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.

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.

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.

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. 

Most people know that Chiropractic care is a proven effective for relieving back pain, neck pain and headaches. What surprises many is just how many other conditions are effectively treated through Chiropractic Care.

Dr. Dukes and her team help patients suffering from a wide variety of conditions find relief and learn how to promote wellness without dangerous drugs or risky surgeries.

Did you know that Chiropractic Care can help you…

Reduce stress: Stress can have a negative impact on the body and lead to a host of health issues. Chiropractic adjustments can help reduce stress and promote relaxation.
 
Improve digestion: The nerves in the spine are closely linked to the digestive system. By promoting proper nerve function, chiropractic care can help improve digestion.
 
Reduce dependence on medication: Through regular chiropractic care, patients may be able to reduce their dependence on medication for pain relief.
 
Improve your posture: Poor posture can lead to a host of health problems, including back and neck pain. Through chiropractic adjustments, patients can improve their posture and reduce their risk of developing these issues.

Reduce Colic symptoms: Chiropractic treatment and therapies have a long history of helping reduce Colic in babies.
 
Increase your flexibility: Regular chiropractic care can help improve range of motion in the body, leading to increased flexibility and mobility.
 
Boost your immune system: The nervous system and immune system are closely linked. By promoting proper nerve function through chiropractic adjustments, the immune system can be boosted.
 
Sleep better:  Pain and discomfort in the body can make it difficult to get a good night's sleep. Chiropractic adjustments can reduce pain and promote relaxation, leading to improved sleep.
 
Enhance athletic performance: Chiropractic care can help athletes recover from injuries and improve their performance by promoting proper alignment and reducing tension in the body.
 
Improve balance: Poor balance can increase the risk of falls and injuries. Chiropractic adjustments can help improve balance and reduce this risk.
 
Reduce inflammation: Inflammation in the body can lead to a host of health problems. Chiropractic adjustments can help reduce inflammation and promote wellness.
 
Chiropractic care offers a wide range of benefits for those dealing with pain and discomfort in the body. From pain relief and headache relief to improved posture and reduced inflammation, there are many reasons to consider chiropractic care as a form of treatment. Dr. Dukes helps patients improve their overall wellness and strives to help eliminate or at least reduce dependence on pain relief medication.

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 if Chiropractic Care is right for you.

If you’re focused on living your best life, Dr. Dukes can help you stay on track and keep wellness your families daily practice. Check out 11 reasons why patients love visiting Dr. Dukes and have chosen to make Chiropractic Care a foundational element of their personal wellness:

1. LISTENING
Helping you better understand what is causing your health challenges is key to successful treatment and recovery programs. ​Dr. Brenda Dukes and her team focus on communicating and educating you.

2. BETTER OUTCOMES WITH LESS RISK
Patients feel more comfortable knowing that chiropractic care doesn’t involve dangerous drugs nor invasive procedures. In fact, many physicians and surgeons first refer patients for chiropractic care before moving onto higher-risk choices such as opioids or surgery.

3. THINKING MORE CLEARLY
Enhanced cognitive function: Chiropractic care may help improve cognitive function by reducing stress and inflammation in the body, which can have a positive impact on brain health.

4. MOOD-BOOSTING
Sure patients feel great when they leave the office but the real success is how they're able to get back to living life on their terms everyday.

5. WONDERFUL SLEEP
If you've ever suffered from irregular sleep you understand why people love to regular visits with Dr. Dukes. Here treatments help improve blood flow in the nervous system so you can get back to regular sleep patterns.

6. REDUCED STRESS AND ANXIETY
Many people love chiropractic care since it reduces stress, and can also help with anxiety.

7. IMPROVED DIGESTION
You may not consider the chiropractor as the first place to go for tummy troubles, but Chiropractic adjustments may help improve digestive function by reducing nerve interference to the digestive system.

8. BETTER PERFORMANCE
Whether it’s the sports field or the stage, people love chiropractic care because it improves performance. Chiropractic care has various benefits, including improving flexibility, range of motion, and endurance. No matter what your active lifestyle looks like, chiropractic care keeps your body running like a well-oiled machine.

9. SOOTHES HEADACHES
At some point or another, we all have dealt with headaches. However, chronic headaches or migraines are the worst kinds. Chiropractic care helps alleviate migraines and headaches by improving spinal function and relieving stress on the body.

10. BOOSTED IMMUNE SYSTEM
People love chiropractic care because it doesn’t just strengthen the immune system, it also helps with allergies.

11. WELLNESS AND PREVENTION
Stay strong and flexible through chiropractic care. It's a foundational step in your health and wellness.

If you're not feeling your best, reach out to Dr. Dukes. Schedule your consultation and learn how she can help you get back to living life on your terms everyday.  (813) 752-2524

Hopefully you've never been forced to think about just how vital spine health is. Everyday activities like playing with your kids, shopping, standing, sitting, sneezing and even reaching to pick up a piece of paper can turn into major ordeals when your spine is out of sorts. Here are a few tips to keep your spine in tip-top shape:

• Lift with your legs; avoid bending over when lifting any object
• Maintain a healthy weight
• Stay hydrated
• Strengthen your core
• Stay fit with daily exercise; avoid sedentary lifestyles
• Visit Dr. Dukes for regular adjustments

Following these common-sense tools combined with regular adjustments is powerful preventive medicine. Call Dr. Dukes. Schedule your consultation and learn how chiropractic care can keep you living life on your terms. Call today (813) 752-2524.

  who seek headache treatments have mixed results at best. Patients frequently focus on seeking help through medication because they don’t realize that they have any other choice. The good news is that Dr. Dukes is extremely effective at reducing the intensity, severity, and frequency of various headache symptoms through non-invasive and drug-free treatment.

Specialists like Dr. Dukes address the root causes of many types of headaches. There are three common headache types that people experience: Tension, Migraine and Cervicogenic. A tension headache may feel like someone is “pressing a band” around your head. A migraine headache may create tension or pain in just one side of the head. However, migraines are often accompanied by nausea and light and sound sensitivity. Cervicogenic headaches are talked about less frequently than tension headaches and migraines and typically create pain in one or more spots in the face or head.

'Headaches' is a very broad term. It's important to focus clinically on the root cause. Repetitive stress, physical trauma, poor sitting, standing, or sleeping posture and unsupportive pillows are a few of the common causes allowing your upper thoracic and cervical spine vertebrae to shift out of alignment.

As providers of natural, proactive care, chiropractors like Dr. Dukes are in a unique position to relieve your headache pain.  Dr. Dukes will focus on several treatment objectives such as:

•     Reducing irritation in the nerves that are responsible for sending pain signals to the brain.
  
•     Restoring communication among elements of your nervous system.
•     Getting healthy, normalized blood flow going.
•     Strengthening muscles that provide support to your spine.

What makes chiropractic care such a powerful tool in treating headaches is the hyper-focus on the root cause of your pain.  When you're ready to feel your best and live life on your terms, call Dr. Dukes. Schedule your consultation and learn how chiropractic care can give you the relief you need today and the tools to minimize future pain. Call today (813) 752-2524.