Graston

About the Graston Technique®

Changingthe way soft tissue injuries are treated

Graston Technique® is an interdisciplinary treatment used by more than 3000 clinicians—including athletic trainers, chiropractors, hand therapists, occupational and physical therapists.

GT is utilized at some 450 out-patient facilities and industrial on-sites, by more than 60 professional and amateur sports organizations, and is part of the curriculum at15 respected colleges and universities.

Graston Technique is an advanced form of myofascial release or soft tissue mobilization.  The procedure is instrument assisted and isused to detect and release fibrous restrictions that produce pain, weakness,and functional limitation for the patient The technique uses stainless steel instruments that are designed to beapplied to varying anatomical parts of the body to precisely examine and treat a variety of neuro-musculoskeletal conditions.

TheGraston Technique® Instruments, much like a tuning fork, resonate in the clinician's hands allowing the clinician to isolate adhesions and restrictions,and treat them very precisely. Since the metal surface of the instruments does not compress as do the fat pads of the finger, deeper restrictions can be accessed and treated. When explaining the properties of the instruments, we often use the analogy of a stethoscope. Just as a stethoscope amplifies what the human ear can hear, so do the instruments increase significantly what the human hands can feel.

Goals for the patient:

¨       Decreases overall time of treatment.

¨       Fosters faster rehabilitation/recovery.

¨       Reduces need for anti-inflammatory medication.

¨       Resolves chronic conditions thought to be permanent.

¨       Allowed to continue engaging in everyday activities w/treatment.

Some conditions that respond well to Graston Technique include:

Medial/lateral epicondylitis/osis.                      Carpal tunnel sydrome.

Plantar fascitis                                                 Patellar tendinitis/osis.                                              Dequervain’sSyndrome                                     Acute/chronic sprain/strains

IT Band Syndrome                                         Achilles tendinitis/osis

Neck and back pain                                        Rotator Cuff tendinitis/osis

Myofascial pain and restrictions.                    Non acute bursitis.

Reduced range of motion due to scar tissue ie: frozen shoulder. 

Dr. Shawnie Lamborn

1605 S. Eucalyptus#100

86th and Garnett

Broken Arrow, OK  74012

918.249.1535

What's that cool lookin tape that athletes wear? Kinesio taping! Rocktape!

Kinesio taping is more than just a fad to accessorize one's skin!!
Yes it does come in great colors and different widths.

The purpose of kinesiotaping:

• Kinesio taping enhances lymphatic drainage.  Lymphatic drainage is important in recovery from a game or an injury.
• Kinesio taping assist muscle movement and function.  It does not restrict movement.
• Kinesio taping prevents fatigue.
• Kinesio taping enhances proprioception.  Proprioception is a system that involuntarily plots information regarding your body position and balance improving performance.  
• Kinesio tape can be applied to compress the tissues or decompress the tissues to reduce swelling and promote recovery.

Call 918.249.1535  and schedule an appointment and I will teach you how to kinesio tape your problem area.

Stay in motion,

Dr. Shawnie
www.drshawnie.com
918.249.1535

Active Release Technique ~ A.R.T. in Tulsa

 ACTIVE RELEASE TECHNIQUE ~ A.R.T.

ART is another highly effective soft tissue technique I have implemented in my practice.

What is Active Release Technique (ART) to Patients?

ART is a patented, state of the art soft tissue system/movement based massage technique that treats problems with muscles, tendons, ligaments, fascia and nerves. Headaches, back pain, carpal tunnel syndrome, shin splints, shoulder pain, sciatica, plantar fasciitis, knee problems, and tennis elbow are just a few of the many conditions that can be resolved quickly and permanently with ART. These conditions all have one important thing in common: they are often a result of overused muscles.

How do overuse conditions occur?

Over-used muscles (and other soft tissues) change in three important ways:

• acute conditions (pulls, tears, collisions, etc),
• accumulation of small tears (micro-trauma)
• not getting enough oxygen (hypoxia).

Each of these factors can cause your body to produce tough, dense scar tissue in the affected area. This scar tissue binds up and ties down tissues that need to move freely. As scar tissue builds up, muscles become shorter and weaker, tension on tendons causes tendonitis, and nerves can become trapped. This can cause reduced range of motion, loss of strength, and pain. If a nerve is trapped you may also feel tingling, numbness, and weakness.

What is an ART treatment like?

Every ART session is actually a combination of examination and treatment. The ART provider uses his or her hands to evaluate the texture, tightness and movement of muscles, fascia, tendons, ligaments and nerves. Abnormal tissues are treated by combining precisely directed tension with very specific patient movements.

