehab Teeter Totter
When patients present with pain, we can usually put the patient into two categories: they weren’t
doing enough activity, or they were doing too much. Let’s give you two examples. The most obvious is
the springtime, when the weather is nicer, people will take up running. But, this is after not running for
months because of the season and weather. When the person tries to run the same amount of miles,
or as fast as they did prior to their hiatus, is when we get into trouble. This excessive amount of load on
our tissues causes strain and will send a signal to the brain for help that something is wrong.
 
Yet, the opposite can also be true! Our bodies were not made to be stagnant. It craves movement. Our
cells, our tissues, our brain all benefit from exercise. This population takes “rest” to heart. The lack of
movement and sedentary nature from the 21st nature of our jobs and society are crippling our bodies.
This excessive strain from one position (usually sitting), or just a lack of strain overall on the tissues can
eventually present with pain as well.Conversely from the population above, our body does not want
to be in a constant state of rest.
 
So, what can we take from this? Well, first, let’s look at two words that were used in both of the prior
paragraphs: strain and load. For our purposes, let’s say strain is equivalent to an exercise (pull,
pushing, stretching a muscle, etc.) and load is the volume (how many or how much of it to conduct).
When you begin rehab, it is important to figure out where you, the patient, is on the teeter-totter
between strain/load and recovery/restIf you are sedentary, we need to err on the side of adding the
proper exercise to load the tissues to incite an inflammatory response and begin healing.  However, if
our strain level is too high, we need to add corrective exercises with the optimal load to decrease the
inflammatory cascade that is occurring. And make sure more ideal recovery habits are in place.
 
This is an important concept to grasp.This balancing act is something we constantly think about in
your visits. (See visual). We clearly need to adjust the strain on the tissues, while also taking into account rest which will accordingly best matchYOUR complaint. This comes from a proper assessment and detailed history of why your tissues aremanifesting a painful signal. Having a sports medicine provider that knows the concept(s) of load, strain,rest, recovery, programming, nutrition, etc. that are all specific to YOUR needs and YOUR daily life is clearly thereforeimportant to getting out of pain.
 
What do all the variables above sound similar too? A coach! Someone knowledgeable in sports rehab or a sportschiropractor should sound much like a coach in your treatments. The sessions are usually active,
taking you through movements, discussing a plan going forward, and/or even detailing out pictures or
visuals to help grasp the neccassary information needed to get you out of pain. The latin word for doctoris “teacher after all…and we take that toheart!
Teaching you to get out of pain for yourself not only decreases dependency on our care, but also
empowers patients to be able to address and know what to do when symptoms when they arise. If
you are tired of chronic pain or feel like your treatments with your provider are too passive, then seek
out a reliable sports chiropractor near you!
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Dr. Keith Sparks

Stress Loading Patient Handout

Stress loading is use of active traction and compression exercises to produce stress in the extremity with minimal motion of the painful joints. Stress loading follows the basics of exercise physiology: Your body adapts in response to demands placed on it. Your response to pain has been changed, so now any stimulus is interpreted as a painful stimulus. Stressful exercise is needed to override what has become "abnormally normal" for that area. An overload is required to achieve a training effect and to break the pain cycle that you and your body are experiencing. This means you need to do something to overload your neural, vascular, sensorimotor, and musculoskeletal systems to break the existing pain patterns your body is feeling.

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Dr. Keith Sparks

Overuse Pain Patient Handout

WHAT IS OVERUSE PAIN?

Overuse pain is one of the most common forms of musculoskeletal pain. Muscles and joints of the body do not receive proper blood flow or oxygen. The lack of oxygen allows acid and chemicals to build up in the muscles and joints, causing local tissue irritation and pain.

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Dr. Keith Sparks

Top 4 Reasons Why I Should Seek Help from a Chiropractor

I am always asked “When should I come see you” or “When should I see a chiropractor”. These questions are not always clearly outlined by the chiropractic profession. If you ask 5 different chiropractors and you’ll probably get 5 different answers. For this blog, let us tackle “When should I see a chiropractor” based on my symptoms.

