Many people don’t realize that infants and children can benefit from chiropractic care.  Even though I do not have kids yet myself (besides the four-legged kind), I absolutely love treating infants and children.  From a very young age I have always enjoyed kids and this extends into my job on a daily basis.

Let’s start from the very beginning, chiropractic care can help infertility issues.  I have helped numerous couples achieve pregnancy whether it be from a chiropractic and/or acupuncture standpoint including co-treatment with IVF treatments.  We also discuss how mom can and needs to take care of her body both physically and mentally.  I can’t tell you how happy and ecstatic I am when they tell me they have had a positive pregnancy test; sometimes I truly think I am sometimes more excited than the couple. 

Chiropractic care during pregnancy for mom is very important also.  Chiropractic care throughout pregnancy has been proven to help labor and delivery go smoother and faster.  Chiropractic care throughout pregnancy helps balance mom’s pelvis and ligaments so baby can be in the most optimal position for birth.  Webster Technique/Protocol is a specific technique that I use to help balance mom’s pelvis and ligaments.  (http://icpa4kids.org/Chiropractic-Research/webster-technique-defined.html)

Today’s topic is going to focus more on chiropractic care for babies and infants.  I have seen infants and children for a number of different things.  It has ranged from colic, ear infections, bed wetting (in older children), issues with equal breastfeeding on each side, improvements in sleeping, and many others.  The International Chiropractic Pediatric Association (ICPA) has many studies showing the safety and efficacy on chiropractic care for children.  Here is just one: http://icpa4kids.org/Chiropractic-Research/treatment-related-aggravations-complications-and-improvements-attributed-to-chiropractic-spinal-manipulative-therapy-of-pediatric-patients-a-practice-based-survey-of-practitioners.html .

Why should children receive chiropractic care?  In short, birth is a traumatic event.  Whether we recognize it or not, trauma happens; for example: a short or long labor, use of drugs to induce or strengthen contractions, pulling or assisted (forceps, vacuum, etc) vaginal delivery.

How will my child be adjusted? They are so small….

                I first assess the baby’s spine and joints to find and locate areas that are restricted, not moving correctly.  Then I discuss with the parent what I am finding and use a very safe, gentle manipulation to increase the function of the joint.  Many times babies get more relaxed throughout their appointment and are happy and/or sleepy at the end. 

All babies go through the same developmental stages as they grow and learn more about themselves.  This is why it is important for infants to be allowed to develop on their time; meaning not put in a sitting position before they can do it themselves or “walking” while parents hold onto their arms.  Developmental stages are so important, not to be rushed or skipped over. 

Here is an example:  when an infant is born they have little to no control of their diaphragm/core/pelvic floor.  This is why they are unable to hold their head up and when they cry often they arch their back and go rigid.  After a few weeks, they have more control of their diaphragm and then can stabilize to hold their head, start to focus on objects, etc. 

Assessing an infant in the office, I often just watch them to see where they are at in the developmental sequence.  I also look at reflexes to make sure they are developing on track neurologically.  Adjusting kids as I mentioned above is completely different than adjusting adults.  They often respond much faster than adults and parents can see a change quickly. 

If you have any questions, please reach out to our office! I would love to be able to help your little one.

Thank you to the https://icpa4kids.com/ website for several pictures and references to articles.  Feel free to click on the above website to do your own research on all their topics!

There are several types of headaches and all of these are caused by different reasons.  The more common types of headaches are tension headaches, migraine headaches, cluster headaches, and sinus headaches.  Tension headaches are more commonly caused by stress, clenching/tightening of the jaw and face muscles; they typically resolve themselves after the stressor is over.  Migraine headaches is a vascular (blood) abnormality; they are typically more debilitating and can cause sensitivity to light and sound.  Cluster headaches are repeated headaches that last a shorter amount of time.  Sinus headaches are more commonly felt in the cheek bones or forehead; this is caused due to your sinus cavities getting inflamed.

The following are some commom causes of headaches that are seen in our office and what we can do to help you feel better.

Dehydration

Water is a big part of being healthy and taking care of yourself

In general, you should be drinking ½ your body weight in ounces on a normal day.  If you are sweating or exerting yourself more, more water should be consumed.

Water = water.  No, your coffee, tea, or ice does NOT count towards your water intake.

Tip: always keep a water bottle with you, you are more likely to drink the water if it is convenient.