In Best of Health,

Dr. Shawnie
www.drshawnie.com
918.249.1535

Muscle cramps and cycling

Muscle Cramps – What does the science say?

In exercise the consensus is that there’s two types of cramps – whole body cramps (fairly uncommon but extremely distressing to the athlete), and cramping of individual muscle groups (eg. just calves or quads). When cyclists talk about cramping, generally what they’re referring to is cramping of individual muscle groups during or immediately after exercise, known as Exercise Associated Muscle Cramps (EAMC).

Cramps are generally thought of as short, painful muscle contractions.

EAMC are thought to occur because the nervous system’s control of muscle contraction and relaxation is somehow lost. Most people will know from experience that stretching a cramped muscle will relax it and relieve the pain – that’s because it activates parts of the muscle fiber that regulate relaxation. There’s a variety of nutrition supplements and remedies marketed as preventing or treating EAMC by preventing changes in the nervous system’s control of muscle contraction and relaxation. But do they actually work?

Only one study identified that a sports drink delayed the time until calf cramping commenced in comparison to not drinking anything.

Does loss of body weight or Total Body Water influence risk of cramping? There’s not a lot of research in this area, but what does exist suggests that it doesn’t. As one recent review of the science described: “A careful review of the literature did not identify a single published scientific study showing that athletes with acute EAMC are more dehydrated than control athletes

 Since 1986 four controlled studies have been published, all showing no relationship between any electrolyte levels and the risk of cramping during exercise. In these studies there was no difference in electrolyte levels at the time of cramping compared to other times (or the athletes who didn’t cramp at all). And when cramping resolved there was no change in electrolyte levels that could explain an effect of rehydration or supplementation to relieve the cramping. This is probably not a surprise considering that EAMC’s are localized – they occur in a specific muscle group or groups. How would an electrolyte imbalance throughout the whole body cause cramping in only one muscle group?

Distinct risk factors for developing EAMC have emerged:

§         Aggressive pacing strategies (trying to go faster than your current personal best over a set distance).

§         Racing at a higher intensity then what you normally ride in training

§         Riding for longer than you‘re used to

§         Doing another type of exercise you’re not used to (eg. a cyclist running a one-off marathon)

Given that most people only cramp during the latter stages of a race, on an epic ride, a monstrous hill climb or after spending time off the bike, these factors are probably not a huge surprise to you. It’s also interesting to note that the volume or intensity of training does not predict cramping risk. The difference appears to be that the athletes who are over-ambitious and try to punch above their weight on any given day increase their risk of cramping.

It’s thought that some form of muscle fatigue occurs which leads to the onset of EAMC. This appears particularly true when a muscle group is working in a shortened position (eg. calves when pointing your toes in swimming, quads when you get out of the saddle and fully extend the legs of a bike). This suggests that poor biomechanics may increase muscle fatigue and lead to greater risk of cramping.

Helpful strategies to minimize your risk of EAMC :

• A good bike setup is not a bad idea if you’re a frequent cramper.
• Make sure you get at least some training sessions in at the intensity that you race at, some long rides (equal or longer than races).
• Maximizing carbohydrate consumption during a race may also help reduce cramping risk by maximizing the number of fibers being activated in a muscle group and minimizing fatigue.
• Being checked for proper spine alignment.  The spine house the nervous system and when misaligned will effect the neurologic input to the muscles resulting in decrease power, endurance, and cramping.  Getting a chiropractic adjustment may ameliorate EAMC.

www.drshawnie.com

918.249.1535

Chiropractic sports physician

Chiropractor in Broken Arrow

15 Game-Changing Wireless Devices to Improve Patient Care

15 Game-Changing Wireless Devices to Improve Patient Care:



Click on this link  http://www.medscape.com/features/slideshow/wireless-devices?src=wnl_edit_specol&uac=143222DK#1



1. A Foolproof Medication Compliance Monitor
A tiny ingestible sensor by Proteus Digital Health "is a game changer for medication compliance," Dr Scher believes. "The sensor, which costs less than a penny, is placed on a pill. It gets activated by stomach juices when it's ingested. A digital signal is then sent to a Band-Aid®–like monitor worn on the patient's arm." This records the medication taken, ingestion time, heart rate, body temperature, body position, and rest and activity patterns. "You view these data in the context of how effective a given pill is," Dr Scher says. "For example, if someone is taking a heart medicine that you want to decrease their heart rate, you can tell whether the rate is slow with activity because the medication is working or because the patient is inactive." The data are wirelessly transmitted to a smartphone app, which in turn relays it to a monitoring provider, caregiver, or family member. Sensors are coded to specific medications during the pharmaceutical manufacturing process. "Patients receive text message reminders if they don't take their pills," Dr Scher adds. "It's the ultimate 'I-took-the-pill' tool."

