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March 31, 2020

Safe Alternatives to the Most Common Dangerous Exercises

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As we are all adjusting to social distancing and trying to balance work, home life and the effort to stay active, many people are turning to at-home workouts. While these are convenient and can be beneficial, there is also an increased risk. Without proper guidance and feedback from trained coaches, athletes are more likely than ever to injure themselves due to improper movements, faulty mechanics and just plain dangerous exercises. Even if the movement doesn’t cause immediate pain or injury, the risk vs. reward issue is at play. Exercises that are performed incorrectly, with too much resistance and/or too many repetitions create issues down the road. Here is a list of the top 5 exercises to avoid:

1. The Situp – The situp is essentially nonstop repetitive flexion of the spine, which can damage discs and joints over time. We are flexion-driven society thanks to over-sitting, texting and driving, so why do we want to perform an exercises that encourages that positioning? Alternative- Deadbug

2.  Side Bends – This exercise is all too common at gyms. Basically you are loading weight on one side and cranking the spine repetitively. If you are looking to sculpt the core you need to training the obliques, and anti-rotation, anti-bending exercises are a much safer solution that actually while provide more benefit. Alternative- Farmer’s Carry, Suitcase Carry

3. Upright Rows -This is elevation of the shoulder with internal rotation while holding weight that is in front of the body. That is actually the precise test for diagnosing a shoulder impingement. With hands gripping a bar, you are locking your biomechanics into a position that loads too much stress on the areas where the shoulder joints connect with the body. Alternative –  Single Arm Dumbbell High Pull

4. Military (behind the neck) Press – just don’t do it, this is bad on so many levels. Alternative- Dumbbell Shoulder Press with core engaged

5. Exercises that can be good when done correctly but are often performed incorrectly:

  •  Burpees – due to factors like hip tightness, core and/or upper body weakness and poor conditioning, this exercise is often performed repetitively with no regard for form.
  •  Kipping pull-ups – Again, if the core is not engaged and the shoulders are not locked in, there is risk for injury when form is not paramount.
  • Planks – this one is all about form and focus. Poor form adds stress to the low back and shoulders. Flexing every single muscle at once can have its benefits, but a better solution would be to focus on core stability while relaxing muscles that are overactive to begin with, like the upper traps and hamstrings.  Maintaining proper breathing is often overlooked during this exercise but can be very beneficial.

With any exercise, proper core engagement and clean functional movements will always be of the utmost importance. At Integrated Health Solutions, our team of doctors are trained to assess these movements and treat the pain associated with dysfunctions. Not only do we help eliminate your pain, we work to avoid future problems by making sure you move in the healthiest way possible!

Content provided by Dr. Drew Hunt

March 24, 2020

Your health is important to us

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Hello everyone,

We understand that these are concerning and difficult times. We would like to ensure our clients and patients that we will continue operating during these uncertain times. Based on Governor Holcomb’s executive orders put into place this afternoon, we are exempt from the Stay-at-Home Order.

We want to reassure you that we are here for you. We have had several patients express concerns that we would not be open, prohibiting them from continuing their treatment to manage their pain and stress. Please rest assured, we will remain open so that we can continue to help you stay healthy and be your best.

As a healthcare facility, we are an essential business and therefore it is important for us to remain open.

While we will continue to provide care, please note we are taking all the precautionary steps possible as suggested by the CDC to disinfect our facilities to keep you and our staff safe.

  • We’ve asked all clients, patients and staff to remain at home should they have a fever or feel unwell.
  • We disinfect all surfaces every hour.
  • Because our clinic operates by appointment only, we are able control the number of individuals in our facility at one time.
  • We disinfect our treatment tables and equipment after every single client.

Thank you all for your continued support, and please stay well!

March 16, 2020

5 Proven Steps to Boost Your Immune System 

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As we navigate life and the health challenges that we might encounter, maintaining a healthy immune system is essential to staying healthy and overcoming potential health challenges in the most efficient and effective way.

