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.

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.

Spinal misalignments can do more than just cause back pain - they can also wreak havoc on your digestive system.  Bloating, constipation, or stomach pain are all signs that your gut health may be compromised.

Many of my patients are surprised to learn that spinal misalignments can play a key role in digestive problems like constipation, diarrhea, abdominal pain, GERD and other GI issues. Research has shown that chiropractic care can improve symptoms related to digestive disorders such as irritable bowel syndrome (IBS) and Crohn's disease. This is because addressing underlying spinal misalignments can help address the root cause of these issues, rather than just treating the symptoms.
Your spine is more than just a structural component of our body - it plays a crucial role in maintaining your overall health, including gut health. Why? Because spinal misalignments can cause tension and inflammation in the nerves surrounding the spine disrupting communication between the brain and digestive system.

Your digestion is regulated by the enteric nervous system (ENS). The ENS is often referred to as the "second brain". Your ENS is a collection of nerves that control digestion, absorption, and elimination in the gastrointestinal tract. When there is a misalignment in the spine, it can disrupt communication between the ENS and CNS. This disruption can lead to improper functioning of the digestive system, causing symptoms such as bloating, constipation, diarrhea, and abdominal pain.

Dr. Dukes focuses on restoring proper communication between the ENS and CNS. By adjusting misalignments in the spine, she alleviates pressure on nerves and improves overall nervous system function. In addition to spinal adjustments, Dr. Dukes may also incorporate other techniques such as massage therapy and dietary changes to support the health of the gut.

It’s quite remarkable. For example, thoracic spine (middle back) issues can affect the nerves that control digestion and absorption in the stomach and small intestine and present as symptoms of acid reflux, bloating, or nutrient deficiencies.

Gentle, chiropractic adjustments help alleviate symptoms and promote overall gut health. Treatment aims to correct these misalignments and restore proper communication between the brain and digestive system.

The connection between the spine and gut health is often overlooked. Chiropractic care offers a holistic approach to promoting gut health by addressing spinal misalignments and supporting proper communication between the brain and digestive system. Don't underestimate the power of a properly aligned spine when it comes to maintaining good gut health!

By keeping the spine aligned through chiropractic care, we can ensure proper communication between the brain and digestive system. Prioritize regular chiropractic care for a properly aligned spine and a healthier, happier gut. Your body will thank you!

If you're experiencing digestive issues, Dr. Dukes can help.  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 once again live life on your

Patients often come to Dr. Dukes seeking relief from excruciating pain and discomfort that they refer to as a ‘pinched nerve’. In reality, a ‘pinched nerve’ is a common term used to refer to a host of issues such as a herniated disc, spinal stenosis, or other underlying issues. The pain can affect your daily life and overall well-being. While there are various treatment options available, Dr. Dukes uses chiropractic care and treatment to help patients find relief naturally without the risks associated with drugs or invasive surgeries. Her goal is to relieve pain and restore function so that patients can resume living life on their terms. If you’d like to know more about ‘pinched nerves’ and learn if chiropractic care might be right for you, read on as we explore the role of chiropractic care in treating ‘pinched nerves’.
 
Understanding Pinched Nerves
Before delving into how chiropractor care can help alleviate pinched nerve pain, it's essential to grasp what a pinched nerve is and how it can occur.
A pinched nerve, also known as nerve compression or nerve entrapment, happens when excessive pressure or compression is applied to a nerve by surrounding tissues, such as muscles, tendons, bones, or cartilage. This compression can disrupt the nerve's normal functioning, leading to pain, tingling, numbness, and weakness in the affected area. Pinched nerves can occur in various parts of the body, but they are most commonly found in the spine, where nerves are vulnerable to compression due to the proximity of vertebrae and discs.
 
Common Causes of Pinched Nerves
1. Herniated Disc: A herniated or slipped disc occurs when the soft, gel-like center of a spinal disc leaks out and presses against nearby nerves.
2. Spinal Stenosis: This condition involves the narrowing of the spinal canal, causing pressure on the spinal cord and nerves.
3. Bone Spurs: Overgrowth of bone tissue, often due to arthritis, can lead to the formation of bone spurs that press on nerves.
4. Poor Posture: Prolonged poor posture can lead to nerve compression, particularly in the neck and back.
5. Repetitive Movements: Engaging in repetitive motions, such as typing or using hand tools, can cause nerve compression, like carpal tunnel syndrome.
6. Trauma or Injury: Accidents, falls, or sports injuries can lead to pinched nerves in various parts of the body.
 
Relieve, Restore and Resume
Dr. Dukes is a healthcare professional trained to diagnose and treat musculoskeletal conditions with the goal of relieving pain and restoring function so that patients can resume normal function. She is known for her expertise in spinal adjustments and manipulations. Chiropractic techniques take a holistic approach to health and leverage the body's natural ability to heal itself to restore proper alignment and function to the spine and other musculoskeletal structures. When it comes to pinched nerves, Dr. Dukes relieves nerve compression and restores normal nerve function through natural techniques without the risks associated with drug therapies or invasive surgeries.
 