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Dr. Tyler Panko

What Should I Do When a Movement or Activity is Causing Me Pain? Let the Stop Light System Be Your Guide

Traffic-Light-

PAIN GUIDELINES

First off it has to be said, if you have a NEW INJURY that is causing pain and is not getting better with any techniques you are doing at home please see a rehab specialist as soon as possible to get it assessed. 𝘎𝘳𝘪𝘯𝘥𝘪𝘯𝘨 𝘵𝘩𝘳𝘰𝘶𝘨𝘩 𝘱𝘢𝘪𝘯 𝘪𝘯 𝘸𝘰𝘳𝘬𝘰𝘶𝘵𝘴 𝘢𝘯𝘥 𝘥𝘢𝘪𝘭𝘺 𝘢𝘤𝘵𝘪𝘷𝘪𝘵𝘪𝘦𝘴 𝘪𝘴 𝘯𝘰𝘵 𝘯𝘰𝘳𝘮𝘢𝘭. 𝘈𝘭𝘴𝘰 𝘪𝘧 𝘺𝘰𝘶 𝘴𝘵𝘢𝘳𝘵 𝘵𝘰 𝘯𝘰𝘵𝘪𝘤𝘦 𝘢 𝘥𝘦𝘤𝘳𝘦𝘢𝘴𝘦 𝘪𝘯 𝘳𝘢𝘯𝘨𝘦 𝘰𝘧 𝘮𝘰𝘵𝘪𝘰𝘯 𝘪𝘯 𝘢 𝘫𝘰𝘪𝘯𝘵 𝘥𝘶𝘳𝘪𝘯𝘨 𝘢 𝘸𝘰𝘳𝘬𝘰𝘶𝘵 𝘰𝘳 𝘥𝘢𝘪𝘭𝘺 𝘢𝘤𝘵𝘪𝘷𝘪𝘵𝘺 𝘵𝘩𝘢𝘵 𝘪𝘴 𝘯𝘰𝘵 𝘨𝘦𝘵𝘵𝘪𝘯𝘨 𝘣𝘦𝘵𝘵𝘦𝘳, 𝘱𝘭𝘦𝘢𝘴𝘦 𝘵𝘢𝘬𝘦 𝘯𝘰𝘵𝘦. 𝘗𝘢𝘪𝘯 𝘪𝘴 𝘶𝘴𝘶𝘢𝘭𝘭𝘺 𝘵𝘩𝘦 𝘭𝘢𝘴𝘵 𝘵𝘩𝘪𝘯𝘨 𝘵𝘰 𝘤𝘰𝘮𝘦 𝘰𝘯. We can save a lot of aches and pains and  speed up the rehab process if these things are accessed early and not looked at until you are in unrelenting pain.
 
Now for this post we are talking the rehab process of an injury AFTER it has been accessed and serious red flags have been ruled out. Meaning we have a plan and are on our way to healing the injured tissue. So the questions become in this process: 𝘚𝘩𝘰𝘶𝘭𝘥 𝘐 𝘢𝘷𝘰𝘪𝘥 𝘢𝘭𝘭 𝘮𝘰𝘷𝘦𝘮𝘦𝘯𝘵𝘴 𝘵𝘩𝘢𝘵 𝘢𝘳𝘦 𝘱𝘢𝘪𝘯𝘧𝘶𝘭? 𝘞𝘩𝘦𝘯 𝘴𝘩𝘰𝘶𝘭𝘥 𝘐 𝘴𝘵𝘰𝘱 𝘥𝘰𝘪𝘯𝘨 𝘢𝘯 𝘢𝘤𝘵𝘪𝘷𝘪𝘵𝘺 𝘪𝘧 𝘪𝘵 𝘪𝘴 𝘱𝘢𝘪𝘯𝘧𝘶𝘭? 𝘓𝘦𝘵 𝘵𝘩𝘦 𝘴𝘵𝘰𝘱𝘭𝘪𝘨𝘩𝘵 𝘴𝘺𝘴𝘵𝘦𝘮 𝘣𝘦 𝘺𝘰𝘶𝘳 𝘨𝘶𝘪𝘥𝘦. ⁣
 

⁣STOP LIGHT SYSTEM TO PAIN 

𝐑𝐞𝐦𝐞𝐦𝐛𝐞𝐫: 𝐇𝐮𝐫𝐭 𝐝𝐨𝐞𝐬 𝐧𝐨𝐭 𝐚𝐥𝐰𝐚𝐲𝐬 𝐞𝐪𝐮𝐚𝐥 𝐡𝐚𝐫𝐦.