Here are 5 proven steps to keep yourself as healthy as possible:

  1. Manage stress. Stress impacts us at multiple levels. It has been proven to weaken the immune system and increase the stress hormone, cortisol.  A simple way to effectively manage stress is mindful meditation. Most recent research shows that mindfully spending time breathing for 12 minutes or focusing on a mantra helps mind tranquility. In addition, journal what’s troubling your mind — writing it down, will help you stop thinking about it, and get it off your mind so you can relax.  As we manage and improve our stress level, it will naturally improve our quality of sleep. 
  2. Sleep. Sleep is an essential step in our health to allow us total body recovery.  A variety of functions along with neurotransmitters and proteins that are essential for recovery are handled during our sleep.  For a better night’s sleep, I recommend turning the temperature of your home to about 64 degrees, refrain from any screen time an hour prior to your bedtime, take a warm bath, and consider reading book preferably an easy fiction. I would also highly encourage if possible to take a twenty-minute nap during the day. 
  3. Diet. Assisting the immune system by eating whole fresh foods along with eliminating sugar preservatives will help optimize your health. Consider starting your day with  lemon juice, squeezing a fresh lemon in a cup of warm water and drink it with a straw.  Augment your diet with natural antibiotic and anti-inflammatory foods such as ginger, turmeric, garlic, and kiwi to name a few.  Fermented foods such as sauerkraut, kombucha and kimchi are fantastic sources for healthy bacteria to assist with your immune system.
  4. Practice good hygiene. It goes without saying that practicing good hygiene will expose you to less potential harmful elements and organisms.  Washing hands for an extended period of time. Washing your fruits & vegetables especially when you are eating them raw. Wiping surfaces with disinfectant will definitely reduce your exposure to harmful organisms.
  5. IV Nutritional Therapy.  IV therapy is a fantastic source of hydration and will boost your system with nutrients. The advantage of IV therapy is the direct delivery of helpful and effective nutrients, minerals and vitamins directly to the system which allows immediate availability and an immediate boost to your immune system.
March 2, 2020

Have you accepted that your shoulder is always in pain?

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4 Steps To Return To Play

Are you baseball player with a shoulder injury? How about a volleyball player with shoulder pain? Or, could you possibly be an ex-athlete with a long history of chronic shoulder issues?
Research has shown that conservative care for shoulder pain is highly successful, when addressed properly.  In order to provide the best care, a thorough examination including a detailed patient history is vital to ensure the best management.  Between using SFMA, DNS, and orthopedic testing, we are able to get a clear picture of what could be causing shoulder dysfunction.
After the exam, there are 4 specific steps to returning to play, or simply your daily living, pain free.  At Integrated Health Solutions, we strive to stay up-to-date on what evidence is indicating to be the best form of treatment.  Here is a little taste of what we do, each visit, to get patients as close to 100% function as we can!
  • Phase 1: Reduce inflammation and pain using the following techniques:
    • Acupuncture Dry Needling
    • Active Release Soft Tissue
    • Mobilizations
    • Cryotherapy (that’s right, cry has been proven to help reduce joint inflammation!)
  • Phase 2: Re-establish the Body’s Natural Muscle Balance
    • Help restore the body’s natural range of motion
    • Wake up the shoulder stabilizers
    • Encourage joint centration
    • Begin conditioning shoulder musculature
  • Phase 3: Once full range of motion has been achieved, it’s time to get aggressive with rehab!
    • Introduce sport-specific exercises
    • Increase power and endurance
  • Phase 4: If range of motion is restored, and the patient is out of pain – time to return to play!
    • In other words, by this point in the treatment plan, it is our goal to empower you to go on with your normal activities and how to manage your own care.
Those phases might seem simple, but through a well-researched, well-practiced approach, we address specific muscles and movements seen to have an affect on the shoulder. By looking muscles outside of those directly involved with the rotator cuff itself, we are able to get to the root of the problem rather than just masking the symptoms. For example, we assess the posterior capsule, pectorals minor, latissimus dorsi, serratus anterior, and many, many more.
To get a better picture of how we successfully manage countless shoulder cases, no matter how long the duration of pain and dysfunction, come see us at Integrated Health Solutions!
Content provided by Dr. Jen Brenneisen
Citation: Stone, M. A., Jalali, O., Alluri, R. K., Diaz, P. R., Omid, R., Gamradt, S. C., … Weber, A. (2018). Nonoperative Treatment For Injuries To The In-Season Throwing Shoulder: A Current Concepts Review With Clinical Commentary. International Journal of Sports Physical Therapy, 13(2), 306–320. doi: 10.26603/ijspt20180306
November 14, 2019

What is Dry Needling?

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Dry Needling Acupuncture Therapy

Call it dry needling, call it acupuncture, whatever you want to call it – it works. Dry needling acupuncture therapy has shown to provide some of the best results in our clinic. But, what is actually happening when all those filaments are put into your body? Why is it that those teeny tiny filaments are so powerful?