Tension/Stress

Many people in today’s world are always worried about something; just make sure it isn’t causing you more than just a little more thought.

People if under too much pressure, often clench their jaw or are tense throughout your upper back and shoulders.  This causes unwanted and unnatural stress which can cause headaches.

Tip:  Come up with something that helps you relieve your stress.  Mine is taking the dog for a walk or working out.

Squinting/Eye issues

We always check with patients if they have had an eye exam recently.

We have seen people whose prescription has changed or now need glasses whom do not know it.

Excessive screen time also puts additional stress on your eyes…so make sure you finish this article and then take a break from your screen 😊

Tip: Pay attention to your posture (see details below).

Diet

If other things have been ruled out and headaches or migraines are still present, you should look at what you are eating.

Gluten and dairy are two key factors that can cause headaches.

Your body reacts to food differently than anyone else.  Elimination diets are very helpful in giving feedback for intolerances to food.

Tip:  Elimination diets can seem daunting but think of how much better you could feel if you take care of your body.

Posture

Anyone who has poor posture could suffer from headaches (this could fall under tension/stress headaches).

In a sitting job, people tend to sit slumped and have their shoulders rolled forward; this puts extra tension and stress on your neck.

Poor workout posture and technique can also lead to headaches. 

Tip: Ask us at your next appointment the best posture for your job.  Or better yet, contact us and we’d be more than happy to come to your company and talk about this more!

These are just a few things that can cause headaches or migraines.  This is something you should not have to deal with on a consistent basis.  Our office has had excellent results with helping reduce or eliminate headaches/migraines.  We use a combination of chiropractic care, acupuncture, and active rehabilitation in our treatments to get the best result for you.    

Move Better, Feel Better.

**As always, if you think there is something more serious going on make an appointment with your MD or go to a walk-in clinic. 

Images are from Google Image Search

Many people look forward to the start of a new year to start new things, move on and forget things, or to continue their current goals.  It’s February now….how are you doing with this?  Oftentimes it is hard to see the small things that lead to bigger changes.  Personally, we think it is important to set small goals in order to keep motivated and notice your hard work is paying off. 

2018 my goal was to work out 3 times a week.  That was a reasonable goal that I thought I could accomplish, setting a goal of something higher would have only led me to fail and give up.  Were there weeks that I didn’t make my goal? Absolutely and I was mad at myself; I would then say, this week is a new week, don’t let last week carry on into this one.  When 2019 started, my goal is the same.  I am happy with 3 times a week; would I like to be able to do it more? Yes, but I need to balance both work and my personal life. 

Small consistent changes lead to big outcomes; challenge yourself but set something obtainable.  Here are some things that I feel are important:

• Hydration
  • A good general guideline is ½ of your body weight in ounces daily, on a normal day.  On days that you work out, this should be more.
• Nutrition
  • What you put into your body is important.  Our body works 24 hours a day, we have to give it what it NEEDS to sustain our everyday life not what we want.
• Exercise
  • Find something you enjoy and get moving!
• Happiness
  • Think of positives that happen in your life on a daily basis.  We often forget the small things.  I have a job, a roof over my head, and food in the fridge.

2019 has started out busy for us and we can’t wait to see where it goes.   I (Dr. Michelle) is continuing my education in Dynamic Neuromuscular Stabilization and pediatric classes.  Dr. Tyler is working on his McKenzie Method of Mechanical Diagnosis and Therapy training to hopefully sit for the credentialing exam in late 2019 or 2020. 

So as my title says, New Year, New You, Better Us; we are continually growing in our knowledge to help our patients.  You should never stop learning….”The day you stop learning, is the day you start decaying” (Isaac Asimov).  Our outlook for our office is keep learning to better ourselves and better our patients.  Move better, feel better. 

Sports rehabilitation often confuses people in what it means.  It has many different meanings depending on who you talk to and what their specialty is in.  I want to explain what it means to us in our office and how we apply it to every single one of our patients.  Don’t dismiss “sports rehabilitation” by thinking that you don’t participate in sports so it doesn’t apply to you.  Everyone has their own “sport” that they get involved in on a daily basis.  This includes, but not limited to: playing with your kids, crossfit, running, being able to walk to the mailbox to get your mail, or anything that you want to be able to accomplish in your life that something is stopping you from.

