Chronic low back pain is a debilitating condition that affects countless individuals, often leading physicians to approach pain treatment through opioid therapy. A variety of effective, non-invasive modalities can be used to prevent, decrease, or even eliminate pain without the risks associated with drug therapies. In fact, the American Medical Association (AMA) recommends non-pharmacological, non-surgical treatments for first-line treatment of chronic pain.

Opioid use can result in serious adverse effects including addiction.  A 2021 study revealed that adverse drug effects were 42 times higher for patients who opted for Opioid Analgesic Therapy (OAT) compared to those who chose Spinal Manipulative Therapy (SMT).

Hope for Chronic Pain Sufferers
There is hope for those struggling with chronic pain. Dr. Dukes' approach paves the way for managing chronic pain effectively, responsibly, and safely. She has helped thousands of patients improve mobility and reduce pain, demonstrating the critical role chiropractic care can play in combating the opioid crisis. By emphasizing the body's healing ability and fostering a drug-free approach, Dr. Dukes and her team are ready to help you find relief from chronic pain.

Medical doctors often recommend opioid treatment for chronic pain sufferers due to the powerful analgesic effects these medications offer. Opioids can significantly reduce pain, improve quality of life, and allow patients to function more normally in their daily activities. However, this approach is fraught with high risks. Opioids are highly addictive, and prolonged use can lead to tolerance, requiring higher doses to achieve the same level of pain relief. This increases the potential for dependence and abuse. Additionally, opioids come with a host of side effects, including respiratory depression, which can be fatal. The risk of overdose is also a serious concern, especially with long-term use. Therefore, while opioids can be effective for managing chronic pain, their high-risk profile necessitates careful monitoring and consideration of alternative treatments.
 
The Dangers of Opioids
Opioids are commonly used to treat pain, but they merely mask symptoms rather than addressing the root cause. These medications, also known as opiates or narcotics, can be dangerous even when taken as prescribed. Opioids interact with receptors in the brain, spinal cord, and nerves, altering pain perception and increasing feelings of pleasure. However, taking opioids at any dose can be harmful, leading to serious risks such as mental fogginess and potential addiction.

Understanding Opioid Risks
For chronic pain sufferers seeking relief, it's crucial to understand what opioids are and why they can be dangerous. Opioids are a broad group of pain-relieving drugs that interact with opioid receptors in the body. They can be derived from the poppy plant or synthesized in laboratories. When these medications bind to receptors in brain cells, they trigger signals that reduce pain perception and increase pleasure.

Two Major Risks of Opioids

1. Tolerance: Tolerance occurs when a person's body requires progressively larger doses of medication to achieve the same effects experienced initially. Opioids cause tolerance, leading patients to take increasingly higher doses to manage their pain. This escalation exponentially increases the risk of side effects such as constipation, nausea, decreased respiratory rate, and depression.
   
2. Hyperalgesia: Hyperalgesia is a condition where opioids actually increase a patient's sensitivity to pain over time. Opioid receptors in the body become sensitized due to prolonged exposure, intensifying pain symptoms. This often leads to a vicious cycle where physicians prescribe higher doses, further worsening the condition.

The Shift Towards Non-Drug Approaches
Ethical pain management physicians now recommend using opioids for chronic pain treatment. Dr. Dukes is at the forefront of this paradigm shift, focusing on non-drug approaches to target the root cause of pain. Utilizing spinal manipulation and adjunctive therapies like soft tissue techniques and exercises, Dr. Dukes creates individualized care plans tailored to each patient’s needs.

Hi Benefit/ Low Risk Pain Therapy
Chiropractic care is a proven, powerful alternative to Opioid Analgesic Therapy (OAT) that restores movement and function without the need for drugs or invasive surgery. It is cost-effective, readily accessible, and focuses on promoting proper alignment of the body's musculoskeletal structure, particularly the spine. This approach not only alleviates pain but also addresses the root cause, offering a long-term solution. Beyond chronic low back pain, chiropractic care is effective for conditions such as headaches, neck pain, and joint problems. One of the most significant advantages is its ability to avoid the fogginess and addiction potential associated with prescription opioids.

Take the First Step Towards Pain Relief
If you're experiencing back pain or chronic pain, consider exploring chiropractic care. It offers a low-risk, high-reward alternative to surgery and opioid medications. The American Medical Association (AMA) even recommends chiropractic care as a primary treatment method for back pain due to its effectiveness and safety.

Call Dr. Dukes today at 813.752.2524 to schedule your examination and learn if Chiropractic Care is the right choice for you.

Curious about chiropractic care? We've got you covered!

Whether you're dealing with back pain, headaches, or wondering how many sessions you'll need, we've compiled the top 10 questions that new patients most often ask Dr. Dukes so that you can find the answers you need to make informed decisions about your health and wellness.

Here are ten common questions people often ask chiropractors, along with their typical answers:

1. What conditions do chiropractors treat? Chiropractors primarily treat musculoskeletal issues such as back pain, neck pain, headaches, and joint problems. They also help with conditions like sciatica, carpal tunnel syndrome, and sports injuries.
2. What is chiropractic adjustment? A chiropractic adjustment involves a chiropractor using their hands or a small instrument to apply a controlled, sudden force to a spinal joint. The goal is to improve spinal motion and enhance the body's physical function.
3. Is chiropractic care safe? Chiropractic care is generally considered safe when performed by a trained and licensed practitioner. However, as with any medical treatment, there are some risks and potential side effects, which should be discussed with the chiropractor. 
4. How many treatments will I need? The number of treatments varies depending on the individual's condition, severity, and response to treatment. Some people experience relief after a few sessions, while others may need ongoing care.
5. Can chiropractic care help with headaches? Yes, chiropractic care can help alleviate headaches, particularly tension headaches and those originating from neck problems. Chiropractors use adjustments and other therapies to reduce headache frequency and intensity.
6. What should I expect during my first chiropractic visit? During the first visit, the chiropractor will take a detailed medical history, perform a physical examination, and may order diagnostic imaging. Based on the findings, they will develop a personalized treatment plan.
7. Is chiropractic care appropriate for children? Yes, chiropractic care can be beneficial for children. Pediatric chiropractors use gentle techniques tailored to a child's developing spine and musculoskeletal system to address issues like colic, ear infections, and growing pains.
8. Do chiropractic adjustments hurt? Most patients do not experience pain during an adjustment. They might feel some discomfort if they have acute muscle spasms or inflammation, but many report feeling relief immediately after the treatment.
9. How can I prevent back pain? To prevent back pain, maintain good posture, exercise regularly, use ergonomic furniture, lift objects properly, and avoid prolonged sitting or standing. Regular chiropractic check-ups can also help keep the spine healthy.
10. Can chiropractic care help with sports injuries? Yes, chiropractors can help manage and prevent sports injuries. They provide treatments to reduce pain and inflammation, improve mobility, and promote healing. Chiropractors also offer advice on exercises and techniques to prevent future injuries.

At Dukes Chiropractic Health Clinic, we love welcoming new patients and watching their progress. If you are suffering and been told that drugs or surgery are your only options, Dr. Dukes encourages you to learn the facts and get a second opinion. Dr. Dukes can help get you back to living life on your terms, naturally, through drug-free and non-surgical chiropractic care.

Call ​​(813) 752-2524 today to schedule your consultation with Dr. Dukes.

Aging is a natural part of life, and how we age depends significantly on the health practices we adopt throughout our lives. From infancy through older adulthood, maintaining healthy habits can lead to greater resilience and increased opportunities to thrive as we age. At Dukes Chiropractic Health Clinic, we recognize that the journey to healthy aging begins early and that health disparities experienced earlier in life can exacerbate as we get older. Chiropractic care plays a crucial role in promoting healthy living, ultimately contributing to wellness for life.

Chiropractic care focuses on the health of the musculoskeletal and nervous systems, which are vital for maintaining overall wellness. Regular chiropractic adjustments help keep the spine aligned, ensuring that the nervous system functions optimally. This, in turn, promotes better body function, enhances mobility, reduces pain, and supports the body's natural ability to heal itself.
Infancy and Childhood:Growth and Development: Proper spinal alignment is essential for children as they grow. Chiropractic care can address issues such as colic, ear infections, and poor posture, setting a strong foundation for future health.
Preventing Future Problems: Early intervention can prevent the development of chronic conditions and ensure that children grow up with healthy spines and nervous systems.
 