Let’s begin with differentiating dry needling and traditional Chinese medicine (acupuncture). At IHS, we use the same size filaments as those used in TCM. TCM focuses on placing the filaments along the meridians or channels discovered over 3,000 years ago to be the most effective in all types of healing, not just musculoskeletal. Dr. Ma, founder of Integrative Dry Needling, states that dry needling is the evidence-informed practice of ancient Chinese medicine. Dry needling focuses on finding the trigger points aka those knots and ropes you feel in your muscles in order to restore tissue extensibility. TCM also tends to place the filaments more superficially whereas the depth of dry needling varies based on the muscle, tendon, or ligament being addressed.  Interestingly, Dr. Ronald Melzack found that more than 70% of classic meridian acupoints correspond to common trigger points. 

Now for the fun stuff. How can one little 0.25mm gauge needle be so effective? According to Dr. Ma, inserting a single filament with a depth of only 1 cm can break at least 1,000 muscle fibers. When pushed deeper, tens of thousands of muscle fibers as well as come capillaries and nerve endings are damaged by the filament. Now, multiply that by however many filaments have been inserted, and you can see how powerful this form of musculoskeletal treatment truly is.

You may be thinking at this point, why would these nice doctors be wanting to injure my tissue? This is because the brain is able to identify the trauma caused by the filament and direct your body’s natural healing processes to that area. Your cardiovascular, immune, and endocrine systems are able to target the damaged region and replace it with fresh tissue within just a few days.  Not only is short-term pathology addressed, but chronic pathology is also prevented by promoting self-healing and reducing both the mechanical and biological stress on the body. Another bonus – the filament is so thin that you barely feel it inserted – if at all!

Keep in mind that according to Janet Travell, after an injury, tissues heal, but muscles learn, they readily develop habits of guarding that outlast the injury. You do not always have to be in pain to benefit from acupuncture/dry needling. Myofascial pain involves tissue inflammation, tissue contracture, swelling, degeneration, tissue adhesion, scarring, and biomechanical muscle imbalance. All of these changes outlast the pain itself, which you may not notice until one day your shoulder starts to hurt, or your back is a little tense.  

In short, even without pain, there still may be trigger points and imbalances causing repetitive dysfunction throughout the body.  One of the purposes of dry needling acupuncture therapy is to lower the stress in muscles so that they can absorb more force during sporting activity and thereby prevent or reduce stress-related injuries to the musculoskeletal system. If the muscles are tight, they will pull on the tendons, causing the tendons to be tight, and so on and so forth. 

Here at Integrated Health Solutions, we have seem amazing results with dry needling acupuncture therapy. What were thought to be cases of frozen shoulder were actually just some dysfunctional tissues that were able to be relieved by dry needling and rehab after just 8 visits.  Presumed hip labral issues were overactive hip flexors that were able to be released via dry needling and some exercises to get the patient back to all activities of daily living. The cases could go on and on. Give it a try for yourself!

Content provided by Jennifer Brenneisen

Reference: Ma, Y.-tao. (2011). Biomedical acupuncture for sports and trauma rehabilitation: dry needling techniques. St. Louis, MO: Churchill Livingstone/Elsevier.

October 1, 2014

Active Release Technique Alternative Treatment for Muscle and Joint Pain

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Discover and Treat Soft Tissue Abnormalities

Active Release Technique, or A.R.T. for short, is a patented, state-of-the-art soft tissue technique that uses specific contact on the injured area of the patient, in order to help decrease pain, tension, and adhesion.  In A.R.T, the provider uses their hands in a specific motion with pressure to work out the tightness that is affecting that area.

The people that will benefit the most from this technique are:

  • Athletes, both professional and recreational
  • Patients with chronic pain and overuse
  • Patients who want an unconventional treatment for relief

A.R.T. was created by Dr. Michael P. Leahy when he realized that you could actually feel your patient’s tissue injuries.  He discovered that connective tissue and scar tissue could build up as a result of overuse and stress.  As scar tissue builds it ties down tissues that normally need to move freely, thus reducing the range of motion of the affected tissue. This tissue derangement typically causes pain and alters function.

What can be treated by this technique?  There are dozens of conditions, which include, but are not limited to:

  • Headaches
  • Neck Pain
  • Shin Splints
  • Shoulder Pain
  • Achilles Tendon Pain
  • Knee Pain
  • Tennis Elbow
  • Soreness in tendons, ligaments, and nerves

When you come in for treatment at our active release clinic you can expect Dr. Charbel to analyze your soft tissue function to determine the true cause of pain.  The analysis of the soft tissue is done using a technique called “active palpation”, which is a hands on technique used to discover abnormalities in the soft tissue, usually without the use of an MRI or an ultrasound.