Having said that, just because you don’t have an injury does not mean that you couldn’t benefit from sports rehabilitation.  We want our patients to be prepared for anything that life throws at them.  We look at how the body functions to see possible injuries waiting to happen.  We look at how you do your sport and home exercises are huge in our office.  We want to help you and in turn want you to be able to help yourself when you aren’t in our office.

Below I am going to give examples to hopefully help show you what our office does to apply the sports rehabilitation model to our office.  These are based on real people we have seen in our office.  We treat everyone in our office like they are part of our family.  We look at the issue that you are having but look at the big picture to see what else could possibly be going on.

Example #1:

Female patient that is in her mid 40’s comes into our office with extreme low back pain.  When she walked in she was leaning forward and unable to stand upright.  She said when she woke up that morning she felt the pain and was unable to sleep very well that night.  At the time, she did not have pain down either leg.

Once in our office I checked her range of motion, which was very limited, and very specifically adjusted her mid back and sacrum (tailbone).  Afterwards, acupuncture was used to increase blood flow, speed up the healing process, and she was given a very specific exercise to help her decrease pain and increase function while she was not at the office.  The exercise that was given to her is patient specific.  After just a couple visits she was feeling much better and then we assessed her function of her low back to help stabilize her to reduce the chance of injury in the future.

Example #2:

Young 20 year old female presented with headaches that have been plaguing her since high school.  She had seen an MD, neurologist, and pain management specialist whom had run multiple tests and with no true answers; she was prescribed prescription medications.  She was seeking a more natural approach to handling her headaches and anxiety about them.

After a thorough exam, the patient had her neck and mid back adjusted.  We then talked about her posture while working; proper work ergonomics are very important.  We also talked about specific ways for her to reduce her anxiety and focus on her breathing if she felt anxious.  Headaches improved greatly with chiropractic care along with exercises for her to perform to strengthen and stabilize the front neck muscles.  These help retrain the brain and teach it how to have functional stability.  We all learn functional stability as a child but often loose it as adults because of injuries or improper movements.

Example #3:

A 30 year old male patient comes into our office with right hip pain (located in the front); he is an office worker that sits most of the day; he is active outside of work and works out about 5 days a week at one of the local gyms.  He says standing makes the pain worse and working out (lifting and running) is starting to suffer because of the pain.

After a thorough exam, it was determined that the hip seemed to actually be the issue.  With hip mobilization and hip treatment with specific exercise he started feeling improvement within a few visits.  We also watched him do some weight lifting in office to help give pointers on form.  He has been feeling good and now comes in on a maintenance plan to help himself feel better and prevent future injuries.

I hope this helps you understand what our office does and how we can help you be your best.  There is no “miracle” exercise that I give every patient that works; this is why an exam and visits are extremely important.  Our goal is to decrease pain but also to increase function and stability which helps prevent re-injury.  We pride ourselves on helping you help yourself, we merely give you the knowledge and power to help yourself.  Move better, feel better is our slogan.  Once you understand what and why certain movements are harmful and hurtful to you, you understand more about what we stand for.  We love the challenge to help people with a combination of our tools: chiropractic, acupuncture, and sports rehabilitation.

This blog we are going to talk about common running injuries that we see in our office on a regular basis.  We are going to cover what the injury is, preventative tips, and treatment.  These are merely tips that are meant to help you and educate you.  As always, if you think there maybe something more going on, schedule an appointment face to face with someone that would be able to assess your injury.

As the weather decided to get warmer we all want to get out and enjoy it.  As a runner, you need to take care of yourself so that you are able to run throughout the summer and be able to enjoy it injury-free.  We typically see hip, knee, and foot complaints in runners since that is the part of the body that is hitting the pavement in a repetitive pattern.  In general, active warm-ups are a great way to prime your body for running; stretching is much more productive after a run to cool down.  Many people think that running is only a lower body sport, but it is a whole body sport.  Yes, your legs are the ones hitting the pavement but your arms and shoulders should be moving with the opposite leg.

