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Dr Cohen Fixes Walkers Up at the Breast Cancer 3-Day

September 30, 2010 | Filed under: Dr Cohen

breast-cancer-3-day
Annually Dr Cohen, San Francisco Chiropractor, volunteers at the Susan  G. Komen for the Cure to support walkers in their 60 mile journey with chiropractic care and Kinesio Taping.
This is the third year Dr. Cohen has slept and worked in the Medical Tent and always looks forward to supporting the walkers and crew with their sprained ankles, painful knees, low back and neck pain, and sprains and strains from carrying water or a bag for 60 miles throughout the Peninsula, Marin and San Francisco hills.
If you’re walking or volunteering, stop by the chiropractic medicine tent for a free tune-up at Chrissy Field — we have a fabulous team including MD’s, Chiropractors, PT’s, Athletic Trainers, and Nurses.
This one is going to be a warm one so make sure you hydrate in advance and during the 3-Day event!

Chiropractic Used By All NFL Teams, Sometimes Even During the Game

September 29, 2010 | Filed under: Sports,Video

Bronco’s Tight End receives a chiropractic adjustment during the NFL game against the Chargers! Dr. Andrew Cohen, San Francisco Chiropractor, was excited to see this Bronco’s player receive a neck adjustment during a game. The quicker we can fix a problem, the easier it is for the patient to recover — and it doesn’t get much quicker than running over to the sidelines.

San Francisco Chiropractor Goes the Extra Mile to Better Treat Extreme Athletes By Being One

| Filed under: Dr Cohen,Sports

http://www.bearvalley.com/wp-content/uploads/2010/04/ToughMudderheader_CA1.jpg

San Francisco Chiropractor Dr. Cohen believes it’s easier to help patients when he has experienced it himself.   That is one reason why he ran the Honolulu Marathon. So when a patient and friend of Cohen asked him to be a member of the team he agreed and for the last few months has trained for the “Tough Mudder … the TOUGHEST one day event on the planet,” as the race brands itself.  They say “this is not your average mud run or boring, spirit-crushing road race” and it looks to be true.

Dr. Cohen expects this will be an extremely challenging race but it will help him treat other extreme athletes long-term. More importantly it will help him teach others how to avoid injuries and train more effectively.

This is one reason why he drove up to Bear Valley yesterday to run up the mountain. “This was pure torture coming from San Francisco, because although I have been training and running up to 2 hours during my training, the elevation is something that is hard to recreate. They were building the obstacles we will encounter and all I have to say is it’s going to be fun and difficult,” the San Francisco Chiropractor exclaimed.

Safety first. If you are encountering any pain before the race make sure you get it checked out because this race will make any ache or pain worse ten-fold.

Schedule an appointment online today.

PS. I know the mystery obstacle.

What Do I Do With The Pain Medications I Don’t Need Now Because Dr. Cohen Helped Me?

September 23, 2010 | Filed under: Drugs,General Interest

This is a legitimate question. Flushing medications down the toilet contaminates our drinking water supply and harms marine wildlife. Leaving them in your medicine cabinet increases the likelihood of taking the wrong medication, or worse, gives teens the opportunity to steal the prescription drugs and sell them for recreational use at school, which is a growing problem. Now the DEA has launched a campaign to dispose of the medications properly. I hope there is a good response.

FOR IMMEDIATE RELEASE
September 15, 2010
Contact: DEA Public Affairs
Number: 202-307-7977

Over 3,400 sites join DEA Nationwide Effort
to Take-Back Prescription Drugs On Sept
. 25

SEP 15 WASHINGTON, D.C. – Less than a month into the Drug Enforcement Administration’s prescription drug “Take-Back” campaign, over 3,400 sites nationwide have joined the effort that seeks to prevent increased pill abuse and theft. Government, community, public health and law enforcement partners will be collecting potentially dangerous expired, unused, and unwanted prescription drugs for destruction at these sites all across the nation on Saturday, September 25 th from 10 a.m. to 2 p.m. local time. The service is free and anonymous, no questions asked.

This initiative addresses a vital public safety and public health issue. Many Americans are not aware that medicines that languish in home cabinets are highly susceptible to diversion, misuse, and abuse. Rates of prescription drug abuse in the U.S. are increasing at alarming rates, as are the number of accidental poisonings and overdoses due to these drugs. Studies show that a majority of abused prescription drugs are obtained from family and friends, including from the home medicine cabinet. In addition, many Americans do not know how to properly dispose of their unused medicine, often flushing them down the toilet or throwing them away – both potential safety and health hazards.