2. "A Scale That Measures Much More Than Your Weight The Withings Smart Body Analyzer is a Bluetooth device that monitors fat mass, lean mass, and body mass index with FDA-cleared bioelectrical impedance analysis. It also monitors your pulse (with an accompanying blood pressure cuff), records your standing heart rate history, and measures temperature and carbon dioxide to assess air quality. A companion smartphone app tracks running, weight loss, activity and calorie levels, and cardiovascular fitness. The device also mates with over 100 popular partner apps, including RunKeeper, MyFitnessPal, and Lose It!, and Wi-Fi connectivity enables users to share data. The scale has value for patients with diabetes, asthma, and other respiratory ailments. "It's also useful for patients with congestive heart failure, where weight gain is the primary parameter you follow," notes Dr Scher. "A patient with congestive heart failure can gain 3 lb in a day owing to fluid retention.""


www.drshawnie.com

Chiropractic physician

918.249.1535'via Blog this'

Sports and Anti-aging nutritional therapies

Nutritional Therapies and Anti-Aging Research James P. Meschino, DC, MS About the Columnist Other Articles

Sports Supplements That Actually Work

In the course of daily practice, many young and even older athletes ask about the value of certain supplements in regards to enhancing athletic performance, muscle and strength gains, explosive power, etc. Many supplements are more hype than science, as we all know; however, several supplements have impressive research to support their use as ergogenic aids. Sports supplements such as whey protein powder, sodium bicarbonate (or sodium citrate), creatine, L-glutamine and ornithine and arginine top the list of legitimate supplements for athletes to use in this regard.

Let's consider the synergistic effects of combining creatine, L-glutamine, ornithine and arginine to enhance athletic performance, accelerate strength, muscle and explosive power gains, and reduce risk of upper respiratory tract infections in athletes. Creatine supplementation is proven to increase strength, explosive performance, and lean mass in athletes. Creatine also preserves strength as athletes age, keeping them more functional. It has even been shown to improve strength and functionality in patients with multiple sclerosis and other neurodegenerative diseases, as well as in patients with chronic heart failure.

L-glutamine has been shown to decrease muscle catabolism during workouts and reduce the incidence of upper respiratory tract infections in athletes undergoing heavy training. L-glutamine is the primary fuel for many immune cells.

Supplementation with arginine and ornithine has been shown to boost release of growth hormone from the anterior pituitary gland, and thus accelerate lean mass development in young athletes and preserve lean mass in individuals over age 40, who typically show an age-related drop-off in growth hormone and insulin-like growth factor (IGF-1) blood concentrations.

Micronized Creatine Monohydrate

Creatine is an amino acid stored in muscle in the form of creatine phosphate. During explosive or intensive exercise, creatine phosphate is broken down by a specific enzyme to yield creatine plus phosphate plus free energy. The free energy released from the breakdown of creatine phosphate is used to regenerate ATP, which is the fuel that powers muscle contraction.^1-2

A number of studies have demonstrated that short-term creatine supplementation increases creatine phosphate stores in skeletal muscle by 10-40 percent.³ In combination with proper training, creatine supplementation leads to an increase in muscle mass, which is thought to occur from increased protein synthesis as the muscle lays down an increased number of contractile myofilaments (protein bands that contract and generate force). Increased muscular fluid retention may also participate in muscle volume gains with creatine use.^4-7

It also appears that creatine supplementation may allow athletes to train harder (due to increased available energy for muscle concentration), which promotes strength gains and increases muscle size due to hypertrophy (larger muscle fiber size).^2-3 Several studies have shown that creatine supplementation improves performance in repeated bouts of high-intensity strength work and repeated sprints, which are primary determinants and requirements for many sports.^8-18

In short, substantial evidence suggests creatine supplementation can increase lean body mass, muscular strength, and sprint power. As an anti-aging consideration, creatine supplementation has also been shown to help preserve strength as individuals age, and is used successfully as an adjunct in the management of various neuromuscular diseases and heart failure.^19-24

The established protocol for creatine supplementation used by athletes involves a loading dosage of 20-25 grams per day for the first 5-7 days. Typically, an athlete will mix a heaping teaspoon of creatine monohydrate crystals into a glass of juice to obtain about 5 grams of creatine. During the loading phase, the athlete does this on four or five occasions throughout the day to achieve an intake of 20-25 grams. After the loading phase is completed, the maintenance daily dosage is usually five to 10 grams per day.