Shin Splints

• Injury
  • This is a repetitive injury that is an irritation or possible microtears to the tibialis anterior or tibialis posterior (these are often referred to as inside or outside shin splints).
  • The longer this injury occurs, typically the more damage is being caused.
• Treatment
  • If this is only minor, treatment is ice, reduce the amount of running and/or rest. If this injury has been going on for a while or is very painful; there is a chance of stress fracture which will result in complete rest until healing occurs.
  • In our office we adjust the lower extremity along with active rehabilitation exercises and possible acupuncture/dry needling. RockTape can also help speed up the recovery process and make the shins less painful.
• Preventative tips
  • Proper running shoes for your foot and replacing them around every 300-500 miles
  • Gradual increases in distances gives your body time to adjust to the different demands.
  • Cross training is very important. It gives your body a break from the repetitive motion of running but keeps you moving.

Runner’s Knee

• Injury
  • Often times in “runner’s knee” the pain is located around the patella (knee cap). If this is the case, this can be irritation of the cartilage under the patella.
• Treatment
  • In our office we look at the function and movement of the knee, ankle, and hip. The knee is often painful due to something else above or below it causing an issue.
  • We look to figure out the problem and correctly diagnose you to get the correct specific treatment for your injury.
    • With this injury, we will focus on why you are having pain in your knee. We will assess your walking/running and come up with a specific plan for you to decrease pain and increase your function.
  • Preventative tips
    • Cross training is important to give your body a break of the same repetitive motion of running.
    • Listen to your body and what it is telling you is important.
    • At the beginning, taking a few days off between runs, or decrease the length and amount of running for a while and then slowly add back in the mileage can help.
    • Sometimes running on softer, more forgiving, surfaces for a length of time can help

IT Band Syndrome

• Injury
  • Inflammation or tightening of the thick band of connective tissue that runs on the outside of the thigh.
• Treatment
  • Sometimes a few days rest along with stretching/foam rolling can reduce the issue
  • In our office we give specific rehabilitation exercises for IT band syndrome. Many times the IT band is over compensating, we often strengthen muscles around the hip to let the IT band not overcompensate.
  • We also can also help break up scar tissue, dry needle/acupuncture, and Rocktape.
• Preventative tips
  • Proper warm up activities and cool down stretches
  • Slow increases in mileage
  • Activating glutes and breathing properly

Plantar fasciitis

• Injury
  • The injury associated with plantar fasciitis is inflammation of the bottom of the foot between the ball of your foot and heel.
  • Often there is quite a bit of pain in the mornings when you first wake up and get out of bed. Also, being barefoot is often very painful.
• Treatment
  • In our office we use soft tissue mobilization to help the fascia (connective tissue) loosen and relax. Then we do simple take home exercises to help keep the tissue looser and activate other muscles so you can have lasting results.
  • Each exercises given is tailored to each individual patient.
• Preventative tips
  • Proper warm up and cool down exercises.
  • Cross training

Writing this article, I hope everyone reading this picked up on a few key points:

• Cross training is very important in any sport you do
• Listening to your body

Pain is NOT “normal”;  many people often deal with pain because they think it is a part of the training schedule.  There is a difference between soreness and pain.  Pain is not acceptable.

In this blog, I’ll try to answer the questions that I often receive as a chiropractor: what am I adjusting and how do I know what to adjust?  Our goal is to educate everyone who reads this and to have an understanding of why we adjust.  Sometimes people are afraid of being adjusted; but why are they afraid?  If you are afraid, most likely it means you are not familiar with something or don’t understand it.  Most often once you understand something, it seems less ominous/threatening.

As chiropractors, we go to chiropractic school for about three and a half years, year-round.  We graduate with over 250 credit hours and have both a bachelor’s degree and a Doctor of Chiropractic degree.   We start day one learning how to assess joints in order to learn and better our skills to adjust.  Dr. Tyler and Dr. Michelle also spent endless weekends during school and still take additional courses to hone our adjusting skills.  We like to go by the saying, “10,000 hours of perfect practice makes perfect” (from the book, Outliers, author Malcom Gladwell).

In our office, we are movement based.  We look at the individual joint and assess whether it is moving and functioning properly.  In order to know if something isn’t moving correctly, you have to know normal joint motion.  Joints can move in 3 different planes of motion: sagittal, frontal, and transverse.  To make sure we are on the same page: sagittal/lateral plane divides the body into left and right; frontal/coronal divides the body into front and back; transverse/horizontal plane divides the body into top and bottom.