RED LIGHT:   

1. Major loss in range of motion or strength  (more than 50%)  after doing an activity. ⁣
2. Pain increases during activity ⁣
3. Lingering pain (not workout soreness) that last several days after doing an activity. ⁣
𝐀𝐜𝐭𝐢𝐨𝐧 𝐏𝐥𝐚𝐧: STOP THE ACTIVITY THAT CAUSED IT 𝐚𝐧𝐝 𝐬𝐞𝐞𝐤 𝐦𝐞𝐝𝐢𝐜𝐚𝐥 𝐚𝐝𝐯𝐢𝐜𝐞 𝐟𝐫𝐨𝐦 𝐲𝐨𝐮𝐫 𝐫𝐞𝐡𝐚𝐛 𝐩𝐫𝐨𝐟𝐞𝐬𝐬𝐢𝐨𝐧𝐚𝐥.
 

YELLOW LIGHT:

1. No change in range of motion, strength, and function. ⁣
2. Pain spikes during the activity. ⁣
3. Pain persists AFTER activity by 3 numbers (ex: 2/10 to 5/10) for more than couple hours or you wake up the next day and is still spiking.
 
𝐀𝐜𝐭𝐢𝐨𝐧 𝐏𝐥𝐚𝐧: 𝐑𝐞𝐦𝐞𝐦𝐛𝐞𝐫 𝐚 𝐟𝐥𝐚𝐫𝐞 𝐮𝐩 𝐢𝐧 𝐩𝐚𝐢𝐧 𝐝𝐨𝐞𝐬 𝐍𝐎𝐓 𝐞𝐪𝐮𝐚𝐥 𝐡𝐚𝐫𝐦. 𝐈𝐭 𝐢𝐬 𝐚 𝐩𝐚𝐫𝐭 𝐨𝐟 𝐭𝐡𝐞 𝐩𝐫𝐨𝐜𝐞𝐬𝐬 𝐚𝐧𝐝 𝐢𝐭 𝐣𝐮𝐬𝐭 𝐦𝐞𝐚𝐧𝐬 𝐭𝐨𝐨 𝐦𝐮𝐜𝐡 𝐭𝐨𝐨 𝐟𝐚𝐬𝐭. 𝐓𝐚𝐤𝐞 𝐧𝐨𝐭𝐞 𝐚𝐧𝐝 𝐬𝐭𝐚𝐲 𝐜𝐨𝐮𝐫𝐬𝐞 𝐰𝐢𝐭𝐡 𝐧𝐨𝐫𝐦𝐚𝐥 𝐚𝐜𝐭𝐢𝐯𝐢𝐭𝐲. 𝐀𝐯𝐨𝐢𝐝 𝐢𝐧𝐜𝐫𝐞𝐚𝐬𝐢𝐧𝐠 𝐚𝐜𝐭𝐢𝐯𝐢𝐭𝐲 (𝐬𝐩𝐞𝐞𝐝, 𝐥𝐨𝐚𝐝, 𝐯𝐨𝐥𝐮𝐦𝐞 𝐨𝐟 𝐚𝐧 𝐞𝐱𝐞𝐫𝐜𝐢𝐬𝐞) 𝐨𝐫 𝐚𝐝𝐝𝐢𝐧𝐠 𝐚𝐧𝐲 𝐧𝐞𝐰 𝐚𝐜𝐭𝐢𝐯𝐢𝐭𝐲. 𝐈𝐟 𝐬𝐚𝐦𝐞 𝐩𝐚𝐭𝐭𝐞𝐫𝐧 𝐜𝐨𝐧𝐭𝐢𝐧𝐮𝐞𝐬 𝐭𝐡𝐞 𝐧𝐞𝐱𝐭 𝐭𝐢𝐦𝐞, 𝐝𝐞𝐜𝐫𝐞𝐚𝐬𝐞 𝐚𝐜𝐭𝐢𝐯𝐢𝐭𝐲 𝐛𝐲 𝟓𝟎% (𝐥𝐨𝐚𝐝, 𝐬𝐞𝐭𝐬, 𝐫𝐞𝐩𝐬, 𝐝𝐮𝐫𝐚𝐭𝐢𝐨𝐧, 𝐬𝐩𝐞𝐞𝐝) 𝐚𝐧𝐝 𝐠𝐨 𝐛𝐚𝐜𝐤 𝐚𝐧𝐝 𝐬𝐞𝐞 𝐢𝐟 𝐩𝐞𝐫𝐬𝐢𝐬𝐭𝐢𝐧𝐠 𝐩𝐚𝐢𝐧 𝐝𝐞𝐜𝐫𝐞𝐚𝐬𝐞𝐬. 𝐈𝐟 𝐢𝐭 𝐢𝐬 𝐛𝐞𝐭𝐭𝐞𝐫 𝐭𝐡𝐞𝐧 𝐬𝐭𝐚𝐲 𝐭𝐡𝐞𝐫𝐞 𝐟𝐨𝐫 𝐜𝐨𝐮𝐩𝐥𝐞 𝐝𝐚𝐲𝐬 𝐚𝐧𝐝  𝐭𝐡𝐞𝐧 𝐢𝐧𝐜𝐫𝐞𝐚𝐬𝐞 𝐚𝐜𝐭𝐢𝐯𝐢𝐭𝐲 𝐠𝐫𝐚𝐝𝐮𝐚𝐥𝐥𝐲 𝐚𝐠𝐚𝐢𝐧. 𝐈𝐟 𝐢𝐭 𝐢𝐬 𝐧𝐨𝐭 𝐭𝐡𝐞𝐧 𝐜𝐨𝐧𝐬𝐮𝐥𝐭 𝐲𝐨𝐮𝐫 𝐫𝐞𝐡𝐚𝐛 𝐩𝐫𝐨𝐟𝐞𝐬𝐬𝐢𝐨𝐧𝐚𝐥.
 