At our affordable chiropractic clinic, Dr. Charbel offers A.R.T. to reduce pain that patients feel from the causes outlined above.  He knows that everyone’s pain is different and every patient should be treated as such.  That’s why he takes the time to talk to each patient and understand where the pain is actually coming from, instead of treating everyone the same.  Additionally, Integrated Health Solutions offers other complimentary therapies to A.R.T., in order to ensure the best care possible.

About Integrated Health Solutions

Dr. Charbel Harb is a licensed chiropractic physician and the Medical Director of Integrated Health Solutions. Our core belief is that each patient who walks through the doors is a person, not just a medical record or chart. Our greatest pleasure is bringing joy to our patients and helping them to fully embrace life, allowing them to enjoy each day: active, healthy and pain free.

July 17, 2014

Think Sitting Can’t Kill You? Think Again.

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Our current society leads a very sedentary lifestyle. Most of us sit for eight or more hours a day at work, and if that isn’t enough, we sit to drive, eat, and as we’re unwinding for the day. Recent research on sitting and sedentary lifestyles suggests lack of activity throughout the day can be hazardous. Below you will find a few of the risks prolonged hours of sitting can have on your body and your health, and what you can do to alleviate those risks.

 Let me begin by highlighting a few of the health risks: 

·      Heart Problems – including increased blood pressure and elevated cholesterol.

·      Pancreatic Over Activity – idol muscles do not respond as well to insulin, causing the pancreas to produce more insulin, which can lead to diabetes.

·      Flabby Abs – core muscles are most active when they are trying to stabilize you, such as when you’re standing or being active.

·      Floppy Glutes – sitting all day causes your butt muscles to become lose, because they are not being used for their main purpose. The gluteus maximus muscle is one the strongest muscles in the human body, but if you don’t use it, you’re going to lose it, and no one wants a saggy butt.

·      Osteoporosis – the more weight you put on your bones, the stronger they become. When you sit all day your bones are not under stress, which causes decreased bone density and can lead to osteoporosis, especially in the female population.

·      Lack of Concentration – extended hours of sitting inhibits your breathing and oxygen intake into the system, including your brain; hence, your thoughts become foggy.

·      Neck Pain – poor posture with prolonged sitting causes neck muscles to become shortened, tense and tight, which can also lead to headaches.

 What Can You Do?

 ·      Take micro-breaks throughout the day, getting off your chair every 20 minutes or so. Take a short walk, or do some simple stretching in your office.

·      Whenever possible, do your work standing up, for example, while talking on the phone.

·      Stretch your hip flexors. Try exercises like the cat camel, and incorporate planks and side planks into your daily routine.

·      Keep a foam roller at your office and use it a few times a day. We have many helpful videos on our YouTube channel.  Foam rolling your back during the day, for example, can be very beneficial.[youtube_sc url=”https://www.youtube.com/watch?v=g1e8tIA_MeI&list=UUywozp0WIbd3OU4N9KQlUag”]

 If sitting is unavoidable, make the most of it: 

·      Sit with a neutral neck over your shoulders.

·      Keep your shoulders down and relaxed.

·      Keep your arms close to your body, with your elbows at 90 degrees.

·      Knees at 90 degrees, with feet on the floor.

·      Use a chair with a lumbar support, or create your own by rolling a small towel and placing it behind your back right above your belt line. 

At our affordable chiropractic clinic, we educate our patients on the importance of good posture. For a healthy lifestyle, movement is imperative. Start moving more today, before you realize you’ve aged and are barely able to ambulate, let alone enjoy an activity.

If pain is keeping you from enjoying activities you were once able to enjoy, call our Indianapolis chiropractic clinic today at 317.449.2020 to see how we can help.

About Integrated Health Solutions

Dr. Charbel Harb is a licensed chiropractic physician and the Medical Director of Integrated Health Solutions. Our core belief is that each patient who walks through the doors is a person, not just a medical record or chart. Our greatest pleasure is bringing joy to our patients and helping them to fully embrace life, allowing them to enjoy each day: active, healthy and pain free.

Recent Posts

  • Safe Alternatives to the Most Common Dangerous Exercises
  • Your health is important to us
  • 5 Proven Steps to Boost Your Immune System 
  • Have you accepted that your shoulder is always in pain?
  • What is a Chiropractic Adjustment?

Recent Comments

  • Dr. Charbel Harb on Dry Needling and Sports Injuries
  • Ryan Scott on Dry Needling and Sports Injuries
  • What is TMJ? on What You Should Know About Pain
  • Need an Excuse to Take a Break at Work? on What You Should Know About Pain
  • Dr. Charbel Harb on Will Back Pain Heal Itself?

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971 N. Delaware St.
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