We assess this joint motion through different assessments depending on what joint we are looking at.  The joint should feel like it has a little “give” at the end of range of motion.  If it doesn’t, we assess whether the joint needs adjusted or if it is a bony block (meaning that there is bone blocking the movement).  Our body receives feedback from all nerve receptors in our body and we have nerve receptors in our joints.  If our joints are not moving, our brain is not receiving all the feedback it needs which means our brain is almost “blind” to what is exactly going on in that area.  If you aren’t receiving the correct feedback this can increase the risk of injury; this would be like taking one of your five senses away and expecting you to be able to function exactly the same with four senses instead of five.

I often hear, “my bone is out of place and needs popped back in”.  If your bone was truly “out”, this would mean you have a dislocated joint; this is NOT what we do.  If we suspect any dislocation, fracture, etc we will order imaging and/or refer out of our office.  We are restoring movement back into the joint with our adjustment.

Knowing where NOT to adjust is just as important as knowing where to adjust.  I’ll be honest, growing up I popped my own fingers and neck.  I was always told not to do it but never the reasoning behind it and I wish I had been told.  Here is the short answer: the general public is not trained in how to adjust and even if you are trained, you cannot adjust yourself.  Dr. Tyler and Dr. Michelle adjust each other, we do NOT adjust ourselves; it is not possible.  The more detailed answer: the joint that is fixated (not moving) typically will not adjust; you are popping the joint that is already moving or moving too much.  Trust me, it feels good for a while, but then the “need” to pop it again comes back.  Why?  The actual problem was not addressed; the relief you feel is merely our feel-good chemical that our body releases (endorphins) which will wear off.

When Dr. Tyler or Dr. Michelle adjust a patient we aren’t looking for the “pop”.  We are looking for joint movement, does it move better after the adjustment? If the answer is yes, then we accomplished what we wanted; if not we will assess what next step needs to be done.  The noise is a release of gases (oxygen, nitrogen, and carbon dioxide) that changes the pressure within that joint which helps the joint move better after the adjustment.

Our office looks at what needs adjusted and what doesn’t.  As we have said in previous posts, many people need stability not mobility.  It often feels as though you need stretching but your body is seeking stability.  Contact us to find out what you and your body needs to move better and feel better.  Dr. Tyler and Dr. Michelle look forward to seeing you soon!

Who:  People of all ages often come in complaining of sciatic pain; it’s the current “buzz word” that many people know.  Pain down the leg(s) does not automatically mean that this is true sciatica.  There are many different considerations of what it could be.  Can leg pain or true sciatica be treated?  Most of the time, the answer is yes.

What:  Sciatica—what comes immediately to mind?  Pain running down the leg? A quick Google search yields this: “pain radiating along the sciatic nerve, which runs down one or both legs from the lower back”.  Is the sciatic nerve the only thing that runs down your leg and can cause leg pain? No, there are many structures that can cause leg pain other than only the sciatic nerve.  The sciatic nerve is a huge nerve that starts in the low back and branches off into smaller nerves throughout each of your legs.

Where:  Let’s take a closer look at specifics of true sciatica.  Do you know where the sciatic nerve runs?  What muscles it innervates?  Can you tell and know the difference in sciatic pain versus referral pain from the low back?  The sciatic nerve starts in the low back in the spinal cord from levels L4-S3 and runs down the gluteal region by the piriformis (possibly through or splitting it) down the back of the leg.  True sciatica is when that nerve gets entrapped (smashed) which causes pain.  Entrapments can happen in a several different locations: piriformis, long head of the biceps femoris, plus other locations after the nerve has split off and formed smaller nerves.  Each of these entrapments will cause pain in different places in/on your leg.  When I am referring to the “leg” I mean below the knee; if I say thigh, it means above the knee.  The general term of “leg” meaning from the hip down is a big area and easily lost in translation.

When:  True sciatica will cause pain on the outside of the calf and back of the leg (not hamstring) along with the top, bottom, and outside of the foot.  Many people who claim sciatica will have pain on the side of the thigh, back of the hamstrings, and possibly down into the leg and foot.  These symptoms are more related to a radiculopathy which is when a spinal nerve gets entrapped/injured in your low back.  These specific areas of pain often help lead us to our diagnosis.

Why: Often people ask what they did to cause this pain.  It depends on what the actual cause is but many times it is due to a repetitive motion over time.  I can’t count how many times someone has walked into our office with leg pain and says something like, “I don’t know what I did, it just started shooting down my leg” or “I just was trying to tie my shoe and it started”, or something similar to this.