Adolescence and Young Adulthood:Sports Injuries: Adolescents often engage in sports and physical activities that can lead to injuries. Chiropractic care helps manage and prevent injuries, promoting faster recovery and long-term wellness.
Posture and Ergonomics: With increased use of technology, many young adults develop poor posture. Chiropractic adjustments and ergonomic advice help maintain good posture and prevent chronic issues.
 
Adulthood:Pain Management: Adults often experience back pain, neck pain, and headaches due to work-related stress, poor posture, and sedentary lifestyles. Chiropractic care provides non-invasive pain relief and improves quality of life.
Enhancing Mobility: Regular adjustments keep joints flexible and muscles balanced, making it easier to stay active and engage in regular exercise, which is crucial for overall health.
 
Older Adulthood:Maintaining Independence: For older adults, maintaining mobility and independence is crucial. Chiropractic care helps manage age-related issues such as arthritis, osteoporosis, and joint degeneration, improving balance and reducing the risk of falls.
Improving Quality of Life: Chiropractic care can alleviate chronic pain, enhance physical function, and promote a better quality of life, allowing older adults to stay active and engaged in their communities.

At Dukes Chiropractic Health Clinic, we understand that health disparities experienced earlier in life can significantly impact aging. Socioeconomic factors, access to healthcare, and lifestyle choices can all influence an individual's health trajectory. By providing comprehensive chiropractic care and promoting healthy living practices, we aim to address these disparities and support our patients in achieving healthy aging.
Education and Awareness: We educate our patients about the importance of maintaining a healthy spine and nervous system throughout their lives. This includes advice on proper posture, ergonomics, nutrition, and exercise.
Personalized Care: Our chiropractors provide personalized treatment plans tailored to each patient's unique needs and health goals, ensuring that they receive the best possible care at every stage of life.
Preventive Care: We emphasize preventive care to identify and address potential health issues before they become chronic problems, promoting long-term wellness and healthy aging.

Healthy aging is a lifelong journey that requires consistent effort and dedication to maintaining good health practices. Chiropractic care plays a vital role in promoting healthy living and supporting individuals at every stage of life, from infancy through older adulthood. At Dukes Chiropractic Health Clinic, we are committed to helping our patients achieve and maintain optimal health, ensuring that they can enjoy a higher quality of life as they age. By addressing health disparities and providing comprehensive, personalized care, we aim to empower our patients to thrive and age gracefully.

If you’re ready to give yourself and your family the gift of health, reach out to Dr. Dukes. Schedule your consultation and learn how regular chiropractic care will help you and your loved ones live their best life. Call ​​(813) 752-2524 today.

For mild to moderate carpal tunnel syndrome, therapy provides equal or better patient outcomes compared to surgery with no pain killers, significantly reduced risks, faster recovery, and vastly lower patient cost-of-care.

For many people with CTS, conservative therapy relieves symptoms and restores function - without the use of dangerous drugs or risky surgeries. Non-surgical therapy is universally recognized as the first-line CTS treatment modality. The AAOR cautions that surgery should be used only as a last resort advising that surgery is only appropriate for severe cases that interfere with daily life with symptoms lasting over 6 months where non-surgical intervention has not resolved the issue.

Chiropractors are experts at restoring wellness by treating the root cause of CTS with hands-on care and patient education without risks associated with surgery.

Symptoms typically include tingling, pain, numbness or weakness in the fingers and thumb. Some patients may also experience radiating pain in the forearm.

Dr. Dukes usually resolves CTS within a few weeks through therapeutic, non-surgical therapy. Many patients start feeling better after the first treatment. Symptoms normally improve gradually. Within a few weeks, most patients report significantly reduced pain, tingling and numbness as well as normal hand function.

• Women get carpal tunnel syndrome three times more often than men.
• Carpal tunnel syndrome is a progressive condition that can worsen without proper care.
• CTS symptoms often present during pregnancy and can be alleviated with nonsurgical treatments. Symptoms often improve after delivery, but such patients are at higher risk of developing carpal tunnel syndrome later in life.
• Most people first experience symptoms in their dominant hand.

Carpal tunnel syndrome (CTS) is typically a constriction of the median nerve as it runs through the carpal tunnel in your wrist. The root cause is most often irritation or damage that causes inflammation with use which compresses the carpal tunnel on your medial nerve.

Symptoms of this common hand condition include numbness and/or tingling exhibiting in the thumb and fingers which often results in pain, discomfort, weakness and reduced mobility over time.

The carpal tunnel is a narrow passageway through your wrist. It is made of tendons, ligaments and bones located on the anterior (palm) side of your hand. It protects the median nerve and allows it to pass through your wrist and into your hand.

The median nerve provides sensory feeling to your thumb, index finger, middle finger and the thumb side of the ring finger and controls motor (movement) functions to the forearm, wrist and hand. It also sends touch, pain and temperature sensations from the lower arm and hand to the brain.

Research shows that, in most cases, non-surgical therapy provides equal to or better outcomes when compared to carpal tunnel surgery. In fact, the American Academy of Orthopedic Surgeons (AAOS) recommends non-surgical therapy as the primary CTS treatment modality and cautions that surgery should be used only as a last resort further advising that surgery should be recommended only if ALL of the following criteria are met:

1. Severe symptoms present for at least 6 months. 60% of patients carpal tunnel symptoms resolve on their own with rest. For 40% of patients, symptoms will last for months and intensify without intervention.
2. Symptoms are so severe they interfere with daily life. Symptoms typically advance within 6-12 months of the first symptoms. Severe symptoms may include weakness and radiating pain that limits dexterity and functionality.
3. All nonsurgical remedies were tried without success. The vast majority of patients typically experience complete relief using non-surgical therapies to treat CTS.
   
   

Research published in the Journal of Orthopaedic & Sports Physical Therapy revealed that at the 3, 6, and 12 month post-treatment follow-up examinations, patients in both the therapy and surgery groups showed similar improvements in function and grip strength. Pain also decreased similarly for patients in both groups. The researchers concluded that therapy and surgery for carpal tunnel syndrome yield similar patient benefits.

In most cases, non-surgical therapy treatment is effective in reducing CTS symptoms and often helps patients get back to everyday activities within 8-12 weeks depending upon the symptom severity.
Typically patients are referred by their primary care physician or a hand specialist after a examination results in a CTS diagnosis. Patients may also self-refer to avoid delaying the process and mitigate cost of care.

Therapy for mild cases of early-stage CTS typically involves an initial consultation, testing and 1-2 therapy sessions over 4 weeks. Treatment may include: 

• Resting the affected hand and wrist. 
• Avoiding activities that may worsen symptoms.
• Education on proper workplace rest breaks, ergonomics, on-the-job stretching and light exercises. 
• Immobilizing the wrist in a splint to avoid further damage from twisting or bending – especially while sleeping.
• Applying cool packs to help reduce swelling from inflammation.
• Inflammation and swelling treatment through PEMF and/or Cymatic Therapy.

Patients with moderate or severe CTS treatment begin with the same process used to treat mild CTS symptoms along with specialized therapy techniques such as myofascial release or fascial stretch therapies that gently manipulate the joints and soft tissues of the wrist, hand, and arm releasing restrictions and tissue adhesions to alleviate pressure on the median nerve. These techniques reduce symptoms and improve electromyographic test results by naturally releasing the transverse carpal ligament which "opens" or dilates the canal. People on blood thinners, with metabolic conditions, deep vein thrombosis, open wounds, burns or bone fractures are not candidates for myofascial therapy.

Myofascial release is the primary treatment modality used to break-up restrictions and tissue adhesions in and around the tendons inside the wrist joint. Specifically, this technique breaks fascia restrictions and adhesions that cause tendon inflammation and swelling. This inflammation and swelling is the underlying condition that causes carpal tunnel symptoms. 
Two primary techniques used:

• Friction: This is a glide technique that involves applying pressure to the base of the wrist with both thumbs and then gliding the thumbs toward the elbow with sustained pressure to break up tissue adhesions.
• Petrissage: Utilizes movements like kneading, wringing, skin-rolling, and deep squeezing to help stretch and loosen tight muscles that may be contributing to CTS.

After myofascial release therapy, you may feel soreness. This should go away within 12-24 hours and your arm, wrist and hand should feel more relaxed.
Fascial stretch therapy is another type of manual therapy where therapists don’t apply pressure to certain areas of your body. Instead, parts of your body (such as your arms and hands) are manually moved to stretch your fascial tissues.