“The National Prescription Drug Take-Back campaign will provide a safe way for Americans to dispose of their unwanted prescription drugs,” said Michele M. Leonhart, Acting Administrator of the Drug Enforcement Administration. “This effort symbolizes DEA’s commitment to halting the disturbing rise in addiction caused by their misuse and abuse. Working together with our state and local partners, the medical community, anti-drug coalitions, and a concerned public, we will eliminate a major source of abused prescription drugs, and reduce the hazard they pose to our families and communities in a safe, legal, and environmentally sound way.”

“With this National Prescription Drug Take-Back campaign, we are aggressively reaching out to individuals to encourage them to rid their households of unused prescription drugs that pose a safety hazard and can contribute to prescription drug abuse,” said Acting Deputy Attorney General Gary G. Grindler.  “The Department of Justice is committed to doing everything we can to make our communities safer, and this initiative represents a new front in our efforts.”

“Prescription drug abuse is the Nation’s fastest-growing drug problem, and take-back events like this one are an indispensable tool for reducing the threat that the diversion and abuse of these drugs pose to public health,” said Director of National Drug Control Policy Gil Kerlikowske. “The Federal/state/and local collaboration represented in this initiative is key in our national efforts to reduce pharmaceutical drug diversion and abuse.”

Other participants in this initiative include the White House Office of National Drug Control Policy; the Partnership for a Drug-Free America; the International Association of Chiefs of Police; the National Association of Attorneys General; the National Association of Boards of Pharmacy; the Federation of State Medical Boards; and the National District Attorneys Association.

Collection sites in every local community can be found by going to www.dea.gov (and below). That site is continuously updated with new take-back locations.
AL CASCIATO SOUTHERN POLICE STATION 850 BRYANT STREET SAN FRANCISCO CA, 94133 1 mi. Map
AL CASCIATO CENTRAL POLICE STATION 766 VALLEJO STREET SAN FRANCISCO CA, 94133 1 mi. Map
AL CASCIATO TENDERLOIN POLICE STATION 301 EDDY STREET SAN FRANCISCO CA, 94102 2 mi. Map
AL CASCIATO NORTHERN POLICE STATION 1125 FILLMORE STREET SAN FRANCISCO CA, 94115 3 mi. Map
AL CASCIATO MISSION POLICE STATION 630 VALENCIA STREET SAN FRANCISCO CA, 94110 4 mi. Map
AL CASCIATO PARK POLICE STATION 1899 WALLER STREET SAN FRANCISCO CA, 94117 3 mi. Map
AL CASCIATO RICHMOND POLICE STATION 461 6TH AVENUE SAN FRANCISCO CA, 94118 4 mi. Map
AL CASCIATO BAYVIEW POLICE STATION 201 WILLIAMS STREET SAN FRANCISCO CA, 94124 5 mi. Map
OAKLAND POLICE DEPARTMENT OAKLAND POLICE DEPARTMENT 455 7TH STREET OAKLAND CA, 94607 6 mi. Map
ANTHONY BATTS ANTHONY BATTS
CHIEF OF POLICE
OAKLAND POLICE DEPARTMENT455 7TH STREET OAKLAND CA, 94607 6 mi. Map
AL CASCIATO INGLESIDE POLICE STATION 1 JOHN YOUNG LANE SAN FRANCISCO CA, 94112 6 mi. Map
AL CASCIATO TARAVAL POLICE STATION 2345 24TH AVENUE SAN FRANCISCO CA, 94116 7 mi. Map
KENSINGTON POLICE DEPARTMENT KENSINGTON POLICE DEPARTMENT 217 ARLINGTON AVE. BERKELEY CA, 94707 11 mi. Map
BERKELEY POLICE DEPARTMENT SAN PABLO PARK 2800 PARK ST. BERKELEY CA, 94704 11 mi. Map

So You Want to Quit…Smoking, Drinking, Weed, Gluten, or Sleeping Until Noon.

September 22, 2010 | Filed under: General Interest

Cold Beer Glass isolated on white

Regardless of what specific behavior you would like to change, there are several steps you must take in order to shift the habit. I find being aware of the pre-contemplation stage, where you muse about whether the behavior is a problem or not, and the contemplation stage, where you weigh the costs and benefits of changing, will help you achieve the goal with greater success. Furthermore, recalling these first two stages is the key to dealing with, and recovering from, relapse.  Start with these questions:

Questions for Patients in the Precontemplation and Contemplation Stages*


Precontemplation stage
Goal: patient will begin thinking about change.
What would have to happen for you to know that this is a problem?”
“What warning signs would let you know that this is a problem?”
“Have you tried to change in the past?”
Contemplation stage
Goal: patient will examine benefits and barriers to change.
“Why do you want to change at this time?”
“What were the reasons for not changing?”
“What would keep you from changing at this time?”
“What are the barriers today that keep you from change?”
“What might help you with that aspect?”
“What things (people, programs and behaviors) have helped in the past?”
“What would help you at this time?”
“What do you think you need to learn about changing?”