If at times you only have low back pain, it is not sciatica.  As mentioned above, sciatica will only cause pain in the leg.  Other causes of low back pain could be facet joints, muscular cause, discs, or SI joints.  Often times it if has been going on for a longer time and rolling/stretching doesn’t diminish it there is only a slight chance it is only a muscular cause.  If rolling or stretching is going to fix it, it would have by now.  In the rare and emergency case, DVT (deep vein thrombosis) typically causes calf pain and swelling.  This is an emergency case that should not be ignored.  As always, if you think what you are experiencing is a true emergency, call or go to the emergency department.

Other considerations:  You can not see muscles, discs, or ligaments on an x-ray.  The only thing that can be visually seen on an x-ray is bone and spaces between bones.  Imaging is a great tool, when used in the correct context, but it is not always necessary.  Often tests and functional movement screens that we perform in our office tells us what we need and how we need to treat the patient.  If imaging (x-ray, MRI, etc) is needed we are able to order them.

Research shows that many people with NO low back pain, on an MRI, will have disc bulges or protrusions.  Also, most MRI’s are taken laying down, this takes some of the pressure off the disc; this means that a disc bulge could possibly not show up on an MRI.  That is why it is extremely important to have a knowledgeable physician do a thorough hands-on functional evaluation in office and not exclusively depend on imaging.

A wise chiropractic physician and DACBR (someone who is licensed to read imaging aka radiologist) once told me, “If you want a reason to operate on something, do an MRI”.  MRI’s are the gold standard of imaging, but an MRI is only as good as the history and exam findings.  Both MRI and exam findings must point to a similar diagnosis.

How can we help:  At our office we see all of the symptoms listed above on a daily basis.  We often look at the body in different way than other providers.  Our goal is to not only reduce your pain but figure out what the problem is and teach you ways to help yourself now and in the future.  The techniques and rehabilitation we use in our office focuses on the long term goal which is to help lessen the chance of the injury coming back.  Our tests done in office lead us to how we are going to treat the patient and how we can help them.

We use a variety of adjusting techniques, soft tissue therapy, acupuncture, and therapeutic rehabilitation.  Often our patients go home with a simple, yet specific exercise/movement to be able to improve at home.  We also do in office exercises to stabilize, strengthen, and activate specific muscle groups depending on the cause.   We provide hands-on care that assesses your biomechanics, minimizes risk of injury, and exceeds your healthcare goals.  We educate our patients so that they understand what is going on and how they can help themselves feel better.

Here at Created For Motion, we strive to get our patients to their end goal.  We want to see you succeed in your life and activities.  We see all ages of patients from infants up.  The office welcomes the weekend warrior to the highest athlete and everyone in-between.  Are you ready to experience your best quality of life possible?

Proper posture while at work….where do you begin?

               You often hear some people say, “Oh, I hurt myself at the gym” or “I can’t do that because it will bother my back” but have you ever heard anyone saying, “I hurt my back while sitting at my desk”?  Think about it where do we spend most of our time? That’s right, at work.

               Back to the topic, how should I be sitting to help and not harm myself?  Read the helpful hints below to see how you can help yourself.

A.     Chair/Desk versus Standing Desk

a.      We recommend a desk that can either be a sitting or standing desk, that way you can alternate throughout the day. 

B.     Chair options

a.      Height of the chair should be where your feet can be placed flat on the ground.  Your knees and hips should be bent about 90 degrees.

b.      You should be sitting fully in your chair so your low back is against the back of the chair.

c.      There should be good lumbar/low back support in your chair.  Otherwise we have lumbar supports at our office that we recommend.   

d.      You should be sitting under your desk so that when you are typing, your elbows are still close to your side. 

C.      Computer monitor height

a.      Close your eyes and open them.  Where do your eyes fall on the monitor?  They should be about mid-screen or just a little above that. 

                                                    i.     Where are you looking at your screen most of the time?  This will help determine the precise height.

D.     Keyboard/mouse location

a.      As mentioned above, you should be able to type while sitting up in your chair without needing your elbows way out in front of you.

E.      Document/paper holder

a.      Having a stand that will hold paperwork next to your monitor can be a big help.  (This is also a great option for people who study or read often).

If you work on a laptop, or something that makes these tips difficult to do, a standing desk and/or doing as much as you can will help you in the long run.

We have been invited several times to different business’ to talk about this and other topics.  If you or your company is interested, feel free to contact us so we can set up a time.