Supplementation with creatine monohydrate (best absorbed in the micronized form) has been shown to be the preferred form of creatine supplementation, as it dissolves very well in a glass of juice (e.g., grape juice; no residue at bottom of glass) and is highly absorbable within the gut.

L-Glutamine

L-glutamine is the most abundant amino acid in the bloodstream and the body. Glutamine is also a main anti-catabolic agent in muscle, which when supplemented, may help preserve muscle tissue (preventing its breakdown) during and after exercise. The heavier one trains, the greater the stress on muscle and the greater the breakdown (catabolism) of muscle mass, as the muscles release glutamine into the bloodstream.²⁵

During and following exercise or trauma, large amounts of alanine and glutamine are released from muscle. In turn, alanine and glutamine travel through the bloodstream to the liver where they can be used to form glucose and glycogen. Glutamine supplementation has been shown to maintain muscle mass in catabolic patients.²⁶ Thus, athletes often supplement with L-glutamine (1,000-2,000 mg per day) to decrease muscle breakdown during training.³⁰

Glutamine supplementation in endurance athletes has been shown to reduce the incidence of infections in this population, members of which are known to have their immune system suppressed by excess training of this nature. A double-blind, placebo-controlled study showed that glutamine supplementation at a dose of 5 grams, taken after the end of exercise in 151 endurance athletes, resulted in a significantly lower incidence of infections (19 percent) compared to the placebo group (51 percent) during the study period.²⁷

It has been suggested that the immune system suppression associated with endurance exercise may be due in part to reduction in glutamine that results from intensive training. Another study, using the same protocol, demonstrated that 81 percent of athletes taking glutamine had no subsequent infection during the study period compared to 49 percent in the placebo group.²⁸

Arginine and Ornithine

Arginine and ornithine are amino acids that have been shown to increase the release of growth hormone (growth hormone secretagogues) when supplemented at a dose of 500 mg each, twice per day, five times per week. These initial studies were performed on young athletes. Acting as growth hormone secretagogues, these two amino acids increase growth hormone release, which, in turn, increases synthesis and release of insulin-like growth factor-1 (IGF-1) from the liver. It is IGF-1 that exerts the anabolic and other physiological effects attributed to growth hormone on the tissues of the body.

As we age, growth hormone and IGF-1 levels decline, facilitating breakdown of lean mass and bone mass. Supplementation with arginine and supplementation with arginine and ornithine can help reverse this trend, elevating and preserving IGF-1 levels. This has important anti-aging effects on the musculoskeletal system. If the individual is performing resistance training and consuming adequate protein, then arginine and ornithine supplementation can help enhance lean mass and strength gains, even in older individuals. This helps to keep individuals more functional as they age, elevates their metabolism, and helps to reduce body fat.

L-arginine is also converted to nitric oxide, which dilates blood vessels and feeds muscles additional nutrients and oxygen. This effect has also been shown to enhance athletic performance.^29-30

Natural Performance Enhancement

Supplementation with a product that combines creatine monohydrate (ideally micronized creatine), L-glutamine, and arginine and ornithine at scientifically proven dosages, provides athletes young and old with legitimate ergogenic and anti-aging effects in regards to enhanced muscle, lean mass, strength and explosive power gains, and immune system support. Stirred into a glass of juice (4-6 ounces) on an empty stomach between meals, these nutrients have proven performance effects in young and older athletes. They can help preservefunctional ability as individuals age (more strength and lean mass in older subjects) and should also be used in the adjunctive management of many neurodegenerative conditions. The same is true for heart-failure patients, who can use this strategy under the supervision and monitoring of their physician or medical specialist.