Treatment may be recommended every one to three days over several weeks or a few months. Therapy sessions will last 15 to 50 minutes.  Session frequency and intensity will depend on the cause and severity of your condition. Most patients report numbness and pain subsiding within 12 weeks.
Once your symptoms have subsided, your practitioner will likely prescribe self-care stretching, strengthening exercises, and wearing a splint at night until full hand strength returns. Length of time required for full strength to return varies by patient, but most can expect complete recovery in 6 months. Patients should consider:

• Risk. Because therapy is non-invasive and drug-free, there are few risks. Short-term soreness is the most common risk. Rare cases of myofascial release causing internal bleeding, nerve damage and/or short-term paralysis have been reported.
• Complications. Ineffective or incomplete release resulting in recurrence. In severe (Stage 4) cases not responding to therapeutic approaches, an assessment for surgical intervention may be indicated.
• Cost. Therapy provides affordable, first-line treatment of CTS symptoms.

• Recovery. Most patients report symptom resolution within 12 weeks.
• Return to work time. Most patients choosing non-surgical therapy to treat CTS return to normal activity within 8 weeks of treatment.

While each patient’s experience is unique, in most cases the process takes 16-24 weeks from the initial PCP appointment, specialist consultation, surgery and primary recovery. Full recovery may take 4-12 months depending.

In most cases patients are referred to a hand specialist after a general exam performed by their primary physician indicates the potential for CTS.  A specialist provider will normally use a combination of physical and imaging tests to diagnose your condition. These may include: Tinel’s sign, Phalen’s test, Wrist X-rays, Electromyography (EMG), Ultrasound, and/or Magnetic resonance imaging (MRI).
Surgery for carpal tunnel syndrome is usually done as an outpatient procedure using local or general anesthesia. Two types of carpal tunnel surgery are typically performed:

Open surgery involves the surgeon making an approximately 2-inch long cut on the wrist, then cutting the carpal ligament to make the carpal tunnel passageway larger.

Endoscopic surgery is performed with the surgeon making one half-inch long cut on the wrist. Then a small probe is attached to a narrow tube which is then inserted into the cut. The small probe may or may not have a camera. The surgeon inserts surgical instruments through the narrow tube and cuts the carpal ligament through the other incision. The surgeon uses the camera to locate and cut the carpal ligament. When there is no camera, an ultrasound device guides the surgeon to the correct probe placement before cutting the carpal ligament.

Post-operative care can be intensive for some patients and mild for others. After surgery, your hand and wrist will be splinted for several weeks or more. The surgeon may also have you keep the affected hand elevated above your heart while sleeping at night to decrease swelling. You'll likely begin a physical therapy program once the stitches have healed and the splint is removed. Use of a splint or brace may be recommended for 4-6 weeks after surgery.

Risks. Carpal tunnel release surgery potential risks include bleeding, infection, injury to the median nerve or nerves that branch out from it, injury to nearby blood vessels, sensitive scaring, the need for more surgery.

Potential complications. According to a 2023 NIH report,” the most frequent complication of carpal tunnel surgery is the development of a neuroma in the palmar cutaneous branch of the median nerve. Patients may also experience hypertrophic scars, joint stiffness, dysesthesias, and incomplete resolution of their symptoms.”

Cost considerations. According to the NIH, the median cost of carpal tunnel surgery was $10,273 as of April 2023. The estimate does not include pre-surgery examinations, testing, post-surgery care, therapy nor follow-up examination costs.

Recovery time. Carpal tunnel surgery recovery time varies. Most patients report numbness and pain subsiding within 4 months. Hand strength will return within 1 year – how much strength returns can vary.

Pain medication. Prescription pain-killers and drugs are typically prescribed to control post-surgery pain and inflammation.

Return to work time. Surgery recovery takes longer for a significant number of patients. The majority of patients choosing therapy to treat CTS return to normal activity within 8 weeks of treatment. However, over 30% of CTS patients choosing surgery do not return to work within 8 weeks.

Overuse from repetitive strain injuries is the most common cause of CTS.

• Frequent, repetitive movements with the hands.
• Extending or flexing the wrist for long periods of time.
• Inflammation in the joints.
• Rheumatoid arthritis and other related conditions.
• Hormonal or metabolic changes (menopause, pregnancy or thyroid imbalance, etc.).
• Wrist anatomy/scar tissue from previous injuries.
• Poor health due to smoking, obesity and/or poor nutrition.
• Nerve damage from diabetes, high-blood pressure, etc.
• Health conditions such as Gout, Hypothyroidism, Amyloidosis, or Rheumatoid arthritis.
  

It can be hard to prevent carpal tunnel syndrome, especially with a contributing health condition or activities contributing to the condition cannot be avoided. Professional healthcare associations including The American Chiropractic Association and the American Academy of Orthopedic Surgeons suggest the following CTS prevention strategies: 

• Stop smoking.
• Maintain a healthy weight and fitness level.
• Eat healthy, nutritious food. Avoid processed, high-sodium foods.
• Stretch your wrists and hands before and after intense physical activities.
• Wear proper protective equipment for all work or activities.
• Take frequent rest breaks when working with your hands.
• Perform on-the-job conditioning, such as stretching and light exercises. 
• Use correct posture and wrist position. 
• Use proper workplace ergonomics.
• Wear splints to help keep the wrists straight – especially at night. 
  

Patient education is key to positive patient outcomes. We hope that this article arms those suffering from CTS with the facts they need to make informed health conditions.

Early diagnosis, treatment and intervention will help avoid more extensive damage as well as improve healing trajectory.

If you've been told that drugs or surgery are your only options, Dr. Dukes encourages you to learn the facts and get a second opinion. Dr. Dukes can help get you back to living life on you terms, naturally.

Call ​​(813) 752-2524 today to schedule your consultation with Dr. Dukes.

If you’re suffering from shoulder pain you’re not alone. Shoulder pain is regarded as one of the most frequently reported non-traumatic complaints that arise from the upper extremity (neck, arms & shoulder) area. An estimated 27% of Americans suffer from non-traumatic shoulder pain at any given time. And the Harvard Medical Review estimates that "up to 70% of people will experience shoulder pain" at some point. The majority of shoulder pain complaints are attributed to overuse rather than specific trauma. Many patients are surprised to learn that upper extremity pain and injury is the second most common cause of occupational injury claims.

Your shoulder is a unique multi-axial joint capable of complex movement and manipulating heavy loads. Its frequent everyday use to perform complex movements, manipulate heavy loads and perform  repetitive movements during work, sports, exercise and nearly anything we humans do. As such, it is subject to a variety of painful conditions such as adhesive capsulitis (frozen shoulder), arthritides (osteoarthritis, rheumatoid arthritis, polymyalgia rheumatica, etc.), as well as more common issues such as joint instability due to muscle fatigue/weakness, inflammation, impingement syndromes or acute injury.

It’s common that patients report living with the pain and discomfort for too long because they:

• Believe their shoulder pain will just go away if they ignore it long enough;
• Didn’t know they can feel better;
• Are busy and have little time to devote to taking care of themselves;
• Previous treatment didn’t work or didn’t last and;
• Didn’t know who is going to give them the best results.

If not addressed, shoulder conditions may lead to more serious issues such as frozen shoulder or SLAP tears. It’s vital to seek care before your condition evolves into chronic pain and debilitating loss of mobility.

Urgent care is needed if you have sustained a traumatic or injury - especially if there is severe bleeding, potential broken bones, swelling, discoloration, or other acute symptoms.

Shoulder pain may also be a symptom of a heart attack. Call 911 immediately if your shoulder pain:

• Appears suddenly without a reason
• is sudden or sharp
• is accompanied by dizziness
• is accompanied by shortness of breath
• extends or radiates from your chest to the left jaw, arm, or neck
• is accompanied by chest pain or chest tightness

Shoulder injuries are primarily categorized as ‘traumatic’ or ‘overuse’. If your shoulder pain began as a mild ache and/or stiffness, rather than the result of a specific traumatic event, it's most likely an overuse injury.