GREEN LIGHT: ⁣

⁣1. No change in range of motion, strength, and function. ⁣
2. Pain spikes during the activity. ⁣
3. Pain is no worse after activity and back to baseline after few minutes.
 
𝐀𝐜𝐭𝐢𝐨𝐧 𝐏𝐥𝐚𝐧: 𝐒𝐭𝐚𝐲 𝐭𝐡𝐞 𝐜𝐨𝐮𝐫𝐬𝐞. 𝐁𝐞 𝐜𝐨𝐧𝐟𝐢𝐝𝐞𝐧𝐭 𝐚𝐧𝐝 𝐠𝐫𝐚𝐝𝐮𝐚𝐥𝐥𝐲 𝐥𝐨𝐚𝐝 𝐚𝐧𝐝 𝐜𝐡𝐚𝐥𝐥𝐞𝐧𝐠𝐞 𝐭𝐡𝐞 𝐭𝐢𝐬𝐬𝐮𝐞 𝐦𝐨𝐫𝐞 𝐚𝐧𝐝 𝐦𝐨𝐫𝐞 𝐨𝐯𝐞𝐫 𝐭𝐢𝐦𝐞. ⁣
 

HOW ICT MUSCLE & JOINT CAN HELP YOUR PAIN

 𝘏𝘦𝘳𝘦 𝘢𝘵 𝘐𝘊𝘛 𝘔𝘶𝘴𝘤𝘭𝘦 & 𝘑𝘰𝘪𝘯𝘵 in Wichita 𝘸𝘦 𝘩𝘢𝘷𝘦 𝘵𝘦𝘤𝘩𝘯𝘪𝘲𝘶𝘦𝘴 𝘭𝘪𝘬𝘦 𝘤𝘩𝘪𝘳𝘰𝘱𝘳𝘢𝘤𝘵𝘪𝘤 𝘢𝘥𝘫𝘶𝘴𝘵𝘪𝘯𝘨,  𝘥𝘳𝘺 𝘯𝘦𝘦𝘥𝘭𝘪𝘯𝘨, 𝘐𝘈𝘚𝘛𝘔, 𝘢𝘯𝘥 𝘤𝘶𝘱𝘱𝘪𝘯𝘨 𝘵𝘰 𝘩𝘦𝘭𝘱 𝘳𝘦𝘭𝘪𝘦𝘷𝘦 𝘱𝘢𝘪𝘯 𝘢 𝘭𝘪𝘵𝘵𝘭𝘦 𝘣𝘪𝘵, 𝘣𝘶𝘵 𝘢𝘭𝘭 𝘵𝘩𝘢𝘵 𝘪𝘴 𝘢 𝘮𝘦𝘢𝘯𝘴 𝘵𝘰 𝘨𝘦𝘵 𝘺𝘰𝘶 𝘮𝘰𝘷𝘪𝘯𝘨 𝘢𝘯𝘥 𝘨𝘦𝘵 𝘺𝘰𝘶 𝘴𝘵𝘳𝘰𝘯𝘨 𝘢𝘨𝘢𝘪𝘯. We use this stop light system to help guide you to being more resilient and come out of any injury being more educated and stronger than before. ⁣

 

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Dr. Tyler Panko

Injury and Rehab Confusion

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There are a lot of misconceptions and confusion that come with rehab and recovering from an injury. Some common questions we have pop up or know people are wondering are: why am I having to do exercises at home? Can’t you just “fix” me with your treatments at your office?  Why I am doing these low-grade rehab exercises at the beginning? Why am I continuing to come and progress with exercises if I am out of pain? These are just to name a few, and we will try to answer each as best we can.

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Dr. Tyler Panko

Why We Treat Everyone Like an Athlete – Patient Perception

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There are two things behind this idea. One that everyone should be treated with the same presence, time, listening, care and attention to detail as an athlete is in today’s culture of rehab. Two that care should be dictated toward getting the patient back to moving better and finding or encouraging a movement practice they love. Just like when we are doing a “return to play” strategy with an injured athlete. 

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Dr. Sam Reals

Why R.I.C.E When You Can M.O.V.E Instead?

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Did you know the originator of the R.I.C.E (rest, ice, compression, elevation) protocol has since redacted his stance on such for recovery of tissue/s? This was created in 1971, by Dr. Mirkin, as a standard for addressing acute injuries and has since been utilized for decades for recovery and pain management. Unfortunately, this outdated protocol is still used by athletes, in sports medicine facilities, chiropractic, physical therapy and medical clinics as a means to address injured tissue. 

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Dr. Keith Sparks

ICT MUSCLE & JOINT CLINIC'S FUTURE

Corona-lockdown How will your gym experience go?

The Novel Coronavirus has changed the game for many across all industries. It is both frustrating (for more reasons than anyone can possible outline) and exciting. We often find adversity to be negative, but it also gives us an opportunity for re-evaluating desires and goals. When we started ICT Muscle and Joint Clinic here in Wichita, we knew we wanted to become more than a standard chiropractic clinic. We wanted to offer chiropractic adjustments, soft-tissue treatments, and physical therapy type services all under one roof, within one visit, to produce superior results. However, we have not shared more than this. We want more. With the addition of our Westside location run by Dr. Sam Reals, we set out to create a hybrid office between chiropractic care and a gym atmosphere. 

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Dr. Sam Reals

Maintenance Care?...It's Fitness!

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"Maintenance care” is a moniker used in the chiropractic profession to get patients to be proactive about their health and bodies by scheduling visits in advance even though they are not currently in pain. The thought in doing so would be to mitigate the likelihood of future injuries/presenting in pain by addressing issues prior to them getting to that point. 