References

1. Kreider RB. Creatine, the next ergogenic supplement? Sportscience Training and Technology. Internet Society for Sports Science.
2. Kreider RB. Creatine supplement: analysis of ergogenic value, medical safety, and concerns. Journal of Exercise Physiology (online), 1998;1(1).
3. Bramberger M. "The Magic Potion." Sports Illus, 1998;88(16):58-65.
4. Bessman SP, Savabi F. The Role of the Phosphocreatine Energy Shuttle in Exercise and Muscle Hypertrophy. In: Taylor AW, Gollnick PD, Green HJ (eds.). International Series on Sport Sciences: Biochemistry of Exercise VII. Champaign, IL, Human Kinetics, 1988;19:167-178.
5. Ingwall JS. Creatine and the control of muscle-specific protein synthesis in cardiac and skeletal muscle. Circ Res, 1976;38(5 suppl 1):I115-I123.
6. Sipila I, Rapola J, Simell O, et al. Supplementary creatine as a treatment for gyrate atrophy of the choroid and retina. N Engl J Med, 1981;304(5):867-870.
7. Almada A, Kreider R, Ferreira M, et al. Effects of calcium-HMB supplementation with or without creatine during training on strength and sprint capacity. FASEB J, 1997;11:A374.
8. Earnest CP, Snell PG, Rodriguez R et al. The effect of creatine monohydrate ingestion on anaerobic power indices, muscular strength and body composition. Acta Physiol Scand, 1995;153(2):207-209.
9. Burke LM, Pyne DB, Telford RD. Effect or oral creatine supplementation on single-effort sprint performance in elite swimmers. Int J Sports Nutr1996;6(3):222-223.
10. Dawson B, Cutler M, Moody A, et al. Effects of oral creatine loading on single and repeated maximal short sprints. Aust J Sci Med Sports, 1995;27(3):56-61.
11. Redondo DR, Dowling EA, Graham BL, et al. The effect of oral creatine monohydrate supplementation on running velocity. Int J Sports Nutr,1996;6(3):213-221.
12. Kreider RB, Ferreira M, Wilson M, et al. Effects of creatine supplementation on body composition, strength, and sprint performance. Med Sci Sports Exerc, 1998;30(1):73-82.
13. Poortmans JR, Auquier H, Renaut V, et al. A effect of short-term creatine supplementation on renal responses in men. Eur J Appl Physiol,1997;76(6):566-567.
14. Mazzini L, Balzarini C, Colombo R, Mora G, Pastore I, De Ambrogio R, Caligari M. Effects of creatine supplementation on exercise performance and muscular strength in amyotrophic lateral sclerosis: preliminary results. J Neurol Sci, 2001 Oct 15;191(1-2):139-44.
15. Persky AM, Brazeau GA. Clinical pharmacology of the dietary supplement creatine monohydrate. Pharmacol Rev, 2001 Jun;53(2):161-76.
16. Stout JR, Eckerson JM, May E, Coulter C, Bradley-Popovich GE. Effects of resistance exercise and creatine supplementation on myasthenia gravis: a case study. Med Sci Sports Exerc, 2001 Jun;33(6):869-72.
17. Witte KK, Clark AL, Cleland JG. Chronic heart failure and micronutrients. J Am Coll Cardiol, 2001 Jun 1;37(7):1765-74.
18. "A Leg to Stand On." Better Nutrition, May 2002;64(5):20.
19. Chrusch MJ, Chilibeck PD, Chad KE, Davison KS, Burke DG. Creatine supplementation combined with resistance training in older men. Med Sci Sports Exerc, 2001 Dec;33(12):2111-7.
20. Gotshalk LA, Volek JS, Staron RS, Denegar CR, Hagerman FC, Kraemer WJ. Creatine supplementation improves muscular performance in older men. Med Sci Sports Exerc, 2002 Mar;34(3):537-43.
21. Gordon A, Hultman E, Kaijser L, et al. Creatine supplementation in chronic heart failure increases skeletal muscle creatine phosphate and muscle performance. Cardiovasc Res, Sep 1995;30(3):413-8.
22. Andrews R, Greenhaff P, Curtis S, et al. The effect of dietary creatine supplementation on skeletal muscle metabolism in congestive heart failure.Eur Heart J, Apr 1998;19(4):617-22.
23. Healthnotes, Inc., 2001. www.healthnotes.com
24. Walter MC, Lochmueller H, Reilich P, et al. Creatine monohydrate in muscular dystrophies: a double-blind, placebo-controlled clinical study. Neurology,2000;54:1848-50.
25. Roth E, et al. Glutamine: an anabolic effector. J Parent Ent Nutr,1990;14:1305-65.
26. Lacey JM, Wilmore DW. Is glutamine a conditionally essential amino acid?Nutr Rev, 1990;48:297-309.
27. Castell LM, Poortmans JR, Newsholme EA. Does glutamine have a role in reducing infections in athletes? Eur J Appl Physiol Occup Physiol,1996;23:488-90.

Be Strong,

www.drshawnie.com

918.249.1535

Medscape Physician Compensation Report 2014

Medscape Physician Compensation Report 2014:



Just thought you might be curious!!



'via Blog this'

What's your passion!

“To do what you love is to hold one’s breath, when all faculties converge to become reality. It’s at that precise moment that mastering a skill becomes a great physical and intellectual joy,” drshawnie. 

Please share with me what your passion is?