Overuse shoulder injuries develop over time as the result of repetitive use. Patients typically report ignoring the warning signs at first because the pain and stiffness began mild with the intensity growing over time. You should schedule an examination as soon as possible if you are experiencing any of the following symptoms:

• Continuous shoulder pain lasting more than 3 weeks (if not resulting from trauma)
• Stiffness or pain with shoulder movement
• Numbness in the arm or hand
• Limited or reduced shoulder function
• Ongoing shoulder weakness or fatigue
• Feeling as though the shoulder socket is loose
• If you heard or felt a ‘pop’ that resulted in pain
• If you feel/hear a grinding or tearing sensation when using your shoulder

Conservative, non-invasive and drug-free therapies are recommended as primary treatment approach for soft-tissue shoulder injuries. Chiropractic therapy, physical therapy, rest and strengthening exercises are the recommended treatment method for most shoulder conditions. In fact, the NIH reports that "The effects of surgery plus physiotherapy compared to physiotherapy alone on improving pain and function are too small to be clinically important." This is true in the short term (3 & 6-month check ups) as well as long term follow up (1, 2, 5 and 10-year).

Dr. Dukes and her team use a multifaceted approach to treat shoulder pain that typically employs several of the following techniques:

• Myofascial release
• Stretching
• Functional and strengthening exercises
  
• Scapular mobilization
• Ischemic compression
• Manipulation
  
• Massage therapy
  
• PEMF Therapy
• Cymatic Therapy

Shoulder tendinitis is typically an overuse response to repetitive motion. It’s common among laborers and athletes. Those with that lift with improper form, awkward balance or poor posture are at greater risk because they place excessive stress on shoulder tissues and tendons.

Bursitis can cause stiffness and swelling in addition to a general ache in the shoulder. It may be irritating when you apply pressure to the shoulder or move it. This occurs when the small fluid-filled sacs (bursae) that cushion and protect bones, tendons, and muscles become inflamed. It is most commonly due to overuse due to repetitive motions.
shoulder, injections to reduce more severe inflammation or surgery. Surgery is rarely needed in the treatment of bursitis.

Rotator cuff tears are common and typically occur as a result of wear and tear due to overuse or from sudden trauma. Your arm may feel weak or fatigued and the pain tends to be a dull achy feeling that worsens if you sleep on the affected shoulder.

Frozen shoulder most often occurs because shoulder movement has been limited due to a medical procedure, ignoring a shoulder condition or some other factor that prevented normal shoulder movement over time. The condition gradually worsens, causing pain and potentially extreme joint stiffness with loss of mobility. Recovering mobility typically takes 12 to 18 months of specific therapy. Frozen shoulder symptoms present in three phases (1) Freezing – Concurrent pain and limited range of motion that worsens over time; (2) Frozen – Extreme stiffness often results in highly limited mobility; pain symptoms may be reduced during this stage; (3) Thawing – Mobility slowly improves over time.

Your body is an incredible healing machine. Early treatment and intervention will help avoid more extensive damage as well as improve your healing trajectory.
If you're struggling to find relief, Dr. Dukes can help. She'll listen to you, find the root cause of your pain, then help you chose the best course of care for you.
Call today! ​​(813) 752-2524 Schedule your consultation with Dr. Dukes and experience the difference for yourself.

Dr. Dukes is tuning patients wellness through Cymatic therapy and it's changing people's lives. As one of the few sound therapy practitioners in central Florida, Dr. Dukes feels blessed to provide this cutting-edge technology that helps so many people alleviate pain and reduce inflammation while improving mental clarity.

Similar to ultrasound, Cymatic therapy also known as Cyma therapy or sound therapy, uses specialized medical devices to transmit sound waves in specific frequencies through the body. Different frequencies are used to treat different symptoms.

Dr. Dukes employs Cyma therapy to effectively treat a variety of patient health issues. It is effective in treating inflammation and pain resulting from conditions such as asthma, chronic fatigue, headaches, joint mobility, hormone problems, fibromyalgia, strokes, and depression. Patients also report better sleep, reduced stress, sharper focus, clearer thinking, and a greater ability to recall memories.

Therapy effectiveness is measured in subjective methods such as patient quality of life feedback as well as empirical measures such as function & mobility tests, symptom improvement, and inflammation reduction. Thermography is a medical imaging process used for identifying inflammation in the body. It is used for diagnosis and analysis as well as defining effectiveness.

A variety of research studies have used thermographic images captured before and after Cyma therapy sessions to determine session results. A Peripheral Artery Disease (PAD) study revealed a stunning decrease in inflammation as can illustrated in the images below.

A variety of long-term research projects are underway seeking to leverage the unique treatment modalities of sound therapy. Notable potential treatment applications include Alzheimer’s, COPD and emphysema. Although still in trial phases, early results are promising.

And loved ones often report being delighted by the improved mood, higher energy levels, reduced anxiety and fewer mood swings. Dr. Dukes commented, "We're so blessed when loved ones tell us how it feels that patients are back to themselves - they're happy and energetic again."

How Long are Cymatic Therapy Sessions?
Treatments typically last between 45-90 minutes depending upon the patients’ needs and which modalities Dr. Dukes and her team employ during care. Some sessions may be as quick as 30-minutes.
 
How Many Cymatic Therapy Sessions Are Required?
Dr. Dukes creates individualized treatment plans unique to each patient. In most cases where an acute issue is present, Dr. Dukes will prescribe multiple sessions per week for the initial treatment with less frequent sessions as healing progresses. Minor health problems may often be resolved with 3-5 treatments over a 2-week period. Patients with chronic issues often prefer regular weekly treatments.

When Do Patients Feel the Healing Effects?
Each case is unique. Some patients experience symptom reduction almost immediately. Others may take up to 24 hours to notice symptom improvements.

Is Cymatic Therapy Addictive, Is It Safe?
Cymatic therapy is not addictive, but feeling great and being healthier might be. And it’s safe with the FDA recognizing Cyma therapy instruments as Class 1 devices that abide by the safety requirements of the Consumer Protection Agency.
Dr. Dukes only provides safe and effective healthcare through proven, natural treatment methods that do not involve invasive procedures nor the use of dangerous drugs.

What About Cymatic Therapy Side Effects?
Cymatic treatment is a very subtle and soothing therapy.  Patients often feel tingling, heat or tension release during or shortly after treatment. These are very mild sensations. Patients have not reported pain during or after treatment. Occasionally patients report unusual sweating, vivid dreams, muscle soreness, fatigue, or hyperactivity after treatment. When healing responses do occur, they are typically mild and quick, lasting less than 24 hours.

What are the Success Rates for Cymatic Therapy?
An average of 80% of our patients experience a direct beneficial response resulting in measurable symptom reduction of acute symptoms. We have found that applying sound to the body is successful in resolving variety of health challenges including Allergies, Alopecia, Arthritic pain, Back Pain, Chronic Fatigue, Digestive Issues, Leaky Gut, Joint Injuries, Migraines, Moodiness, Stress and Fatigue.

Moving Forward
Severe and chronic pain isn’t normal. If you find yourself hurting, it may be time to seek help from Dr. Dukes and her experienced team of professionals. She'll help you determine the severity of your issue, develop a course of care, work with you to ensure quick recovery and help you prevent future issues. Call today (813) 752-2524.

Gardening is a wonderful way to calm your spirit but all the crouching, bending and lifting can take it’s toll.  Check a few tips from Dr. Dukes to help you reduce your injury risks and while keeping you gardening with fewer aches and pains.

1. Get moving before you garden. If you’re like many of our patients, you may not think about stretching and warming up before you begin gardening. It’s so important that you stretch your spine and limbs. You’ll be lifting and bending and moving differently in the garden and that puts more stress than joints and soft tissues are used to. A quick stretch is a great way to guard against injury.
2. Stay properly hydrated. Drinking plenty of water is so important. Surprisingly, it’s also one of the things patients regularly overlook. Every cell, tissue and organ in your body needs water to work properly. Most people are surprised to learn that water is essential for joint lubrication and cushioning. The average person needs 3-4 liters of water each day – more if you’re working hard. Stay hydrated to stay safe and feel your best.
3. Change positions often to avoid stiffness or cramping. Be aware of how your body feels as you work. Pay attention to pain. If a part of your body starts to ache, take a break. Stretch that body part in the opposite direction, or switch to a different gardening activity. For example, if you've been leaning forward for a while, and your back starts to ache, slowly stand up, and gently lean backward a few times.
4. Leverage is your friend. Use a garden cart or wheelbarrow to move heavy materials or tools.  Lift with your knees and always use good posture while moving a cart or wheelbarrow.
5. Give your knees a break.  Use knee pads or a gardening pad. If kneeling or leaning down to the ground causes a lot of pain in your back or knees, try using elevated planters for your garden. If kneeling on both knees causes back discomfort, try kneeling on one and keep the other foot on the ground.
6. Maintain good posture. Use good body mechanics when you pick something up or pull weeds. Bend your knees, tighten your stomach muscles, and keep your back straight as you lift or pull. Avoid twisting your spine or knees when moving things to the side. Instead, move your feet or pivot on your toes to turn your whole body.
7. Take breaks. If you haven't done gardening or other yard work in a while, plan to work in short stints. And set a timer to take short breaks before you start feeling aches and pains.