Techniques for ‘Pinched Nerve’ Relief
Dr. Dukes employs various chiropractic techniques to alleviate pain and discomfort associated with pinched nerves. These techniques are designed to improve spinal alignment, reduce inflammation, and promote the body's natural healing processes. Here are some common chiropractic approaches:
 
1. Spinal Adjustments: Spinal adjustments, also known as spinal manipulations, are the cornerstone of chiropractic care. During an adjustment, a chiropractor applies controlled force to specific vertebrae that are misaligned or causing compression on nerves. By realigning the spine, pressure on the affected nerves can be reduced, leading to pain relief and improved function. These adjustments are tailored to each patient's needs, and the chiropractor will choose the appropriate techniques based on the patient's condition and preferences.
 
2. Decompression Therapy: Decompression therapy is a technique commonly used to relieve pressure on the spine. It involves the use of a traction table or specialized equipment to gently stretch and decompress the spine. This can be particularly effective for patients with pinched nerves caused by conditions like herniated discs or spinal stenosis.
 
3. Soft Tissue Techniques: In addition to spinal adjustments, chiropractors may use soft tissue techniques to address pinched nerves. These techniques, including massage, myofascial release, and trigger point therapy, can help alleviate muscle tension and reduce the compression on nerves.
 
4. Lifestyle and Posture Recommendations: Chiropractors often provide guidance on lifestyle modifications and proper posture to prevent further nerve compression. This may include ergonomic adjustments in the workplace, exercises to strengthen and support the spine, and advice on maintaining a healthy weight.
 
5. Electrical Stimulation: Electrical stimulation therapies, such as TENS (Transcutaneous Electrical Nerve Stimulation), can be used to provide pain relief by stimulating the nerves and muscles in the affected area. This approach may help reduce the perception of pain associated with pinched nerves.
 
6. Ultrasound Therapy:  Ultrasound therapy uses high-frequency sound waves to stimulate deep tissues and increase blood flow. This can help reduce inflammation and promote the healing of damaged tissues, potentially providing relief from pinched nerve symptoms.
 
7. PEMF Therapy:  Pulsed electromagnetic fields (PEMF) are used to reactivate the communication process between the inside and outside of cells, accelerating tissue healing times. PEMF therapies help reduce inflammation and promote the healing of damaged tissues.
 
 
 
Care and Treatment of Specific Conditions 
1. Sciatica: Sciatica is a condition characterized by the compression of the sciatic nerve, which runs from the lower back down the legs. Chiropractors often use a combination of spinal adjustments and decompression therapy to alleviate pressure on the sciatic nerve. These treatments can provide relief from the pain, tingling, and numbness associated with sciatica.
 
2. Cervical Radiculopathy:  Cervical radiculopathy occurs when a nerve root in the neck is compressed, leading to symptoms in the arms, shoulders, and hands. Chiropractors can perform targeted adjustments to the cervical spine to relieve nerve compression and improve the patient's condition.
 
3. Carpal Tunnel Syndrome:  Carpal tunnel syndrome results from the compression of the median nerve in the wrist. Chiropractors may use wrist adjustments and soft tissue techniques to alleviate symptoms and promote proper nerve function.
 
Proven Safe Treatment 
Chiropractic care is generally considered safe when performed by qualified and licensed practitioners. However, as with any medical treatment, there are important considerations to keep in mind:
 
1. Consultation with a Healthcare Provider:  Before seeking chiropractic care for pinched nerve pain, it's advisable to consult with your primary care physician or a specialist to confirm the diagnosis and rule out any underlying medical conditions that may require different treatment approaches.
 
2. Choose a Licensed Chiropractor:  Ensure that the chiropractor you choose is licensed, experienced, and reputable. You can check their credentials, reviews, and references to make an informed decision.
 
3. Communication:  Open communication with your chiropractor is crucial. Be sure to discuss your medical history, the nature of your pain, and any concerns or preferences you may have regarding your treatment.
 
4. Customized Treatment Plans:  Chiropractic treatment plans should be tailored to the individual patient. Your chiropractor should assess your specific condition and design a plan that addresses your unique needs and concerns.
 
5. Monitoring Progress:   As you undergo chiropractic care, it's essential to monitor your progress and communicate any changes in your symptoms with your chiropractor. They can adjust your treatment plan accordingly.
 
Benefits of Chiropractic Care & Treatment 
Chiropractic care offers several potential benefits for individuals seeking relief from pinched nerve pain:
 
1. Non-Invasive:  Chiropractic care is a non-invasive approach to addressing pinched nerves. It does not involve surgery or medications, reducing the risk of adverse side effects.
 