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Dr. Tyler Panko

Clinic Insights from our Intern Riley

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My name is Riley Dreher and I was blessed with the opportunity to complete 500 total hours of shadowing at ICT Muscle and Joint Clinic through Wichita State University. This internship was my final project to complete my Bachelor’s Degree in Exercise Science. I have been accepted into Cleveland Chiropractic College in Overland Park, Kansas where I will begin attending school next January. During my time here at ICT Muscle & Joint Clinic, I was able to develop, study, and seek further knowledge of what I can offer to the future chiropractic world and what ICT Muscle & Joint Clinic has to future patients.

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Dr. Tyler Panko

WHY WE TREAT EVERYONE LIKE AN ATHLETE: CLINICIAN APPROACH

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The ICTMJC Mindset

If you knew Patrick Mahomes was going to come to the presentation you were doing, how much more would you prepare, wanting to give the best presentation of your life? Maybe you could care less, but you get the point. The majority of people would automatically prepare like an over-caffeinated-mad-man to make sure the presentation was top notch. But what if we treated everyone like that? What if we were fully present and brought our “A” game with everybody? What if we went that extra mile no matter who was in front of us? This is the mindset we at ICT Muscle & Joint want to have. Nobody is more important than anyone else. Everybody deserves that world-class-athlete-treatment.

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Dr. Tyler Panko

WHY WE TREAT EVERYONE LIKE AN ATHLETE: OVERVIEW

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Happy New Year Wichitans! Hope everyone had a safe and fun holiday season. With the new year comes reflecting on goals and resolutions to make 2020 the best year yet. Keeping that in mind, we wanted to roll out a new series describing a concept that is near and dear to us at ICT Muscle & Joint and our goals for patient care: Treating Everyone Like an Athlete.

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Dr. Sam Reals

Part 2 to Better Managing Stress

Part 2 to Better Managing Stress Life is stressful...how can we manage it best?

In this two part blog series, we discuss how the key to becoming less "stressed" is actually incorporating daily habits that allow you to handle life's difficult situations better.

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Dr. Sam Reals

In a World of Being “Too Stressed,” the Key is Stressing Yourself More

In a World of Being “Too Stressed,” the Key is Stressing Yourself More Exercise is one stressor we will discuss

I know what you’re thinking already…what is up with this title!?

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Dr. Sam Reals

Hamstring Injuries and the Best Exercise You're Not Doing For Them

Hamstring Injuries and the Best Exercise You're Not Doing For Them The Nordic curl

As we are in the thick of the fall sports season, one of the most common injuries for athletes is a hamstring strain. Although how injuries occur are a multi-factorial event, there are exercises we can program to help reduce the likelihood of this injury by building resiliency, strength and mobility. 

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Dr. Tyler Panko

Bad Posture: Does it Lead to Pain?

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In today's technology age, most people spend a lot of time sitting at desk looking at a computer, or looking down at their phone. There is nothing wrong with this posture. I'll say it again, THERE IS NOTHING WRONG WITH THIS POSTURE. I wrote this while sitting in that position. However, because of this position and how gravity works, our postural muscles work as our anti-gravity muscles. Without them, we would technically face-plant on our computers and phones ????‍♂️. 

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Dr. Tyler Panko

Tyler Panko, Wichita's Newest Chiropractor

Tyler-Panko

 

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Dr. Sam Reals

Home Mobility to Stay Pain-Free!

IMG_F1B7E68F06B9-1 One of Dr. Reals' favorite mobility exercises

Pain often comes on insidiously. You may think it’s no certain cause, but a lot of it can come down to self-care habits. I often tell patients that pain is usually stars aligning with a lot of variables that all added up to finally having the tissue “give out” and sending off a painful signal(s) to the brain: physical inactivity, lack of quality nutrition, constant strain or posture, poor sleep habits, insufficient water intake, etc. This isn’t always the case of course, but a combination of these can definitely be main factors of why you’re in the state you’re in.

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Dr. Keith Sparks

Dry Needling vs Acupuncture

Depending on who you ask, you may hear how similar or how different these two service therapies are. However, Dry Needling and Acupuncture have both, similarities and differences.

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