Gardening should be relaxing and rewarding , not painful. Perhaps the most important tip is to pay attention to your pain. Many of our patients report that they felt a little twinge but didn’t think it was much - only to figure out too late that they ‘over-did-it’.
Severe and chronic pain isn’t normal.

If you find yourself hurting, it may be time to seek help from Dr. Dukes.  She'll help you determine the severity of your issue, work with you to ensure quick recovery and help you prevent ‘over-doing-it’ in the future. Call today (813) 752-2524.

Stress Awareness Month reminds me that stress, in some form or another, is an inevitable part of our lives. In small doses it can serve positive purposes, enhancing focus and performance, readying our bodies for challenges through the natural fight-or-flight response. But lingering stress can usher in a host of health threats such as anxiety and depression that can take a significant toll on our physical health.
So many of my patients are surprised to learn that the root of many physical ailments is stress. A striking statistic from the Mental Health Foundation reveals that a 74% of adults have felt so overwhelmed by stress that they've struggled to manage a normal daily routine at least once over the past year. Stress isn’t a fleeting concern.  It is a significant health issue that demands attention and care.

The Physical Implications of Stress
The body's natural response to stress is a marvel of evolution, preparing us to face perceived threats through the release of hormones like adrenaline and cortisol. These adjust bodily functions to prime us for action - increasing heart rate, blood pressure, and energy supplies, while also modifying immune, digestive, and reproductive system responses.
However, when our stress-response systems are constantly engaged, the outcome can be detrimental to our well-being, resulting in persistent pain, anxiety, irritability, and even depression.

Chiropractic Care is a Proven Solution
While April shines as Stress Awareness Month, it serves as a timely reminder of the benefits of chiropractic care in managing stress and anxiety. Chiropractic treatments offer a holistic approach to alleviating the physical symptoms of stress, notably:

• Easing Muscle Pain and Tension: Chronic stress manifests physically, often in the form of muscle tension and pain, notably in the jaw, neck, shoulders, and back. This physical discomfort feeds into a cycle of increased stress, affecting mood, cognitive function, and overall quality of life. Chiropractic care breaks this cycle by targeting and relaxing these tension areas, thereby reducing pain and, by extension, stress and anxiety.
• Benefiting the Central Nervous System (CNS): The CNS plays a pivotal role in the body's stress response, regulating mood and ensuring holistic well-being. Through chiropractic adjustments, we can ensure a healthier CNS, paving the way for improved overall health and a more effective stress response.

It's critical to understand that while chiropractors do not directly treat the root causes of stress, they play a vital role in managing and alleviating its physical symptoms. Through regular chiropractic care, individuals can experience reduced muscle tension, improved sleep quality, and a more vibrant sense of well-being.
In the words of the Mental Health Foundation's Director, Isabella Goldie, "Stress is a significant factor in mental health problems including anxiety and depression. It is also linked to physical health problems like heart disease, immune system issues, insomnia, and digestive problems." This insight underscores the importance of tackling stress head-on, not just for emotional well-being, but for physical health too.

Taking Steps Towards Better Health
As we observe Stress Awareness Month, it's crucial to explore effective methods that support our physical and mental well-being. Chiropractic care stands out as a profoundly impactful approach that enhances nervous system function through comprehensive care involving arms, legs, neck, and hips to ensure the optimal performance of the nervous system.
Recent studies reinforce the effectiveness of chiropractic care, showcasing significant improvements and in some cases, complete healing of various health conditions. The essence of chiropractic adjustments lies in facilitating unimpeded information flow across the nervous system pathways. Such holistic care goes beyond merely addressing spinal issues, fostering a harmoniously functioning nervous system.

For individuals grappling with stress-induced ailments such as muscle tension, pain, headaches, or disrupted sleep patterns, chiropractic treatment offers a beacon of hope. Dr. Dukes is dedicated to alleviating these symptoms through personalized chiropractic care. We encourage you to take a step towards managing your stress and enhancing your well-being by reaching out to schedule a consultation with Dr. Dukes. Discover how chiropractic care can be tailored to address your specific needs. Your mind and body will thank you for it.

Get back to living your best life. Call (813) 752-2525 to schedule a consultation. Learn how Chiropractic care will help you take back control so that you can live life on your terms.

Waking up to a new day should be a refreshing experience, but for many of us, mornings are marred by neck pain and discomfort.

I’m receiving more and more new patients suffering from chronic neck pain. Various underlying conditions contribute to neck pain including muscle strains, nerve compression, injuries, and certain diseases. But, for many of my patients, I’ve found the most common contributing factors to be tech neck, poor ergonomics and poor sleeping posture.

The impact of morning neck pain extends beyond the physical discomfort. Persistent neck pain can lead to chronic issues, affecting an individual's ability to carry out everyday tasks. Work productivity can suffer. Sleep quality is typically poor. Patients are frustrated by physical limitations. And everyone feels the effect on mood and mental health.

Morning neck pain is often overlooked or dismissed as a minor inconvenience. Many people consider it a normal part of life and fail to seek appropriate treatment. This lack of attention often allows the problem to escalate with more severe health consequences over time. Prevention is key. Individuals can take several proactive steps to manage their neck pain. But, knowing where and how to start can be challenging.

Neck pain is a common condition characterized by discomfort or stiffness in the area between your head and shoulders. While it can occur at any time of the day, many individuals specifically report experiencing neck pain in the morning, often upon waking up. This is commonly referred to as morning neck pain.

Morning neck pain can range from mild discomfort that dissipates as the day progresses to severe pain that restricts movement and impacts daily activities. It's not merely a physical nuisance; it can also affect a person's mood, productivity, and overall quality of life.

• Tech neck: poor posture at work, school or play where a person holds poor posture while viewing digital device screens such as a phone, laptop, tablet, desktop or gaming station.
  
• Poor Ergonomics: One of the most prevalent causes of morning neck pain is poor workplace ergonomics. If your spine isn't aligned properly with the rest of your body, it can lead to muscle strain, stiffness and pain.
• Inappropriate Sleep Setup: Using a mattress or pillow that doesn't provide adequate support can also lead to neck pain. A pillow that's too high or too firm may force your neck to bend unnaturally, causing discomfort.
• Prolonged Strain: Activities that put your neck in an awkward position for extended periods, such as looking down at a smartphone or reading a book in bed, can result in neck strain and subsequent pain.
• Underlying Health Conditions: Certain health conditions like osteoarthritis, spinal stenosis, or degenerative disc disease can cause neck pain. In these cases, the pain might be more severe in the morning due to the body's inactivity during sleep.
  

Understanding the causes of morning neck pain is the first step towards effective management. By identifying the factors contributing to the discomfort, individuals can make appropriate lifestyle adjustments or seek professional treatment to alleviate their symptoms and improve their morning experience.
 
Morning neck pain can range from a mild nuisance to severe pain that interferes with your daily activities. Various factors contribute to this problem, including poor sleeping posture, an unsuitable pillow or mattress, stress, and even underlying health conditions. Dr. dukes uses proven chiropractic treatment options to alleviate your morning neck pain and enhance your overall well-being through natural, drug-free and non-invasive techniques.
 
Morning neck pain refers to any discomfort in the neck area that you experience upon waking up. This discomfort might present as stiffness, aches, or intense pain that restricts neck movement. It's crucial to note that while occasional neck pain might be common after a night of uncomfortable sleep, persistent morning neck pain isn't normal and warrants medical attention.

Chiropractors like Dr. Dukes are specialized healthcare professionals who focus on the diagnosis and treatment of neuromuscular disorders. They use hands-on spinal manipulation and other non-invasive treatments to ensure proper alignment of the body's musculoskeletal structure. Some of the most common treatment techniques are:

• Spinal Adjustments: Chiropractors perform spinal adjustments using quick, gentle thrusts to align the body and enhance its physical function. By restoring proper alignment, these adjustments can relieve pressure on the neck joints and improve nerve function, thereby reducing morning neck pain.
  