2. Pain Relief:  Many patients experience significant pain relief following chiropractic treatment. By addressing the root cause of nerve compression through spinal adjustments and other techniques, chiropractors can help alleviate pain and discomfort.
 
3. Improved Function:  Chiropractic care aims to restore proper alignment and function to the musculoskeletal system. This can result in improved mobility and function, enabling patients to perform their daily activities with greater ease.
 
4. Holistic Approach:  Chiropractors often take a holistic approach to healthcare, considering your bodies natural ability to heal. This approach promotes long-term overall well-being and health.
 
5. Drug-Free:  Chiropractic care does not rely on medications, making it an attractive option for those who prefer drug-free pain management.
 
6. Personalized Care:  Chiropractors design individualized treatment plans for each patient, taking into account their unique condition and preferences. This personalization can lead to more effective results.
 
Conclusion
Chiropractic care offers a non-invasive, holistic approach to relieving pain from pinched nerves. Dr. Dukes use a combination of techniques, including spinal adjustments, decompression therapy, soft tissue methods, and lifestyle recommendations, to help alleviate nerve compression, reduce pain, and improve function. Chiropractic care is proven generally safe. In fact, the American College of Physicians (ACP) recommends first using noninvasive, non-drug treatments—such as chiropractic care—before resorting to over-the-counter drugs, prescription drugs or invasive procedures. That’s why Dr. Dukes encourages anyone seeking relief to start with a consultation and learn all treatment options as well as the risks and potential benefits.

Dr. Dukes and her team will help you understand the root cause of your pain and explore the most appropriate treatment options for your condition. Get back to living your best life. Call (813) 752-2525 to schedule a consultation. Learn how Chiropractic care will make a difference in the quality of your life.

We all love feeling our best. What many of us don’t think about is that it takes intentional effort to keep feeling our best. Join us as we explore the top ten reasons why people keep coming back to visit Dr. Dukes.

1. Truly being heard: Dr. Dukes knows that listening is an integral element of diagnosis, treatment and prevention. Your understanding of what is causing your health challenges is key to successful treatment, recovery and consistent wellness. That’s why her team focuses on communicating and educating throughout every interaction. 
2. Feeling safe: the risks of traditional drug treatments and invasive surgeries are well known. Did you know that chiropractic treatment is one of the safest medical treatments available? It’s a natural approach with few side effects and a consistent record of success in treating a variety of conditions among babies, children, teens and adults. 
3. Consistent wellness: Dr. Dukes help people feel their best more consistently. She is amazing at helping patients decrease the chance of injury by promoting improved joint range of motion, reduced muscle tension, improved circulation, lower stress, improve posture and boost energy. 
4. Reasonable Cost: Dr. Dukes treatment sessions are offered at affordable rates with overall costs typically much less than traditional health care practices where you never know the costs up-front and receive a dizzying array of bills from companies you likely never heard of. 
5. Improved Sleep: When you're in pain, getting enough good quality sleep can be extremely challenging. Many people find that after visiting a Dr. Dukes, they're finally able to sleep through the night resulting in vastly improved overall quality of life. 
6. Better Digestive Health: Chiropractic care can’t replace great dietary options however, it can help alleviate symptoms where digestive system breakdowns are triggered or aggravated by poor spine health. 
7. Reproductive Health: Did you know that the American Pregnancy Association advises chiropractic treatment for ladies who deal with infertility? Chiropractic changes unclog compressed nerves and increase blood flow to the reproductive organs. Expectant mothers visit Dr. Dukes through all phases of pregnancy and beyond bringing their children in for natural treatment of a variety of conditions impacting infants, toddlers, kids and teens. 
8. Natural Healing: Dr. Dukes is especially skilled at creating an environment for natural healing, which means that patients may not need to rely on medications or other artificial solutions to feel better. 
9. Mental Clarity: Pain and other physical conditions can be emotionally and mentally draining. However, many people find that they feel more in control and better able to cope with challenging situations after they visit Dr. Dukes because they better understand what’s causing their symptoms and the reduce pain from proper spine alignment allows them to focus again as they once did. 
10. More wins: Whether you're a professional athlete or just someone who likes to stay in the best shape possible, you'll find that Dr. Dukes and her team can help to improve your athletic performance by reducing aches and pains, improving your mobility and help you understand how to prevent re-injuring yourself so you can stay active.

If you've been suffering from chronic pain or other physical ailments, it's worth considering all of the reasons why people love visiting Dr. Dukes. She’ll help alleviate many of your specific issues and provide personalized and empathetic care that helps you feel your best. The natural healing and improved mobility resulting from good spine health is the foundation of wellness.

If you're interested in learning more about chiropractic care and its benefits, Call Dr. Dukes today at 813.752.2524 Schedule your examination and learn how Chiropractic Care will benefit you.