*–The change can be applied to any desirable behavior (e.g., smoking or drinking cessation, losing weight, exercise).
Information from Miller WR, Rollnick S. Motivational interviewing: preparing people to change addictive behavior. New York: Guilford, 1991:191-202.
There is more on the American Family Physician website. Also if you want to quit smoking the California Smokers’ Helpline (800-No-Butts)  is useful and I have a number of patients who have had wonderful success with hypnotherapy (and have a great one I would recommend).
Stages of Change Model


Stage in transtheoretical model of change


Patient stage


Precontemplation Not thinking about change
May be resigned
Feeling of no control
Denial: does not believe it applies to self
Believes consequences are not serious
Contemplation Weighing benefits and costs of behavior, proposed change
Preparation Experimenting with small changes
Action Taking a definitive action to change
Maintenance Maintaining new behavior over time
Relapse Experiencing normal part of process of change
Usually feels demoralized

Information from Prochaska JO, DiClemente CC, Norcross JC. In search of how people change. Am Psychol 1992;47:1102-4, and Miller WR, Rollnick S. Motivational interviewing: preparing people to change addictive behavior. New York: Guilford, 1991:191-202.

Chiropractic Helps With Incontinence

September 18, 2010 | Filed under: General Interest

I was reading the paper a few weeks ago at a local grocery store and ran across this article written by a local doctor:

“Once the cause of the incontinence is deemed to be an incompetent sphincter, the treatment typically involves the use of drugs that act by tightening the urinary sphincter via hormones (testosterone in males and estrogen in females) or sympathomimetic drugs (phenylpropanalamine). These drugs all have significant side effects and the risks need to balanced against benefits.

There are a variety of alternative methods to the drug route that address the cause of the incontinence. These options have minimal or no negative side effects while actually delivering positive side effects.

Chiropractic care is a relaxing non-invasive technique with many benefits, including: reducing pain associated with subluxations; improvement in nerve function by releasing compression; and improvement in musculoskeletal and internal organ function. The nerves that control the bladder exit the spinal cord between lumbar vertebrae 3 and 4, and those that control the urinary sphincter exit the spinal cord at the sacrum. If there is any impingement of these nerves, function will be impaired. Pelvic asymmetry, sacroiliac joint instability, and lumbar subluxations can also be associated with urinary incontinence. Chiropractic care has a proven track record for resolving these issues.”

This is interesting…“Chiropractic care has a proven track record for resolving these issues (incontinence).”

What’s even more interesting is that this article is talking about dogs and is written by a veterinarian in the East Bay, Karen Rettig, DMV for the Bay Woof (September 2010).  The article explains that “the nerves that control the bladder exit the spinal cord … and those that control the urinary sphincter exit the spinal cord at the sacrum,” which is also true in humans. I have heard from multiple patients that their incontinence improves with chiropractic care. To be clear, I don’t treat urinary incontinence, but often times the issue is resolved on its own when I make skeletal adjustments because the nerve signals can travel more efficiently. The body is amazing!

In fact, this article reminded me that I should have my 10 month old puppy checked out by a chiropractor, so I brought him to an animal chiropractor (that practices under a vet). The animal chiropractor found a few early signs of spinal issues, which he attributed to jumping off of high areas. After locating the issues he adjusted Samson, which my dog seemed to enjoy.

Another Reason to Consider Dr. Cohen Before Reaching for Drugs

September 17, 2010 | Filed under: Drugs,General Interest

It is well known that even over-the-counter (OTC) pain killers are associated with potential  side effects, including ulcers and stomach bleeding. Growing research now reveals additional side effects, suggesting that high doses of non-steroidal anti-inflammatory drugs (NSAIDs) and COX-2 inhibitors can increase the risk of heart attack. Of particular danger in the study are ibuprofen and diclofenac. People taking taking these medications for pain are encouraged to take the smallest effective dose, and to take it for the shortest length of time. The study was published in the British Medical Journal (Reuters, June 1, 2006). Furthermore,  NSAIDs also slow the healing time of soft tissue. Keep this in mind before you accept the medications your co-worker offers when you say you’re in pain.

If you are tired of merely managing pain by temporarily masking it with drugs, and want a drug-free, non-invasive option which will get to the root of the problem, call ProActive Chiropractic at 415-762-8141.