• Soft Tissue Therapy: In addition to spinal adjustments, chiropractors use various types of soft tissue therapies to relieve muscle tension and reduce neck pain. These may include trigger point therapy, manual joint stretching, therapeutic massage, and more.
• Pulsed Electro Magnetic Therapy: Pulsed electromagnetic field therapy (PEMFT, or PEMF therapy), also known as low field magnetic stimulation (LFMS) is the use of electromagnetic fields to heal non-union fractures and depression.
• Low-Level Laser Therapy: LLLT has been shown to have a significant effect on pain reduction for patients because the absorbed light stimulates the production of intracellular energy via oxidative phosphorylation. LLLT has been found to reduce pain immediately after treatment in acute neck pain and up to 22 weeks after completion of treatment in patients with chronic neck pain.
• Postural Education: Poor posture during sleep is a leading cause of morning neck pain. Chiropractors can provide valuable education about maintaining proper posture during sleep. They may also recommend exercises to strengthen the neck and upper back muscles, thereby promoting better sleep posture and reducing the likelihood of waking up with neck pain.
• Lifestyle Recommendations: Chiropractors understand that factors outside of the spine also contribute to neck pain. They can provide advice on ergonomics, exercise, diet, and stress management to help improve overall health and prevent neck pain.

Tech neck, also known as text neck, has become a prevalent health concern for people of all ages. This refers to neck pain and damage sustained from the poor posture of looking down at your cell phone, tablet, or other wireless devices too frequently and for too long.

Fortunately, chiropractors like Dr. Dukes can play a crucial role in treating and preventing this condition by using a variety of proven therapies and providing valuable advice on how to prevent recurring symptoms.
 
Tech neck is typically characterized by neck pain and soreness, stiffness, and in severe cases, disc herniations and nerve damage. These symptoms are primarily caused by the forward head posture adopted while using electronic devices. This posture increases the strain on the neck — for every inch your head tilts forward, the pressure on your neck roughly doubles.

Prevention is better than cure, especially when it comes to tech neck. Here are some preventive measures that Dr. Dukes suggests:

• Regular Breaks: Taking regular breaks from your device can significantly reduce the strain on your neck. Try to take a 5-minute break every 30 minutes of device use.
• Proper Device Positioning: Hold your device at eye level as much as possible. This position reduces the need to bend your neck and helps maintain a healthier posture.
• Posture Awareness and Correction: Be mindful of your posture throughout the day. Aim to keep your spine aligned — your ears should be over your shoulders, and your shoulders should be over your hips.
• Neck Exercises and Stretches: Incorporate neck exercises and stretches into your daily routine. They can help offset the effects of forward head posture.
• Ergonomic Workstation Setup: If you use a computer for extended periods, ensure your workstation is ergonomically set up. The top of your screen should be at eye level, and your keyboard and mouse should be in a position that allows your elbows to be bent at 90 degrees.

 
Tech neck is a modern-day problem with potentially serious consequences. However, with the right chiropractic care and preventive measures, it's entirely manageable. Dr. Dukes offers valuable expertise in treating tech neck and, importantly, educating patients about posture and lifestyle modifications to prevent this condition.

Dr. Dukes encourages you to implement good work ergonomics to help prevent neck pain and promote overall health and well being. Whether working remote from home or in an office, many of us spend a significant portion of our day sitting at a desk and using computers. This prolonged static posture can lead to various musculoskeletal disorders, including body aches and neck pain.
 
Work ergonomics is the science of designing the workplace to fit the worker, rather than forcing the worker to fit the workplace. It involves organizing your workspace so you can work comfortably and safely, reducing the risk of strain and injury. When it comes to preventing neck pain, ergonomics mainly focuses on maintaining proper posture and arranging your desk setup optimally.

Implementing good work ergonomics has several benefits, especially in preventing neck pain:

• Reduced Muscle Strain: Proper ergonomic setup promotes good posture, reducing the strain on the neck muscles. When your monitor is at eye level, your keyboard and mouse within comfortable reach, and your chair providing adequate back support, you're less likely to slouch or strain your neck.
• Prevention of Musculoskeletal Disorders: Ergonomic interventions can help prevent musculoskeletal disorders such as cervical spondylosis, disc herniation, and muscle strains, which are common causes of neck pain.
• Enhanced Productivity: Comfortable employees are more productive. When you're free from discomfort and pain, you can concentrate better, work more efficiently, and produce higher quality work.
• Improved Wellbeing: A well-organized, comfortable workspace can not only prevent physical ailments but also contribute to your overall wellbeing. It can reduce stress, improve mood, and foster greater job satisfaction.

 
Dr. Dukes recommends implementing these key ergonomic strategies to prevent neck pain and feel your best:

• Monitor Placement: Position your monitor at eye level and an arm's length away. This posture prevents you from tilting your head up or down, reducing the strain on your neck.
• Chair Adjustment: Use a chair that supports your lower back and allows your feet to rest flat on the floor. Your knees should be at the same height as your hips or slightly lower.
• Keyboard and Mouse Placement: Place your keyboard and mouse close to each other and within easy reach. Your elbows should be bent at a 90-degree angle when using them.
• Frequent Breaks: Take frequent short breaks to stand, stretch, and move around. This practice helps relax your muscles and promotes better circulation.
• Use of Ergonomic Equipment: Consider using ergonomic equipment like adjustable chairs, standing desks, and keyboard trays that can be customized to your body size and work habits.

 
By implementing good work ergonomics, you can significantly reduce the risk of neck pain potentially preventing discomfort and injury while enhancing productivity and overall wellbeing. Remember, it's not just about having the right equipment; it's about using it correctly. So, make the necessary adjustments, take regular breaks, and keep moving. Your neck will thank you.

One of the most overlooked aspects of preventing morning neck pain is choosing the right pillow and mattress. An ideal pillow should keep the neck aligned with the chest and lower back while supporting the natural curve of the spine. The wrong pillow can lead to muscle strain and misalignment of the spine, causing neck pain.

Similarly, a suitable mattress is crucial for maintaining spinal alignment and ensuring a comfortable sleep. A mattress that's too firm or too soft can cause or exacerbate neck pain.
Your chiropractor can guide you in choosing the right pillow and mattress based on your sleeping habits, body type, and specific needs. This personalized approach ensures that your bedding not only helps prevent neck pain but also promotes quality sleep.

One of the key advantages of chiropractors like Dr. Dukes is a holistic approach to health free from drugs and surgeries. Rather than just treating symptoms, chiropractors aim to identify and address the root cause of the problem. This comprehensive approach not only alleviates neck pain but also improves overall health by fostering better sleeping habits, posture, and lifestyle choices.
 
For instance, Dr. Dukes might advise you on how to set up your workspace ergonomically to reduce strain on your neck. They might also guide you on incorporating neck-friendly exercises into your routine or suggest dietary changes to reduce inflammation.
 
Dr. Dukes often collaborates with other healthcare professionals to ensure comprehensive care. If your morning neck pain diagnosis indicates potential for an underlying health condition, Dr. Dukes will refer you to an appropriate specialist for more expansive diagnosis.
 
Stretches and Exercises
Dr. Dukes often recommends that neck pain sufferers incorporate neck stretches and exercises into your daily routine. There are many benefits. They can help improve flexibility, enhance range of motion, strengthen neck muscles, and promote better posture. Regular practice can also improve blood circulation in the area, aiding in recovery from any minor strains that might have occurred during sleep.
 
Always seek professional advice before beginning any stretching or exercise routine. Approach stretches gently. The neck is a sensitive area, and aggressive stretching can do more harm than good. Remember, stretches should not cause pain. If you feel any discomfort, ease off a bit.
Dr. Dukes may prescribe stretches such as:

1. Neck Tilt: Sit in a comfortable position. Slowly tilt your head towards your shoulder until you feel a gentle stretch on the opposite side of your neck. Hold for 15-30 seconds and repeat on the other side.
2. Neck Turn: Keep your shoulders relaxed and turn your head to one side, aiming your chin over your shoulder. Hold for 15-30 seconds and repeat on the other side.
3. Neck Extension: Gently tilt your head back and look up towards the ceiling, taking care not to strain your neck. Hold for 15-30 seconds and return to the neutral position.
4. Forward and Downward Stretch: Lower your chin gently towards your chest and hold for 15-30 seconds. You should feel a stretch along the back of your neck.