(FCER)

The Risk of Strokes in Relation to Chiropractic. New Research Points to the Importance of Detection Rather than Causation. Dr. Cohen is Alert.

September 2, 2010 | Filed under: General Interest,Headaches

Over the past 5 years, the relationship between chiropractic neck adjustments and stroke have been revealed. It isn’t that chiropractors are causing vertebral artery dissection and stroke (VADS), but rather the patient is having a VADS and sees a chiropractor for the associated pain.

This is a positive thing for patients and chiropractors alike because patients have less reason to be afraid of getting their neck adjusted by a skilled chiropractor. While there are risks in any medical procedure, including getting adjusted by a chiropractor, the risk of a neck adjustment causing an adverse reaction is less than the risk of taking Advil for neck pain.

However, it is important that we take advantage of this research and be more aware of the confounding relationship between stroke and neck pain. I know I will be more diligent about screening San Francisco patients and referring them to the ER if they describe the pain as different from their usual headaches. This is not an absolute rule though, which is why you need to see a professional (such as myself) when you have headaches.

Questions I will ask. Have you been experiencing::
blurred vision?

double vision?

trouble swallowing or speaking?

dizziness?

fainting spells?

nausea?

trouble with walking or balance?

numbness in your hands or feet?

Murphy; Chiropractic & Osteopathy 2010

There are a number of important points in regards to VADS according to the study:

1. VADS is a rare but potentially serious disorder.

2. Some of the initial symptoms of this disorder can mimic more common and relatively benign neck and headache problems.

3. Because of this, diagnosis can be difficult, so some individuals and their health care providers are not aware that they are experiencing VADS.

4. However, there can often be subtle signs and symptoms that may alert a health care provider to the possibility of VADS

5. If you experience any of these signs and symptoms inform your health care provider immediately or call your local emergency service.

I try to remain up-to-date on the most recent research which may help me treat you more effectively, or in the case of stroke and VADS, refer you to a proper practitioner after a brief neurological exam.

My Friend’s Neck Sticks Forward

| Filed under: Brain Health,General Interest

side by side view of model with poor posture and good posture

Your head weighs 14-18lbs.  So it makes sense that when your head is more forward than midline there will be problems. Unfortunately, these problems are much bigger than you may have expected:

Fast Facts: The Consequences of Forward Head Posture

  • Long-term forward neck posture leads to “long-term muscle strain, disc herniations and pinched nerves.” (Mayo Clinic Health Letter, March 2000)
  • In regard to respiratory dysfunction in chronic neck pain patients, a recent study “demonstrated a strong association between an increased forward head posture and decreased respiratory muscle strength in neck patients.” (Cephalgia, February 2009)
  • “For every inch of forward head posture, it can increase the weight of the head on the spine by an additional 10 pounds.” (Kapandji, Physiology of the Joints, Volume 3)
  • “Loss of the cervical curve stretches the spinal cord 5-7 cm and causes disease.” (Dr. Alf Breig, neurosurgeon and Nobel Prize recipient)
  • “90% of the stimulation and nutrition to the brain is generated by the movement of the spine,” says Dr. Roger Sperry, Nobel Prize recipient for brain research. Dr. Sperry demonstrated that 90 percent of the energy output of the brain is used in relating the physical body to gravity. Only 10 percent has to do with thinking, metabolism, and healing, so when you have forward head posture, your brain will rob energy from your thinking, metabolism, and immune function to deal with abnormal gravity/posture relationships and processing.
  • According to Rene Cailliet, MD, director of the Department of Physical Medicine and Rehabilitation at the University of Southern California, forward head posture can add up to 30 pounds of abnormal leverage on the cervical spine. This can pull the entire spine out of alignment. FHP results in loss of vital capacity of the lungs by as much as 30 percent. This shortness of breath can lead to heart and blood vascular disease. The entire gastrointestinal system is affected; particularly the large intestine. Loss of good bowel peristaltic function and evacuation is a common effect of FHP. It causes an increase in discomfort and pain because proprioceptive signals from the first four cervical vertebrae are a major source of the stimuli which create the body’s pain controlling chemicals (endorphins). With inadequate endorphin production, many otherwise non-painful sensations are experienced as pain. FHP dramatically reduces endorphin production.
  • FHP has been shown to flatten the normal neck curve, resulting in disc compression, damage and early arthritis. (Roentgenographic findings of the cervical spine in asymptomatic people. (Spine, 1986;6:591-694)

http://www.dynamicchiropractic.com/mpacms/dc/article.php?id=54612