 
Strengthening the neck and shoulder muscles can also help alleviate morning neck pain. Dr. Dukes may prescribe exercises such as these:

1. Isometric Exercise: Press your palm into your forehead and resist the pressure with your neck muscles. Hold for 5 seconds, then relax. Repeat this exercise by pressing your hand against each side of your head.
2. Shoulder Blade Squeeze: Stand with your back against a wall. Squeeze your shoulder blades together as if you're trying to hold a pencil between them. Hold for 5 seconds, then relax.
3. Prone Cobra: Lie face down on the floor, arms at your sides, palms down. Slowly raise your head and chest off the floor, keeping your gaze downwards. You should feel a gentle contraction in your back and neck muscles. Hold for a few seconds, then lower yourself back down.

 
Consistency is key when it comes to neck stretches and exercises. Make them a part of your daily routine to reap maximum benefits. Know that while stretches and exercises can significantly help alleviate and prevent morning neck pain, they are not a substitute for professional advice. If you consistently experience severe neck pain, it's crucial to seek out a healthcare professional like Dr. Dukes who can guide you on the cause, potential course of treatment and personalized strategies for managing your neck pain.

Chiropractic care offers effective, non-invasive solutions for morning neck pain. By combining spinal adjustments, soft tissue therapy, postural education, and lifestyle recommendations, Dr. Dukes can help alleviate neck pain and improve your quality of life.

Dr. Dukes will advise you about proper posture and guide you in choosing the right pillow and mattress ensuring that your sleep environment supports your spinal health. This comprehensive, personalized approach not only treats the pain but also addresses the underlying issues causing it.

If you're struggling with morning neck pain, consider seeking out Dr. Dukes holistic approach that treats not just the symptoms, but the root cause of your discomfort, promoting long-term health and well-being. Remember, enduring pain isn't a solution; seeking appropriate care is.

You don’t have to suffer.  Dr. Dukes can help.  Call (813) 752-2524. Take back control of your mornings. Schedule your consultation and learn how Dr. Dukes can help you find morning neck pain relief.

As a healthcare practitioner, I'm always on the lookout for cutting edge treatment options to help my patients. I was skeptical when I first heard about the results a colleague was getting with  pulsed electromagnetic field (PEMF) therapy.  I wanted to know about evidence-based studies, potential risks and success rates over time before introducing this new procedure to my patients. based on large group studies. So I reached out for details. I was impressed. The studies and testimonials I reviewed convinced me to give it a try. That was over 5 years ago now and I've learned a lot. My patients will concur that PEMF therapy is extremely effective in treating chronic conditions and accelerating healing – particularly when used in combination with more traditional chiropractic therapies.

Know What Your Doctor Didn't Tell You
When patients come to me after struggling to find relief from chronic conditions, they often feel alone. Many report being frustrated with traditional medical approaches. One patient, we’ll call her ‘Meg’, was visibly upset when we first met. She told me that her doctor didn’t take her seriously and even told her the pain was ‘all in her head’.

She’s not alone. Millions of chronic pain sufferers struggle to be taken seriously by their primary care providers. often with little success from traditional medicine. Dr. Karima Hirani's book, "What Your Doctor Didn't Tell You," promotes the use of advanced therapies such as PEMF.
The truth is that people have found symptom relief from Pulsed Electromagnetic Field (PEMF) therapy for a wide range of conditions. And PEMF therapy is considered safe when used within appropriate guidelines because it is non-invasive and drug-free.

PEMF therapy has been shown in several studies to be safe and effective. In a randomized, double-blind, placebo-controlled clinical trial, twice-daily use of a portable PEMF unit was found to produce a reduction in pain severity in patients, showing that regular use of this therapy can help in managing chronic pain. Another study indicated that PEMF therapy is safe for patients with chronic non-specific neck pain. While it didn't provide further benefits in this particular case, the safety of the treatment underscores its potential as an alternative therapy for those dealing with chronic pain.
There are also indications that PEMF therapy could serve as a good early intervention to help accelerate healing while managing pain. Furthermore, some individuals have reported positive experiences with PEMF treatment for pain, despite the fact that it can sometimes take a while to achieve pain relief.
Finally, consumer reports highlight the desperation of many Americans for safe and effective treatments for chronic pain. In this context, PEMF therapy emerges as a promising solution, providing difficult-to-treat pain relief without invasive surgeries or addictive drugs.

How PEMF Therapy Works
PEMF therapy uses low-frequency electromagnetic waves to stimulate cells in the body. This type of therapy is non-invasive and has been found to aid in cellular regeneration, reduce inflammation, and alleviate pain. The therapy works by stimulating the cells' natural vibrations, thereby promoting healing and regeneration.
PEMF therapy works by sending electromagnetic waves into the body. These waves can penetrate deep into the tissue, where they stimulate cells, increase blood flow, and boost cellular repair. As a result, the therapy can alleviate many conditions, including inflammation, joint pain, and wound healing.
Studies have shown that PEMF therapy is a safe and effective way to reduce inflammation. When cells are exposed to magnetic fields, the body's production of nitric oxide increases, which reduces inflammation in the body. Studies have shown that PEMF therapy can reduce inflammation levels in the body by up to 75%.
Another benefit of PEMF therapy is its ability to aid in cellular regeneration. By stimulating cells' natural vibrations, the therapy can help to repair damaged tissue and promote healing. This can be particularly helpful for athletes who suffer from injuries or people with chronic conditions.
PEMF therapy can help alleviate pain and promote healing in various conditions, such as arthritis, fibromyalgia, and neuropathy. By stimulating the body's natural healing processes, the therapy can help reduce pain levels and improve overall wellness.

PEMF Therapy Compliments Traditional Treatment Options
Dr. Dukes has integrated Pulsed Electromagnetic Field (PEMF) therapy into her traditional treatment protocols for years to boost the treatment of both chronic and acute pain conditions. She has found that PEMF Therapy amplifies the effectiveness of traditional chiropractic adjustments effectively, providing more comprehensive patient care and accelerated positive outcomes.
PEMF therapy is simply an additional modality and therapeutic option, like massage or laser therapy, that can complement chiropractic care to improve pain relief, wound healing, and tissue regeneration.
Dr. Dukes knows that integrating PEMF therapy into chiropractic care plans is a a significant step forward in enhancing patient outcomes.

Questions to Ask Before Starting PEMF Therapy
Of course, if you're considering PEMF therapy as part of your treatment, you should ask a lot of questions to help you make an informed decision about whether or not it's right for you. In this article, Dr. Dukes will try to answer each of these questions:

1. What are the potential benefits of PEMF Therapy? Ask about the specific health improvements you can expect from the therapy.
2. What are the potential risks or side effects? While PEMF Therapy has been deemed safe by many health organizations, it's still important to understand any potential risks or side effects.
3. How long does a typical session last and how many sessions will I need? The length and number of sessions can vary greatly depending on the condition being treated.
4. What is the experience like? Knowing what to expect during a session can help ease any nervousness or apprehension.
5. Are there any conditions or circumstances where PEMF Therapy should not be used? Some conditions may not be suitable for this type of therapy, so it's important to discuss your medical history.
6. Is PEMF Therapy covered by insurance? Some insurance companies may cover PEMF Therapy, but many do not. It's important to understand the costs before you begin.
7. What qualifications do you have? Make sure your therapist is properly trained and certified to administer PEMF Therapy.

Remember, it's always important to do your own research and consult with healthcare professionals when considering any new form of therapy.

Benefits of PEMF Therapy
PEMF therapy is a non-invasive therapy has been found to aid in reducing inflammation, alleviating pain and a host of other conditions. It's a safe and effective way to help stimulate healing because it works in harmony with the body's own recovery processes and can help relieve chronic pain safely..

1. Chronic Pain Management: PEMF therapy has been investigated as an alternative treatment for chronic pain. It has shown effectiveness in reducing pain intensity and improving patients' quality of life, particularly in cases of chronic back pain.
2. Reducing Inflammation: One of the most significant benefits of PEMF therapy is its anti-inflammatory effects. Chronic inflammation is the underlying cause of many diseases, including arthritis, fibromyalgia, and even cancer. PEMF therapy can reduce inflammation by increasing the production of nitric oxide, which is a powerful anti-inflammatory agent in the body.

Multiple studies prove the point. A review published in Bioelectronic Medicine discussed the effects of PEMF on inflammatory/immune regulators. It was observed that after PEMF exposure, activated Mesenchymal Stem Cells (MSCs) showed a decrease in proinflammatory cell signaling. Another study published in the Journal of Inflammation Research evaluated the effect of PEMF treatment on programmed resolution of inflammation pathway markers in human cells in culture.

1. Osteoporosis: Multiple studies provide compelling evidence that PEMF therapy can be effective in treating OA, improving symptoms and potentially modifying disease progression. PEMF was found to have clinically significant effects on pain in patients with Osteoarthritis (OA). This suggests that PEMF may be beneficial for certain subsets of patients with chronic, nonmalignant pain. PEMF therapy using low-frequency electromagnetic fields has been employed in the treatment of osteoporosis. It has shown promise in improving bone density in postmenopausal women and individuals with age-related bone loss.
2. Cellular Regeneration: PEMF therapy can help to accelerate the healing process by stimulating cellular regeneration. It can also help to promote bone growth and density. Additionally, it can help to reduce the formation of scar tissue, which can limit mobility and cause chronic pain.
3. Circulation and Oxygenation: PEMF therapy increases blood flow and oxygenation to the targeted area of the body. This improved circulation helps to alleviate pain and promote the healing process. It's also a great way to reduce inflammation, which is a common cause of chronic pain.
4. Cognitive Function: PEMF therapy may also promote neurogenesis - the growth and development of new brain cells, enhance the brain's resilience to damage potentially protecting against neurodegenerative diseases like Alzheimer's and Parkinson's and enhance cognitive function like memory and learning. Research suggests that PEMF therapy may have positive effects on anxiety and depression symptoms because it is believed to promote the release of neurotransmitters and regulate brain activity, potentially leading to mood improvement.
5. Rheumatic Illnesses: PEMF therapy has shown promising results in managing rheumatic illnesses, including osteoarthritis and rheumatoid arthritis. Studies have demonstrated its ability to alleviate pain, reduce inflammation, and improve joint mobility in patients with these conditions.
6. Bone Fracture Healing: PEMF therapy has been utilized as an adjunct treatment in the healing of bone fractures. It accelerates the formation of new bone tissue and enhances the overall healing process.
7. Neurological Diseases: Research suggests that PEMF therapy may have beneficial effects on neurological diseases. While further studies are needed, preliminary evidence indicates its potential in conditions such as multiple sclerosis (MS) and other inflammatory disorders.

PEMF therapy holds promise as a non-invasive treatment option for various medical conditions. From managing rheumatic illnesses and promoting bone fracture healing to aiding in the management of chronic pain and neurological disorders, research indicates its potential benefits. However, it is important to note that further studies are needed to fully understand and establish the efficacy of PEMF therapy in these conditions.

Potential Risks & Side Effects of PEMF Therapy
PEMF (Pulsed Electromagnetic Field) therapy is generally considered safe when the practitioner employs best practices. Even so, some individuals may experience side effects which may include:

1. Fatigue: While PEMF therapy is designed to enhance cell function and improve energy levels, some individuals may experience an initial period of fatigue. This is often due to the body adjusting to the increased activity at a cellular level, and generally subsides after continued use.
2. Sleep disturbances: Some users have reported changes in their sleep patterns following PEMF therapy. The therapy stimulates brain activity, which might cause difficulty in falling asleep or staying asleep. However, these effects usually diminish over time.
3. Loss of energy or interest: PEMF therapy can sometimes lead to temporary feelings of lethargy or a lack of interest in daily activities. This could be part of the body's adjustment process to the therapy.
4. Agitation, weakness, and dizziness: These sensations are typically mild and short-lived. They may occur due to the physiological adjustments the body is making in response to the electromagnetic fields.
5. Increased urination: This might be a result of the body's detoxification process being stimulated by PEMF therapy. The body might be flushing out toxins at a faster rate, leading to an increase in urine production.
6. Mild headaches: This side effect can occur when the body releases stored toxins and waste products due to the cellular stimulation created by the therapy. Drinking plenty of water can help to alleviate this symptom.
7. Uncomfortable increases in circulation: In areas with restricted or reduced blood flow (ischemic tissues), the sudden increase in circulation caused by PEMF therapy might lead to discomfort or a "pins and needles" sensation. This is temporary and should subside as the body adjusts.
8. PEMF therapy can potentially lower blood pressure: so if you already have very low blood pressure, ensure that you inform your provider during your consultation.

As with any therapy, it's important to discuss potential side effects with an experienced healthcare provider before beginning PEMF therapy.

How long does a typical PEMF Therapy Session Last and How Many Sessions will I Need?
A typical Pulsed Electromagnetic Field (PEMF) therapy session tends to last between 15 and 30 minutes and the total number of sessions required to each specific to each patient’s condition, needs and course of care.
Session duration and frequency obviously varies based on the individual patient's condition and the recommended treatment plan. Recently a patient suffering from a lower back injury was treated with one 40-minute session per day, 3 days per week over 12 weeks in conjunction with a variety of other therapies. Another patient finds relief from OA flareups through 20 minute sessions, 2x times per day over 10 days.
In summary, the duration and frequency of PEMF therapy sessions can greatly vary based on individual needs and conditions. Therefore, patients should always to consult with a healthcare provider to determine the most safe, appropriate and effective treatment plan.

What Does PEMF Therapy Feel Like?
Dr. Dukes patients often describe PEMF therapy as a soothing and gentle experience. The therapy involves the use of magnetic pulses that can be adjusted individually, so they do not cause any pain or discomfort. However, during the treatment, you will feel the pulsing of the mild magnetic current as it flows through your body.
PEMF devices come in a variety of shapes from small pads for acute application to full body applicator systems look like a thin mattress. Regardless of the device type, you should not feel any pain during treatment.
As the PEMF system works, you'll feel the pulse. Some patients might find that the areas that require treatment will visibly move as the cells are engaged. This movement is a result of the therapy working on cellular regeneration to resolve injuries and chronic conditions.
The sensation of PEMF therapy is often described with words like "tingling" or "pulsating5". On less intense days, it can feel like a persistent throb stretching along the treated area. It's also important to note that PEMF therapy can typically lower blood pressure, so if you already have very low blood pressure, be certain to let your provider know during your consultation as you may feel lightheaded.

In What Conditions or Circumstances Should PEMF Therapy Not Be Used?

1. Pulsed Electromagnetic Field (PEMF) therapy is generally considered safe, however, there are certain conditions and circumstances where it should not be used or used with caution.
2. Electrical implants: patients with electrical implants should not use PEMF therapy due to the potential for interference with the device's function.
3. Avoid the ears and eyes: PEMF therapy should not be run over the eyes or ears unless directed by a medically trained physician.
4. Pregnancy: The safety of PEMF has not been established during pregnancy therefore Dr.Dukes advises against the use during pregnancy.
5. Breast implants: Never run high-frequency (above 100 Hz) PEMF over a breast implant.

Always discuss your full medical history and any potential concerns your have no matter how small. Your healthcare provider wants to provide you with safe, excellent care and needs as much information as possible to make that happen.

PEMF Therapy Facilitates Greater Patient Outcomes
PEMF (Pulsed Electromagnetic Field) therapy and chiropractic therapy are two distinct methodologies that, when combined, can potentially offer an enhanced healing experience. Both aim to promote the body's natural healing processes, through non-invasive, drug-free and proven effective therapies.
PEMF therapy uses electromagnetic fields to stimulate cell metabolism, increase oxygen supply, and improve circulation, thereby promoting healing and reducing inflammation.
Integrating PEMF therapy into a chiropractic practice can provide a comprehensive approach to patient care. The chiropractic adjustment realigns the spine, relieving pressure on compressed nerves, while PEMF therapy enhances cellular function and promotes tissue healing. This combination can accelerate recovery from injury or illness, reduce pain, and improve overall wellness.
The non-invasive nature of both treatments makes them a preferred choice for patients seeking safer choices. Chiropractic adjustments are generally safe, with minor side effects such as temporary discomfort in the treated areas. Similarly, PEMF therapy boasts a low-risk profile, with the most common side effects being mild discomfort or nausea, typically subsiding after the body adjusts to the treatment.
PEMF therapy and chiropractic care are two complementary therapies that, when used together, can offer a broad spectrum of health benefits. Their ability to stimulate the body's natural healing processes at different levels—structural and cellular— provides a powerfully effective approach to healthcare.
As research continues to evolve, I predict that you’ll see growing interest in the integration of these therapies as I’ve witnessed first-hand how PEMF therapy has been used to successfully treat chronic pain and inflammation in my patients.

You don’t have to suffer.  Dr. Dukes can help.  Call (813) 752-2525. Schedule your consultation. Learn if PEMF therapy is right for you. We want to help you take back control, free yourself from the pain and get back to living life on your terms.